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Cardiorespiratory fitness and risk of disability pension: a prospective population based study in Finnish men.

机译:心肺健康和残疾风险养老金:一项基于前瞻性人群的芬兰男性研究。

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BACKGROUND: Early retiring is a major social problem in many western countries. AIM: To investigate whether good cardiorespiratory fitness prevents disability pensioning in Finnish middle-aged men. METHODS: Subjects were a random population based sample of 1307 men who were 42-60 years old at baseline, had not retired before baseline or died during follow up, and had undergone a cycle ergometer test at baseline. Cardiorespiratory fitness was assessed at baseline with a maximal but symptom limited exercise test on an electrically braked cycle ergometer. RESULTS: During a follow up of 11 years on average, 790 (60.4%) men were awarded a disability pension, only 254 (19.4%) men reached the old-age pension without previous early pension, and 263 (20.1%) men were still working at the end of follow up. After adjustment for age, body mass index, alcohol consumption, smoking, education, occupation, and baseline chronic diseases, an inverse association was observed between cardiorespiratory fitness and the risk of disability pension. Men with VO2max <25.98 ml/kg/min (lowest fifth) had a 3.28-fold (95% CI 1.70 to 6.32) and men with the duration of exercise test <9.54 minutes (lowest fifth) had a 4.66-fold (95% CI 2.43 to 8.92) risk of disability pension due to cardiovascular diseases compared with men in the highest fifths. Men with lowest fitness level also had an increased risk of disability pension due to musculoskeletal disorders, or all reasons combined. CONCLUSIONS: Physical fitness is inversely associated with the risk of disability pension and especially with the risk of disability due to cardiovascular diseases.
机译:背景:提前退休是许多西方国家的主要社会问题。目的:研究良好的心肺健康状况是否能阻止芬兰中年男性的残疾养恤金。方法:受试者是基于随机人群的1307名男性样本,这些男性在基线时为42-60岁,在基线之前没有退休或在随访过程中死亡,并且在基线时经过了测力计测试。在基线时通过最大的但有症状的有限运动试验在电制动自行车测功机上评估了心脏的呼吸适应性。结果:在平均11年的随访中,有790名(60.4%)男性获得了残疾抚恤金,只有254名(19.4%)男性获得了没有以前的早期抚恤金的养老金,而263名(20.1%)的男性获得了养老金。后续工作仍在进行中。在对年龄,体重指数,饮酒,吸烟,教育,职业和基线慢性病进行调整后,观察到心肺健康与残疾养恤金风险之间呈负相关。 VO2max <25.98 ml / kg / min的男性(最低的五分之一)是男性的3.28倍(95%CI 1.70至6.32),而运动测试时间<9.54分钟的男性(最低的五分之一)是4.66倍(95%) CI为2.43至8.92),心血管疾病导致的伤残抚恤金风险最高的男性为男性。体能最低的男性由于肌肉骨骼疾病或所有各种原因而导致的残疾抚恤金风险增加。结论:身体健康与残疾养恤金的风险成反比,尤其与心血管疾病导致的残疾风险成反比。

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