Musculoskeletal disorder prevalence and psychosocial risk exposures by age and gender in a cohort of office based employees in two academic institutions

This study presents data on self-reported prevalence of Musculo-Skeletal Disorder (MSD) symptoms and psychosocial risk exposures by age and gender among a group of office based University workers who use their computers for at least 25% of their workday. Employees in two academic organisations received an invitation to participate in an on-line questionnaire. A total of n = 852 office workers participated in this study; yet respondents who were employed for greater than 12 months were only included in the study cohort. Furthermore, participants were only considered for further analysis if they spent 50% or more of their workday in their office, and of this time at least 50% was spent on computer work (n = 569). The study indicates that self-reported symptoms of MSDs for these workers were highest in the neck, shoulder and lower back. Neck, shoulder and back MSDs were higher for females than males, yet age differences within genders were not evident for these symptoms. For neck disorders, symptomatic individuals reported significantly higher levels of office work (p < 0.05) and PC usage (p < 0.005), and significantly lower levels of job content (p < 0.01), job demands (p < 0.05), and work environment (p < 0.05) compared to asymptomatic participants. For the shoulder, symptomatic individuals exposure levels were significantly higher for office work (p < 0.05) and PC usage (p < 0.05) and significantly lower for job content (p < 0.05) compared to asymptomatic individuals. There was evidence of important differences in the psychosocial exposures between age and genders, but associations between these differences and MSD symptoms were not present.Relevance to industryThis study presents prevalence data on age and gender differences in self-reported symptoms of MSDs and psychosocial risk exposures in a group of sedentary workers.     

Heel contact dynamics in alternative footwear during slip events

IntroductionSlips, trips and an induced loss of balance have been identified as the major causative factor for workplace injuries involving falls. Moreover, alternative footwear such has crocs and flip flops have been used in and around work places, especially with the usage of crocs in slip prone hospital settings.PurposeThe purpose of the study is to analyze the effects of alternative footwear [crocs (CC), flip-flops (FF)] and industry standard slip resistant shoes (LT) on heel dynamics during slip events.MethodsEighteen healthy male participants following a repeated measures design for each footwear condition, were tested for heel kinematics during normal dry surface gait (NG); unexpected slip (US), alert slip (AS) and expected slip (ES). A 3 × 4 repeated measures ANOVA was used to analyze the dependent slip parameters (heel slip distance-HSD & mean heel slip velocity-MHSV) at p = 0.05.ResultsSignificant interactions between footwear and gait trials were found for HSD & MHSV, with significantly greater slip parameters exhibited by CC & FF compared to LT during US.ConclusionAlternative footwear (CC & FF) demonstrated greater slips, but were limited to slip events that were unexpected. With the knowledge and anticipation of slippery flooring conditions, participants were able to lower the slip parameters by kinematically modifying heel contact dynamics. The LT had significantly lower slip parameters and maintained a normal gait pattern for all slip trials, and demonstrates to be the choice of footwear for maneuvering slippery flooring conditions; while alternative footwear combined with unexpected slip events contributed to potentially hazardous and hazardous slips.Relevance to IndustryAlternative footwear such as crocs are widely used in hospitals which are slip prone environments. This study provides evidence that these alternative footwear may predispose to hazardous slips and recommends the use of slip resistant footwear or slip resistant modifications to alternative footwear under known or unknown slippery conditions.     

Investigating shoulder muscle loading and exerted forces during wall painting tasks: Influence of gender,work height and paint tool design

The task of wall painting produces considerable risk to the workers, both male and female, primarily in the development of upper extremity musculoskeletal disorders. Insufficient information is currently available regarding the potential benefits of using different paint roller designs or the possible adverse effects of painting at different work heights. The aim of this study was to investigate the influence of gender, work height, and paint tool design on shoulder muscle activity and exerted forces during wall painting. Ten young adults, five male and five female, were recruited to perform simulated wall painting at three different work heights with three different paint roller designs while upper extremity muscle activity and horizontal push force were recorded. Results demonstrated that for female participants, significantly greater total average (p = 0.007) and integrated (p = 0.047) muscle activity was present while using the conventional and curly flex paint roller designs compared to the proposed design in which the load was distributed between both hands. Additionally, for both genders, the high working height imposed greater muscular demands compared to middle and low heights. These findings suggest that, if possible, avoid painting at extreme heights (low or high) and that for female painters, consider a roller that requires the use of two hands; this will reduce fatigue onset and subsequently mitigate potential musculoskeletal shoulder injury risks.     

