製造業における高年齢労働者の転倒災害予防に関する指針の作成
製造業における労働災害の発生件数は減少傾向にあるが, 転倒に関連する労働災害（転倒災害）の発生件数は減少していない. その背景には高年齢労働者数の増加, 雇用者に占める高年齢労働者比率の増加が影響していると考えられ, 高年齢労働者の転倒災害発生予防に関する指針の作成が必要である. 今回, 文献検索結果を基に製造業における高年齢労働者の転倒災害予防に関するkey question（KQ）を作成し, 文献検索を基に各KQに対する指針案を作成した. 本指針案は従来から行われている環境因子に対する予防戦略と同時に, 労働者の身体機能（個人因子）に対する運動介入を中心とした戦略を併用することの必要性を示...
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| Published in | 労働安全衛生研究 Vol. 14; no. 1; pp. 51 - 57 |
|---|---|
| Main Authors | , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
独立行政法人 労働安全衛生総合研究所
28.02.2021
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 1882-6822 1883-678X |
| DOI | 10.2486/josh.JOSH-2020-0018-KE |
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| Abstract | 製造業における労働災害の発生件数は減少傾向にあるが, 転倒に関連する労働災害（転倒災害）の発生件数は減少していない. その背景には高年齢労働者数の増加, 雇用者に占める高年齢労働者比率の増加が影響していると考えられ, 高年齢労働者の転倒災害発生予防に関する指針の作成が必要である. 今回, 文献検索結果を基に製造業における高年齢労働者の転倒災害予防に関するkey question（KQ）を作成し, 文献検索を基に各KQに対する指針案を作成した. 本指針案は従来から行われている環境因子に対する予防戦略と同時に, 労働者の身体機能（個人因子）に対する運動介入を中心とした戦略を併用することの必要性を示した内容であり, 本指針（暫定版）を活用した転倒災害予防活動の進展が期待される. 今後は製造業事業所に在籍する産業保健スタッフを対象に本指針案の有用性に関する外部調査を行い, その後, エキスパートパネルディスカッションを通して指針の完成を目指す. |
|---|---|
| AbstractList | 製造業における労働災害の発生件数は減少傾向にあるが, 転倒に関連する労働災害（転倒災害）の発生件数は減少していない. その背景には高年齢労働者数の増加, 雇用者に占める高年齢労働者比率の増加が影響していると考えられ, 高年齢労働者の転倒災害発生予防に関する指針の作成が必要である. 今回, 文献検索結果を基に製造業における高年齢労働者の転倒災害予防に関するkey question（KQ）を作成し, 文献検索を基に各KQに対する指針案を作成した. 本指針案は従来から行われている環境因子に対する予防戦略と同時に, 労働者の身体機能（個人因子）に対する運動介入を中心とした戦略を併用することの必要性を示した内容であり, 本指針（暫定版）を活用した転倒災害予防活動の進展が期待される. 今後は製造業事業所に在籍する産業保健スタッフを対象に本指針案の有用性に関する外部調査を行い, その後, エキスパートパネルディスカッションを通して指針の完成を目指す. |
| Author | 松垣, 竜太郎 松田, 晋哉 佐伯, 覚 |
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| Copyright | 2020 独立行政法人 労働安全衛生総合研究所 |
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| References | 20) Nakata A, Ikeda T, Takahashi M, Haratani T, Fujioka Y, Fukui S, et al. Sleep-related Risk of Occupational Injuries in Japanese Small and Medium-Scale Enterprises. Ind Health. 2005; 43(1): 89-97. 22) Akerstedt T, Fredlund P, Gillberg M, Jansson B. A Prospective Study of Fatal Occupational Accidents -- Relationship to Sleeping Difficulties and Occupational Factors. J Sleep Res. 2002; 11(1): 69-71. 26) Froom P, Melamed S, Kristal-Boneh E, Gofer D, Ribak J. Industrial accidents are related to relative body weight: the Israeli CORDIS study. Occup Environ Med. 1996 ;53(12): 832–5. 34) Karinkanta S, Kannus P, Uusi-Rasi K, Heinonen A, Sievänen H.Combined resistance and balance-jumping exercise reduces older women’s injurious falls and fractures: 5-year follow-up study. Age Ageing. 2015 Sep 1;44(5):784–9. 11) 厚生労働省. 高年齢労働者の健康管理のためのガイドライン（エイジフレンドリーガイドライン）．https://www.mhlw.go.jp/stf/newpage_10178.html (2020 Sep 7 12) Scott KA, Fisher GG, Barón AE, Tompa E, Stallones L, DiGuiseppi C. Same-level fall injuries in US workplaces by age group, gender, and industry. Am J Ind Med. 2018; 61(2): 111–9. 14) Drebit S, Shajari S, Alamgir H, Yu S, Keen D. Occupational and environmental risk factors for falls among workers in the healthcare sector. Ergonomics. 