The Effect of Working Posture on Physical Fatigue Among Textile Workers with Age, Length of Service, and Body Mass Index as Covariates

Sumardiyono Sumardiyono; Farhana Syahrotun Nisa  Suratna; Bachtiar  Chahyadhi; Maria Paskanita  Widjanarti; Reni  Wijayanti; Nur  Ulfah

doi:10.56303/jhnresearch.v4i3.533

Authors

Sumardiyono Sumardiyono Department of Occupational Safety and Health, Universitas Sebelas Maret, Indonesia
Farhana Syahrotun Nisa Suratna Department of Occupational Safety and Health, Universitas Sebelas Maret, Indonesia
Bachtiar Chahyadhi Department of Occupational Safety and Health, Universitas Sebelas Maret, Indonesia
Maria Paskanita Widjanarti Department of Occupational Safety and Health, Universitas Sebelas Maret, Indonesia
Reni Wijayanti Department of Occupational Safety and Health, Universitas Sebelas Maret, Indonesia
Nur Ulfah Department of Public Health, Faculty of Health Sciences, Universitas Jenderal Soedirman, Indonesia

Keywords:

Working Posture, Physical Fatigue, Textile Workers

Abstract

Physical fatigue among textile workers is caused by non-ergonomic working postures (e.g., prolonged standing) and personal characteristics such as age, length of service, and body mass index (BMI). The objective of the present investigation was to study the effect of working posture on physical fatigue after adjusting for the covariates of age, length of service, and BMI. An analytical cross-sectional study with a quantitative design was applied to 174 Surakarta workers selected by stratified random sampling. Work posture was categorized under standing and sitting, while physical fatigue was measured by the Subjective Self Rating Test (SSRT) questionnaire. ANCOVA via SPSS version 27 software was applied for the analysis, in which age, length of service, and BMI were employed as covariates. The findings indicated that the standing posture was strongly influenced positively on physical fatigue (Partial Eta Squared = 0.547, p < 0.001), and the effect size is large. Significant risk factors were also found to be age (p = 0.012) and BMI (p = 0.035), but the length of service was not significant (p = 0.084). The ANCOVA model also showed excellent predictability values of adjusted R 2 = 0.715, which implied that the model was able to explain 71.5 percent of the physical fatigue. These findings emphasize the importance of posture-based ergonomic interventions to prevent fatigue and improve occupational health in the textile industry

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References

Sadhra S, Bray A, Boorman S. Occupational Hygiene Overview. In: Oxford Medical Handbooks. 3 edn. Oxford University Press; 2022. p. 631–6.

Saha R, Chakraborty R, Ghosh P, Ghosh J, Haldar P. Work-Related Musculoskeletal Disorder an Increasing Concern in Garment Industry. J Adv Zool. 2023;44(S-6):1684–9.

İmamoğlu G, Esi B. Ergonomic Risk Analysis of Working Postures for a Textile Factory Worker. J Adv Res Nat Appl Sci. 2024;10(3):761–70.

Muraina AB. Postural Assessment and Risk Evaluation of Workers among Selected Textile Industries in Lagos, Nigeria. Asian J Adv Res Reports. 2024;18(10):172–181.

Seid RK, Ofori EA, Eghan B, Fobiri GK, Afriyie AO, Richard Acquaye. A systematic Review of Work-Related Health Problems of Factory Workers in the Textile and Fashion industry. J Occup Health [Internet]. 2024;66(1):1–9. Available from: https://academic.oup.com/joh/article/66/1/uiae007/7591975?login=true

Az Zahra CSS, Sumardiyono S, Sari Y. Hubungan Beban Kerja Fisik dan Kualitas Tidur Terhadap Kelelahan Kerja Pada Pekerja Wanita Dengan Peran Ganda di PT Iskandartex Surakarta. J Kesehat Masy [Internet]. 2024;12(1):16–27. Available from: https://ejournal3.undip.ac.id/index.php/jkm/article/view/38529

Kiritkumar BK, Pothiraj P. Prevalence of Work-Related Musculoskeletal Disorders and Analysis of Working Posture Using Rapid Entire Body Assessment Tool Amongst the Sewing Machine Operators in A Garment Industry: A Cross Sectional Study. Int J Community Med Public Heal [Internet]. 2023;10(11):4388–95. Available from: https://www.ijcmph.com/index.php/ijcmph/article/view/11773

