Joint association of multimorbidity and work ability with risk of long-term sickness absence: a
                    prospective cohort study with register follow-up

Jakobsen, Markus Due; Mortensen, Ole Steen; Andersen, Lars L.

doi:10.5271/sjweh.3620

Cited by 58 publications

(73 citation statements)

References 36 publications

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“…Specifically, health problems such as musculoskeletal disorders, depression and anxiety predicts the risk of both LTSA and disability pension (20,50,51). The DREAM register holds no information on diagnoses, and we could therefore not investigate the association between specific diseases and LTSA and disability pension.…”

Section: Interpretation Of Resultsmentioning

confidence: 99%

Cumulative occupational mechanical exposures during working life and risk of sickness absence and disability pension: prospective cohort study

Hansen¹,

Mortensen²,

Poulsen³

et al. 2017

Scand J Work Environ Health

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Section: Interpretation Of Resultsmentioning

confidence: 99%

Cumulative occupational mechanical exposures during working life and risk of sickness absence and disability pension: prospective cohort study

Hansen¹,

Mortensen²,

Poulsen³

et al. 2017

Scand J Work Environ Health

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“…Measures on LTPA were obtained through the following question used in prior research 17 : "How much time have you spent on each of the following leisure-time activities during the last year (including commuting to and from work)?" (a) "Walking, biking or other low-intensity exercises, where you do not get short of breath and do not begin to sweat (eg, Sunday walks or low-intensity gardening)?…”

Section: Predictor Variablementioning

confidence: 99%

“…Based on previous research, 17,[19][20][21][22][23] this study included the following potential confounders: age, gender, and variables related to lifestyle, health, occupational social class (ie, job group), and psychosocial work environment. Regarding lifestyle, body mass index (BMI) derived from self-reported height and weight (ie, weight in kilograms divided by height in squared meters) and participants were classified according to World Health Organization (WHO) guidelines 24 ("underweight, <18.5 kg m −2 ," "normal, 18.5-24.9 kg m −2 ," "overweight, 25.0-29.9 kg m −2 ," and "obese, ≥30.0 kg m −2 "), and smoking status ("yes," "ex-smoker," and "no") were included.…”

Section: Control Variablesmentioning

confidence: 99%

“…3,15 Even some psychosocial hazards, such as perceived stress, depression, and burnout, have been inversely associated with high levels of physical activity. 16 Therefore, as all cardiovascular diseases, musculo-skeletal and mental disorders, three of the main causes behind LTSA, 17 have shown benefits from physical activity, we hypothesized to find an inverse association between LTSA and LTPA among this population of Danish workers.…”

Section: Introductionmentioning

confidence: 99%

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High leisure‐time physical activity reduces the risk of long‐term sickness absence

López‐Bueno

Vinstrup

Andersen

2020

Scandinavian Med Sci Sports

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Objectives This study examined the association of leisure‐time physical activity (LTPA) with the risk of long‐term sickness absence (LTSA). Methods A total of 10 427 subjects from the general working population in Denmark answered questions about physical activity habits, health and work environment in the 2010 Danish Work Environment Cohort Study (DWECS). Data on LTSA (≥6 consecutive weeks during 2‐year follow‐up) were obtained from the Danish Register for Evaluation of Marginalization (DREAM). Cox regression analysis censored for competing events and adjusted for potential confounders (age, sex, BMI, smoking habits, depression, cancer, back diseases, previous LTSA, occupational social class, and psychosocial work environment) estimated the association between the predictor (LTPA) and the outcome variable (LTSA). During the 2‐year follow‐up period, 9.2% of the studied population experienced LTSA. Results In the general working population, moderate LTPA was not associated with LTSA (HR = 0.89, 95% CI: 0.72‐1.09), while high LTPA showed a tendency (HR = 0.77, 95% CI: 0.59‐1.01). In subgroup analyses, women below the age of 45 years with high LTPA showed a significantly lower risk of LTSA when compared with their low LTPA counterparts (HR = 0.44, 95% CI: 0.25‐0.78). Conclusion The results suggest that high levels of physical activity during leisure are associated with a lowered risk of LTSA, especially among younger women.

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“…Poor health is an important determinant of transition into disability pension and sickness absence and musculoskeletal disorders, cardiovascular diseases, depression and anxiety have been shown to predict the risk of these health-related outcomes (39)(40)(41). Persons with decreased physical capability are more likely to experience poor health (ie, one or more diseases), which could be the cause of disability pension and LTSA.…”

Section: Covariatesmentioning

confidence: 99%

Physical capability in midlife and risk of disability pension and long-term sickness absence: prospective cohort study with register follow-up

Hansen¹,

Mortensen²,

Poulsen³

et al. 2019

Scand J Work Environ Health

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The results of this study show that low levels across a range of physical capabilities are -in a dose-response fashion -strongly and negatively associated with disability pension and long-term sickness absence. Population attributable risk for disability pension from low physical capability was 42%. Political initiatives to ensure good physical capabilities of older workers should, therefore, be prioritized.Affiliation: OM, Clausen T, Rugulies R, Møller A, Andersen LL. Physical capability in midlife and risk of disability pension and long-term sickness absence: prospective cohort study with register follow-up. ScandObjective The aim of this study was to determine the association of physical capability with health-related labor market outcomes among older workers. MethodsThe prospective risk of disability pension and long-term sickness absence (LTSA) of ≥6 weeks was estimated from physical capability on 5076 older workers (age 49-63 years) from the Copenhagen Aging and Midlife Biobank (CAMB). Physical capability was objectively measured through nine different tests (jump performance, postural balance, chair-rise, explosive muscle strength, maximal strength of the hand, back and abdominal muscles, lung capacity, and aerobic fitness) and linked to a high-quality register on social transfer payments among all Danish residents. Cox-regression analyses estimated the association of physical capability with risk of disability pension and LTSA. Results For all measures, low physical capability [≥1 standard deviation (SD) below the mean for each gender]was associated with increased risk of disability pension and/or LTSA, whereas high physical capability (≥1 SD above the mean for each gender) was not. A capability−response association was observed between the number of tests with low capability and disability pension and LTSA (P<0.0001) -with the risk-estimate for disability pension being 8.52 (95% confidence interval 3.98-18.25) when low capability was present in ≥5 physical tests. Population attributable risks analyses indicate that 42% of the disability pension cases were attributable to low physical capability whereas this was the case for 12% of the LTSA cases. ConclusionsUsing objective measures of predictors and outcomes, our study shows that low physical capability in midlife was associated with increased risk of disability pension and LTSA. The results indicate that increasing physical capability to an average level among older workers with low capability could potentially contribute to preventing >40% of premature exits from the labor market.

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Joint association of multimorbidity and work ability with risk of long-term sickness absence: a prospective cohort study with register follow-up

Cited by 58 publications

References 36 publications

Cumulative occupational mechanical exposures during working life and risk of sickness absence and disability pension: prospective cohort study

Cumulative occupational mechanical exposures during working life and risk of sickness absence and disability pension: prospective cohort study

High leisure‐time physical activity reduces the risk of long‐term sickness absence

Physical capability in midlife and risk of disability pension and long-term sickness absence: prospective cohort study with register follow-up

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