2010; 53(4): 525–36. 6) Nakamura T, Oyama I, Fujino Y, Kubo T, Kadowaki K, Kunimoto M, et al. Evaluation and simplification of the occupational slip, trip and fall risk-assessment test. Ind Health. 2016; 54(4): 354–60. 31) Matsugaki R, Sakata M, Itoh H, Matsushima Y, Saeki S. Effects of a Physical Therapist Led Workplace Personal-Fitness Management Program for Manufacturing Industry Workers: A Randomized Controlled Trial. J Occup Environ Med. 2019; 61(11): e445–51. 32) Bell JL, Collins JW, Wolf L, Gronqvist R, Chiou S, Chang W-R, et al. Evaluation of a comprehensive slip, trip and fall prevention programme for hospital employees. Ergonomics. 2008; 51(12): 1906–25. 9) Lusardi MM, Fritz S, Middleton A, Allison L, Wingood M, Phillips E, et al. Determining Risk of falls in community dwelling older adults: A systematic review and meta-analysis using posttest probability. J Geriatr Phys Ther. 2017; 40(1): 1-36. 15) Chau N, Dehaene D, Benamghar L, Bourgkard E, Mur JM, Touron C, et al. Roles of age, length of service and job in work-related injury: A prospective study of 63,620 person-years in female workers. Am J Ind Med. 2014; 57(2): 172–83. 23) Uehil K, Mehta A, Miedinger D, Hug K, Schindler C, Holsdoer-Trachsler E , et al. Sleep Problems and Work Injuries: A Systematic Review and Meta-Analysis. Sleep Med Rev. 2014; 18(1): 61-73. 1) 厚生労働省「労働者死傷病報告」.による死傷災害発生状況（令和元年度確定値）．https://anzeninfo.mhlw.go.jp/user/anzen/tok/anst00.htm (2020 Jul 14 17) Koepp GA, Snedden BJ, Levine JA. Workplace slip, trip and fall injuries and obesity. Ergonomics. 2015; 58(5): 674–9. 19) Lombardi DA, Wirtz A, Willetts JL, Folkard S. Independent Effects of Sleep Duration and Body Mass Index on the Risk of a Work-Related Injury: Evidence From the US National Health Interview Survey (2004–2010). Chronobiol Int. 2012; 29(5): 556–64. 24) 厚生労働省. 平成30年労働災害発生状況の分析等. https://www.mhlw.go.jp/content/11302000/000555711.pdf (2020 Jul 7 33) Patil R, Uusi-Rasi K, Tokola K, Karinkanta S, Kannus P, Sievänen H. Effects of a multimodal exercise program on physical function, falls, and injuries in older women: A 2-year community-based, randomized controlled trial. J Am Geriatr Soc. 2015; 63(7): 1306–13. 30) Finnegan S, Seers K, Bruce J. Long-term follow-up of exercise interventions aimed at preventing falls in older people living in the community: a systematic review and meta-analysis. Physiotherapy. 2019; 105(2): 187–99. 4) Tsukada T, Sakakibara H. Risk assessment of fall‐related occupational accidents in the workplace. J Occup Health. 2016; 58(6): 612–21. 21) Nakata A. Effects of long work hours and poor sleep characteristics on workplace injury among full-time male employees of small- and medium-scale businesses. J Sleep Res. 2011; 20(4): 576–84. 8) Tveter AT, Dagfinrud H, Moseng T, Holm I. Health-Related Physical Fitness Measures: Reference Values and Reference Equations for Use in Clinical Practice. Arch Phys Med Rehabil. 2014; 95(7): 1366–73. 16) Yeoh HT, Lockhart TE, Wu X. Non-fatal occupational falls on the same level. Ergonomics. 