Journal Article Ppublish
PubMed: 42168814 DOI: 10.1097/JOM.0000000000003764
Incidence and Lifestyle Risk Factors for Same-Level Falls Among Japanese Workers.
J Occup Environ Med 68(11):933-940
Authors: Kazuhiko Watanabe, Yoshihisa Fujino, Takahiro Tabuchi, Masayoshi Zaitsu
Affiliations
- From the Center for Research of the Aging Workforce, University of Occupational and Environmental Health, Fukuoka, Japan (K.W. M.Z.); Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts (K.W.); Department of Environmental Epidemiology, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Fukuoka, Japan (Y.F.); and Division of Epidemiology, School of Public Health, Tohoku University Graduate School of Medicine, Sendai, Japan (T.T.).
Abstract
OBJECTIVE
To assess the association of lifestyle-related factors with occupational falls and fall-related fractures among Japanese workers.
METHODS
This nationwide web-based longitudinal study utilized data from the Japan COVID-19 and Society Internet Surveys from 2023 to 2025. Multilevel Poisson regression with robust variance was used to estimate relative risks (RRs) of lifestyle behavioral factors for same-level occupational falls over a 1-year follow-up, incorporating prefecture-level random intercepts to account for clustering.
RESULTS
Current tobacco use (RR: 1.33), dual use of cigarettes and heated tobacco products (RR: 1.69), and hypertension (RR: 1.31) were associated with higher fall incidence. Short sleep duration was associated with an increased risk of fall-related fractures (RR: 1.71), whereas moderate physical activity was protective against falls (RR: 0.74).
CONCLUSIONS
Lifestyle behavioral modifications may help reduce workplace fall risk and related injuries.
MeSH
Environmental Exposure, Life Style, Incidence, Occupational Diseases, Occupational Exposure, Risk Factors, Tobacco Use, Occupational Injuries, Accidental Falls, Environmental Health