Manufacturing assembly serial and cells layouts impact on rest breaks and workers’ health

Rest breaks are necessary for workers to avoid and/or recover from overall fatigue and to preserve their health. The type of assembly layout, either in lines or in cells, is a determining factor for organizing work at manufacturing companies, and it could also influence workers' work break and microbreak times. This study aimed at evaluating rest breaks in serial and cell assembly layout configurations as well as the layout's influence on workers' health. One hundred and twenty workers from a large automobile industry, divided into two groups (series and cells), were measured for their cycle-times and break times through biomechanical exposure analysis and questionnaires to evaluate the behaviors, physical, cognitive, and mental health. The Kolmogorov-Smirnov test was used to verify the distribution of the data with a significance level of p < 0.05. The cell assembly-line layouts had the greatest cycle-time and break time, and the workers had a higher level of physical activity (p < 0.05). The serial assembly-line layouts did not generate major occupational risk, need for rest, reduced capacity for work, or higher levels of stress for the workers. The production layouts differed in relation to the cycle-times for just-in-time manufacturing, but there was no difference in relation to the production demands and to the workers' health.Relevance to industryWhen taken at appropriate times, rest breaks in the workplace can improve workers’ overall health and productive performance, which reduces healthcare costs and improves industrial productivity.     

Fatigue differences between Asian and Western populations in prolonged mentally demanding work-tasks

IntroductionWith an increase in the number of mentally demanding jobs, as well as the increase in work performed while sedentary, there is a growing imbalance in the use of body resources. This often results in an increase in fatigue in the working population. The diversity of the workforce is also increasing, whereas physiological differences based on culture are important to consider. The objective of this study was to identify the differences in the levels of fatigue in the workplace experienced by Asian and Western workers in mentally demanding jobs.MethodEight Asian and eight Western participants completed an observation-based study. Each participant was observed for four hours in their workplace while they were working on highly mentally demanding work-tasks either computer programming or mathematical simulations. To balance the effect of time, half of the participants from each ethnic group were observed in the morning session and the other half in the afternoon session. Perceived fatigue was measured every 30 min using the single dimensional Borg and multidimensional SOFI scales. Workload was measured using NASA-TLX, and as a change in resting heart rate.ResultEthnicity and time interacted to significantly affect the perceived fatigue measured by Borg (F (9,126) = 2.03, p = 0.0412) and SOFI (F(9,126) = 3.28, p = 0.0013) scales. Asian participants reported significantly higher workload measured by NASA-TLX scores (F(1, 14) = 3.68, p = 0.0024) and change in resting heart rate (F(1, 14) = 7.77, p = 0.0145) was measured higher compared to Western participants. Unlike fatigue, no significant interactions were observed between time and ethnicity to affect either NASA-TLX scores or change in resting heart rate. Post-hoc analyses show that the rate of fatigue was higher for Asian participants. Correlations between the dependent variables were significant (p < 0.0001), with a stronger correlation identified for Asian participants.ConclusionAs compared to the Western participants, Asian participants reported higher values in all dependent measures, including fatigue in both scales, NASA-TLX scores, and change in resting heart rate.Relevance to industryThe significant growth in white-collar as well as mentally demanding jobs requires more cognitive resources, while reducing physical activities. The consequences of the imbalances in the use of body resources have yet to be studied. This study has been designed to investigate the issues of imbalance in the workplace.     