2013; 56(2): 153–65. 10) Park SH. Tools for assessing fall risk in the elderly: a systematic review and meta-analysis. Aging Clin Exp Res. 2018; 30(1): 1-16. 2) 総務省. 労働力調査（年齢階級, 産業別雇用者数）．https://www.e-stat.go.jp/stat-search/files?page=1&layout=datalist&toukei=00200531&tstat=000000110001&cycle=7&year=20190&month=0&tclass1=000001040276&tclass2=000001040283&tclass3=000001040284&result_back=1 (2020 Jul 14 5) Caban-Martinez AJ, Courtney TK, Chang WR, Lombardi DA, Huang YH, Brennan MJ, et al. Preventing slips and falls through leisure-time physical activity: Findings from a study of limited-service restaurants. PLoS One. 2014 Oct 16;9(10). 28) Courtney TK, Verma SK, Chang W-R, Huang Y-H, Lombardi DA, Brennan MJ, et al. Perception of slipperiness and prospective risk of slipping at work. Occup Environ Med. 2013; 70(1): 35-40. 13) Gauchard GC, Chau N, Touron C, Benamghar L, Dehaene D, Perrin PP, et al. Individual characteristics in occupational accidents due to imbalance: A case-control study of the employees of a railway company. Occup Environ Med. 2003; 60(5): 330–5. 25) 総務省. 労働力調査（雇用形態別雇用者【年齢階級（10階級), 雇用形態別】. 2020. https://www.e-stat.go.jp/stat-search/files?page=1&query=平成30年 労働力調査&layout=dataset&toukei=00200531&tstat=000000110001&stat_infid=000031831368&metadata=1&data=1 (2020 Jun 12 7) 中央労働災害防止協会. 高年齢労働者の身体的特性の変化による災害リスク低減推進事業に係る調査研究報告書. https://www.mhlw.go.jp/new-info/kobetu/roudou/gyousei/anzen/101006-1.html (2020 Jul 7 3) 厚生労働省. 平成31年/令和元年労働災害発生状況の分析等. https://www.mhlw.go.jp/content/11302000/000633584.pdf (2020 Jul 14 27) Courtney TK, Huang Y-H, Verma SK, Chang W-R, Li KW, Filiaggi AJ. Factors Influencing Restaurant Worker Perception of Floor Slipperiness. J Occup Environ Hyg. 2006; 3(11): 592–8. 18) Lombardi DA, Folkard S, Willetts JL, Smith GS. Daily sleep, weekly working hours, and risk of work-related injury: US National Health Interview Survey (2004-2008). Chronobiol Int. 2010; 27(5): 1013–30. 29) Sherrington C, Fairhall NJ, Wallbank GK, Tiedemann A, Michaleff ZA, Howard K, et al. Exercise for preventing falls in older people living in the community. Cochrane database Syst Rev. 2019; 1: CD012424. |
| References_xml | – reference: 12) Scott KA, Fisher GG, Barón AE, Tompa E, Stallones L, DiGuiseppi C. Same-level fall injuries in US workplaces by age group, gender, and industry. Am J Ind Med. 2018; 61(2): 111–9. – reference: 14) Drebit S, Shajari S, Alamgir H, Yu S, Keen D. Occupational and environmental risk factors for falls among workers in the healthcare sector. Ergonomics. 2010; 53(4): 525–36. – reference: 31) Matsugaki R, Sakata M, Itoh H, Matsushima Y, Saeki S. Effects of a Physical Therapist Led Workplace Personal-Fitness Management Program for Manufacturing Industry Workers: A Randomized Controlled Trial. J Occup Environ Med. 2019; 61(11): e445–51. – reference: 17) Koepp GA, Snedden BJ, Levine JA. Workplace slip, trip and fall injuries and obesity. Ergonomics. 2015; 58(5): 674–9. – reference: 4) Tsukada T, Sakakibara H. Risk assessment of fall‐related occupational accidents in the workplace. J Occup Health. 