2018
DOI: 10.1136/bjsports-2017-098540
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Do highly physically active workers die early? A systematic review with meta-analysis of data from 193 696 participants

Abstract: The results of this review indicate detrimental health consequences associated with high level occupational physical activity in men, even when adjusting for relevant factors (such as leisure time physical activity). These findings suggest that research and physical activity guidelines may differentiate between occupational and leisure time physical activity.

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Cited by 263 publications
(340 citation statements)
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“…It is also possible that some parts of the recorded time spent in MVPA is associated with high level of occupational physical activity that has been shown to increase the risk of early mortality. 37 In addition, due to limitations with accelerometry as a proxy for physical activity and the cut-off point based approach, type of activity such as swimming, bicycling, or strength exercises could not be recorded as activities with higher intensities, even if time spent in these behaviors is likely associated with reduced mortality risk. By monitoring type of activity, clearer relationship between behaviors and mortality risk may be identified.…”
Section: Discussionmentioning
confidence: 99%
“…It is also possible that some parts of the recorded time spent in MVPA is associated with high level of occupational physical activity that has been shown to increase the risk of early mortality. 37 In addition, due to limitations with accelerometry as a proxy for physical activity and the cut-off point based approach, type of activity such as swimming, bicycling, or strength exercises could not be recorded as activities with higher intensities, even if time spent in these behaviors is likely associated with reduced mortality risk. By monitoring type of activity, clearer relationship between behaviors and mortality risk may be identified.…”
Section: Discussionmentioning
confidence: 99%
“…For example, occupational PA carried out at lower intensities may not elicit substantial improvements in cardiorespiratory fitness, such as in the case of nurses who have been shown to spend a large proportion of their wakeful time in light intensity PA (LPA) [14]. Recent systematic review evidence also suggests that higher levels of occupational PA (even while controlling for leisure-time MVPA) are associated with an increased risk in premature mortality in men [15]. It is important to build on past research to understand the intensities of PA at which workers engage both within and outside of working hours and the associations with cardiometabolic health.…”
Section: Introductionmentioning
confidence: 99%
“…A meta‐analysis suggests that the risk of CVD increases by 10% for moderate and by 24% for high (vs low) levels of occupational physical activity . Another more recent meta‐analysis showed high levels of occupational physical activity to be associated with an increased risk for all‐cause mortality in men but not in women …”
Section: Introductionmentioning
confidence: 99%
“…Therefore, the aim of this study was to analyze separately the association between occupational physical activity and mortality for NRP1A and MONICA data using more detailed categories of the occupational physical activity variable (low [reference], moderate, high). We focused on both all‐cause and CVD mortality because contrasting health effects of leisure‐time and occupational physical activity have been described for these two outcomes . As a methodological goal, we also aimed to show the potential impact of different exposure categorizations and effect modification on the results.…”
Section: Introductionmentioning
confidence: 99%