{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T09:47:41Z","timestamp":1782294461627,"version":"3.54.5"},"reference-count":37,"publisher":"Korean Society of Occupational & Environmental Medicine","content-domain":{"domain":["aoemj.org"],"crossmark-restriction":true},"short-container-title":["Ann Occup Environ Med"],"abstract":"<jats:p>Background: Low back pain (LBP) is highly prevalent among industrial workers, and obstructive sleep apnea (OSA) has been increasingly recognized as a factor influencing pain modulation. This study evaluated the association between OSA risk, assessed by the STOP-Bang questionnaire, and LBP among shift workers in a tire manufacturing factory.Methods: A total of 976 male shift workers from a tire manufacturing factory were analyzed. OSA risk was assessed using the STOP-Bang questionnaire and classified as low, moderate, or high. LBP and musculoskeletal pain were defined as self-reported symptoms occurring within the preceding 6 months. Multivariable logistic regression analyses were performed to estimate odds ratios (ORs) and 95% confidence intervals (CIs).Results: Compared with workers at low OSA risk, those at moderate and high risk had significantly higher odds of LBP (OR: 1.50; 95% CI: 1.02\u20132.20; p = 0.038; and OR: 1.75; 95% CI: 1.20\u20132.55; p = 0.004, respectively). Similarly, moderate and high OSA risk were independently associated with increased odds of musculoskeletal pain (OR: 1.86; 95% CI: 1.26\u20132.73; p = 0.002; and OR: 1.84; 95% CI: 1.26\u20132.68; p = 0.002, respectively).Conclusions: Among male shift workers, elevated OSA risk is independently associated with a higher prevalence of LBP and musculoskeletal pain. Systematic workplace screening for OSA risk using the STOP-Bang questionnaire may support occupational health assessments by identifying shift workers with elevated OSA risk who are more likely to report pain-related morbidity.<\/jats:p>","DOI":"10.35371\/aoem.2026.38.e15","type":"journal-article","created":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T09:14:23Z","timestamp":1782292463000},"page":"e15","update-policy":"https:\/\/doi.org\/10.35371\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Relationship between obstructive sleep apnea risk and low back pain among shift workers in a tire manufacturing 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