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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Is incomplete recovery from work a risk marker of cardiovascular death? Prospective evidence from industrial employees.
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Is incomplete recovery from work a risk marker of cardiovascular death? Prospective evidence from industrial employees.

机译：下班不完全恢复是否是心血管死亡的危险标志？工业员工的前瞻性证据。

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OBJECTIVE: A chronic lack of recovery from work during leisure time is hypothesized to indicate a health risk among employees. We examined whether incomplete recovery from work predicted cardiovascular mortality. METHODS: This prospective cohort study involved 788 industrial employees (534 men, 254 women, mean age 37.3, SD = 12.0) who were initially free from cardiovascular diseases. The baseline examination in 1973 determined cases of cardiovascular disease, cardiovascular risk factors, and the extent of recovery from work. Data on mortality in 1973 to 2000 were derived from the national mortality register. RESULTS: Sixty-seven cardiovascular deaths and 102 deaths from noncardiovascular causes occurred during the mean follow-up of 25.6 years. Employees who seldom recovered from work during free weekends had an elevated risk of cardiovascular death (p = .007) but not of other mortality (p = .82). The association between incomplete recovery and cardiovascular death remained after adjustment for age, sex, and 16 conventional risk factors, including occupational background, cholesterol, systolic pressure, body mass index, smoking, alcohol consumption, physical inactivity, depressive symptoms, fatigue, lack of energy, and job stress. The association was not explained by deaths that occurred close to the assessment of recovery from work. CONCLUSIONS: This study suggests that incomplete recovery from work is an aspect of the overall risk profile of cardiovascular disease mortality among employees.
机译：目的：假设在闲暇时间长期缺乏从工作中恢复的能力，表明员工之间存在健康风险。我们检查了工作不完全康复是否可以预测心血管疾病的死亡率。方法：这项前瞻性队列研究纳入了788名工业工人（其中534名男性，254名女性，平均年龄37.3，SD = 12.0），最初没有心血管疾病。 1973年的基线检查确定了心血管疾病，心血管危险因素和工作恢复的程度。 1973年至2000年的死亡率数据来自国家死亡率登记册。结果：在平均25.6年的随访期间，发生了67例心血管死亡和102例非心血管原因死亡。在空闲的周末很少下班的员工的心血管死亡风险较高（p = .007），其他死亡率则没有（p = .82）。调整年龄，性别和16种常规危险因素后，恢复不完全与心血管死亡之间的关联仍然存在，这些危险因素包括职业背景，胆固醇，收缩压，体重指数，吸烟，饮酒，缺乏运动，抑郁症状，疲劳，缺乏精力和工作压力。死亡的原因并不能解释这种关联，因为死亡是在评估工作恢复后的。结论：这项研究表明，不完全恢复工作是员工心血管疾病死亡率总体风险特征的一个方面。

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