Gimeno D, Elovainio M, Jokela M, De Vogli R, Marmot M G, Kivimäki M
International Institute for Society and Health, Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, London WC1E 6BT, UK.
Occup Environ Med. 2009 Nov;66(11):772-6. doi: 10.1136/oem.2008.045104. Epub 2009 Jun 14.
There is mixed evidence on the association between psychosocial work exposures (ie, passive jobs) and physical activity, but previous studies did not take into account the effect of cumulative exposures nor did they examine different trajectories in exposure. We investigated whether exposure to passive jobs, measured three times over an average of 5 years, is associated with leisure-time physical activity (LTPA).
Data were from working men (n = 4291) and women (n = 1794) aged 35-55 years who participated in the first three phases of the Whitehall II prospective cohort. Exposure to passive jobs was measured at each phase and LTPA at phases 1 and 3. Participants were categorised according to whether or not they worked in a passive job at each phase, leading to a scale ranging from 0 (non-passive job at all three phases) to 3 (passive job at all three phases). Poisson regression with robust variance estimates were used to assess the prevalence ratios of low LTPA.
An association was found in men between exposure to passive jobs over 5 years and low LTPA at follow-up, independently of other relevant risk factors. The prevalence ratio for low LTPA in men was 1.16 (95% CI 1.01 to 1.33) times greater for employees with three reports of passive job than for those who had never worked in passive jobs. No association was observed in women.
This study provides evidence that working in passive jobs may encourage a passive lifestyle in men.
关于心理社会工作暴露(即被动工作)与身体活动之间的关联,证据不一,但以往研究未考虑累积暴露的影响,也未考察暴露的不同轨迹。我们调查了在平均5年的时间里测量三次的被动工作暴露是否与休闲时间身体活动(LTPA)相关。
数据来自年龄在35 - 55岁的在职男性(n = 4291)和女性(n = 1794),他们参与了怀特霍尔二世前瞻性队列的前三个阶段。在每个阶段测量被动工作暴露情况,在第1阶段和第3阶段测量LTPA。根据参与者在每个阶段是否从事被动工作进行分类,形成一个从0(在所有三个阶段都不是被动工作)到3(在所有三个阶段都是被动工作)的量表。使用具有稳健方差估计的泊松回归来评估低LTPA的患病率比。
在男性中发现,5年的被动工作暴露与随访时的低LTPA之间存在关联,独立于其他相关风险因素。有三次被动工作报告的男性员工低LTPA的患病率比从未从事过被动工作的男性高1.16倍(95%可信区间为1.01至1.33)。在女性中未观察到关联。
本研究提供了证据表明从事被动工作可能会促使男性养成被动的生活方式。