Work ability in midlife as a predictor of mortality and disability in later life: a 28-year prospective follow-up study
von Bonsdorff, M., Seitsamo, J., Ilmarinen, J., Nygård, C.-H., von Bonsdorff, M., & Rantanen, T. (2011). Work ability in midlife as a predictor of mortality and disability in later life: a 28-year prospective follow-up study. Canadian Medical Association Journal, 183(4), E235-242. https://doi.org/10.1503/cmaj.100713
Julkaistu sarjassa
Canadian Medical Association JournalTekijät
Päivämäärä
2011Background:
Poor work ability correlates with increased morbidity and early retirement from the workforce, but the association in old age is not known. We investigated work ability in midlife among white-collar and blue-collar employees as a predictor of mortality and disability 28 years later.
Methods:
A total of 5971 occupationally active people aged 44–58 years participated in the Finnish Longitudinal Study of Municipal Employees (FLAME) in 1981. Perceived work ability relative to lifetime best was categorized as excellent, moderate or poor. In 2009, the ability to perform activities of daily living was assessed among 2879 respondents (71.0% of the survivors). Mortality data were available up to July 2009.
Results:
At the 28-year follow-up, 1918 of the 5971 participants had died and 1403 had some form of disability. Rates of death per 1000 person-years among white-collar men were 7.7 for those with excellent work ability, 14.7 for those with moderate work ability and 23.5 for those with poor work ability. Among blue-collar men, the corresponding rates were 15.5, 20.2 and 25.3. In women, rates ranged between 6.3 and 10.6 per 1000 person-years. The age-adjusted hazard ratios (HRs) for mortality were two to three times higher among blue-collar male employees with lower work ability than among white-collar male employees with excellent work ability in midlife (i.e., the reference group). The odds of death or disability at follow-up compared with white-collar workers with excellent work ability were highest among blue-collar employees with poor work ability in midlife (odds ratio [OR] 4.56, 95% confidence interval [CI] 2.82–7.37 for men; OR 3.37, 95% CI 2.28–4.98 for women). Among the survivors, similar but slightly lower risks of disability 28 years later were found.
Interpretation:
Perceived poor work ability in midlife was associated with accelerated deterioration in health and functioning and remains evident after 28 years of follow-up.
...
Julkaisija
Canadian medical associationISSN Hae Julkaisufoorumista
1488-2329
Alkuperäislähde
http://www.cmaj.ca/cgi/reprint/183/4/E235Julkaisu tutkimustietojärjestelmässä
https://converis.jyu.fi/converis/portal/detail/Publication/19916165
Metadata
Näytä kaikki kuvailutiedotKokoelmat
- Liikuntatieteiden tiedekunta [3028]
Samankaltainen aineisto
Näytetään aineistoja, joilla on samankaltainen nimeke tai asiasanat.
-
Mortality Risk among Older People Who Did Versus Did Not Sustain a Fracture : Baseline Prefracture Strength and Gait Speed as Predictors in a 15-Year Follow-Up
Koivunen, Kaisa; Sillanpää, Elina; von Bonsdorff, Mikaela; Sakari, Ritva; Törmäkangas, Timo; Rantanen, Taina (Oxford University Press; The Gerontological Society of America, 2020)BACKGROUND: Physiological reserve, as indicated by muscle strength and gait speed, may be especially determinant of survival in people who are exposed to a health stressor. We studied whether the association between ... -
Physical heaviness of work and sitting at work as predictors of mortality : a 26-year follow-up of the Helsinki Birth Cohort Study
Mikkola, Tuija M.; von Bonsdorff, Mikaela; Salonen, Minna K.; Kautiainen, Hannu; Ala-Mursula, Leena; Solovieva, Svetlana; Viikari-Juntura, Eira; Eriksson, Johan G. (BMJ Publishing Group, 2019)Objectives: To examine the relationships of late-career physical heaviness of work and sitting at work with mortality. A national-level job exposure matrix was used to determine the occupation-specific level of ... -
Disability, Health-Related Quality of Life and Mortality in Lumbar Spine Fusion Patients : A 5-Year Follow-Up and Comparison With a Population Sample
Toivonen, Leevi; Pekkanen, Liisa; Neva, Marko H.; Kautiainen, Hannu; Kyrölä, Kati; Marttinen, Ilkka; Häkkinen, Arja (SAGE Publications, 2022)Study Design: Prospective follow-up study. Objectives: We aimed to assess the effect of lumbar spine fusion (LSF) on disability, health-related quality of life and mortality in a 5-year follow-up, and to compare these ... -
Physical function and lean body mass as predictors of bone loss after hip fracture : a prospective follow-up study
Suominen, Tuuli H.; Edgren, Johanna; Salpakoski, Anu; Kallinen, Mauri; Cervinka, Tomas; Rantalainen, Timo; Törmäkangas, Timo; Heinonen, Ari; Sipilä, Sarianna (BioMed Central, 2020)Background Predictors of bone deterioration after hip fracture have not been well characterized. The aim of this study was to examine the associations of physical function and lean body mass (LBM) with loss of bone density ... -
Midlife work ability and mobility limitation in old age among non-disability and disability retirees : a prospective study
von Bonsdorff, Monika; Rantanen, Taina; Törmäkangas, Timo; Kulmala, Jenni; Hinrichs, Timo; Seitsamo, Jorma; Nygård, Clas-Håkan; ilmarinen, Juhani; von Bonsdorff, Mikaela (BioMed Central Ltd., 2016)Background: Little is known about the wellbeing and mobility limitation of older disability retirees. Personal and environmental factors, such as time spent in working life, may either exacerbate or mitigate the onset of ...
Ellei toisin mainittu, julkisesti saatavilla olevia JYX-metatietoja (poislukien tiivistelmät) saa vapaasti uudelleenkäyttää CC0-lisenssillä.