The effect of clinically elevated body mass index on physiological stress during manual lifting activities.

Individuals with a body mass index (BMI) classified as obesity constitute 27.7% of U.S. workers. These individuals are more likely to experience work-related injuries. However, ergonomists still design work tasks based on the general population and normal body weight. This is particularly true for m...

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Main Authors: Sergio A Lemus, Mallory Volz, Eduard Tiozzo, Arlette Perry, Thomas M Best, Francesco Travascio
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0278858
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author Sergio A Lemus
Mallory Volz
Eduard Tiozzo
Arlette Perry
Thomas M Best
Francesco Travascio
author_facet Sergio A Lemus
Mallory Volz
Eduard Tiozzo
Arlette Perry
Thomas M Best
Francesco Travascio
author_sort Sergio A Lemus
collection DOAJ
description Individuals with a body mass index (BMI) classified as obesity constitute 27.7% of U.S. workers. These individuals are more likely to experience work-related injuries. However, ergonomists still design work tasks based on the general population and normal body weight. This is particularly true for manual lifting tasks and the calculation of recommended weight limits (RWL) as per National Institute of Occupational Safety & Health (NIOSH) guidelines. This study investigates the effects of BMI on indicators of physiological stress. It was hypothesized that, for clinically elevated BMI individuals, repeated manual lifting at RWL would produce physiological stress above safety limits. A repetitive box lifting task was designed to measure metabolic parameters: volume of carbon dioxide (VCO2) and oxygen (VO2), respiratory exchange ratio (RER), heart rate (HR), and energy expenditure rate (EER). A two-way ANOVA compared metabolic variables with BMI classification and gender, and linear regressions investigated BMI correlations. Results showed that BMI classification represented a significant effect for four parameters: VCO2 (p < 0.001), VO2 (p < 0.001), HR (p = 0.012), and EER (p < 0.001). In contrast, gender only had a significant effect on VO2 (p = 0.014) and EER (p = 0.017). Furthermore, significant positive relationships were found between BMI and VCO2 (R2 = 59.65%, p < 0.001), VO2 (R2 = 45.01%, p < 0.001), HR (R2 = 21.86%, p = 0.009), and EER (R2 = 50.83%, p < 0.001). Importantly, 80% of obese subjects exceeded the EER safety limit of 4.7 kcal/min indicated by NIOSH. Indicators of physiological stress are increased in clinically elevated BMI groups and appear capable of putting these individuals at increased risk for workplace injury.
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spelling doaj.art-d939251774a044aea4ff383de2ce305d2023-01-14T05:31:18ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-011712e027885810.1371/journal.pone.0278858The effect of clinically elevated body mass index on physiological stress during manual lifting activities.Sergio A LemusMallory VolzEduard TiozzoArlette PerryThomas M BestFrancesco TravascioIndividuals with a body mass index (BMI) classified as obesity constitute 27.7% of U.S. workers. These individuals are more likely to experience work-related injuries. However, ergonomists still design work tasks based on the general population and normal body weight. This is particularly true for manual lifting tasks and the calculation of recommended weight limits (RWL) as per National Institute of Occupational Safety & Health (NIOSH) guidelines. This study investigates the effects of BMI on indicators of physiological stress. It was hypothesized that, for clinically elevated BMI individuals, repeated manual lifting at RWL would produce physiological stress above safety limits. A repetitive box lifting task was designed to measure metabolic parameters: volume of carbon dioxide (VCO2) and oxygen (VO2), respiratory exchange ratio (RER), heart rate (HR), and energy expenditure rate (EER). A two-way ANOVA compared metabolic variables with BMI classification and gender, and linear regressions investigated BMI correlations. Results showed that BMI classification represented a significant effect for four parameters: VCO2 (p < 0.001), VO2 (p < 0.001), HR (p = 0.012), and EER (p < 0.001). In contrast, gender only had a significant effect on VO2 (p = 0.014) and EER (p = 0.017). Furthermore, significant positive relationships were found between BMI and VCO2 (R2 = 59.65%, p < 0.001), VO2 (R2 = 45.01%, p < 0.001), HR (R2 = 21.86%, p = 0.009), and EER (R2 = 50.83%, p < 0.001). Importantly, 80% of obese subjects exceeded the EER safety limit of 4.7 kcal/min indicated by NIOSH. Indicators of physiological stress are increased in clinically elevated BMI groups and appear capable of putting these individuals at increased risk for workplace injury.https://doi.org/10.1371/journal.pone.0278858
spellingShingle Sergio A Lemus
Mallory Volz
Eduard Tiozzo
Arlette Perry
Thomas M Best
Francesco Travascio
The effect of clinically elevated body mass index on physiological stress during manual lifting activities.
PLoS ONE
title The effect of clinically elevated body mass index on physiological stress during manual lifting activities.
title_full The effect of clinically elevated body mass index on physiological stress during manual lifting activities.
title_fullStr The effect of clinically elevated body mass index on physiological stress during manual lifting activities.
title_full_unstemmed The effect of clinically elevated body mass index on physiological stress during manual lifting activities.
title_short The effect of clinically elevated body mass index on physiological stress during manual lifting activities.
title_sort effect of clinically elevated body mass index on physiological stress during manual lifting activities
url https://doi.org/10.1371/journal.pone.0278858
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