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      Relationships of leisure-time physical activity and work ability between different occupational physical demands in adult working men

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          Abstract

          Purpose

          Leisure-time physical activity (LTPA) is known to be associated with positive health benefits, but the role of occupational physical demands remains inconsistent. The purpose of the current study was to assess the relationship between LTPA and work ability in different occupational physical activity (OPA) levels between young adult men.

          Methods

          We performed physical activity measurements in work and leisure time with the long version of International Physical Activity Questionnaire (IPAQ) and work ability with the Work Ability Index (WAI) in 921 Finnish employed male volunteer participants. The participants were divided into LTPA tertiles I (< 8 MET-h/week), II (8–28 MET-h/week), and III (> 28 MET-h/week) and OPA tertiles I (0 MET-h/week), II (< 64 MET-h/week), and III (≥ 64 MET-h/week).

          Results

          There was a significant relationship between LTPA and WAI in OPA tertiles (adjusted for age, alcohol consumption, working class status, BMI, and employment years). Moreover, each LTPA tertile showed significant linear associations with WAI ( P < 0.001).

          Conclusion

          LTPA is positively associated with work ability among young adult men. More specifically, the relationships between LTPA and WAI were significantly greater in physically demanding jobs than in more passive jobs. Our results indicate the importance of LTPA, particularly with individuals under higher work-related physical strain.

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          Most cited references25

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          The effects of work-related and individual factors on the Work Ability Index: a systematic review.

          This paper systematically reviews the scientific literature on the effects of individual and work-related factors on the Work Ability Index (WAI). Studies on work ability published from 1985 to 2006 were identified through a structured search in PubMed, and Web of Science. Studies were included if the WAI was used as measure of work ability and if quantitative information was presented on determinants of work ability. In total, 20 studies were included with 14 cross-sectional studies and six longitudinal studies. Factors associated with poor work ability, as defined by WAI, were lack of leisure-time vigorous physical activity, poor musculoskeletal capacity, older age, obesity, high mental work demands, lack of autonomy, poor physical work environment, and high physical work load. The WAI is associated with individual characteristics, lifestyle, demands at work, and physical condition. This multifactorial nature of work ability should be taken into account in health promotion programmes aimed at maintaining and promoting the participation of the labour force and improvement of the performance at work.
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            Changes in the work ability of active employees over an 11-year period.

            Changes in the work ability of active employees were followed over a period of 11 years. Men and women in the same occupation (N = 818) in 1981-1992 assessed their work ability according to an index on current work ability, physical and mental work demands, diagnosed diseases, work impairment from disease, sickness absence, work ability prognosis, and psychological resources. Their mean initial age was 46.9 (range 44-51) years. The means and standard deviations of the work ability index and the prevalence rates of 4 work ability categories were followed with respect to age, gender, and job content. The mean work ability index declined significantly in 11 years for both genders. Its association with age and work was strong. Age of > or = 51 years and physical work load were critical factors affecting the work ability of both genders. At the mean age of 58 years, at least 25% of the installation, auxiliary, or transport workers had a poor work ability rating, as did the women doing kitchen supervision, auxiliary, and home care work. The annual rate of decline in work ability was highest for women aged 51 years at the onset of the study. Female teachers showed a less dramatic decline in work ability than male teachers. Work does not seem to prevent a decline in the work ability of men and women as they age. Therefore, measures to promote work ability should be started before the age of 51 years, especially for workers in physically demanding jobs.
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              Physical activity and risk of cardiovascular disease: what does the new epidemiological evidence show?

              Abundant evidence has documented inverse associations of physical activity and the risk of cardiovascular disease (CVD). However, the effects of different types of physical activity (e.g., leisure time and occupational physical activity) are still poorly understood.
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                Author and article information

                Contributors
                +358504110796 , ville.paivarinne@helsinki.fi
                Journal
                Int Arch Occup Environ Health
                Int Arch Occup Environ Health
                International Archives of Occupational and Environmental Health
                Springer Berlin Heidelberg (Berlin/Heidelberg )
                0340-0131
                1432-1246
                31 January 2019
                31 January 2019
                2019
                : 92
                : 5
                : 739-746
                Affiliations
                [1 ]ISNI 0000 0004 0410 2071, GRID grid.7737.4, Department of Orthopaedics and Traumatology, , University of Helsinki, ; P.O. Box 63, Helsinki, 00014 Finland
                [2 ]ISNI 0000 0004 0628 207X, GRID grid.410705.7, Primary Health Care Unit, , Kuopio University Hospital, ; Kuopio, Finland
                [3 ]ISNI 0000 0004 0409 6302, GRID grid.428673.c, Folkhälsan Research Center, ; Helsinki, Finland
                [4 ]ISNI 0000 0001 1013 7965, GRID grid.9681.6, Faculty of Sport and Health Sciences, , University of Jyväskylä, ; Jyväskylä, Finland
                [5 ]ISNI 0000 0000 9950 5666, GRID grid.15485.3d, Helsinki University Hospital, ; Helsinki, Finland
                Author information
                http://orcid.org/0000-0002-8558-9306
                http://orcid.org/0000-0002-3681-9953
                Article
                1410
                10.1007/s00420-019-01410-x
                6556151
                30706189
                417b00f9-0831-4ba2-843a-4351f397b241
                © The Author(s) 2019

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

                History
                : 30 July 2018
                : 20 January 2019
                Funding
                Funded by: Social Insurance Institute of Finland
                Award ID: 16/26/2009
                Award Recipient :
                Funded by: Scientific Advisory Board for Defense
                Award ID: 630/70.03.01/2015
                Award ID: 474/70.03.00/2016
                Award ID: 50/70.03.01/2018
                Award Recipient :
                Funded by: Centre for Military Medicine
                Funded by: FundRef http://dx.doi.org/10.13039/501100005436, Kymenlaakson Rahasto;
                Categories
                Original Article
                Custom metadata
                © Springer-Verlag GmbH Germany, part of Springer Nature 2019

                Occupational & Environmental medicine
                exercise,met,questionnaires,occupational physical demands,occupational health

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