1 Child and Adolescent Public Health Epidemiology, Department of Public Health Science, Karolinska Institutet, Sweden.
2 Centre for Epidemiology and Community Medicine, Stockholm County Council, Health Care Services, Lund University, Sweden.
Scand J Public Health. 2018 Jul;46(5):541-547. doi: 10.1177/1403494817707633. Epub 2017 Jun 30.
BACKGROUND/AIMS: Mobility disability (MD) and obesity are conditions which have been associated with weaker labour market attachment. This study investigates whether the combined burden of MD and obesity increase the risk of disability pension compared with having only one of these conditions (the reference group).
A nationwide cohort study, based on national surveys made between 1996 and 2011, was conducted including 50,015 individuals aged 19-64 years who were followed-up in a large database in terms of attainment of disability pension until 31 December 2012 (at the latest). Proportional hazards regression models were used to analyse the risk of all-cause and diagnosis-specific disability pension with six exposure groups, established by mobility and weight status (BMI) obtained through self-reports.
A total of 2296 participants had received disability pension after a mean follow-up period of 7.2 years (SD 4.6). People with MD, regardless of weight, had 4-8 times higher risk of disability pension (for any reason) compared with the reference group (individuals with normal weight and no MD).
No evidence of a double burden of MD and obesity with disability pension was observed in this study. MD seemed to contribute more to the risk of disability pension than weight status. In a long-term perspective, society and also people at risk of these disabling conditions would benefit from reallocation of resources from disability pensions to health-promoting and preventive policies, not least targeting MD.
背景/目的：行动障碍（MD）和肥胖与劳动力市场联系较弱有关。本研究调查了与只有一种情况（参考组）相比，MD 和肥胖的综合负担是否会增加残疾养老金的风险。
这是一项基于 1996 年至 2011 年期间进行的全国性调查的全国性队列研究，共纳入了 50015 名 19-64 岁的个体，这些个体在一个大型数据库中根据获得残疾养老金的情况进行了随访，随访时间截至 2012 年 12 月 31 日（最晚）。使用比例风险回归模型分析了通过自我报告获得的移动性和体重状况（BMI）确定的六个暴露组（MD 和体重状况）的全因和特定诊断残疾养老金的风险。
共有 2296 名参与者在平均 7.2 年（SD 4.6）的随访后获得了残疾养老金。无论体重如何，患有 MD 的人（任何原因）的残疾养老金风险是参考组（体重正常且无 MD 的个体）的 4-8 倍。
本研究未观察到 MD 和肥胖与残疾养老金的双重负担。MD 似乎比体重状况对残疾养老金的风险贡献更大。从长远来看，社会和有这些致残风险的人将受益于从残疾养老金向促进健康和预防政策的资源重新分配，特别是针对 MD。
