Potential risk factors for the onset of severe neck and shoulder discomfort (Katakori) in urban Japanese workers

  • SAWADA Takayuki
    Clinical Study Support, Inc., Japan Department of Public Health, Aichi Medical University, Japan
  • MATSUDAIRA Ko
    Department of Medical Research and Management for Musculoskeletal Pain, 22nd Century Medical andResearch Center, Faculty of Medicine, the University of Tokyo, Japan
  • MUTO Yumiko
    Clinical Study Support, Inc., Japan
  • KOGA Tadashi
    Clinical Study Support, Inc., Japan CPC Clinical Trial Hospital, Medipolis Medical Research Institute, Japan
  • TAKAHASHI Masaya
    National Institute of Occupational Safety and Health, Japan

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  • Potential risk factors for onset of severe neck and shoulder discomfort (Katakori) in urban Japanese workers

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Katakori is a Japanese word, and there is no clear English translation. Katakori consists of two terms, Kata means neck and shoulder, kori means stiffness. Consequently, Katakori is defined as neck and shoulder discomfort or dull pain. Katakori is a major somatic complaint and has a large impact on workers. To examine the association between onset of severe Katakori and potential risk factors in Japanese workers, a prospective cohort study, entitled "Cultural and Psychosocial Influence on Disability (CUPID)", was conducted. Self-administered questionnaires were distributed twice: at baseline and 1 year after baseline. Logistic regression was used to explore the risk factors of onset of severe Katakori. Of those 1,398, the incidence of severe Katakori onset after 1 year was 3.0% (42 workers). Being female (adjusted odds ratio: 2.39, 95% confidence interval: 1.18–4.86), short sleep duration (adjusted odds ratio: 2.86, 95% confidence interval: 1.20–6.82) and depressed mood with some issues at work (adjusted odds ratio: 3.11, 95% confidence interval: 1.38–7.03) were significantly associated with onset of severe Katakori. Psychosocial factors as well as gender difference were associated with onset of severe Katakori. We suggest that mental health support at the workplace is important to prevent severe Katakori.

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