Mobile phone use among college students is a sedentary leisure behavior which may interfere with exercise

Research suggests that cell phone use is related to sedentary behavior, that cell phone use during exercise reduces intensity, and that high frequency cell phone users are less fit than other users. Thus, cell phone use appears connected to health and fitness behaviors and should be better understood within this context. The present study investigated the sedentary nature of cell phone use, and examined the likelihood of cellphone use interfering with exercise behavior.DesignA validated survey was administered to a random sample of students from a public US university (N = 226).ResultsMean self-reported cell phone use was 380 min day⁻¹, 87% reported cell phone use primarily occurs while sitting, and 70% of use was for leisure. Cell phone use was positively related to sedentary behavior (β = 0.30, p < 0.001). It was not related to physical activity. However, the likelihood of cell phone use during moderate (p = 0.006) and mild (p < 0.001) intensity exercise increased as cell phone use increased.ConclusionLike other screens (e.g., TVs), cell phone use appears to be a sedentary leisure behavior. Furthermore, high frequency use increases the likelihood that it will occur during exercise, likely lowering exercise intensity.     

Occupational hazards survey among coal workers using hand-held vibrating tools in a northern China coal mine

ObjectiveProlonged exposure to hand-transmitted vibration (HTV) is associated with an increased risk of hand-arm vibration syndrome (HAVS). This study aimed to identify the signs and symptoms associated with coal workers using hand-held vibrating tools in a northern China coal mine, and to determine the risk factors for HAVS.MethodsA cross-sectional survey was conducted of 167 male workers with part-time exposure to HTV. A structured questionnaire was administered to the workers along with a series of function tests. The frequency-weighted vibration acceleration of hand-held tools was measured. The prevalence ratio and symptom correlation to HAVS among the different subgroups were evaluated.ResultsThe prevalence of hand numbness, carpal tunnel syndrome, hand ache, tinnitus, memory loss, dizziness and headache showed significant differences in the longer-exposure groups (working years > 3 years or the daily-exposure duration > 2 h), compared with the control group (P < 0.05). Function tests showed abnormal findings only in vibration sensation and the X-ray examination of the longer-exposure groups (P < 0.05). The logistic regression analysis showed that longer working years, higher daily exposure and alcohol consumption were risk factors, while wearing anti-vibration gloves showed protective effects for hand numbness.ConclusionsThis study has identified the main signs and symptoms of HAVS among coal workers exposed to HTV in China. More information related to occupational safety and health programs are required to reduce the risk of HAVS.     

Precarious employment, working hours, work-life conflict and health in hotel work

Precarious or temporary work is associated with adverse outcomes including low control over working hours, work-life conflict and stress. The rise in precarious employment is most marked in the service sector but little research has been done on its health effects in this sector. This study compares permanent and temporary workers in the hotel industry, where working hours are highly variable. Survey data from 150 workers from eight 3-Star hotels in urban and regional areas around Sydney were analyzed. Forty-five per cent were male and 52 per cent were female. Fifty four per cent were permanent full-time and 46 per cent were temporary workers. The effects of employment status on perceived job security, control over working hours, and work-life conflict are investigated using PLS-Graph 3.0. The effects of control over working hours, on work-life conflict and subsequent health outcomes are also explored. Temporary workers perceived themselves as less in control of their working hours, than permanent workers (β = .27). However, they also reported lower levels of work intensity (β = .25) and working hours (β = .38). The effects of low hours control (β = .20), work intensity (β = .29), and excessive hours (β = .39) on work-life conflict (r² = .50), and subsequent health effects (r² = .30), are illustrated in the final structural equation model.     

