Original title: Obesity-related differences in shoulder and lumbar loading during manual material handling
Nicholas J La Delfa, Hayley E Janes, Michael W B Watterworth, Marina Mourtzakis +2 · August 2026
Lifting heavy items at work can lead to muscle and bone injuries, and obesity raises this risk. Researchers wanted to see how body mass index, or BMI, alters the physical stress placed on the body during lifting and moving items. When you pick up a box, your joints act like pivot points. Your muscles must produce turning forces, called joint momentsA measure of the turning force or strain at a joint, like how hard muscles have to pull., to move your bones. The researchers discovered that a higher BMI caused larger forces in the lower back and shoulders. Surprisingly, these back forces grew the most during lifts from the floor, during lighter loads, and especially in males. Because workers barely changed their posture, extra body mass was the key factor driving up stress on their joints.
Imagine carrying a heavy backpack on a rocky path. The extra weight makes you wobble, but how much you wobble depends on whether the rocks are big or small and whether you step carefully or quickly. In this paper, extra body weight is like the backpack, and the different lifting tasks are like the varying rocks. The researchers found that the extra wobble (joint strain) changes depending on how you lift and what you lift, not just how heavy you are.
People with obesity face a higher risk of work-related injuries from lifting and carrying. This study shows that the extra strain on the spine and shoulders doesn't simply scale with body weight—it depends on the task, the load, and even gender. That means safety guidelines must be tailored to body size and specific job demands, rather than using one-size-fits-all rules.
The study measured joint moments and postures in a controlled lab, not actual injury rates in workplaces. It did not account for muscle fatigue, individual lifting techniques, or long-term exposure. Findings are specific to the tasks and conditions tested. Translation into injury prevention guidelines requires further research.
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Obesity-related differences in shoulder and lumbar loading during manual material handling — Nicholas J La Delfa, Hayley E Janes, Michael W B Watterworth et al. — Applied ergonomics — doi:10.1016/j.apergo.2026.104863
Abstract licence: CC BY
Explanation generated by Synthesis from the abstract — it is not the original paper.