Work-related biomechanical exposure and job strain in midlife separately and jointly predict disability after 28 years: a Finnish longitudinal study
K.C., P., Neupane, S., Leino-Arjas, P., von Bonsdorff, M., Rantanen, T., von Bonsdorff, M., Seitsamo, J., Ilmarinen, J., & Nygård, C.-H. (2017). Work-related biomechanical exposure and job strain in midlife separately and jointly predict disability after 28 years: a Finnish longitudinal study. Scandinavian Journal of Work, Environment and Health, 43(5), 405-414. https://doi.org/10.5271/sjweh.3656
Published in
Scandinavian Journal of Work, Environment and HealthAuthors
Date
2017Discipline
Gerontologia ja kansanterveysGerontologian tutkimuskeskusGerontology and Public HealthGerontology Research CenterCopyright
© 2017 Scandinavian Journal of Work, Environment & Health. Published by NOROSH. Published in this repository with the kind permission of the publisher.
Objectives We investigated whether the extent of biomechanical exposures and job strain in midlife separately and jointly predict disability in old age.
Methods Participants of the Finnish Longitudinal Study on Aging Municipal Employees (FLAME) in 1981 (aged 44–58 years) responded to disability questionnaires in 2009 (1850 women and 1082 men). Difficulties in performing five activities of daily living (ADL) and seven instrumental ADL (IADL) were used to assess severity of disability (score range: 0–12, 0=no disability). Information on biomechanical exposures and job strain was collected by questionnaire at baseline. Adjusted prevalence proportion ratios (PR) and 95% confidence intervals (95% CI) were modelled using mixed negative binomial regression with robust variance. The joint effect of two exposures was quantified using the concept of relative excessive risk due to interaction (RERI).
Results The overall prevalence of disability (score: 1–12) was 46.7% (women: 41%; men: 57%). Compared to low-level exposures in an adjusted model, the PR of high baseline biomechanical exposures for each one unit increase in the disability score was 1.31 (95% CI 1.10–1.55) and PR of high job strain was 1.71 (95% CI 1.26–2.32). Associations were rather similar in gender-stratified analyses. Furthermore, the joint effect (high strain/high biomechanical) was multiplicative (women: PR 1.32, 95% CI 1.21–1.45; men: PR 1.27, 95% CI 1.13–1.44), but no additive effect was observed when fully adjusted.
Conclusion High biomechanical exposure and job strain in midlife were strongly associated with the severity of disability in later life. The workplace could serve as arena for preventive interventions regarding disability in old age.
...


Publisher
Nordic Association of Occupational Safety and Health NOROSHISSN Search the Publication Forum
0355-3140Keywords
Publication in research information system
https://converis.jyu.fi/converis/portal/detail/Publication/27238641
Metadata
Show full item recordCollections
- Liikuntatieteiden tiedekunta [2410]
Related funder(s)
Academy of FinlandFunding program(s)
Research costs of Academy Research Fellow, AoF; Academy Research Fellow, AoF; Others, AoF
Additional information about funding
Monika E von Bonsdorff was funded by the Academy of Finland (grant number 294530; 307114; 303920); Mikaela B von Bonsdorff was funded by EU H2020-PHC-2014-DynaHealth (grant number 633595). Taina Rantanen was funded by Academy of Finland (grant numbers 132597; 130285; 255403). Päivi Leino-Arjas and Jorma Seitsamo were funded by a grant from the Social Insurance Institution, Finland (grant number 53/26/2013).

Related items
Showing items with similar title or keywords.
-
The Healthy Nordic Diet and Mediterranean Diet and Incidence of Disability 10 Years Later in Home-Dwelling Old Adults
Perälä, Mia-Maria; von Bonsdorff, Mikaela; Männistö, Satu; K.Salonen, Minna; Simonen, Mika; Pohjolainen, Pertti; Kajantie, Eero; Rantanen, Taina; Eriksson, Johan G. (Elsevier Inc., 2019)Background/Objective: Diet has a major impact on a person's health. However, limited information exists on the long-term role of the whole diet on disability. We investigated the association of the healthy Nordic diet and ... -
Greater maintenance of bone mineral content in male than female athletes and in sprinting and jumping than endurance athletes : a longitudinal study of bone strength in elite masters athletes
Ireland, Alex; Mittag, Uwe; Degens, Hans; Felsenberg, Dieter; Ferretti, José L.; Heinonen, Ari; Koltai, Erika; Korhonen, Marko T.; McPhee, Jamie S.; Mekjavic, Igor; Piasecki, Jessica; Pisot, Rado; Radak, Zsolt; Simunic, Bostjan; Suominen, Harri; Wilks, Désirée C.; Winwood, Keith; Rittweger, Jörn (Springer, 2020)We investigated longitudinal changes in tibia bone strength in master power (jumping and sprinting) and endurance (distance) athletes of both sexes. Bone mass but not cross-sectional moment of inertia was better maintained ... -
Multisite musculoskeletal pain trajectories from midlife to old age : a 28-year follow-up of municipal employees
Neupane, Subas; Nygård, Clas-Håkan; Prakash, K. C.; von Bonsdorff, Mikaela; von Bonsdorff, Monika; Seitsamo, Jorma; Rantanen, Taina; Ilmarinen, Juhani; Leino-Arjas, Päivi (BMJ Publishing Group, 2018)Objectives We studied the developmental trajectories of multisite musculoskeletal pain (MSP) to learn whether pain in midlife persists to old age, and whether pain trajectories associate with midlife work or lifestyle ... -
Work-family interface and psychological well-being : a personality and longitudinal perspective
Rantanen, Johanna (University of Jyväskylä, 2008)Tunne-elämältään tasapainoiset henkilöt kokevat muita harvemmin, että työ vie ajan perheeltä. Henkinen väsymys työssä ja parisuhteen ongelmat ennakoivat puolestaan psyykkistä pahoinvointia. Muun muassa nämä tulokset nousivat ... -
Assessment of construct validity of the Finnish versions of the Disabilities of Arm, Shoulder and Hand Instrument and the Michigan Hand Outcomes Questionnaire
Uimonen, Mikko M.; Hulkkonen, Sina M.; Ryhänen, Jorma; Ponkilainen, Ville T.; Häkkinen, Arja H.; Karppinen, Jaro; Repo, Jussi P. (Elsevier Inc., 2020)Study Design: Cross-sectional study. Introduction: There is a lack of information on the measurement properties of patient-reported upperextremity instruments and their association to health-related quality of life ...