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Objective  To systematically review the evidence for an increased risk of osteoarthritis in the hip, knee, hand, wrist, finger, ankle, foot, shoulder, neck, and spine related to diverse occupational activities of men and women and to examine dose‐response information related to the frequency, intensity, and duration of work exposures and the risk of osteoarthritis ( OA ).    Methods  Established guidelines for systematic reviews in occupational health and safety studies were followed.  MEDLINE , Embase,  CINAHL , and Cochrane Library were searched from inception to December 2017. Studies were reviewed for relevance, quality was appraised, and data were extracted and synthesized.    Results  Sixty‐nine studies from 23 countries yielded strong and moderate evidence for lifting, cumulative physical loads, full‐body vibration, and kneeling/squatting/bending as increasing the risks of developing  OA  in men and women. Strong and moderate evidence existed for no increased risk of  OA  related to sitting, standing, and walking (hip and knee  OA ), lifting and carrying (knee  OA ), climbing ladders (knee  OA ), driving (knee  OA ), and highly repetitive tasks (hand  OA ). Variability in dose‐response data resulted in an inability to synthesize these data.    Conclusion  Evidence points to the potential for  OA  occupational recommendations and practice considerations to be developed for women and men. However, research attention is needed to overcome deficits in the measurement and recall of specific work activities so that recommendations and practice considerations can provide the specificity needed to be adopted in workplaces.

arthritis care and research

Men and Women's Occupational Activities and the Risk of Developing Osteoarthritis of the Knee, Hip, or Hands: A Systematic Review and Recommendations for Future Research