2016; 58(6): 612–21. – reference: 24) 厚生労働省. 平成30年労働災害発生状況の分析等. https://www.mhlw.go.jp/content/11302000/000555711.pdf (2020 Jul 7) – reference: 10) Park SH. Tools for assessing fall risk in the elderly: a systematic review and meta-analysis. Aging Clin Exp Res. 2018; 30(1): 1-16. – reference: 28) Courtney TK, Verma SK, Chang W-R, Huang Y-H, Lombardi DA, Brennan MJ, et al. Perception of slipperiness and prospective risk of slipping at work. Occup Environ Med. 2013; 70(1): 35-40. – reference: 11) 厚生労働省. 高年齢労働者の健康管理のためのガイドライン（エイジフレンドリーガイドライン）．https://www.mhlw.go.jp/stf/newpage_10178.html (2020 Sep 7) – reference: 30) Finnegan S, Seers K, Bruce J. Long-term follow-up of exercise interventions aimed at preventing falls in older people living in the community: a systematic review and meta-analysis. Physiotherapy. 2019; 105(2): 187–99. – reference: 23) Uehil K, Mehta A, Miedinger D, Hug K, Schindler C, Holsdoer-Trachsler E , et al. Sleep Problems and Work Injuries: A Systematic Review and Meta-Analysis. Sleep Med Rev. 2014; 18(1): 61-73. – reference: 8) Tveter AT, Dagfinrud H, Moseng T, Holm I. Health-Related Physical Fitness Measures: Reference Values and Reference Equations for Use in Clinical Practice. Arch Phys Med Rehabil. 2014; 95(7): 1366–73. – reference: 27) Courtney TK, Huang Y-H, Verma SK, Chang W-R, Li KW, Filiaggi AJ. Factors Influencing Restaurant Worker Perception of Floor Slipperiness. J Occup Environ Hyg. 2006; 3(11): 592–8. – reference: 32) Bell JL, Collins JW, Wolf L, Gronqvist R, Chiou S, Chang W-R, et al. Evaluation of a comprehensive slip, trip and fall prevention programme for hospital employees. Ergonomics. 2008; 51(12): 1906–25. – reference: 29) Sherrington C, Fairhall NJ, Wallbank GK, Tiedemann A, Michaleff ZA, Howard K, et al. Exercise for preventing falls in older people living in the community. Cochrane database Syst Rev. 2019; 1: CD012424. – reference: 3) 厚生労働省. 平成31年/令和元年労働災害発生状況の分析等. https://www.mhlw.go.jp/content/11302000/000633584.pdf (2020 Jul 14) – reference: 6) Nakamura T, Oyama I, Fujino Y, Kubo T, Kadowaki K, Kunimoto M, et al. Evaluation and simplification of the occupational slip, trip and fall risk-assessment test. Ind Health. 2016; 54(4): 354–60. – reference: 20) Nakata A, Ikeda T, Takahashi M, Haratani T, Fujioka Y, Fukui S, et al. Sleep-related Risk of Occupational Injuries in Japanese Small and Medium-Scale Enterprises. Ind Health. 2005; 43(1): 89-97. – reference: 5) Caban-Martinez AJ, Courtney TK, Chang WR, Lombardi DA, Huang YH, Brennan MJ, et al. Preventing slips and falls through leisure-time physical activity: Findings from a study of limited-service restaurants. PLoS One. 2014 Oct 16;9(10). – reference: 26) Froom P, Melamed S, Kristal-Boneh E, Gofer D, Ribak J. Industrial accidents are related to relative body weight: the Israeli CORDIS study. Occup Environ Med. 1996 ;53(12): 832–5. – reference: 33) Patil R, Uusi-Rasi K, Tokola K, Karinkanta S, Kannus P, Sievänen H. Effects of a multimodal exercise program on physical function, falls, and injuries in older women: A 2-year community-based, randomized controlled trial. J Am Geriatr Soc. 2015; 63(7): 1306–13. – reference: 9) Lusardi MM, Fritz S, Middleton A, Allison L, Wingood M, Phillips E, et al. Determining Risk of falls in community dwelling older adults: A systematic review and meta-analysis using posttest probability. J Geriatr Phys Ther. 2017; 40(1): 1-36. – reference: 25) 総務省. 