The health paradox of occupational and leisure-time physical activity

Holtermann, Andreas; Hansen, Jørgen Vinsløv; Burr, Hermann; Søgaard, Karen; Sjøgaard, Gisela

doi:10.1136/bjsm.2010.079582

Cited by 337 publications

(366 citation statements)

References 47 publications

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“…reduced sickness absence (38)(39)(40). A Norwegian study found an association between no weekly exercise and increased odds for sick leave in pregnancy (OR 1.79; 95% CI 1.69-2.31) (33).…”

Section: Hansen Et Almentioning

confidence: 99%

Predictors of sickness absence in pregnancy: a Danish cohort study

Hansen¹,

Thulstrup²,

Juhl³

et al. 2014

Scand J Work Environ Health

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Predictors of sickness absence in pregnancy: a Danish cohort study by Hansen ML, Thulstrup AM, Juhl M, Kristensen JK, Ramlau-Hansen CH Sickness absence among pregnant women is frequent. Sickness absence has in particular been related to occupational exposures. Little is known of other potentially influencing factors.This large population-based study investigates associations between a number of relevant predictors and risk of sickness absence in pregnancy. We found associations between these predictors and risk of sick leave in pregnancy. Original article Scand J Work Environ Health. 2015;41(2):184-193. doi:10.5271/sjweh.3470 Predictors of sickness absence in pregnancy: a Danish cohort study Objective The aim of this cohort study was to investigate associations between parity, pre-pregnancy body mass index (BMI), assisted reproductive therapy (ART), time to pregnancy (TTP), and engagement in physical exercise and the risk of sickness absence in pregnancy from 10-29 completed pregnancy weeks.Methods Data from 51 874 pregnancies in the Danish National Birth Cohort collected from 1996 until 2002 were linked to the Danish Register for Evaluation of Marginalization. Exposure information was based on questionnaires. Hazard ratios (HR) with 95% confidence intervals (95% CI) were calculated by Cox regression, using time of first episode of sickness absence as the primary outcome.Results Multiparity 1.26 (95% CI 1.10-1.45), overweight 1.13 (95% CI 1.08-1.18), obesity 1.23 (95% CI 1.15-1.31), ART 1.10 (95% CI 1.01-1.20), and TTP >12 months 1.06 (95% CI 0.99-1.13) were associated with higher HR of sickness absence. Physical exercise of >120 minutes per week was associated with lower HR 0.84 (95% CI 0.75-0.95).Conclusion Risk for sickness absence was higher among women who were multiparous, overweight, obese, received ART, and had prolonged TTP, and lower among women engaged in leisure-time physical exercise. Few studies have investigated these associations, and the results should be confirmed in other studies of pregnant women.Key terms assisted reproductive therapy; body mass index; Danish National Birth Cohort; Denmark; parity; physical exercise; time to pregnancy. Sickness absence among pregnant women is frequent (1-5). A number of studies indicate that the amount of sickness absence in pregnancy has increased over the past decades, yet without clear medical explanations (5-8). Factors such as course of pregnancy (9), occupational exposures (10), levels of social benefits (8, 11), and attitudes towards sickness absence, experiences and worries (2) have been associated with levels of sickness absence. However, a number of other factors could potentially also influence sickness absence levels. The combination of work outside the home, domestic duties, and natural physical fatigue increases the total strain among pregnant women, and this may particularly affect sickness absence among multiparous women (9, 12). Body mass index (BMI) could be hypothesized as a risk factor for sickness absence in pregnancy, as BMI is posi...