Biomechanical analysis of upper trapezius,erector spinae and brachioradialis fatigue in repetitive manual packaging tasks: Evidence from Chinese express industry workers

This study aims to assess the effects of repetitive motion-induced fatigue during manual packaging on kinematics and muscle activity of the arm, back and shoulder. Eighteen participants performed a 60-min manual packaging task. Electromyography median frequency of RUT, RES, LES and RB decreased by 13.2% (p < 0.05), 12.8% (p < 0.05), 11.3% (p < 0.05) and 21% (p < 0.001), respectively over time. The head flexion and the right upper arm flexion angles significantly (p < 0.001) differed among different packaging sizes, and similar results were observed for left upper arm flexion and rotation. The trunk and pelvis angles significantly (p < 0.05) differed over time under three kinds of packaging. The results showed there was an increase in the rating of perceived exertion from 8.56 to 16.94 (p<0.01) during the task. The outcomes of this study indicate repetitive movements in the manual packaging task resulted in elevated prevalence of muscle discomfort in packaging workers, especially the right brachioradialis. Interventions such as specific work: rest ratios, workplace redesign should be explored to relieve muscle fatigue and discomfort.Relevance to industryFor workers performing repetitive manual packaging tasks, biomechanical analysis of different muscles groups can help in developing appropriate ergonomic interventions.     

Seated body apparent mass response to vertical whole body vibration: Gender and anthropometric effects

The gender and anthropometric effects on apparent mass characteristics of the seated body exposed to vertical vibration are investigated through laboratory measurements. The study was conducted on 31 male and 27 female subjects, exposed to three levels of vertical vibration (0.25, 0.50 and 0.75 m/s² rms acceleration) in the 0.50 to 20 frequency range, while seated without a back support and against a vertical back support. The apparent mass responses were analyzed by grouping datasets in three ranges of mass-, build- and stature-related parameters for the male and female subjects. Comparisons of responses of male and female subjects with comparable anthropometric properties showed distinctly different biodynamic responses of the two genders. The primary resonance frequency of male subjects was significantly (p < 0.001) higher than the female subjects of comparable body mass but the peak magnitude was comparable for both the gender groups. The male subjects showed greater softening with increasing excitation magnitude compared to the female subjects, irrespective of the sitting condition. The male subjects showed significantly higher peak magnitude response than those of the female subjects for the same anthropometric properties, except for the total and lean body mass. The peak magnitude was linearly correlated with the body mass, body mass index, body fat and hip circumference (r² > 0.7), irrespective of the back support and excitation conditions for both the genders.Relevance to the industryThe apparent mass responses of the human body exposed to whole-body vibration form an essential basis for an understanding of mechanical-equivalent properties of the body, developments in frequency-weightings for assessment of exposure risks and anthropodynamic manikins for assessment of seats. The effects of gender and anthropometric parameters on the AM response are vital for seeking better seat designs, and anthropodynamic manikins for assessments of seating for male as well as female workers.     

Physical workload,trapezius muscle activity,and neck pain in nurses' night and day shifts: A physiological evaluation

The purpose of this study was to compare physical workload, electromyography (EMG) of the trapezius muscle, neck pain and mental well-being at work between night and day shifts in twenty Swiss nurses. Work pulse (average increase of heart rate over resting heart rate) was lower during night (27 bpm) compared to day shifts (34 bpm; p < 0.01). Relative arm acceleration also indicated less physical activity during night (82% of average) compared to day shifts (110%; p < 0.01). Rest periods were significantly longer during night shifts. Trapezius muscle rest time was longer during night (13% of shift duration) than day shifts (7%; p < 0.01) and the 50th percentile of EMG activity was smaller (p = 0.02), indicating more opportunities for muscle relaxation during night shifts. Neck pain and mental well-being at work were similar between shifts. Subjective perception of burden was similar between shifts despite less physical burden at night, suggesting there are other contributing factors.     

