Does physical exposure throughout working life influence chair-rise performance in midlife? A retrospective cohort study of associations between work and physical function in Denmark

BMJ Open. 2015 Nov 4;5(11):e009873. doi: 10.1136/bmjopen-2015-009873.

Abstract

Objectives: Our aim was to study associations between physical exposures throughout working life and physical function measured as chair-rise performance in midlife.

Methods: The Copenhagen Aging and Midlife Biobank (CAMB) provided data about employment and measures of physical function. Individual job histories were assigned exposures from a job exposure matrix. Exposures were standardised to ton-years (lifting 1000 kg each day in 1 year), stand-years (standing/walking for 6 h each day in 1 year) and kneel-years (kneeling for 1 h each day in 1 year). The associations between exposure-years and chair-rise performance (number of chair-rises in 30 s) were analysed in multivariate linear and non-linear regression models adjusted for covariates.

Results: Mean age among the 5095 participants was 59 years in both genders, and, on average, men achieved 21.58 (SD=5.60) and women 20.38 (SD=5.33) chair-rises in 30 s. Physical exposures were associated with poorer chair-rise performance in both men and women, however, only associations between lifting and standing/walking and chair-rise remained statistically significant among men in the final model. Spline regression analyses showed non-linear associations and confirmed the findings.

Conclusions: Higher physical exposure throughout working life is associated with slightly poorer chair-rise performance. The associations between exposure and outcome were non-linear.

Keywords: EPIDEMIOLOGY; OCCUPATIONAL & INDUSTRIAL MEDICINE; PUBLIC HEALTH.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Denmark
  • Female
  • Health Status
  • Humans
  • Linear Models
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Occupational Health*
  • Physical Examination
  • Physical Exertion
  • Physical Fitness / physiology*
  • Posture*
  • Retrospective Studies
  • Sex Factors
  • Walking*
  • Workplace