Leisure time physical activity and strenuousness of work as predictors of physical functioning:: a 28 year follow up of a cohort of industrial employees

Leisure time physical activity and strenuousness of work as predictors of physical functioning:: a 28 year follow up of a cohort of industrial employees
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DOI:
10.1136/oem.2003.012054
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发表时间:
2004-12-01
影响因子:
4.9
通讯作者:
Telama, R
Telama, R
中科院分区:
医学2区
文献类型:
--
作者:
Leino-Arjas, P;Solovieva, S;Telama, R

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目的:研究协会的闲暇时间的身体活动和身体强度的工作与身体functioning.Methods:一个队列(n = 902)的金属行业的员工进行了研究,在1973年和1978年的运动和家务活动,并在1973年的BMI,目前吸烟,工作强度,握力和慢性疾病。在2000年的670名幸存者中,529人(79%)对随访问卷中的所有研究项目做出了回答,包括SF-36身体功能(PF)量表。属于PF量表的下四分位数表示poor functioning.Results:剧烈运动和家务活动呈负相关,与贫穷的PF 28年后,在白领和蓝领工人。从事任何强度的活动在蓝领工人中也有类似的联系。在多元logistic回归模型中,包括作为自变量的年龄,性别,职业类别,慢性疾病的数量,剧烈的休闲时间体力活动,BMI,体力劳动强度和吸烟(所有测量在基线),在随访时PF不良的风险降低了剧烈的休闲时间体力活动,并增加了高体力劳动强度的工作,高BMI和吸烟。工作强度的影响主要体现在蓝领群体中。允许基线握力并没有实质性地改变results.Conclusion:积极的休闲时间体力活动降低了身体功能不佳的风险,认为在以后的生活中,而高工作强度,吸烟,超重增加it. Among蓝领工人的有益协会,观察到所有的休闲时间活动,包括较低的强度。
Aims: To examine associations of leisure time physical activity and physical strenuousness of work with physical functioning 28 years later.Methods: A cohort (n = 902) of metal industry employees was studied for exercise and housework activity in 1973 and 1978, and for BMI, current smoking, strenuousness of work, grip strength, and chronic diseases in 1973. Of the 670 survivors in 2000, 529 (79%) responded to all studied items in a follow up questionnaire including the SF-36 Physical Functioning (PF) scale. Belonging to the lower quartile of the PF scale denoted poor functioning.Results: Vigorous exercise and housework activity were inversely associated with poor PF 28 years later in both white-collar and blue-collar workers. Engaging in activities of any intensity was similarly associated among the blue-collar workers. In a multiple logistic regression model including as independent variables age, sex, occupational class, the number of chronic diseases, vigorous leisure time physical activity, BMI, physical work strenuousness, and smoking (all measured at baseline), the risk of poor PF at follow up was decreased by vigorous leisure time physical activity and increased by high physical strenuousness of work, high BMI, and smoking. The effect of work strenuousness was mainly due to that among the blue-collar group. Allowing for baseline grip strength did not materially alter the results.Conclusion: Vigorous leisure time physical activity decreased the risk of poor physical functioning as perceived considerably later in life, while high work strenuousness, smoking, and overweight increased it. Among blue-collar workers a beneficial association was observed with all leisure time activity, including that of lower intensity.