Neck pain prevalence and associated occupational factors in Portuguese office workers

ObjectiveThis study aimed to assess the prevalence of neck pain and to identify associated occupational factors in Portuguese office workers.BackgroundThere is still necessary to quantify the association of the use of new technologies with neck pain in office workers.MethodsSix hundred-and-one office workers completed online questionnaires with questions related to anthropometric parameters, work-related variables, workstation setup, and musculoskeletal pain from the Portuguese version of the Standardized Nordic Musculoskeletal Questionnaire.ResultsThe prevalence of neck pain was 56.1%. An average of 35.6% of the office workers with neck pain reported pain in more than three body segments. The significantly risk factors were “age between 50 and 65” [OR: 1.92 (1.26–2.91) P = 0.002], “working without break for 2 h” [OR: 1.82 (1.00–3.31) P = 0.05], “more than 3 h” [OR: 2.41 (1.35–4.10) P = 0.003], screen localization not centered” [OR: 2.01 (1.01–4.00) P = 0.045], and “use of computer mouse more than 50% of the worktime” [OR: 2.05 (1.14–3.71) P = 0.017].ConclusionThere was a high prevalence of neck pain and a considerable number of painful body segments in office workers. Age, working without break, screen localization and the use of computer mouse where the significant risk factors associated with the development of neck pain.Relevance to industryA high prevalence of neck pain and number of areas with pain in office workers require a detailed pain mechanism assessment. There were associated occupational risk factors for the development of neck pain. Call for concerted actions to explore optimal and efficient management plans.     

Neck and shoulder muscle activity during standardized work-related postural tasks

The aim of the present study was to assess the activity levels of the sternocleidomastoid muscle and upper trapezius muscle during static postures under controlled and standardized conditions, and to determine whether the muscle activity differed between sexes. Electromyographic (EMG) activity was recorded unilaterally from the sternocleidomastoid and upper trapezius muscle in 17 participants whilst they were performing various postural tasks. EMG amplitude was measured by the root mean square values of the raw signals and normalized to peak maximum contractile values for each muscle (%MVC). The intensity of muscle activity was ranked as light (<3%MVC), moderate (3%MVC ≤ EMG ≤ 8%MVC), and substantial (>8%MVC). During most tasks the two muscles contracted light to moderately. Head leaning and shoulder shrugging postures yielded substantial muscle activity in both muscles. Muscle activity did not differ significantly between male and female participants (F = 3.1; p = 0.078). Our findings provided normative values, which will enhance future studies of muscle activity during work in a natural, unrestrained environment.     

Heavy load carrying and musculoskeletal health: An exploratory study of biomechanical risk factors among sand miners in Pokhara,Kaski District,Nepal

BackgroundTrends in urbanization contribute to the growing global demand for raw construction materials. The health effects of load carrying among occupational groups that mine and carry sand and stone used for construction of roads and buildings remains poorly understood.MethodsWe conducted an exploratory cross-sectional study among a convenience sample of sand miners working at an excavation site on the Seti River in Pokhara, Nepal. Load carrying weight, duration, and frequency were used to categorize miners as having “low” or “high” load-carrying exposures. Musculoskeletal disorders (MSDs) were identified using self-reported symptoms of moderate to severe musculoskeletal pain, as well as physical examinations.ResultsThe average loads carried by female and male sand miners weighed 66 kg and 87 kg, respectively. Among all participants (N = 42), 45% reported moderate to severe musculoskeletal pain in at least one body region and 16 (38%) had MSDs identified using specified case criteria. The prevalence of MSDs was lower among miners carrying, on average, heavier loads compared to those carrying lighter loads (OR = 0.18; 95% CI: 0.04, 0.7), possibly indicative of the healthy worker survival effect. Miners carrying loads for longer durations had higher odds of MSDs compared with those carrying for shorter durations.ConclusionThis study has provided data on the extraordinary loads carried by sand miners in Nepal and preliminary evidence of health impacts associated with these loads. However, larger epidemiologic studies are needed to justify action to protect the health and safety of these unrecognized and understudied groups.     