Dimkatni NW, Sumampouw OJ, Manampiring AE. Apakah Beban Kerja, Stres Kerja dan Kualitas Tidur Mempengaruhi Kelelahan Kerja pada Perawat di Rumah Sakit? Sam Ratulangi J Public Heal [Internet]. 2020;1(1):9–14. Available from: https://ejournal.unsrat.ac.id/index.php/srjph/article/view/27273

Nasirzadeh F, Mir M, Hussain S, Darbandy MT, Khosravi A, Nahavandi S, et al. Physical Fatigue Detection Using Entropy Analysis of Heart Rate Signals. Sustain. 2020;12(7):1–17.

Lee Y, Park H, Yoo S, Kim S, Ko J, Ha J, et al. Detecting High-Risk Fatigue: Tracking with Alertness and Physiological Metric Pattern. Phys Ergon Hum Factors. 2024;147:62–8.

Cunningham TR, Guerin RJ, Ferguson J, Cavallari J. Work-Related Fatigue: A Hazard for Workers Experiencing Disproportionate Occupational Risks. Am J Ind Med. 2022;65(11):913–25.

Maldonado M, Orbe N, García MG. Analysis of the Effects of the Prolonged Standing and Sitting Posture on Physiological Indicators, and the Potential Impact on Health: A Systematic Review and Meta-Analysis. In: Proceedings of the International Conference on Industrial Engineering and Operations Management. 2021. p. 3369–87.

Jo H, Lim O Bin, Ahn YS, Chang SJ, Koh SB. Negative Impacts of Prolonged Standing at Work on Musculoskeletal Symptoms and Physical Fatigue: The Fifth Korean Working Conditions Survey. Yonsei Med J. 2021;62(6):510–9.

Azis IJ, Djaali NA, Prahastuti BS. The Effect of Work Posture on Work Fatigue in Furniture Workers in the East Jakarta Furniture Industry Center. J Indones Sos Sains. 2024;5(04):882–6.

Sunarsieh S, Adib M. Prolonged Standing and Work Fatigue on Sales Promotion Girl Workers at the Kubu Raya Regency Shopping Center. Int J Public Heal Sci. 2023;12(4):1516–21.

Javadi AMM, Choobineh A, Razeghi M, Ghaem H, Daneshmandi H. Adverse Effects of Sit and Stand Workstations on the Health Outcomes of Assembly Line Workers: A Cross-sectional Study. J Prev Med Hyg. 2022;63(2):E344–50.

Aditama W, Fahira M. Relevance Between Standing Period and Working Fatigue on Simpang Jam Gas Station Operator in Banda Aceh, Indonesia. Clin Med Heal Res J. 2024;4(1):761–4.

Paterson C, Fryer S, Zieff G, Stone K, Credeur DP, Barone Gibbs B, et al. The Effects of Acute Exposure to Prolonged Sitting, With and Without Interruption, on Vascular Function Among Adults: A Meta-analysis. Sport Med [Internet]. 2020;50(11):1929–42. Available from: https://doi.org/10.1007/s40279-020-01325-5

Ferreira-Santos L, Martinez-Lemus LA, Padilla J. Sitting Leg Vasculopathy: Potential Adaptations Beyond the Endothelium. Am J Physiol - Hear Circ Physiol. 2024;326(3):H760–71.

Myers S, Govindarajulu U, Joseph MA, Landsbergis P. Work Characteristics, Body Mass Index, and Risk of Obesity: The National Quality of Work Life Survey. Ann Work Expo Heal. 2021;65(3):291–306.

Hidayah RN, Nuradhiani A, Bohari B. The Relationship Between Dietary Patterns and the Incidence of Overweight among Adolescents. J Heal Nutr Res [Internet]. 2024;3(2):111–20. Available from: https://www.journalmpci.com/index.php/jhnr/article/view/256/157

Azzolino D, Arosio B, Marzetti E, Calvani R, Cesari M. Nutritional Status as a Mediator of Fatigue and Its Underlying Mechanisms in Older People. Nutrients. 2020;12(2):1–15.

