Slingerland Annabelle S, van Lenthe Frank J, Jukema J Wouter, Kamphuis Carlijn B M, Looman Caspar, Giskes Katrina, Huisman Martijn, Narayan K M Venkat, Mackenbach Johan P, Brug Johannes
Institute of Biomedical Sciences, Peninsula Medical School, Exeter, United Kingdom.
Am J Epidemiol. 2007 Jun 15;165(12):1356-63. doi: 10.1093/aje/kwm053. Epub 2007 Apr 9.
There is increased recognition that determinants of health should be investigated in a life-course perspective. Retirement is a major transition in the life course and offers opportunities for changes in physical activity that may improve health in the aging population. The authors examined the effect of retirement on changes in physical activity in the GLOBE Study, a prospective cohort study known by the Dutch acronym for "Health and Living Conditions of the Population of Eindhoven and surroundings," 1991-2004. They followed respondents (n = 971) by postal questionnaire who were employed and aged 40-65 years in 1991 for 13 years, after which they were still employed (n = 287) or had retired (n = 684). Physical activity included 1) work-related transportation, 2) sports participation, and 3) nonsports leisure-time physical activity. Multinomial logistic regression analyses indicated that retirement was associated with a significantly higher odds for a decline in physical activity from work-related transportation (odds ratio (OR) = 3.03, 95% confidence interval (CI): 1.97, 4.65), adjusted for sex, age, marital status, chronic diseases, and education, compared with remaining employed. Retirement was not associated with an increase in sports participation (OR = 1.12, 95% CI: 0.71, 1.75) or nonsports leisure-time physical activity (OR = 0.80, 95% CI: 0.54, 1.19). In conclusion, retirement introduces a reduction in physical activity from work-related transportation that is not compensated for by an increase in sports participation or an increase in nonsports leisure-time physical activity.
人们越来越认识到,应该从生命历程的角度研究健康的决定因素。退休是生命历程中的一个重大转变,为身体活动的改变提供了机会,这可能会改善老年人群的健康状况。作者在全球健康研究(GLOBE Study)中研究了退休对身体活动变化的影响,这是一项前瞻性队列研究,其荷兰语简称为“埃因霍温及周边地区人口的健康与生活状况”,研究时间为1991年至2004年。他们通过邮寄问卷对1991年年龄在40 - 65岁且有工作的受访者(n = 971)进行了13年的跟踪调查,之后这些受访者仍在工作(n = 287)或已经退休(n = 684)。身体活动包括:1)与工作相关的交通出行;2)体育活动参与;3)非体育休闲时间的身体活动。多项逻辑回归分析表明,与仍在工作的人相比,在调整了性别、年龄、婚姻状况、慢性病和教育程度后,退休与因工作相关交通出行导致的身体活动下降的显著更高几率相关(优势比(OR)= 3.03,95%置信区间(CI):1.97,4.65)。退休与体育活动参与的增加(OR = 1.12,95% CI:0.71,1.75)或非体育休闲时间身体活动的增加(OR = 0.80,95% CI:0.54,1.19)无关。总之,退休导致与工作相关交通出行的身体活动减少,而这种减少并未因体育活动参与的增加或非体育休闲时间身体活动的增加而得到弥补。