高体力工作负荷与男性建筑工人自评健康不良的关系中，不健康行为和体重指数的中介作用。
The Mediating Effect of Unhealthy Behaviors and Body Mass Index in the Relation Between High Physical Workload and Self-Rated Poor Health in Male Construction Workers.
机构信息
Center for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment, Bilthoven (Dr Proper, Mr Cillekens, Dr van Oostrom); Department of Epidemiology and Biostatistics (Dr Twisk); Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, Amsterdam (Dr Coenen), Amsterdam UMC, Amsterdam (Dr Coenen, Mr Cillekens); and Department of Public Health, Erasmus Medical Center Rotterdam, Rotterdam (Dr Robroek), The Netherlands.
出版信息
J Occup Environ Med. 2020 Aug;62(8):e414-e422. doi: 10.1097/JOM.0000000000001928.
OBJECTIVES
To examine the mediating role of unhealthy behaviors and body mass index (BMI) in the relation between high physical workload and self-rated health in male construction workers.
METHODS
Longitudinal data over 2010 to 2018 were used of 30,224 male construction workers in The Netherlands. Smoking, lack of physical activity, and alcohol consumption were self-reported. BMI was based on measured body weight and height. Multilevel modeling path analyses were used to determine the mediating role of unhealthy behaviors in the relation between physical workload and poor health.
RESULTS
A direct effect of high physical workload on poor health adjusted for unhealthy behaviors and BMI was found (odds ratio [OR] 1.49, 95% confidence interval [CI] 1.38 to 1.68). Indirect effects of the unhealthy behaviors and BMI in the relation between high physical workload and poor health were small (OR varying from 0.96 to 1.04).
CONCLUSION
The pathway of high physical workload and poor health through unhealthy behaviors and BMI was not supported.
目的
研究男性建筑工人中，高体力工作负荷与自感健康状况之间的关系中，不健康行为和体重指数（BMI）的中介作用。
方法
利用荷兰 30224 名男性建筑工人 2010 年至 2018 年的纵向数据。吸烟、缺乏体育活动和饮酒量均为自我报告。BMI 基于测量的体重和身高。采用多层次模型路径分析来确定不健康行为在体力工作负荷与健康状况不佳之间关系中的中介作用。
结果
调整了不健康行为和 BMI 后，高体力工作负荷与健康状况不佳之间存在直接关联（比值比[OR] 1.49，95%置信区间[CI] 1.38 至 1.68）。不健康行为和 BMI 在体力工作负荷与健康状况不佳之间的间接效应较小（OR 从 0.96 到 1.04 不等）。
结论
高体力工作负荷与不健康行为和 BMI 导致健康状况不佳的途径不成立。
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