Amorim Juleimar Soares Coelho de, Salla Silvana, Trelha Celita Salmaso
Universidade Norte do Paraná, Londrina, PR, Brazil.
Rev Bras Epidemiol. 2014 Dec;17(4):830-41. doi: 10.1590/1809-4503201400040003.
To synthesize the evidence on factors associated with the maintenance of work ability during the aging process.
SciELO, LILACS and PubMed databases were consulted, in order to find out studies in Portuguese, English and Spanish published from 2000 to 2013. Descriptors which encompassed terms related to work ability, aging and elderly were used. Quantitative observational studies were included to investigate the work ability and the effect of aging. Studies aiming at analyzing the clinical course of illnesses related to aging and/or papers and publications in the form of editorials, interviews, projects, clinical notes and preliminary or conceptual data were excluded.
A total of 924 articles were obtained, but 27 were included in the analyses. Later on, 2 intervention and 8 repeated studies were excluded. Variables that showed negative correlations with work ability were the following: age, smoking, service time and physical demands in occupational activities. Satisfaction with life, sufficient income, physical activity, volunteerism and mental workload were considered positive associations that protect the elderly from functional loss.
This study was reported as a protective mechanism against depression, disability and fragility, maintaining the well-being, good cognitive function and autonomy in daily activities. Increased investments in the health care of this population are needed regarding musculoskeletal and cardiorespiratory capacity. Physical activity must be encouraged by policies to foster health promotion.
综合有关衰老过程中与工作能力维持相关因素的证据。
查阅了科学电子图书馆在线数据库(SciELO)、拉丁美洲和加勒比地区卫生科学文献数据库(LILACS)以及医学期刊数据库(PubMed),以查找2000年至2013年期间以葡萄牙语、英语和西班牙语发表的研究。使用了涵盖与工作能力、衰老和老年人相关术语的描述词。纳入定量观察性研究以调查工作能力和衰老的影响。排除旨在分析与衰老相关疾病临床过程的研究和/或以社论、访谈、项目、临床笔记以及初步或概念性数据形式发表的论文和出版物。
共获得924篇文章,但分析中纳入了27篇。后来,排除了2项干预研究和8项重复研究。与工作能力呈负相关的变量如下:年龄、吸烟、服务年限和职业活动中的体力需求。对生活的满意度、充足的收入、体育活动、志愿服务和心理工作量被认为是保护老年人免于功能丧失的积极关联因素。
本研究报告称这是一种针对抑郁、残疾和脆弱性的保护机制,可维持幸福感、良好的认知功能以及日常活动中的自主性。在肌肉骨骼和心肺功能方面,需要增加对该人群医疗保健的投入。必须通过政策鼓励体育活动以促进健康。