労働力調査（雇用形態別雇用者【年齢階級（10階級), 雇用形態別】. 2020. https://www.e-stat.go.jp/stat-search/files?page=1&query=平成30年 労働力調査&layout=dataset&toukei=00200531&tstat=000000110001&stat_infid=000031831368&metadata=1&data=1 (2020 Jun 12) – reference: 1) 厚生労働省「労働者死傷病報告」.による死傷災害発生状況（令和元年度確定値）．https://anzeninfo.mhlw.go.jp/user/anzen/tok/anst00.htm (2020 Jul 14) – reference: 18) Lombardi DA, Folkard S, Willetts JL, Smith GS. Daily sleep, weekly working hours, and risk of work-related injury: US National Health Interview Survey (2004-2008). Chronobiol Int. 2010; 27(5): 1013–30. – reference: 19) Lombardi DA, Wirtz A, Willetts JL, Folkard S. Independent Effects of Sleep Duration and Body Mass Index on the Risk of a Work-Related Injury: Evidence From the US National Health Interview Survey (2004–2010). Chronobiol Int. 2012; 29(5): 556–64. – reference: 13) Gauchard GC, Chau N, Touron C, Benamghar L, Dehaene D, Perrin PP, et al. Individual characteristics in occupational accidents due to imbalance: A case-control study of the employees of a railway company. Occup Environ Med. 2003; 60(5): 330–5. – reference: 16) Yeoh HT, Lockhart TE, Wu X. Non-fatal occupational falls on the same level. Ergonomics. 2013; 56(2): 153–65. – reference: 7) 中央労働災害防止協会. 高年齢労働者の身体的特性の変化による災害リスク低減推進事業に係る調査研究報告書. https://www.mhlw.go.jp/new-info/kobetu/roudou/gyousei/anzen/101006-1.html (2020 Jul 7) – reference: 22) Akerstedt T, Fredlund P, Gillberg M, Jansson B. A Prospective Study of Fatal Occupational Accidents -- Relationship to Sleeping Difficulties and Occupational Factors. J Sleep Res. 2002; 11(1): 69-71. – reference: 34) Karinkanta S, Kannus P, Uusi-Rasi K, Heinonen A, Sievänen H.Combined resistance and balance-jumping exercise reduces older women’s injurious falls and fractures: 5-year follow-up study. Age Ageing. 2015 Sep 1;44(5):784–9. – reference: 15) Chau N, Dehaene D, Benamghar L, Bourgkard E, Mur JM, Touron C, et al. Roles of age, length of service and job in work-related injury: A prospective study of 63,620 person-years in female workers. Am J Ind Med. 2014; 57(2): 172–83. – reference: 2) 総務省. 労働力調査（年齢階級, 産業別雇用者数）．https://www.e-stat.go.jp/stat-search/files?page=1&layout=datalist&toukei=00200531&tstat=000000110001&cycle=7&year=20190&month=0&tclass1=000001040276&tclass2=000001040283&tclass3=000001040284&result_back=1 (2020 Jul 14) – reference: 21) Nakata A. Effects of long work hours and poor sleep characteristics on workplace injury among full-time male employees of small- and medium-scale businesses. J Sleep Res. 2011; 20(4): 576–84. |
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