The correlation between WMSDs and thyroid indicators in male large-scale mechanical maintenance workers
10.3760/cma.j.cn121094-20240122-00033
- VernacularTitle:大型机械维修男性工人WMSDs与甲状腺指标的关联
- Author:
Mingli BI
1
;
Xiyong CUI
;
Xuefeng WANG
;
Xiaoxiao PENG
;
Jue LI
;
Huining WANG
;
Xiaoshun WANG
;
Xiaowen DING
Author Information
1. 北京市职业病防治研究院职业健康研究所，北京 100093
- Publication Type:Journal Article
- Keywords:
Musculoskeletal system;
Work-related musculoskeletal disorders;
Thyroid diseases;
Thyroid stimulating hormone;
Large-scale mechanical maintenance
- From:
Chinese Journal of Industrial Hygiene and Occupational Diseases
2025;43(2):129-134
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the status of work-related musculoskeletal disorders (WMSDs) in male large-scale mechanical maintenance workers, and to explore the relationship between WMSDs and thyroid indexes.Methods:From April to July 2022, male front-line maintenance workers in a large-scale mechanical maintenance enterprise who participated in occupational health examination were selected as the study subjects ( n=2036). The occurrence of WMSDs was investigated by questionnaire. The levels of triiodothyronine (T3), thyroxine (T4) and thyroid stimulating hormone (TSH) in serum were detected. χ2 test, t-test and Mann-Whitney U test were used to detect thyroid diseases and hormone levels of workers in WMSDs group and non-WMSDs group, and binary logistic regression model was used to analyze the relationship between thyroid disease, T3, T4, TSH and WMSDs. Results:The incidence of WMSDs among the male large-scale mechanical maintenance workers was 73.18% (1490/2036). The rate of thyroid disease in WMSDs group was higher than that in non-WMSDs group [8.26% (123/1490) vs. 4.95% (27/546), χ 2=6.42, P=0.011], and the TSH value was lower than that in non-WMSDs group[1.66 (1.23, 2.26) μIU/ml vs. 1.75 (1.30, 2.42) μIU/ml, Z=-2.40, P=0.019]. There were no significant differences in the levels of T3, T4 and abnormal levels of 3 hormones between the two groups ( P>0.05). After accounting for individual and occupational factors, workers with thyroid disease had an increased risk of WMSDs ( OR=1.656, 95% CI: 1.072-2.559, P=0.023), while workers with increased TSH had a decreased risk of WMSDs ( OR=0.897, 95% CI: 0.823-0.977, P=0.013) . Conclusion:The incidence of WMSDs in male workers of large-scale mechanical maintenance is high, and its incidence may be related to thyroid index. Thyroid disease may be a risk factor for WMSDs, and increased TSH may be a protective factor for WMSDs.