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“…reduced sickness absence (38)(39)(40). A Norwegian study found an association between no weekly exercise and increased odds for sick leave in pregnancy (OR 1.79; 95% CI 1.69-2.31) (33).…”

Section: Hansen Et Almentioning

confidence: 99%

Predictors of sickness absence in pregnancy: a Danish cohort study

Hansen¹,

Thulstrup²,

Juhl³

et al. 2014

Scand J Work Environ Health

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show abstract

“…Isso porque os padrões biomecânicos que caracterizam essas atividades são: levantamento e transporte manual de carga leve ou pesada, manter-se em pé por tempo prolongado, trabalho repetitivo, trabalho com as mãos erguidas à altura dos ombros e manter-se com a coluna em rotação ou flexionada, todos estes por tempo indeterminado 24 . Enquanto que as atividades realizadas durante o tempo livre, se realizadas de maneira orientada, visam à promoção da saúde e são realizadas por meio de contrações dinâmicas ou estáticas de grandes grupos musculares, geram aumento do metabolismo do corpo e possibilitam tempo para descanso quando ocorre a fadiga muscular 25 .…”

Section: Resultsunclassified

“…Com isso, os achados do presente estudo apoiam recomendações que encorajem as empresas do setor investigado a elaborem iniciativas para estimular a prática de atividade física, tanto dentro da empresa como durante o tempo livre. Há na literatura diversos exemplos de iniciativas visando a promoção da atividade física fora e dentro do ambiente do trabalho e evidências de que ações desse tipo proporcionam uma ação preventiva em relação a morbimortalidade por doenças crônico-degenerativas, perda de peso, queda do absenteísmo e aumento da produtividade 8,11,18,20,24,27 .…”

Section: Considerações Finaisunclassified

“…Outra limitação que deve ser citada e que pode ter mascarado as associações entre outras variáveis socioeconômicas demográficas é a utilização do questionário como instrumento de medida da atividade física. Segundo Holtermann et al 24 a avaliação de um desfecho através de informação auto relatada pode superestimá-la, principalmente em se tratando de um comportamento considerado desejável pelo indivíduo, como a atividade física. O ideal seria empregar indicadores fisiológicos e sensores de movimento para detecção do nível de atividade física 2 .…”

Section: Considerações Finaisunclassified

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Inatividade física e fatores associados: um estudo com trabalhadores do setor metalomecânico do município de Ponta Grossa – PR

Várgas¹,

Pilatti²,

Gutierrez³

2013

RBAFS

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ResumoO presente estudo teve como objetivo verificar a prevalência e fatores associados a baixos níveis de atividade física em trabalhadores do setor metalomecânico do município de Ponta Grossa/ PR. A amostra foi calculada considerando a população total de trabalhadores do setor, sendo composta por 298 trabalhadores (89,8% do sexo masculino). Para a avaliação da atividade física foi utilizado o questionário internacional de atividade física (IPAQ), versão curta. Foi considerado pouco ativo fisicamente quem não atingia a recomendação de 150 minutos por semana. As variáveis demográficas e socioeconômicas analisadas foram: gênero, idade, renda familiar, situação conjugal, grau de escolaridade, classe ocupacional e IMC. A regressão logística binária foi utilizada para examinar as associações entre o desfecho e as variáveis independentes, considerando p≤0,05. Dos trabalhadores, 30,2% (IC95%: 20,5-39,9) foram considerados pouco ativos fisicamente. Os resultados na análise ajustada indicaram que os trabalhadores o que exercem funções administrativas (RC: 2,81; IC95%: 1,47-5,35) e com idade acima de 30 anos (RC: 2,31; IC95%: 1,27-4,20) apresentaram maiores chances de estarem com baixos níveis de atividade física. Tais achados podem ser úteis no planejamento, implantação e orientações de iniciativas específicas para esta população. Palavras-chaveAtividade física; Trabalhadores; Fatores associados. AbstractThe objective was to verify the prevalence and associated factors with low levels of physical activity of the metal mechanical sector's workers of the city of Ponta Grossa -Paraná. The sample was calculated considering the metal mechanic sector's population of the city, being composed by 298 workers (89,9% male 30,2% (CI95%: 20,9). Results on the adjusted analysis have indicated that workers who perform administrative functions (OR: 2.81,) and with age above 30 years (OR: 2.31, were more likely to be physical inactivity. These findings may be useful in planning, implementation guidelines and specific interventions for this population.

