Kim Pill Soo, Lai Ting-Fu, Park Jong-Hwan, Jang Minwoo, Shin Yeo-Kyung, Kim Du-Ri, Wang Il Jae, Choi Hyuk Jin, Lee Jae-Il
Department of Neurosurgery, Pusan National University Hospital, Busan, Republic of Korea.
Biomedical Research Institute, Pusan National University Hospital, Busan, Republic of Korea.
Risk Manag Healthc Policy. 2025 Feb 28;18:679-689. doi: 10.2147/RMHP.S500971. eCollection 2025.
In occupational settings like coal power plants, impaired respiratory function and cognitive performance can pose significant risks to worker safety and productivity. This study aimed to investigate the associations between respiratory muscle strength and information processing speed in coal power plant workers, and to explore whether these associations are moderated by physical activity and sedentary behavior.
A cross-sectional study was conducted among 171 coal power plant workers. Respiratory muscle strength was assessed using Maximal Inspiratory Pressure (MIP) and Peak Expiratory Flow (PEF). Information processing speed was evaluated using a validated tablet-based cognitive assessment tool. Physical activity levels and sedentary behavior were assessed using the International Physical Activity Questionnaire (IPAQ). Multiple linear regression analyses were performed to examine the associations between respiratory function and cognitive performance, stratified by physical activity levels and sedentary behavior patterns.
After adjusting for covariates, in the active group (≥150 min/week of moderate-to-vigorous physical activity), individuals with MIP <80% showed significantly lower information processing speed scores (B = -6.341, 95% CI: -11.709 to -0.972, p = 0.021) compared to those with MIP ≥80%. Similarly, those with PEF <80% demonstrated significantly lower scores (B = -8.383, 95% CI: -14.601 to -2.165, p = 0.009). In the non-prolonged sedentary group (<9 hours/day), participants with MIP <80% exhibited significantly lower scores (B = -6.655, 95% CI: -11.684 to -1.626, p = 0.010). No significant associations were observed in the inactive or prolonged sedentary groups.
The relationship between respiratory muscle strength and information processing speed in coal power plant workers is moderated by physical activity levels and sedentary behavior patterns. These findings highlight the importance of considering occupational factors in health interventions and suggest that promoting physical activity and reducing sedentary time could have multifaceted benefits for this workforce.
在像煤电厂这样的职业环境中,呼吸功能受损和认知表现会对工人安全和生产力构成重大风险。本研究旨在调查煤电厂工人呼吸肌力量与信息处理速度之间的关联,并探讨这些关联是否受到身体活动和久坐行为的调节。
对171名煤电厂工人进行了一项横断面研究。使用最大吸气压力(MIP)和呼气峰值流量(PEF)评估呼吸肌力量。使用经过验证的基于平板电脑的认知评估工具评估信息处理速度。使用国际体力活动问卷(IPAQ)评估身体活动水平和久坐行为。进行多元线性回归分析,以检查呼吸功能与认知表现之间的关联,并按身体活动水平和久坐行为模式进行分层。
在调整协变量后,在活跃组(每周进行至少150分钟的中度至剧烈身体活动)中,MIP<80%的个体与MIP≥80%的个体相比,信息处理速度得分显著更低(B=-6.341,95%CI:-11.709至-0.972,p=0.021)。同样,PEF<80%的个体得分也显著更低(B=-8.383,95%CI:-14.601至-2.165,p=0.009)。在非久坐时间延长组(每天<9小时)中,MIP<80%的参与者得分显著更低(B=-6.655,95%CI:-11.684至-1.626,p=百分之0.01)。在不活跃或久坐时间延长组中未观察到显著关联。
煤电厂工人呼吸肌力量与信息处理速度之间的关系受到身体活动水平和久坐行为模式的调节。这些发现凸显了在健康干预中考虑职业因素的重要性,并表明促进身体活动和减少久坐时间可能对该劳动力群体有多方面的益处。