Punakallio Anne, Lusa Sirpa, Luukkonen Ritva, Airila Auli, Leino-Arjas Päivi
From the Physical Work Capacity Team (Drs Punakallio and Lusa), Statistical Services Team (Dr Luukkonen), Work Life in Transition Team (Ms Airila), and Work-related Diseases Team (Dr Leino-Arjas), Finnish Institute of Occupational Health, Helsinki, Finland.
J Occup Environ Med. 2014 Apr;56(4):367-75. doi: 10.1097/JOM.0000000000000139.
To identify work ability trajectories among Finnish firefighters during a 13-year follow-up. We examined whether baseline musculoskeletal pain and depressive symptoms (DPS) predicted membership of the trajectories.
We studied 411 male firefighters who responded to a questionnaire at both baseline and at least one of two follow-ups. The outcome variable was perceived work ability (0 to 10). The predictors were musculoskeletal and depressive symptoms. Covariates included age, diseases, lifestyle habits, and work-related factors.
One fourth of the firefighters belonged to the Diminished work ability trajectory. Musculoskeletal and depressive symptoms, lifestyle risks and diseases, and, in separate analyses, low back pain, were strong predictors of this.
When planning preventive actions and workplace health promotion among firefighters, even one site musculoskeletal pain and mild signs of depression should be taken into account. Prevention of adverse lifestyle habits is also essential.
在13年的随访期间确定芬兰消防员的工作能力轨迹。我们研究了基线时的肌肉骨骼疼痛和抑郁症状（DPS）是否能预测这些轨迹的归属。
我们对411名男性消防员进行了研究，他们在基线时以及两次随访中的至少一次回复了问卷。结果变量是自我感知的工作能力（0至10分）。预测因素是肌肉骨骼症状和抑郁症状。协变量包括年龄、疾病、生活方式习惯和工作相关因素。
四分之一的消防员属于工作能力下降轨迹。肌肉骨骼和抑郁症状、生活方式风险和疾病，以及在单独分析中，腰痛，都是其强有力的预测因素。
在规划消防员的预防行动和工作场所健康促进时，即使是一处的肌肉骨骼疼痛和轻度抑郁迹象也应予以考虑。预防不良生活方式习惯也至关重要。
