{"title":"Work-related movement and lumbar spine direction: a systematic review of lifting, posture, and pain risk.","authors":"Changli Liu, Donglin Zhang, Wen Si, Zhiming Li, Shengyang Jiang, Long Yin, Zhongwu Ren","doi":"10.13075/ijomeh.1896.02828","DOIUrl":"10.13075/ijomeh.1896.02828","url":null,"abstract":"<p><p>Low back pain (LBP) is a prevalent musculoskeletal condition of occupational and socioeconomic importance. The main biomechanical exposures related to LBP among workers include repetitive lifting, non-neutral trunk postures, and long-duration static trunk positions. This systematic review aimed to evaluate the role of lumbar spine movement direction during work-related lifting and posture in relation to spinal loading and the risk of LBP. PubMed, Scopus, and Web of Science were searched for articles published in January 2015 - June 2025. Eligible studies included adult workers performing occupational lifting or posture activities and reported direction of lumbar spine movement, biomechanical loading measures, or LBP outcomes. Ten studies met the eligibility criteria, including experimental, modeling, and field-based research. Biomechanical evidence showed that squat lifting reduced shear forces at lower vertebral levels but increased overall musculoskeletal effort, while stoop lifting produced higher shear loads at L5/S1. Lifting with a lordotic spine curvature elevated both compressive and shear forces. Individuals with LBP exhibited altered neuromechanical strategies such as reduced lumbar flexion and increased pelvic compensation. Field studies linked repetitive manual handling and constrained postures to higher LBP prevalence. Asymmetrical movement, inadequate strength, and fatigue also contributed to injury risk. The direction and quality of lumbar spine motion during lifting and other posture-dependent activities is an important modifiable risk factor for LBP. Through environmental design changes and behavioral training programs employees can learn and apply ergonomically suitable movement patterns and postures to prevent LBP and decrease spinal loading in their workplaces. Int J Occup Med Environ Health. 2026;39(4):348-62.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":"39 4","pages":"348-362"},"PeriodicalIF":2.0,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Letter to the Editor (April 23, 2026) concerning the paper \"Factors associated with respiratory symptoms in communities living near to and away from the railway used for coal transportation in La Guajira, Colombia\".","authors":"Alvaro J Idrovo","doi":"10.13075/ijomeh.1896.02888","DOIUrl":"10.13075/ijomeh.1896.02888","url":null,"abstract":"","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":"39 4","pages":"437-438"},"PeriodicalIF":2.0,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Letter to the Editor (March 22, 2026) concerning the paper \"Psychosocial working conditions and mental well-being of remote and stationary employees: a longitudinal study\".","authors":"Tian Ruan","doi":"10.13075/ijomeh.1896.02862","DOIUrl":"10.13075/ijomeh.1896.02862","url":null,"abstract":"","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":"39 4","pages":"431-434"},"PeriodicalIF":2.0,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Authors' response (August 19, 2026) to the Letter to the Editor concerning the paper \"Factors associated with respiratory symptoms in communities living near to and away from the railway used for coal transportation in La Guajira, Colombia\".","authors":"Jeannette Liliana Amaya-Lara, Jesús Rodríguez-García, Rolando Enrique Peñaloza-Quintero, Marino Mauricio Mejía-Rocha","doi":"10.13075/ijomeh.1896.02978","DOIUrl":"10.13075/ijomeh.1896.02978","url":null,"abstract":"","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":"39 4","pages":"439-441"},"PeriodicalIF":2.0,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674532/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Agnieszka Kamińska, Radosław Sierpiński, Agata Olearczyk, Aysel Galbinur, Tural Galbinur, Maciej Kamiński, Mariusz Gujski, Mateusz Jankowski, Grzegorz Juszczyk
