Department of Orthopaedics and Traumatology, University of Helsinki and Helsinki University Hospital, P.O. Box 63, 00014, Helsinki, Finland.
Department of Physical and Rehabilitation Medicine, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Int Arch Occup Environ Health. 2021 Apr;94(3):451-458. doi: 10.1007/s00420-020-01595-6. Epub 2020 Oct 30.
To examine the relationship between leisure-time physical activity (LTPA) and ability to meet different work requirements among adult working men with or without current depressive symptoms.
We measured LTPA with the long version of the International Physical Activity Questionnaire (IPAQ). The Work Ability Index (WAI) and Beck Depression Inventory (BDI) were used to assess the work ability and depression of 921 Finnish employed male volunteers. Participants were divided into three groups according to the WAI for their work requirements: mental (MENT), physical (PHYS), and an equal amount of mental and physical work (BTH).
When adjusted for age, BMI and employment years, there was a significant difference in weekly LTPA between WAI groups {p = 0.003, [F (2902) = 5.58]}, but not for depression. It appeared that participants with depressive symptoms scored lower WAI in each group regardless of LTPA. In addition, a linear relationship was found between higher LTPA and WAI in nondepressed workers in the PHYS [p = 0.011, β = 0.10 (95% CI 0.03-0.18)] and BTH [p = 0.027, β = 0.19 (95% CI 0.03-0.34)] groups. Among workers with depressive symptoms, similar linearity was found in BTH [p = 0.003, β = 0.20 (95% CI 0.03-0.55)]. In group-wise comparison, work requirements {p = 0.001, [F (2902) = 11.2]} and depressive symptoms {p < 0.001, [F (1902) = 177.0]} related with lower WAI.
Depressive symptoms were associated with lower work ability regardless of the job description. Therefore, higher levels of weekly LTPA was linked with better work ability among nondepressed working men. Workers with depressive symptoms in jobs that require extensive mental or physical work might need more than exercise to improve work ability.
探讨有无抑郁症状的成年男性工作者的闲暇时间体力活动(LTPA)与不同工作要求能力之间的关系。
我们使用国际体力活动问卷(IPAQ)的长版本来测量 LTPA。使用工作能力指数(WAI)和贝克抑郁量表(BDI)评估 921 名芬兰在职男性志愿者的工作能力和抑郁情况。参与者根据 WAI 分为三组:脑力(MENT)、体力(PHYS)和等量的脑力和体力工作(BTH)。
在调整年龄、BMI 和就业年限后,WAI 组之间的每周 LTPA 存在显著差异(p=0.003,[F(2902)=5.58]),但抑郁程度无差异。无论 LTPA 如何,有抑郁症状的参与者在每个组中的 WAI 评分均较低。此外,在非抑郁工人中,发现 PHYS 组中 LTPA 与 WAI 之间存在线性关系(p=0.011,β=0.10[95%CI 0.03-0.18])和 BTH 组(p=0.027,β=0.19[95%CI 0.03-0.34])。在有抑郁症状的工人中,在 BTH 组中也发现了类似的线性关系(p=0.003,β=0.20[95%CI 0.03-0.55])。在组间比较中,工作要求(p=0.001,[F(2902)=11.2])和抑郁症状(p<0.001,[F(1902)=177.0])与较低的 WAI 相关。
抑郁症状与较低的工作能力有关,而与工作描述无关。因此,较高水平的每周 LTPA 与非抑郁工作男性的更好工作能力相关。从事需要大量脑力或体力工作的有抑郁症状的工人可能需要更多的锻炼来提高工作能力。