Hengenius JB, Ehrenkranz R, Zhu X, Glynn NW, Huppert TJ, Rosano C. Fatigue and Perceived Energy in a Sample of Older Adults Over 10 years: A Resting State Functional Connectivity Study of Neural Correlates. Exp Gerontol [Internet]. 2024;188(February):112388. Available from: https://doi.org/10.1016/j.exger.2024.112388

Rakhman A, Hamid MA, Nurulfuadi N, Nadila D, Aiman U. Relationship Between Fast Food Consumption, Sedentary Lifestyle, and Physical Activity with Body Mass Index (BMI) among Students of Madrasah Aliyah Alkahiraat Pusat Palu Post-Covid-19 Pandemic. J Heal Nutr Res [Internet]. 2025;4(1):8–14. Available from: https://www.journalmpci.com/index.php/jhnr/article/view/286/219

Sala E, Cipriani L, Bisioli A, Paraggio E, Tomasi C, Apostoli P, et al. A Twenty-Year Retrospective Analysis of Risk Assessment of Biomechanical Overload of the Upper Limbs in Multiple Occupational Settings: Comparison of Different Ergonomic Methods. Bioengineering. 2023;10(580):1–13.

Harahap AN, Hikmayani NH, Sumardiyono S. Factors Related to Overnutrition in Early Childhood in Urban and Rural Areas of Bangka Belitung Islands Province (An Analysis Of 2023 SKI Data). J Heal Nutr Res [Internet]. 2025;4(1):220–34. Available from: https://journalmpci.com/index.php/jhnr/article/view/361

Kondar DC, Djajakusli R, Zulkifli A, Naiem MF, Muis M, Sidin AI. Relationship of Age and Workload towards Working Fatigue at Porters in Paotere Port, Makassar City. South Asian Res J Humanit Soc Sci [Internet]. 2020;2(6):502–6. Available from: https://www.sarpublication.com/media/articles/SARJHSS_26_502-506.pdf

Safira ED, Pulungan RM, Arbitera C. Kelelahan Kerja pada Pekerja di PT. Indonesia Power Unit Pembangkitan dan Jasa Pembangkitan (UPJP) Priok. J Kesehat [Internet]. 2020;11(2):265–71. Available from: https://www.researchgate.net/publication/345959758_Kelelahan_Kerja_pada_Pekerja_di_PT_Indonesia_Power_Unit_Pembangkitan_dan_Jasa_Pembangkitan_UPJP_Priok

Kang H. Sample Size Determination and Power Analysis Using the G*Power Software. J Educ Eval Health Prof. 2021;18:1–12.

Zuraida R, Chie HH. Pengujian Skala Pengukuran Kelelahan (SPK) pada Responden di Indonesia. ComTech Comput Math Eng Appl [Internet]. 2014;5(2):1012–20. Available from: https://media.neliti.com/media/publications/165874-ID-pengujian-skala-pengukuran-kelelahan-spk.pdf

Souza GA de, Cardoso V de F, Barros FC de, Trondoli LHP da C, Moriguchi CS, Sato T de O. Correlation Between Standing Posture During Work and Low Back and Lower Limb Pain among Cleaners and Caregivers of Older Adults. Fisioter e Pesqui. 2022;29(2):138–44.

Dibaj P, Windhorst U. Muscle Fatigue in Health and Disease. MDPI. 2024;(September):1–43.

Soares C, Shimano SGN, Marcacine PR, Martinho Fernandes LFR, de Castro LLPT, de Walsh IAP. Ergonomic Interventions for Work in a Sitting Position: an Integrative Review. Rev Bras Med do Trab. 2023;21(1):1–10.

Engberg I, Segerstedt J, Waller G, Wennberg P, Eliasson M. Fatigue in the General Population-Associations to Age, Sex, Socioeconomic Status, Physical Activity, Sitting Time and Self-Rated Health: The Northern Sweden MONICA study 2014. BMC Public Health. 2017;17(1):1–9.

Anagnostou D, Theodorakis N, Hitas C, Kreouzi M, Pantos I, Vamvakou G, et al. Sarcopenia and Cardiogeriatrics: The Links Between Skeletal Muscle Decline and Cardiovascular Aging. Nutr . 2025;17(2):1–19.

Kera T, Kawai H, Ejiri M, Ito K, Hirano H, Fujiwara Y, et al. Respiratory sarcopenia is a predictor of all-cause mortality in community-dwelling older adults—The Otassha Study. J Cachexia Sarcopenia Muscle. 2023;14:1894–1899.

