仕事中に前屈することは妊婦の流産リスクとして見過ごされている可能性(Bending forwards at work may be an overlooked risk for pregnant women)

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2026-10-06 コペンハーゲン大学(UCPH)

コペンハーゲン大学とビスペビア病院の研究チームは、妊娠中の職業上の身体姿勢と流産リスクとの関連を、2004~2018年の803,829件の妊娠について調べた。約40万人の女性の職業データと、400人の労働者が装着した加速度センサーによる歩行・立位・前屈姿勢の測定結果を組み合わせた結果、前屈して働く時間が1時間増えるごとに流産の相対リスクが36%上昇する関連が確認された。歩行では18%、立位では3%の上昇だった。一方、前屈姿勢が直接流産を引き起こすことは証明されておらず、血流低下やストレスホルモンなどが機序として推測される段階である。研究者は妊娠初期を含め、職場での作業姿勢を見直す必要性を指摘している。

<関連情報>

妊娠中の職業上の立位、歩行、前屈と流産リスク:デンマーク全国規模の登録データに基づくコホート研究 Occupational standing, walking and forward bending during pregnancy and the risk of miscarriage: a Danish nationwide, register-based, cohort study

Hannah Nørtoft Frankel,Camilla Sandal Sejbaek, Esben Meulengracht Flachs, Mette Korshøj, Sandra Soegaard Toettenborg,Jens Peter Ellekilde Bonde, Laura Deen, Jonathan Aavang Petersen,Christina Bach Lund,Luise Mølenberg Begtrup
Occupational and Environmental Medicine  Published:June 18, 2026
DOI:https://doi.org/10.1136/oemed-2025-110712

Abstract

Objective We aimed to investigate the association between occupational standing, walking and forward bending during pregnancy and the risk of miscarriage.

Methods This register-based study examined all labour-active pregnant women in Denmark between 2004 and 2018, comprising 803 829 pregnancies among 475 312 women. Occupational exposure to standing, walking and forward bending ≥30° was assessed with a quantitative, pregnancy-specific job exposure matrix, based on the woman’s occupational code in the occupational and industry register, at the year of pregnancy start. Information on miscarriage was retrieved from the Danish National Patient Register (DNPR). Statistics Denmark, the Danish Medical Birth Registry and the DNPR provided information on potential confounders. Absence data, sourced from the Danish Register for Evaluation and Marginalisation (DREAM), were assessed as an effect modifier. We estimated adjusted hazard ratios (aHRs) using Cox regression.

Results All three exposures were associated with increased hazards for miscarriage. The aHR for miscarriage was 1.03 (95% CI: 1.02 to 1.04) per additional hour of occupational standing, 1.18 (95% CI: 1.15 to 1.22) per additional hour of occupational walking and 1.36 (95% CI: 1.30 to 1.41) per additional hour of occupational forward bending. The aHR was more pronounced among women with absence from work the preceding week than among those without. Post hoc quartile analyses indicated a consistent exposure–response relationship for forward bending, while the associations for standing and walking decreased at the highest quartile.

Conclusions We found an elevated risk of miscarriage associated with all three occupational exposures. Replication in comparable populations incorporating smoking status and other health information is needed to validate these associations.

医療・健康
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