Prevalence of and Factors related to musculoskeletal discomfort among Thai monks

Authors

  • Nopasopon T Department of Preventive and Social Medicine, Faculty of Medicine, Chulalongkorn University
  • Sithisarankul P Department of Preventive and Social Medicine, Faculty of Medicine, Chulalongkorn University
  • Rattananupong T Department of Preventive and Social Medicine, Faculty of Medicine, Chulalongkorn University

Keywords:

monk, health, illness, musculoskeletal discomfort

Abstract

Objectives To study the prevalence of musculoskeletal discomfort (MSD) among Thai monks and to identify related factors along with methods currently used to relieve the symptoms.

Methods This cross-sectional descriptive study collected information from all the monks in each of the surveyed temples in Chachoengsao province during June through October 2020. Two temples were sampled in each of the 11 districts plus both royal temples in the province. The study focused on the prevalence of MSD over a twelve month period, including investigation of related factors and methods used to relieve symptoms.

Results There were 400 Thai monks included in this study, average age 42.0±16.3 years. The prevalence of MSD in the twelve month study period was 88%, of which low back pain was the most common (59.3%) followed by shoulder pain (25.0%). The MDS affected the activities of daily living (ADL) of 11.5% of respondents and 6.5% had to take sick leave. Unpaired t-test and Wilcoxon rank-sum tests were used to analyze the quantitative data and the Chi-square test was used to analyze the qualitative data. Factors found to be related to the incidence of MSD included older age (p < 0.001), longer duration of ordination (p < 0.014), and body mass index (BMI) ≥ 25 km./m.2 (OR 2.06, 95% CI 1.13-3.85). The main method used to relieve symptoms was self-healing (59.5%).

Conclusions The incidence of MSD among Thai monks was found to be related to greater age, longer duration of ordination, and BMI ≥ 25 kilogram/m2. Self-healing was the main method used to relieve the symptoms. This finding suggests that provision of knowledge regarding causes and prevention of MSD to Thai monks is needed.