Exploring depression and problematic internet use among college females: A multisite study

ObjectiveThe purpose of this study was to assess associations between depression and problematic internet use (PIU) among female college students, and determine whether Internet use time moderates this relationship.MethodThis cross-sectional survey included 265 female college students from four U.S. universities. Students completed the Patient Health Questionnaire-9 (PHQ-9), the Problematic and Risky Internet Use Screening Scale (PRIUSS) and self-reported daily Internet use. Analyses included multivariate analysis of variance and Poisson regression.ResultsParticipants reported mean age of 20.2 years (SD = 1.7) and were 84.9% Caucasian. The mean PHQ-9 score was 5.4 (SD = 4.6); the mean PRIUSS score was 16.4 (SD = 11.1). Participants’ risk for PIU increased by 27% with each additional 30 min spent online using a computer (RR = 1.27, 95% CI: 1.14–1.42, p < .0001). Risk for PIU was significantly increased among those who met criteria for severe depression (RR = 8.16 95% CI: 4.27–15.6, p < .0001). The PHQ-9 items describing trouble concentrating, psychomotor dysregulation and suicidal ideation were most strongly associated with PIU risk.ConclusionsThe positive relationship between depression and PIU among female college students supports screening for both conditions, particularly among students reporting particular depression symptoms.     

Prevalence of work-related musculoskeletal and non-musculoskeletal injuries in health care workers: the implications for work disability management

To compare the prevalence of musculoskeletal and non-musculoskeletal injuries in a cohort of workers in Manitoba health care sector, who made injury claims between 2002 and 2012. A retrospective study, using secondary data from WCB Manitoba. Logistic regression was used to determine odds ratios for nature of work-related injuries among different groups of workers. Idiopathic work-related musculoskeletal disorders (WMSD) constituted 74.6% of all the injury claims. Injury risks varied between worker groups, and a significant difference was found within the female group, χ² = 13.4, p = 0.0094, but not among the males. Compared to the married, single workers were more likely to experience traumatic than idiopathic injuries (OR = 1.72, CI, 1.28, 2.29), and much higher risk of traumatic injuries than non-WMSD (OR = 1.93, CI, 1.31, 2.84). Work-related injury risks vary significantly across occupations and worker groups, with idiopathic injuries being higher in high physical tasks.

Practitioner Summary: To compare musculoskeletal and non-musculoskeletal injuries among workers in health care sector, and explore the implications for work disability management. Retrospective study, using workers’ compensation claims data. The risk of idiopathic work-related musculoskeletal disorders continue to be high compared to traumatic and non-musculoskeletal disorders, particularly in tasks that involved high physical activities.     

Effect of a novel teat preparation system on upper extremity muscle activity among U.S. large-herd dairy parlor workers

BackgroundDairy production in the U.S. is moving towards large-herd milking operations resulting in an increase in task specialization and work demands. Large-herd dairy parlor workers experience a high prevalence of musculoskeletal symptoms in the upper extremity. The purpose of this study is to evaluate the effects of an alternative teat scrubber (TS) cow preparation method on upper extremity muscle activity among large-herd parlor workers, as well compare to muscle activity associated with conventional manual milking tasks.MethodsUpper extremity muscle activity was recorded among U.S. large-herd parlor workers (n = 15) using surface electromyography. Participants performed multiple task cycles, using both conventional and TS methods. Muscle activity levels were then compared across conventional manual and TS milking tasks.ResultsConventional manual milking tasks of dip, strip and wipe were associated higher muscle activity levels of the upper trapezius and anterior deltoid. Biceps muscle activity was greatest during teat dip and wipe. Forearm flexor and extensor muscle activity was greatest during teat wipe and dip. The TS system resulted in more desirable anterior deltoid EMG profiles, and less desirable biceps, forearm flexor and extensor profiles.ConclusionsResults suggest that the TS system is effective in reducing anterior deltoid muscle activation levels. The TS system also appears to result in increased biceps, forearm flexor and extensor muscle activation levels. Increases in muscle activation levels could be offset by reduced repetitiveness resulting from three conventional manual milking tasks being replaced with one TS task.Relevance to industryIf parlor production requirements (e.g., quality and onsistency) are maintained while simultaneously reducing cumulative muscle loading and worker fatigue, then TS use should be considered in milking parlor operations.     

