Proper K I, van den Heuvel S G, De Vroome E M, Hildebrandt V H, Van der Beek A J
Body@Work, Research Centre for Physical Activity, Work and Health, TNO-VUmc, Amsterdam, Netherlands.
Br J Sports Med. 2006 Feb;40(2):173-8. doi: 10.1136/bjsm.2005.022327.
To investigate the dose-response relation between moderate and vigorous physical activity and sick leave in a working population.
Data were used from three large Dutch databases: two continuous, cross sectional surveys among a representative sample of the Dutch population and one prospective cohort study. A distinction was made between duration, frequency and intensity of physical activity. The outcome measure was the number of days of sick leave. Analyses of variance were used to compare sick leave (in days) for workers with different amounts of physical activity, in particular workers meeting the physical activity recommendations v those who did not. Linear and logistic regression analyses were used to obtain effect estimates in the prospective cohort study, with the generalised estimating equation (GEE) method.
No relation was found between moderate physical activity and sick leave. In two databases, workers meeting the recommendation of vigorous physical activity (active at a vigorous level for at least three times a week) had significantly less sick leave: more than one day over two months and more than four days over a year. The duration of vigorous physical activity was not associated with sick leave.
Physical activity at a vigorous intensity level for at least three times a week, as in the CDC/ACSM recommendation, has a positive effect on sick leave.
调查在职人群中中等强度和剧烈强度身体活动与病假之间的剂量反应关系。
数据来自荷兰三个大型数据库：两项针对荷兰人口代表性样本的连续性横断面调查，以及一项前瞻性队列研究。对身体活动的持续时间、频率和强度进行了区分。结果指标为病假天数。采用方差分析比较不同身体活动量的工人的病假天数（以天计），特别是达到身体活动建议量的工人与未达到建议量的工人。在前瞻性队列研究中，使用广义估计方程（GEE）方法进行线性和逻辑回归分析以获得效应估计值。
未发现中等强度身体活动与病假之间存在关联。在两个数据库中，达到剧烈强度身体活动建议量（每周至少进行三次剧烈运动）的工人病假天数显著更少：两个月内超过一天，一年内超过四天。剧烈强度身体活动的持续时间与病假无关。
正如美国疾病控制与预防中心/美国运动医学学会的建议那样，每周至少进行三次剧烈强度的身体活动对病假有积极影响。
