Changes in leisure time physical activity and subsequent disability retirement: A register-linked cohort study.
Changes in leisure time physical activity and subsequent disability retirement: A register-linked cohort study.
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DOI：
10.1186/s12966-016-0426-2
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发表时间：
2016-09-06
期刊：
影响因子：
--
通讯作者：
Rahkonen O
中科院分区：
文献类型：
--
作者：
Lahti J;Holstila A;Mänty M;Lahelma E;Rahkonen O
残疾退休是一个经济、公共卫生和工作生活问题，给雇员、工作场所和社会造成成本。在中年进行体育活动与减少病假和死亡风险有关。本研究的目的是研究休闲时间体育活动随时间的变化如何与中年员工随后的残疾退休相关。赫尔辛基健康研究队列基线（1期）邮件问卷调查数据于2000年、2001年和2002年在芬兰赫尔辛基市40-60岁的员工中收集。2007年进行了第2阶段调查（N = 3943）。受访者分为三组：1。低活性（<14 MET-小时/周），2.中度活跃（> = 14 MET-小时/周，中等强度体力活动）和3.在两个阶段积极活动（> = 14 MET-小时/周，包括剧烈的体力活动）。这产生了九组描述的稳定性和变化的闲暇时间的身体活动。截至2013年底，残疾退休数据来自芬兰养老金中心的登记处。使用考克斯回归分析来计算调整协变量的风险比（HR）及其95%置信区间（CI）。在随访期间，264名（6.7%）参与者因残疾而退休。与持续低活动的人相比，当调整年龄、性别、职业社会阶层、工作强度、吸烟和酗酒时，将体力活动从低到高的人随后残疾退休的风险较低（HR = 0.38，95%CI = 0.15-0.97）。同样，与持续中度活动的患者相比，从中度增加到剧烈活动的患者（HR = 0.50，95%CI = 0.28-0.86）的风险降低。相比之下，与持续剧烈活动的人相比，那些将身体活动从剧烈减少到低（HR = 2.42，95%CI = 1.32-4.41）或中度（HR = 1.70，95%CI = 1.03-2.82）的人的风险增加。调整BMI，限制长期疾病和先前的疾病缺席在一定程度上削弱了这种关联。采用剧烈的体力活动与降低残疾退休的风险有关。在中年雇员中促进剧烈的体育活动可能有助于防止残疾退休。
Disability retirement is an economic, public health and work life issue causing costs for employees, workplaces and society. Adopting physical activity at middle-age has been associated with reduced risk of sickness absence and mortality. The aim of this study was to examine how changes over time in leisure time physical activity are associated with subsequent disability retirement among midlife employees. The Helsinki Health Study cohort baseline (phase 1) mail questionnaire survey data were collected in 2000, 2001 and 2002 among 40–60-year-old employees of the City of Helsinki, Finland. A phase 2 survey was conducted in 2007 (N = 3943). Respondents were classified into three groups: 1. low-active (<14 MET-hours/week), 2. moderately active (> = 14 MET-hours/week in moderate-intensity physical activity) and 3. vigorously active (> = 14 MET-hours/week including vigorous physical activity) at both phases. This yielded nine groups for describing stability and change of leisure time physical activity. Disability retirement data were derived from the registry of the Finnish Centre for Pensions until the end of 2013. A Cox regression analysis was used to calculate hazard ratios (HR) and their 95 % confidence intervals (CI) adjusting for covariates. During the follow-up, 264 (6.7 %) participants retired due to disability. Compared with those who were persistently low-active, those who increased their physical activity from low to vigorous had a lower risk of subsequent disability retirement (HR = 0.38, 95 % CI = 0.15–0.97) when adjusting for age, gender, occupational social class, strenuousness of work, smoking and binge drinking. Similarly, compared with those who were persistently moderately active, those increasing from moderate to vigorous (HR = 0.50, 95 % CI = 0.28–0.86) had a reduced risk. In contrast, those decreasing their physical activity from vigorous to low (HR = 2.42, 95 % CI = 1.32–4.41) or moderate (HR = 1.70, 95 % CI = 1.03–2.82) had an increased risk, compared with those who were persistently vigorously active. Adjusting for BMI, limiting longstanding illness and prior sickness absence somewhat attenuated the associations. Adopting vigorous physical activity was associated with a reduced risk of disability retirement. Promoting vigorous physical activity among midlife employees may help prevent disability retirement.
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影响因子：
4.5
作者：
Lahelma E;Laaksonen M;Lallukka T;Martikainen P;Pietiläinen O;Saastamoinen P;Gould R;Rahkonen O
通讯作者：
Rahkonen O
影响因子：
7.2
作者：
Laaksonen, Mikko;Aittomaki, Akseli;Lahelma, Eero
通讯作者：
Lahelma, Eero
DOI：
10.1111/j.1600-0838.2009.00886.x
发表时间：
2010-04-01
影响因子：
4.1
作者：
Lahti, J.;Laaksonen, M.;Rahkonen, O.
通讯作者：
Rahkonen, O.
影响因子：
3.7
作者：
Lahti J;Holstila A;Lahelma E;Rahkonen O
通讯作者：
Rahkonen O
影响因子：
5.1
作者：
Lallukka, T;Sarlio-Lähteenkorva, S;Lahelma, E
通讯作者：
Lahelma, E