UKK Institute for Health Promotion Research, Tampere, Finland.
Faculty of Social Sciences (Health Sciences) of Tampere University, Tampere, Finland.
Occup Med (Lond). 2022 Oct 18;72(7):478-485. doi: 10.1093/occmed/kqac070.
Physical activity may sustain the physical aspect of work ability despite health problems such as musculoskeletal disorders and anxiety, which are the most prevalent work-related health problem in Europe.
To evaluate the association of Finnish municipal workers' accelerometer-measured physical activity, sedentary behaviour, and cardiorespiratory and muscular fitness with their sickness absence levels, perceived work ability and health-related quality of life.
In connection with a randomized controlled trial recruiting 185 municipal workers, the authors performed baseline data analysis utilizing quantile regression to examine relationships between the outcome variables (all-cause sickness absence for 6 months, perceived work ability and health-related quality of life) and cardiorespiratory fitness, muscular fitness, and physical activity, and sedentary behaviour. All results were adjusted for age, sex and education level.
The median duration of all-cause sickness absence over the preceding 6 months was lowest among participants with high cardiorespiratory fitness relative to the lowest tertile (2.0 versus 6.0 days; P < 0.05), and the highest perceived work ability was found among those with high or moderate cardiorespiratory fitness as compared to the lowest tertile (8.0 versus 7.0; P < 0.001). Moderate-to-vigorous physical activity correlated positively with the physical component of health-related quality of life (P < 0.01) and with a high cardiorespiratory-fitness level (P < 0.05).
High cardiorespiratory fitness was associated with decreased all-cause sickness absence days and improved work ability among municipal workers.
尽管存在肌肉骨骼疾病和焦虑等健康问题，但身体活动可能会维持工作能力的身体方面，这些问题是欧洲最普遍的与工作相关的健康问题。
评估芬兰市立工人的加速度计测量的身体活动、久坐行为以及心肺和肌肉健康与他们的缺勤水平、感知工作能力和健康相关生活质量之间的关系。
在一项招募了 185 名市政工人的随机对照试验中，作者利用分位数回归进行了基线数据分析，以检查因变量（6 个月的全因缺勤、感知工作能力和健康相关生活质量）与心肺健康、肌肉健康和身体活动以及久坐行为之间的关系。所有结果均按年龄、性别和教育程度进行了调整。
与最低三分位数相比，具有高心肺健康的参与者在过去 6 个月中全因缺勤的中位数持续时间最短（2.0 天比 6.0 天；P < 0.05），而具有高或中等心肺健康的参与者的感知工作能力最高与最低三分位数相比（8.0 比 7.0；P < 0.001）。中等到剧烈的身体活动与健康相关生活质量的身体成分呈正相关（P < 0.01），与高心肺健康水平呈正相关（P < 0.05）。
高心肺健康与市政工人的全因缺勤天数减少和工作能力提高有关。
