在中年后期的职业体力活动的纵向概况及其与老年人功能限制的关联:一个多队列研究
Kyrönlahti Saila1,2, Nygård Clas-Håkan3,4, K C Prakash3,4
1Faculty of Social Sciences, Unit of Health Sciences, Tampere University, Tampere, Finland. saila.kyronlahti@tuni.fi.
概括
从中年到退休的职业体力活动 (OPA) 概况显示,持续高或波动中度的OPA增加了老年人运动限制的风险. 保持安全的OPA水平可能会促进健康的衰老.
科学领域:
- 老年学是一门学科.
- 职业健康 职业健康 职业健康
- 公共卫生 公共卫生
背景情况:
- 从中年到退休的长度职业体力活动 (OPA) 模式尚不清楚.
- 不同OPA特征与晚年移动性限制 (ML) 和日常生活活动 (ADL) 障碍之间的关联需要进一步调查.
研究的目的:
- 确定从中年到退休期间的职业体力活动 (OPA) 的截然不同的纵向概况.
- 检查这些已识别的OPA个人资料与老年人运动限制 (ML) 和日常生活活动 (ADL) 障碍的风险之间的关联.
主要方法:
- 使用了来自两个纵向队列研究 (芬兰和美国) 的协调数据,并进行了反复的自我报告的OPA测量.
- 采用潜伏阶级增长分析,在从工作中期到退休期间至少有两次OPA测量的人群中识别不同的OPA配置文件.
- 使用95%置信区间计算的风险比率 (RRs) 来评估OPA概况与随后的ML和ADL残疾之间的关联.
主要成果:
- 确定了三个OPA概况:高持续性,中度波动性和低持续性. 对于大多数个人来说,OPA保持稳定.
- 高持续性和中等波动性OPA概况的工人表现出在老年时发展出移动性限制的风险增加.
- 不同的OPA个人资料之间没有观察到日常生活活动 (ADL) 障碍风险的显著差异.
结论:
- 对于高或低暴露的人来说,职业体力活动 (OPA) 往往是稳定的,但也存在波动的中度OPA配置文件.
- 暴露于高或中等水平的职业体力活动 (OPA) 与晚年移动性限制的风险更高有关.
- 在晚年工作年份促进安全和健康意识的职业体力活动 (OPA) 水平,可能会对健康的衰老做出积极贡献,并降低运动障碍的风险.
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