{"title":"Sunglasses use, UV protection, and knowledge of UV radiation among adults in Poland: a cross-sectional study.","authors":"Agnieszka Kamińska, Radosław Sierpiński, Agata Olearczyk, Aysel Galbinur, Tural Galbinur, Maciej Kamiński, Mariusz Gujski, Mateusz Jankowski, Grzegorz Juszczyk","doi":"10.13075/ijomeh.1896.02907","DOIUrl":"10.13075/ijomeh.1896.02907","url":null,"abstract":"<p><strong>Objectives: </strong>Ultraviolet (UV) radiation (UVR) is an environmental risk factor for several ocular conditions. This study aimed to assess sunglasses use patterns and awareness of UV-related eye health risks, as well as to identify sociodemographic factors associated with sunglasses use among adults in Poland.</p><p><strong>Material and methods: </strong>A nationwide cross-sectional survey was conducted in March 13-17, 2026 among 1090 adults in Poland. Data were collected using the computer-assisted web interview technique. A quota-based sample was used. Sunglasses use, UV protection, outdoor exposure, knowledge of UVR, and barriers to use were assessed.</p><p><strong>Results: </strong>Frequent sunglasses use was reported by 58.5% of respondents on sunny spring/summer days, but only by 23.5% on cloudy spring/summer days. Less than half of respondents (44.2%) declared using sunglasses with UV protection, while 22.3% did not know whether their sunglasses provided such protection. Overall knowledge of UVR was relatively good, although 47.2% incorrectly believed that darker lenses provide better UV protection. In multivariable logistic regression, female gender (adjusted odds ratio [aOR] = 1.82, 95% confidence interval [CI]: 1.41-2.34, p < 0.001), occupational activity (aOR = 1.84, 95% CI: 1.35-2.52, p < 0.001), living in cities <20 000 residents (aOR = 1.57, 95% CI: 1.04-2.35, p = 0.03), and having a doctor-diagnosed eye condition (aOR = 1.45, 95% CI: 1.11-1.90, p = 0.007) were significantly associated with frequent sunglasses use on sunny days during spring and summer. Older age (40-49 years: aOR = 1.71, 95% CI: 1.08-2.72, p = 0.02; 50-59 years: aOR = 1.93, 95% CI: 1.22-3.05, p = 0.005), higher education (aOR = 1.49, 95% CI: 1.15-1.94, p = 0.002), occupational activity (aOR = 1.79, 95% CI: 1.28-2.51, p < 0.001), living in the largest cities (≥500 000 residents: aOR = 1.79, 95% CI: 1.20-2.68, p = 0.005), and having a doctor-diagnosed eye condition (aOR = 1.67, 95% CI: 1.28-2.17, p < 0.001) were significantly associated with the use of sunglasses with UV protection.</p><p><strong>Conclusions: </strong>Sunglasses use among adults in Poland is insufficient, particularly under cloudy conditions, and misconceptions regarding UV protection remain common. These findings indicate the need for targeted public health interventions to improve awareness and promote appropriate UV eye protection. Int J Occup Med Environ Health. 2026;39(4):390-406.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":"39 4","pages":"390-406"},"PeriodicalIF":2.0,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Three-dimensional spinal and pelvic posture in professional saxophone players.","authors":"Ewa Puszczalowska-Lizis, Danuta Smolag","doi":"10.13075/ijomeh.1896.02934","DOIUrl":"10.13075/ijomeh.1896.02934","url":null,"abstract":"<p><strong>Objectives: </strong>The psychophysical demands of playing a musical instrument at a professional level pose significant challenges to the musculoskeletal system. Maintaining a position adapted to the instrument for long hours, every day and for many years may result in future postural abnormalities and chronic health problems. This study evaluated the 3-dimensional spinal and pelvic posture of professional saxophone players compared to non-musician controls.</p><p><strong>Material and methods: </strong>The study included 60 men aged 20-30 years: 30 professional saxophone players with an average playing experience of mean (M) ± standard deviation (SD) 12.57±2.06 years (the study group) and 30 healthy non-musicians (the control group). Sagittal and frontal spinal posture was assessed using the DIERS formetric III 4D system. Statistical analysis was performed using Student's t-test for independent samples, the Mann-Whitney U test, and Pearson's χ² test.</p><p><strong>Results: </strong>The professional saxophonists had significantly lower kyphotic angle ICT-ITL (cervicothoracic and thoracolumbar inflection points) max values compared to the control group (p < 0.001), indicating a tendency toward a flatter physiological thoracic curve. Additionally, reduced thoracic kyphosis (hypokyphosis) was more frequently observed in the study group (p = 0.049). No significant differences between the groups were found regarding frontal plane parameters, such as lateral deviation or pelvic obliquity (p > 0.05).