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References

1. Somdej Phra Buddha Kosachan (P.A. Payutto). Dharma lecture series on Dharma and Practice Follow the new monks to study the Dharma [CD - ROM]. Bangkok: Buddha Dhamma Foundation; 1996.
2. ILO: International Labour Organization, Geneva, Switzerland. ISCO: International Standard Classification of Occupations. 2460 Religious professionals [Internet]. [cited 2019 Nov 13]. Available from: https://www.ilo.org/public/english/bureau/stat/isco/isco88/2460.htm
3. Vos T, Flaxman AD, Naghavi M, Lozano R, Michaud C, Ezzati M, et al. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2163-96.
4. Hoy D, March L, Brooks P, Blyth F, Woolf A, Bain C, et al. The global burden of low back pain: estimates from the Global Burden of Disease 2010 study. Meta-Analysis Ann Rheum Dis. 2014;73:968-74.
5. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, DHHS (NIOSH) Publication No. 2004-146, Sestito JP, Lunsford RA, Hamilton AC, and Rosa RR, editors. Worker Health Chartbook, 2004 [Internet]. [cited 2019 Nov 13]. Available from: https://www.cdc.gov/niosh/awards/hamilton/aliceabs05.html. For viewing full text of Publication at https://www.cdc.gov/niosh/docs/2004-146/ and https://www.cdc.gov/niosh/docs/2004-146/pdfs/2004-146.pdf?id=10.26616/NIOSHPUB2004146
6. Ministry of Labor, Social Security Office, Compensation Fund Office. Bangkok: Compensation Fund Annual Report 2017; [cited 2019 Nov 25]. [internet] Available from: https://www.sso.go.th/wpr/assets/upload/files_storage/sso_th/0c1643575f028d88f1f5a3c52cb5c023.pdf. (in Thai)
7. Taptagaporn S. Basic ergonomic. In: Bandhukul A, editor. Textbook of occupational medicine. 2nd ed. Bangkok: Thepphenwanis Printing Factory; 2019. p. 223-49. (in Thai)
8. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, DHHS (NIOSH) Publication No. 97-141, Bernard, B P Editor, Musculoskeletal Disorders and Workplace Factors A Critical Review of Epidemiologic Evidence for Work-Related Musculoskeletal Disorders of the Neck, Upper Extremity, and Low Back, [Internet] https://www.cdc.gov/niosh/docs/97-141/default.html For viewing full text of Publication at https://www.cdc.gov/niosh/docs/97-141/pdfs/97-141.pdf?id=10.26616/NIOSHPUB97141.
9. Hossain MD, Aftab A, Al Imam MH, Mahmud I, Chowdhury IA, Kabir RI, et al. Prevalence of work related musculoskeletal disorders (WMSDs) and ergonomic risk assessment among readymade garment workers of Bangladesh: A cross sectional study. PloS one. 2018;13:e0200122.
10. Buranatrevedh S. Occupational musculoskeletal diseases. In: Bandhukul A, editor. Textbook of occupational medicine. 2nd ed. Bangkok: Thepphenwanis Printing Factory; 2019. p. 719-38. (in Thai)
11. Sadyapongse K, Sithisarankul P. Occupational health hazard and ergonomic evaluation in Thai massage-workers: a pilot study Thammasat Medical Journal, 2011;11:31-43. (in Thai).
12. Chirdsanguan S, Sithisarankul P. Prevalence and related factors of musculoskeletal discomfort among bus drivers of Bangkok Mass Transit Authority. Chula Med Bull. 2019;1:49-59 (in Thai).
13. Thanaloetwisut E. Prevalence and related factors of musculoskeletal discomfort among diamond cutters in Bangkok: Chulalongkorn University; 2015. (in Thai)
14. Techakamolsuk D. Prevalence and related factors of musculoskeletal symtoms in an audio compact cassette plant’s workers: Chulalongkorn University; 2000. (in Thai)
15. Thanaloetwisut E. Prevalence and related factors of musculoskeletal discomfort among diamond cutters in Bangkok. [Master’s Thesis]. Chulalongkorn University; 2015. (in Thai).
16. Lertchaovaput P. Prevalence rate and associated factors of low back pain among woodworkers at Wangnumyen co-operation, Sakaew province. [Master’s Thesis], Faculty of Medicine, Chulalongkorn University. 2006, (in Thai).
17. Prakru Suvithanpatthanabandit, Daengharn T, Vapuchavitee S. Model development of monk’s holistic health care in Khon Haen province through the network participation. Journal of the Office of DPC 7 Khon Kaen. 2015;22:117-30. (in Thai)
18. PhraKittiyanamethi (Ramanwong S), Subruangthong W, Sooksamran S. Promoting holistic health care of the monks in Lopburi. Rajapark Journal. 2018;12:94-107. (in Thai)
19. Phramaha Prayad. Environmental Management in Temple for Health Care for Sangha According to Buddhism. Journal of MCU Peace Studies. 2018;6:1578-93. (in Thai)
20. Pornprasert P, Praneart K, Pornprasert A. Quality of life of the Thai Buddhist Monks with Chronic Illnesses at Chaloemphrakiat 60 Phansa Nawamintarachini Hospital Ubon Ratchatani Province. Humanities Social Sciences Journal. 2016;7:89-100. (in Thai)
21. Khansamrong S, Hunnirun P, Kamsuchart S, Jantavong S, Porsom W. The role and participation in the Ottawa charter for people’s health promotion of buddhist monks and novices stay in the developed model buddhist temples in Chiang Mai province. Journal of Buddhist Studies. 2019;10:191-98. (in Thai)
22. Nopasopon T, Sithisarankul P, Rattananupong T. Health risk among Thai monk: Pilot study. Journal of Preventive Medicine Association of Thailand. 2021; In press 2021. (in Thai)
23. Phra Rajvoramuni (Apakaro P). Buddhist Monk Charter [Internet] 2017 [cited 2019 Apr 12]. Available from: http://kbphpp.nationalhealth.or.th/handle/123456789/7532?locale-attribute=th.
24. Dawson AP, Steele EJ, Hodges PW, Stewart S. Development and test–retest reliability of an extended version of the Nordic Musculoskeletal Questionnaire (NMQ-E): a screening instrument for musculoskeletal pain. The Journal of Pain. 2009;10:517-26.
25. Dickinson C, Campion K, Foster A, Newman S, O’rourke A, Thomas PJAe. Questionnaire development: an examination of the Nordic Musculoskeletal Questionnaire. Applied Ergonomics.1992;23:197-201.
26. Hfocus News Agency Insights Health system. Health Crisis: Hundreds of thousands of Thai monks are suffering from chronic non-communicable diseases. Health risk Behaviors. [Internet] 2019 [cited 2019 sep 18]. Available from: https://www.hfocus.org/content/2019/09/17751 (in Thai)
27. Theerawanichtrakul S, Sithisarankul P. Prevalence and related factors of musculoskeletal discomfort among road sweepers in Bangkok. Thammasat Medical Journal. 2557;14:27-36. (in Thai)
28. Sararuk M, Sungwalee W, Khamphaengsri W. Prevalence and Factors Associated with chronic illness of monks in amphoe warinchamrab, Ubon Ratchatani Province. Journal of Science Technology, Ubon Ratchathani University. 2017;19:37-48. (in Thai)

Published

2021-10-01

How to Cite

1.
T N, P S, T R. Prevalence of and Factors related to musculoskeletal discomfort among Thai monks. Chiang Mai Med J. [Internet]. 2021 Oct. 1 [cited 2022 May 25];60(4):537-49. Available from: https://he01.tci-thaijo.org/index.php/CMMJ-MedCMJ/article/view/253936

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Original Article