0032 Physical capacity in midlife and labour market attachment among older workers: prospective cohort study with register follow-up. (21st August 2017)
- Record Type:
- Journal Article
- Title:
- 0032 Physical capacity in midlife and labour market attachment among older workers: prospective cohort study with register follow-up. (21st August 2017)
- Main Title:
- 0032 Physical capacity in midlife and labour market attachment among older workers: prospective cohort study with register follow-up
- Authors:
- Sundstrup, Emil
Hansen, Åse Marie
Mortensen, Erik Lykke
Poulsen, Otto
Clausen, Thomas
Rugulies, Reiner
Møller, Anne
Andersen, Lars - Abstract:
- Abstract : Introduction: We aim to determine the prospective association of different physical capacity tests with health related labour market outcomes among older workers. Methods: The prospective risk of register-based long-term sickness absence (LTSA) and disability pension from measured musculoskeletal capacity (jump performance, postural balance, sit-to-stand, explosive muscle strength, and maximal strength of the hand, back and abdominal muscles) and cardiovascular capacity (lung function and aerobic fitness) were estimated among 5076 older workers from the Copenhagen Ageing and Midlife Biobank. Time-to-event analyses were censored for competing events and adjusted for age, gender, physical and psychosocial work environment, lifestyle, socioeconomic position and previous LTSA. Results: Low physical capacity in many of the tests (less than 1SD below mean) predicted risk of LTSA and disability pension. Specifically, low aerobic fitness (HR 5.9), low jump performance (HR 2.7) and low abdominal muscle strength (HR 3.3) predicted risk of disability pension. A dose-response association was observed between number of musculoskeletal capacity tests with low performance and disability pension and LTSA - with the risk-estimate for disability pension being 7.6 when low capacity was present in ≥5 musculoskeletal capacity tests. Population attributable risks for disability pension and LTSA from poor musculoskeletal capacity were 33% and 8%, respectively. Conclusions: PoorAbstract : Introduction: We aim to determine the prospective association of different physical capacity tests with health related labour market outcomes among older workers. Methods: The prospective risk of register-based long-term sickness absence (LTSA) and disability pension from measured musculoskeletal capacity (jump performance, postural balance, sit-to-stand, explosive muscle strength, and maximal strength of the hand, back and abdominal muscles) and cardiovascular capacity (lung function and aerobic fitness) were estimated among 5076 older workers from the Copenhagen Ageing and Midlife Biobank. Time-to-event analyses were censored for competing events and adjusted for age, gender, physical and psychosocial work environment, lifestyle, socioeconomic position and previous LTSA. Results: Low physical capacity in many of the tests (less than 1SD below mean) predicted risk of LTSA and disability pension. Specifically, low aerobic fitness (HR 5.9), low jump performance (HR 2.7) and low abdominal muscle strength (HR 3.3) predicted risk of disability pension. A dose-response association was observed between number of musculoskeletal capacity tests with low performance and disability pension and LTSA - with the risk-estimate for disability pension being 7.6 when low capacity was present in ≥5 musculoskeletal capacity tests. Population attributable risks for disability pension and LTSA from poor musculoskeletal capacity were 33% and 8%, respectively. Conclusions: Poor musculoskeletal and cardiovascular capacity in midlife increased the risk for LTSA and disability pension. Promoting physical capability to a normal level among older workers with low capacity may have the opportunity to prevent premature exit from the labour market. … (more)
- Is Part Of:
- Occupational and environmental medicine. Volume 74(2017)Supplement 1
- Journal:
- Occupational and environmental medicine
- Issue:
- Volume 74(2017)Supplement 1
- Issue Display:
- Volume 74, Issue 1 (2017)
- Year:
- 2017
- Volume:
- 74
- Issue:
- 1
- Issue Sort Value:
- 2017-0074-0001-0000
- Page Start:
- A8
- Page End:
- A9
- Publication Date:
- 2017-08-21
- Subjects:
- Medicine, Industrial -- Periodicals
Environmental health -- Periodicals
616.980305 - Journal URLs:
- http://oem.bmj.com/ ↗
http://www.jstor.org/journals/13510711.html ↗
http://www.pubmedcentral.nih.gov/tocrender.fcgi?journal=172&action=archive ↗
http://www.bmj.com/archive ↗ - DOI:
- 10.1136/oemed-2017-104636.22 ↗
- Languages:
- English
- ISSNs:
- 1351-0711
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - BLDSS-3PM
British Library HMNTS - ELD Digital store - Ingest File:
- 19209.xml