</p><p><strong>Conclusions: </strong>While professional saxophone playing does not alter the direction of spinal deviations, it significantly reduces the thoracic kyphosis angle, predisposing musicians to hypokyphosis. These findings highlight the need for specialised postural training and preventive rehabilitation strategies tailored specifically to the ergonomic demands of saxophone performance. Int J Occup Med Environ Health. 2026;39(4):407-18.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":"39 4","pages":"407-418"},"PeriodicalIF":2.0,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674541/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lynne Pavlic Marshall, Christine R Langton, Lindsey A Wood
{"title":"Association between butadiene exposure and leukemia mortality in synthetic rubber industry workers.","authors":"Lynne Pavlic Marshall, Christine R Langton, Lindsey A Wood","doi":"10.13075/ijomeh.1896.02792","DOIUrl":"10.13075/ijomeh.1896.02792","url":null,"abstract":"<p><strong>Objectives: </strong>Regulatory agencies across the USA and EU utilize analyses of a cohort of workers in the styrene-butadiene rubber (SBR) industry to assess excess cancer risk and make policy decisions on occupational and environmental exposure limits for 1,3-butadiene (BD). The objective of this study was to perform an analysis on the SBR data, including explorations of covariates and worker inclusion criteria, to evaluate the effects on the model parameters for estimating leukemia mortality.</p><p><strong>Material and methods: </strong>Exposure and mortality information for 21 069 male and female workers in 6 North American SBR plants were obtained. Cox proportional hazards models were used to evaluate the association between BD and leukemia mortality. All Cox models used number of days from hire date to person-day observation as the time scale and included cumulative BD as a time-varying exposure.</p><p><strong>Results: </strong>Most workers were exposed to BD (66.4%). There were 132 deaths due to leukemia. The Cox proportional hazards model excluding all workers with <1 year of employment (N = 1801) and adjusted for age, BD high intensity tasks, and year of hire resulted in a statistically significant association between cumulative BD exposure and leukemia mortality (β = 2.14 × 10<sup>-4</sup>, 95% CI: 0.40-3.87 × 10<sup>-4</sup>; HR = 1.000214, 95% CI: 1.000040-1.000387). The same model including all workers in the dataset had similar results (β = 2.21 × 10<sup>-4</sup>, 95% CI: 0.49-3.93 × 10<sup>-4</sup>; HR = 1.000221, 95% CI: 1.000049-1.000393).</p><p><strong>Conclusions: </strong>The authors' exploration of covariates and worker inclusion criteria to evaluate the quantitative effects on the relationship between BD and leukemia mortality demonstrates little variation in model parameters despite covariates and worker groups included. Using a conservative 95% upper bound of the β-coefficient to estimate excess risk resulted in a greater BD exposure estimate compared to regulatory bodies, suggesting a weaker overall exposure risk relationship. Int J Occup Med Environ Health. 2026;39(4):378-89.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":"39 4","pages":"378-389"},"PeriodicalIF":2.0,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Authors' response (July 16, 2026) to the Letter to the Editor concerning the paper \"Psychosocial working conditions and mental well-being of remote and stationary employees: a longitudinal study\".","authors":"Dorota Żołnierczyk-Zreda, Łukasz Kapica, Andrzej Najmiec, Joanna Kamińska, Joanna Mazur-Różycka, Joanna Bugajska","doi":"10.13075/ijomeh.1896.02947","DOIUrl":"10.13075/ijomeh.1896.02947","url":null,"abstract":"","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":"39 4","pages":"435-436"},"PeriodicalIF":2.0,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674533/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Potential explanations for the observed cardiovascular risk profile in military personnel: narrative review.","authors":"Magdalena Zawadzka, Ewelina Ejchman-Pac, Justyna