Hanvoravongchai Jidapa, Laochindawat Methasit, Supapong Soontorn, Ratanachina Jate
Department of Preventive and Social Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
National Heart and Lung Institute, Faculty of Medicine, Imperial College London, London, United Kingdom.
Saf Health Work. 2024 Sep;15(3):345-351. doi: 10.1016/j.shaw.2024.06.003. Epub 2024 Jun 14.
A decrease in physical fitness with age can impact work ability. Exploring the role of physical fitness is important for identifying interventions to enhance work ability among aging workers. We sought to determine the association between physical fitness and physically demanding work ability in aging workers.
We recruited workers aged 45-65 years from eight departments of a university hospital in Bangkok, Thailand. Work ability was assessed using the work ability index (WAI), and physical fitness components were evaluated through various tests. Associations between work ability and physical fitness were examined using a multivariable regression analysis.
The response rate was 46.4% ( = 216). The mean WAI score was 41.6. Participants with an overweight or obese body mass index (BMI) had 1.8 (95% CI -3.1, -0.4) points lower WAI scores than did those within a healthy BMI range. A handgrip strength test revealed that participants in the good/very good group had 2.5 (95% CI: 0.6, 4.3) higher WAI scores than did those in the very poor/poor group. For a single-leg stance test, participants in the above-average group had 2.1 (95% CI: 0.7, 3.5) points greater WAI scores than did those in the below-average group. No significant associations were found between work ability and 3-min step, chair stand, or sit-and-reach test scores.
The overall work ability of the participants was good. Body composition, muscle strength, and balance were associated with work ability. Promoting physical fitness is a viable strategy for enhancing work ability among aging workers.
随着年龄增长,身体素质下降会影响工作能力。探索身体素质的作用对于确定提高老年工人工作能力的干预措施很重要。我们试图确定老年工人身体素质与体力要求较高的工作能力之间的关联。
我们从泰国曼谷一家大学医院的八个科室招募了45 - 65岁的工人。使用工作能力指数(WAI)评估工作能力,并通过各种测试评估身体素质成分。使用多变量回归分析检查工作能力与身体素质之间的关联。
回复率为46.4%(n = 216)。WAI平均得分为41.6。体重指数(BMI)超重或肥胖的参与者的WAI得分比健康BMI范围内的参与者低1.8(95%CI -3.1,-0.4)分。握力测试显示,良好/非常好组的参与者的WAI得分比非常差/差组的参与者高2.5(95%CI:0.6,4.3)分。对于单腿站立测试,高于平均水平组的参与者的WAI得分比低于平均水平组的参与者高2.1(95%CI:0.7,3.5)分。在工作能力与3分钟台阶测试、椅子站立测试或坐位体前屈测试得分之间未发现显著关联。
参与者的总体工作能力良好。身体成分、肌肉力量和平衡与工作能力相关。促进身体素质是提高老年工人工作能力的可行策略。