Problematic Internet use,loneliness and dating anxiety among young adult university students

The Internet, an important modern means of obtaining information and establishing communication with others, has become an increasingly essential element of human life. Although Internet use makes life easier, it can become problematic in the event of non-functional use. Debate and research into whether Internet addiction is a cause or an effect are continuing. This study investigates problematic Internet use among young adult university students and examines correlation between problematic Internet use and loneliness and dating anxiety. University student Internet use patterns are also investigated. The study was conducted among 493 students from the Karadeniz Technical University Fatih Faculty of Education. The Online Cognition Scale, Dating Anxiety Scale, Loneliness Scale and Personal Information Questionnaire were employed in the collection of data. Pearson correlation analysis, the t-test, one-way analysis of variance and chi-square test were used for data analysis. The Pearson correlation analysis results reveal a significant positive correlation between problematic Internet use and loneliness (r = 0.194, p < 0.001), communication anxiety (r = 0.15, p < 0.001), unpopularity anxiety (r = 0.174, p < 0.001) and physiological symptoms (r = 0.125, p < 0.001) dating anxiety sub-scales. One-way analysis of variance was used to examine whether problematic Internet use varies according to length of Internet use, and a significantly high level of problematic Internet use was observed among those going online for more than 5 h a day compared to other users (F = 14.327, p < 0.001). Chi-square results reveal a significant association between length of Internet use and how students feel when they do not go online (chi-square = 116.543, p < 0.001). The t-test was used to determine whether there was a significant difference in levels of Internet use according to gender, and levels of problematic Internet use were significantly higher among male students than females (t = 4.046, p < 0.001).     

Evaluation of lifestyle risk factors and job status associated with back injuries among employees at a mid-western university

For decades the literature has shown an association between work-related risk factors and back injuries among employees. However, only recently, there is a growing body of literature that suggests lifestyle risk factors may also be associated with back injuries. The purpose of this research was to determine if selected lifestyle risk factors are associated with a greater risk of back injuries. Further, there may be an association between job status and incident reporting, lost workdays cases and workers' compensation (WC) paid for back injuries among university employees. Aggregate data from a Health Risk Assessment (HRA) questionnaire were used to analyze 6053 university employees for lifestyle risk factors associated with back injuries. Of the total sample, 57% (n = 3471) were female; 46% (n = 2778) worked as clerical or service staff; and the mean age was 45 years. Pearson chi-square (χ²) analyses indicate that job status (χ² = 307.07, df = 4, p < .001) and gender (χ² = 40.14, df = 2, p < .001) were associated with high risk back score. An ordinal regression analysis predicted that participants who exercised vigorously for at least 20 min, 3 or more days per week, or 3 or more days per week of combined vigorous exercise and moderate-intensity physical activity are almost 30 times less likely to have a high back risk score compared to participants who do not exercise vigorously or participate in less than 3 days per week of moderate-intensity physical activity (OR = 29.68, 95% CI = 25-35.25, p < .001). Participants who have a low risk score for BMI are three times less likely (OR = 3.20, 95% CI = 2.74-3.75, p < .001) to have a high back risk score when compared to participants who have a high risk score for BMI. A regression tree predicted high back risk scores were participants who: (1) receive an adequate amount of physical activity or vigorous exercise and is a male service or clerical staff; (2) do not receive an adequate amount of physical activity or vigorous exercise, and is not overweight; or (3) who do not receive an adequate amount of physical activity or vigorous exercise, and is overweight. Six years of Occupational Safety and Health Administration (OSHA) 300 logs and WC claims data paid for back injuries supported the finding that clerical or service staff had the greatest risk of back injuries. Based on the results of this study, there appears to be an association between lifestyle risk factors, job status and back injuries among university employees. We believe our evaluation approach may be used to study other work populations to verify the outcomes observed in this study.