Marszałkowska-Jakubik","doi":"10.13075/ijomeh.1896.02886","DOIUrl":"10.13075/ijomeh.1896.02886","url":null,"abstract":"<p><p>Cardiovascular diseases (CVD) remain the leading cause of mortality in Poland and constitute a major public health burden. While traditional risk factors are well described in the general population, less is known about their distribution in specific occupational groups, including military personnel, who may be exposed to unique work-related cardiovascular risk factors. The aim of this narrative review was to compare the prevalence and profile of major modifiable cardiovascular risk factors in the general Polish population and military personnel and to discuss potential mechanisms underlying the observed cardiovascular risk profile in military populations. This descriptive-analytical study was based on secondary data analysis of epidemiological studies and national reports. Cardiovascular risk factors were highly prevalent in both populations. In military personnel, despite health selection and physical fitness requirements, a substantial proportion presented with overweight, dyslipidemia, and elevated blood pressure, often underdiagnosed. Smoking prevalence remained high in some military subgroups, while suboptimal diet and irregular routines contributed to risk accumulation. Additionally, military personnel may be exposed to chronic stress and other harmful environmental factors. The coexistence and interaction of multiple risk factors highlight the need for targeted, occupation-specific prevention strategies. Expanding CVD prevention to include interventions tailored to military service conditions, including environmental exposures and psychosocial stressors, may improve early detection and reduce long-term cardiovascular burden. Addressing cardiovascular health in this group is essential for maintaining both individual health and operational readiness. Int J Occup Med Environ Health. 2026;39(4):419-30.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":"39 4","pages":"419-430"},"PeriodicalIF":2.0,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Review of the existing evidence for the relationship between person-organization fit and mental health outcomes in the workplace.","authors":"Kaja Staszewska, Dorota Merecz-Kot","doi":"10.13075/ijomeh.1896.02913","DOIUrl":"10.13075/ijomeh.1896.02913","url":null,"abstract":"<p><p>Person-organization fit (P-O fit) refers to how well employees feel they match their organization in terms of values, goals, needs, and personal characteristics. Although previous research has primarily focused on the relationship between P-O fit and performance measures, increasing attention has recently been devoted to its potential role in employee mental health. The aim of this review was to summarize the current evidence regarding the relationship between P-O fit and mental health outcomes in occupational settings. The review was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 (PRISMA 2020) guidelines. Electronic searches were performed in the PubMed, Scopus, and EBSCO databases for studies published in 2016-2026. Studies were included if they examined the relationship between P-O fit and mental health outcomes among working populations. After the screening and eligibility assessment process, 16 empirical studies were included in the review. The reviewed studies included predominantly cross-sectional designs, although 2 longitudinal studies were also identified. Most studies showed that higher levels of P-O fit were associated with lower levels of stress, burnout, depressive and anxiety symptoms, and better well-being outcomes. Similar associations were reported in different occupational groups and countries. In conclusion, the findings suggest that congruence between employees and their organizational environments may play an important role in employee mental health. However, this review has several limitations, including the predominance of cross-sectional studies. Further longitudinal research is needed to clarify the relationship between P-O fit and employee mental health. Int J Occup Med Environ Health. 2026;39(4):363-77.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":"39 4","pages":"363-377"},"PeriodicalIF":2.0,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674540/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}