Capri Cardiac Rehabilitation, Rotterdam, The Netherlands.
Department of Rehabilitation Medicine, Erasmus University Medical Center, Rotterdam, The Netherlands.
BMJ Open. 2020 Jul 28;10(7):e037659. doi: 10.1136/bmjopen-2020-037659.
During transition to retirement there is often a rearrangement of daily life which might provide a key opportunity for interventions to promote a non-sedentary and active lifestyle. To be able to design effective interventions, it is essential to know which sedentary and physical behaviour domains (eg, at home or during leisure time) have potential to facilitate healthy ageing during the retirement transition.
To determine whether unfavourable sedentary and physical activity behaviour before retirement predict unfavourable sedentary and physical activity behaviour after retirement.
Population-based cohort.
Adults (n=3272) employed in 2010 but retired in 2014.
Self-reported preretirement job activity, sedentary leisure time, physical activity at home, and walking-cycling and exercise were assessed as predictors for unfavourable sedentary and physical activity behaviours after retirement using logistic regression. Unfavourable behaviours were defined based on the respective median of the cohort distribution. Furthermore, the OR for having multiple unfavourable behaviours after retirement was determined, based on the amount of unfavourable behaviours before retirement. All models were adjusted for gender and education.
Unfavourable preretirement physical activity and sedentary behaviour at home or during leisure time were the strongest predictors of the same behaviours after retirement. Unfavourable job activity did not predict physical activity but did predict unfavourable sedentary behaviour after retirement (OR=1.66, 95% CI 1.41 to 1.96). Unfavourable exercise behaviour before retirement predicted unfavourable sedentary and physical activity after retirement in all domains. With all behaviours being unfavourable before retirement, the OR of having at least three unfavourable behaviours after retirement was 36.7 (95% CI 16.8 to 80.5).
Adults with a higher number of unfavourable preretirement physical activity and sedentary behaviours are likely to carry these unfavourable behaviours into retirement age. Interventions should target those with more unfavourable preretirement physical activity and sedentary behaviours before retirement, and those interventions focusing on exercise might have greatest potential.
在退休过渡期间，日常生活通常会进行重新安排，这可能为促进非久坐和积极生活方式的干预措施提供重要机会。为了能够设计有效的干预措施，了解哪些久坐和身体活动领域（例如在家中或休闲时间）有可能促进退休过渡期间的健康老龄化是至关重要的。
确定退休前的不良久坐和身体活动行为是否预测退休后的不良久坐和身体活动行为。
基于人群的队列研究。
2010 年就业但 2014 年退休的成年人（n=3272）。
使用逻辑回归，将退休前的自我报告工作活动、久坐休闲时间、在家中的身体活动以及步行-骑行和锻炼评估为退休后不良久坐和身体活动行为的预测因子。根据队列分布的中位数，将不良行为定义为不利行为。此外，根据退休前的不良行为数量，确定退休后存在多种不良行为的优势比（OR）。所有模型均根据性别和教育进行调整。
退休前的不良身体活动和在家中或休闲时间的久坐行为是退休后相同行为的最强预测因素。不良工作活动并不能预测身体活动，但确实预测了退休后的不良久坐行为（OR=1.66，95%CI 1.41-1.96）。退休前的不良锻炼行为预测了所有领域退休后的不良久坐和身体活动行为。退休前所有行为均为不利时，退休后至少有三种不利行为的 OR 为 36.7（95%CI 16.8-80.5）。
退休前有更多不良身体活动和久坐行为的成年人更有可能将这些不良行为带入退休年龄。干预措施应针对退休前身体活动和久坐行为更不利的人群，而专注于锻炼的干预措施可能具有最大的潜力。