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“…Different types of physical activity seem to have a different effect on the risk of LBP. For instance, heavy workload and frequency of lifts were found to increase the risk of developing LBP, whereas engagement in leisure physical activity has been shown to reduce its risk (Holtermann et al, 2012). Additionally, it is plausible that the association between physical activity and LBP depends not only on the type of physical activity, but also on its duration, frequency, and intensity.…”

mentioning

confidence: 99%

Protective and Harmful Effects of Physical Activity for Low Back Pain: A Protocol for the AUstralian Twin BACK Pain (AUTBACK) Feasibility Study

et al. 2016

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Low back pain (LBP) is a major health problem globally, but approaches to prevention are not yet clearly identified because modifiable risk factors are not well established. Although physical activity is one promising modifiable risk factor, it is still not known what types and doses of physical activity are protective or harmful for LBP. The aim of this study is to establish the feasibility of a definitive cohort study that will investigate the effects of different types and doses of physical activity on the risk of developing recurrent LBP while accounting for genetic factors. This will be a pilot longitudinal twin study and twins will be recruited from the Australian Twin Registry, and will be followed over 1 year. Thirty adult complete twin pairs with a history of LBP, but symptom free at recruitment, will be included. Data on physical activity (predictor) will be collected using four questionnaires and an objective measure (accelerometer) at baseline and at 6-month follow-up. Twins will also complete an additional physical activity questionnaire monthly. Data on LBP (outcome) will be collected at baseline and weekly. Data will be collected using short message service (SMS) and email. We will keep records of the recruitment rate, follow-up rate, and completeness of data. Barriers to completing the study will be investigated. The results of this study will inform the design and implementation of a future definitive study, which will help to clarify the effects of different types and doses of physical activity on the risk of developing recurrent LBP.Keywords: low back pain, physical activity, twin study, longitudinal study, risk factorsThe latest Global Burden of Diseases Study ranked low back pain (LBP) as the highest contributor to disability globally, expressed as years of life lived with disability (YLD; Global Burden of Disease Study, 2015). LBP is also a costly condition, with total treatment costs estimated at $4.8 billion a year in Australia (Arthritis and Osteoporosis Victoria, 2013). Implementing preventive strategies for LBP would be a logical method to reduce the burden of this condition on people's lives and on society.Although many preventive strategies for LBP have been proposed, most have failed to substantially reduce the incidence and recurrence rates of LBP (Steffens et al., 2016).A plausible explanation for the lack of effectiveness of these programs is our poor understanding of the causes of this condition, and therefore identifying strong modifiable risk factors is essential. Importantly, most previous studies in Protective and Harmful Effects of Physical Activity for Low back Pain influence of genetic factors, which have been shown to explain up to 67% of the underlying disposition to develop LBP (Ferreira et al., 2013;Nielsen et al., 2012).A recent review has found moderate quality evidence that exercise in combination with education decreases the risk of LBP by half (Steffens et al., 2016). However, given the limited number of trials identified in the literature, the specific effects o...

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The health paradox of occupational and leisure-time physical activity

Abstract: The hypothesis was rejected. In a dose-response manner, occupational physical activity increased the risk for LTSA, while leisure-time physical activity decreased the risk for LTSA. The findings indicate opposing effects of occupational and leisure-time physical activity on global health.

Cited by 337 publications

References 47 publications

Predictors of sickness absence in pregnancy: a Danish cohort study

Predictors of sickness absence in pregnancy: a Danish cohort study

Inatividade física e fatores associados: um estudo com trabalhadores do setor metalomecânico do município de Ponta Grossa – PR

Protective and Harmful Effects of Physical Activity for Low Back Pain: A Protocol for the AUstralian Twin BACK Pain (AUTBACK) Feasibility Study

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