title: A survey of influence of work environment on temporomandibular disorders-related symptoms in Japan.
abstract: BACKGROUND
  This study aimed at identifying the factors that influence the incidence of temporomandibular disorders (TMD)-related symptoms (TRS) in a Japanese working population.
  
  
  METHODS
  Our study subjects comprised of 1,969 employees from the same Japanese company. The subjects were assessed using a questionnaire that covered both TRS and the work environment. TRS were measured from 4 items on the questionnaire. The work environment factors recorded were the daily mean duration of personal computer use, driving, precise work, commuting, time spent at home before going to bed, sleeping, attending business meetings, and performing physical labor. Statistical analysis was performed using t-tests, Chi-square tests, and logistic regression analyses. A result with P < 0.05 was considered statistically significant.
  
  
  RESULTS
  The median total score on the 4 items used to assess TRS was 5 (25% = 4, 75% = 7). Two groups were defined such that the participants scoring ≤7 were assigned to the low-TRS group and those scoring ≥8, to the high-TRS group. The high-TRS group constituted 22.6% of the subjects. Logistic regression analyses indicated that female gender and extended periods of computer use were significant contributors to the manifestation of TRS.
  
  
  CONCLUSIONS
  This questionnaire-based study showed that gender and computer use time was associated with the prevalence of TRS in this working population. Thus, evaluation of ergonomics is suggested for TMD patients.
authors.affiliation: Section of Temporomandibular Joint and Oral Function, Department of Comprehensive Patient Care, Graduate School, Tokyo Medical and Dental University, Yushima, Bunkyo-ku, Japan. anishi.tmj@tmd.ac.jp
authors.forename: Akira
authors.initials: A
authors.lastname: Nishiyama
authors.forename: Koji
authors.initials: K
authors.lastname: Kino
authors.forename: Masashi
authors.initials: M
authors.lastname: Sugisaki
authors.forename: Kaori
authors.initials: K
authors.lastname: Tsukagoshi
mesh_terms: D000328:Adult; D017677:Age Distribution; D016009:Chi-Square Distribution; D003201:Computers / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D004777:Environment; D005260:Female; D006801:Humans; D007564:Japan / Q000453:epidemiology; D016015:Logistic Models; D008297:Male; D009784:Occupational Diseases / Q000175:diagnosis / Q000453:epidemiology*; D018570:Risk Assessment; D012720:Severity of Illness Index; D017678:Sex Distribution; D011795:Surveys and Questionnaires; D013705:Temporomandibular Joint Disorders / Q000175:diagnosis* / Q000453:epidemiology*; D017132:Workplace; D055815:Young Adult