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首页> 外文期刊>European journal of public health >Trajectories of mobility limitations over 24 years and their characterization by shift work and leisure-time physical activity in midlife
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Trajectories of mobility limitations over 24 years and their characterization by shift work and leisure-time physical activity in midlife

机译:24年来移动性限制的轨迹及其在中期的转移工作和休闲体育活动的特点

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摘要

Background: We aimed to investigate trajectories of mobility limitations (MLs) over a period of 24 years. In addition, we aimed to study how shift work and leisure-time physical activity (LTPA) in midlife predict assignment to MLs trajectories separately for those retired on statutory pensions (SPs) and on disability pensions (DPs). Methods: Subjects who responded MLs questionnaires (1985-2009, N = 3048) in Finnish Longitudinal Study on Aging Municipal Employees were included in this prospective cohort study. LTPA and shift work were measured during baseline. International Classification of Functioning was used to code MLs. Growth mixture modeling was used to identify the trajectories of MLs. Odds ratio (OR) and their 95% Confidence interval (CI) were assessed by using multinomial logistic regression. Results: We identified four trajectories of MLs, namely low persistent, low increasing, high decreasing and high persistent. Among the SP recipients, shift work with night shifts was associated with an increased risk (adjusted OR 1.49; 95% CI 1.03-2.14) of belonging to the high persistent MLs trajectory. The inactive LTPA (SP: OR 5.99, 95% CI 3.39-10.58, DP: OR 6.81, 95% CI 2.52-18.43) was similarly associated with high persistent MLs trajectory. Conclusion: Nearly two-thirds of the people retired due to disability belonged to high MLs trajectory. High persistent MLs trajectory was associated with physical inactivity in midlife among those retired on SP and on DP. Shift work with night shift predicted high persistent MLs in SP strata. Active involvement in LTPA during midlife could be beneficial to spend MLs free later life.
机译:背景:我们旨在调查24年来的流动性限制(MLS)的轨迹。此外,我们旨在研究中期地区的转移工作和休闲时间(LTPA)如何为退休的法定养老金(SPS)和残疾养老金(DPS)分开分配给MLS轨迹。方法:在这项未来的队列研究中纳入芬兰纵向研究中,回复MLS问卷(1985-2009,N = 3048)的受试者被列入了芬兰纵向研究。在基线期间测量LTPA和换档工作。国际功能分类用于编写MLS。使用生长混合物建模用于鉴定MLS的轨迹。通过使用多项式逻辑回归评估差距(或)和它们的95%置信区间(CI)。结果:我们确定了四个MLS轨迹,即低持续,低,增加,高持续性和高持久性。在SP接受者中,夜班的转变工作与归属于高持久MLS轨迹的风险增加(调整或1.49; 95%CI 1.03-2.14)相关。无效LTPA(SP:或5.99,95%CI 3.39-10.58,DP:或6.81,95%CI 2.52-18.43)与高持久的MLS轨迹类似。结论:近三分之二的人因残疾退休的人属于高MLS轨迹。高持久的MLS轨迹与中亚生物不活动相关,其中在SP和DP上退休的那些。随着夜班的转变工作预测SP层中的高持久MLS。在中年期间活跃参与LTPA可能是有益的,以便在稍后生活中使用MLS。

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