Research

Mixed

The association between high BMI and musculoskeletal symptoms is modified by physical workload, being stronger in employees with low physical workload than in those with high physical workload, particularly for lower extremity symptoms.

If you have a sedentary job, carrying extra weight poses a significantly higher risk for joint pain (especially in legs/knees) than if you have a physically demanding job. This might be because physical work builds muscle that protects joints. However, obesity still increases risk in high-workload jobs, just less dramatically.

GoodQualifiesHIGH confidence
The association was modified by physical workload, with a stronger association for employees with low physical workload than for those with high physical workload.
Laura Viester et al. · BMC Musculoskeletal Disorders · 2013

Why this rating

Large sample size and stratified analysis provide robust evidence for the interaction effect.

Source

The relation between body mass index and musculoskeletal symptoms in the working population

Laura Viester et al. · BMC Musculoskeletal Disorders · 2013

DOI 10.1186/1471-2474-14-238

cohort · n=44793Cited 223×
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DOI resolved against Crossref · corpus check 2026-06-10

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