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Musculoskeletal pain at multiple sites and its effects on work ability in a general working population
Occupational and Environmental Medicine, 11/06/09

Miranda H et al. – Single–site pain was reported by 33% of the subjects, whereas 20%, 9% and 4% reported pain in 2, 3 and 4 sites, respectively. The prevalence of poor work ability varied from 8 to 15%. Every fifth had thought about retiring early. Age– and gender–adjusted risks of poor physical work ability and own prognosis of poor future work ability increased from 2 for single–site pain to 8 for pain at 4 sites. Risks remained considerably elevated after adjustment for various covariates, even for clinical musculoskeletal disorders and functional capacity. Poor current work ability was most affected by multi–site pain at older age (50–64 years), and intentions to retire early at age 40–49 years. Co–occurring pain per se poses a considerable threat to work ability. Workers with multi–site pain may benefit from targeted preventive measures to sustain their work ability. Future studies should also consider multi–site pain as an important risk factor for reduced work ability.

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