Cai Y, Han Z, Cheng H, Li H, Wang K, Chen J, et al. The Impact of Ageing Mechanisms on Musculoskeletal System Diseases in the Elderly. Front Immunol. 2024;15(May):1–15.

Luawo HP, Sukartini T, Suwito J. The Effectiveness of Physical Activities on Fatigue In The Elderly: A Systematic Review. Str J Ilm Kesehat. 2020;9(2):1558–66.

Wylie GR, Sisto AJP, Genova HM, Deluca J. Fatigue Across the Lifespan in Men and Women: State vs. Trait. Front Hum Neurosci. 2022;16(May):1–10.

Vesikansa A, Mehtälä J, Jokelainen J, Mutanen K, Lundqvist A, Laatikainen T, et al. The Association of Body Mass Index with Quality of Life and Working Ability: a Finnish Population ‑ Based Study. Qual Life Res [Internet]. 2022;31:413–23. Available from: https://doi.org/10.1007/s11136-021-02993-0

Rezaeimanesh N, Rafiee P, Saeedi R, Eskandarieh S, Sahraian MA, Khosravian P, et al. Association of Body Mass Index and Physical Activity with Fatigue, Depression, and Anxiety among Iranian Patients with Multiple Sclerosis. Front Neurol. 2023;14(April):1–8.

Zadon H, Michnik R, Nowakowska-Lipiec K. Assessment of Musculoskeletal Loads among Office Workers Due to Predicted BMI Increase. Appl Sci. 2024;14:8928.

Bloom MJ, Brown LM, Jost SR, Stuart A, Donald I, Mankin V, et al. The Impact of Body Mass Index on Physical Activity and Cardiac Workload. bioRxiv. 2021;September:1–14.

Adouni M, Aydelik H, Faisal TR, Hajji R. The Effect of Body Weight on the Knee Joint Biomechanics Based on Subject-Specific Finite Element-Musculoskeletal Approach. Sci Rep [Internet]. 2024;14(1):1–15. Available from: https://doi.org/10.1038/s41598-024-63745-x

Morais JBS, Dias TMDS, Cardoso BEP, De Paiva Sousa M, Sousa TGV De, Araújo DSC De, et al. Adipose Tissue Dysfunction: Impact on Metabolic Changes? Horm Metab Res. 2022;54(12):785–94.

Barrón-Cabrera E, González-Becerra K, Rosales-Chávez G, Mora-Jiménez A, Hernández-Cañaveral I, Martínez-López E. Low-Grade Chronic Inflammation is Attenuated by Exercise Training in Obese Adults Through Down-Regulation of ASC Gene in Peripheral Blood: A Pilot Study. Genes Nutr. 2020;15(1):1–11.

Wiben A, Skovsgaard C, Søgaard K, Schiøttz-Christensen B, Olsen KR. Tip of the Iceberg: Unveiling the Impact on Back Disorders from Cumulative Physical Job Exposure and Evaluating Bias from the Healthy Worker Effect Using a Nationwide Longitudinal Cohort Study. Eur Spine J [Internet]. 2024;33(6):2395–404. Available from: https://doi.org/10.1007/s00586-024-08212-x

Lin RT, Lin YT, Hsia YF, Kuo CC. Long Working Hours and Burnout in Health Care Workers: Non-linear Dose-response Relationship and the Effect Mediated by Sleeping Hours—A Cross-sectional Study. J Occup Health [Internet]. 2021;63(1):1–13. Available from: https://academic.oup.com/joh/article/63/1/e12228/7249820?login=true

Rabal-Pelay J, Cimarras-Otal C, Lacárcel-Tejero B, Alcázar-Crevillén A, Villalba-Ruete JA, Berzosa C, et al. Changes in Baropodometric Evaluation and Discomfort during the Workday in Assembly-Line Workers. Healthc. 2024;12(7):1–11.

Suorsa K, Mikko V, Tuija M, Heinonen OJ, Pentti J, Vahtera J. Work Ability and Physical Fitness Among Aging Workers: the Finnish Retirement and Aging Study. Eur J Ageing [Internet]. 2022;19(4):1301–10. Available from: https://doi.org/10.1007/s10433-022-00714-1

Usgu S. Influence of Body Mass Index on Mechanical Properties in People With Obesity. Reseach Sq. 2021;(May):1–9.