Should office workers spend fewer hours at their computer? A systematic review of the literature

被引:184
作者
IJmker, S.
Huysmans, M. A.
Blatter, B. M.
van der Beek, A. J.
van Mechelen, W.
Bongers, P. M.
机构
[1] Vrije Univ Amsterdam, Body Work TNO, Inst Res Extramural Med, Ctr Med, NL-1081 BT Amsterdam, Netherlands
[2] TNO Qual Life, Hoofddorp, Netherlands
[3] Vrije Univ Amsterdam, Fac Human Movement Sci, Inst Fundamental & Clin Human Movement Sci, NL-1081 HV Amsterdam, Netherlands
关键词
D O I
10.1136/oem.2006.026468
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 [公共卫生与预防医学]; 120402 [社会医学与卫生事业管理];
摘要
Worldwide, millions of office workers use a computer. Reports of adverse health effects due to computer use have received considerable media attention. This systematic review summarises the evidence for a relationship between the duration of work time spent using the computer and the incidence of hand - arm and neck - shoulder symptoms and disorders. Several databases were systematically searched up to 6 November 2005. Two reviewers independently selected articles that presented a risk estimate for the duration of computer use, included an outcome measure related to hand arm or neck - shoulder symptoms or disorders, and had a longitudinal study design. The strength of the evidence was based on methodological quality and consistency of the results. Nine relevant articles were identified, of which six were rated as high quality. Moderate evidence was concluded for a positive association between the duration of mouse use and hand - arm symptoms. For this association, indications for a dose - response relationship were found. Risk estimates were in general stronger for the hand - arm region than for the neck - shoulder region, and stronger for mouse use than for total computer use and keyboard use. A pathophysiological model focusing on the overuse of muscles during computer use supports these differences. Future studies are needed to improve our understanding of safe levels of computer use by measuring the duration of computer use in a more objective way, differentiating between total computer use, mouse use and keyboard use, attaining sufficient exposure contrast, and collecting data on disability caused by symptoms.
引用
收藏
页码:211 / 222
页数:12
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