Influence of obesity and physical workload on disability benefits among construction workers followed up for 37 years

Robroek, Suzan J W; Järvholm, Bengt; Beek, Allard J. van der; Proper, Karin I.; Wahlström, Jens; Burdorf, Alex

doi:10.1136/oemed-2016-104059

Cited by 18 publications

(32 citation statements)

References 34 publications

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“…In line with the current findings, there is evidence that physically heavy work alone increases the risk of disability retirement due to any cause [39]. Looking at the causes of disability retirement more closely, others have shown that heavy physical work increased the risk of disability retirement due to musculoskeletal disorders in particular [2,4,5,40], which agrees with our results. In the earlier studies, however, the additional burden of mental disorders has not been examined in detail.…”

Section: Discussionsupporting

confidence: 93%

“…conceptualized as retirement as a decision-making, but early retirement due to disability often is an adjustment process that may be related not only to poor health but also to contextual factors leading or adding to poor health [1]. Indeed, good working conditions and health are key factors in keeping individuals at work, and many physical characteristics of work as well as shift work have been linked to an increased risk of early exit such as disability retirement [2][3][4][5][6]. Mental disorders form the second largest diagnosis group for disability retirement after musculoskeletal diseases (MSD) [7].…”

Section: Introductionmentioning

confidence: 99%

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Physical working conditions and subsequent disability retirement due to any cause, mental disorders and musculoskeletal diseases: does the risk vary by common mental disorders?

Halonen

Mänty

Pietiläinen

et al. 2019

Soc Psychiatry Psychiatr Epidemiol

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Purpose Physical work exposures and common mental disorders (CMD) have been linked to increased risk of work disability, but their joint associations with disability retirement due to any cause, mental disorders or musculoskeletal diseases have not been examined. Methods The data for exposures and covariates were from the Finnish Helsinki Health Study occupational cohort surveys in 2000-2002, 2007 and 2012. We used 12,458 observations from 6159 employees, who were 40-60 years old at baseline. CMD were measured by the General Health Questionnaire (GHQ-12, cutoff point 3+). Four self-reported work exposures (hazardous exposures, physical workload, computer and shift work) were combined with CMD and categorized as "neither", "work exposure only", "CMD only", and "both". Associations with register-based disability retirement were assessed with Cox proportional hazards models for sample survey data adjusting for confounders over 5-year follow-up. Additionally, synergy indices were calculated for the combined effects. Results Those reporting CMD and high physical workload had a greater risk of disability retirement due to any cause (HR 4.26, 95% CI 3.60-5.03), mental disorders (HR 5.41, 95% CI 3.87-7.56), and musculoskeletal diseases (HR 4.46, 95% CI 3.49-5.71) when compared to those with neither. Synergy indices indicated that these associations were synergistic. Similar associations were observed for CMD and hazardous exposures, but not for combined exposures to CMD and computer or shift work. Conclusions Identification of mental health problems among employees in physically demanding jobs is important to support work ability and reduce the risk of premature exit from work due to disability.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Physical working conditions and subsequent disability retirement due to any cause, mental disorders and musculoskeletal diseases: does the risk vary by common mental disorders?

Halonen

Mänty

Pietiläinen

et al. 2019

Soc Psychiatry Psychiatr Epidemiol

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“…5,6 The evidence regarding the association between physically demanding work and disability pension is rather robust. [7][8][9][10][11][12] Some previous studies have found that this association is particularly robust with disability pension due to musculoskeletal disorders, while no association with disability pension due to mental disorders was observed. 7,8,13 The risk of disability pension varies widely between occupations, indicating that work characteristics are important determinants of disability pension.…”

Section: Introductionmentioning

confidence: 84%

Joint contribution of rotation of the back and repetitive movements to disability pension using job exposure matrix data

Ervasti

Pietiläinen

Rahkonen

et al. 2019

European Journal of Public Health

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Background Heavy physical effort at work has been linked with disability pension, but the contribution of other ergonomic job exposures is less studied. We studied the independent and joint contributions of long-term exposure to (i) rotation of the back and (ii) repetitive movements to disability pension, particularly due to musculoskeletal disorders. Methods Exposures were measured with the Helsinki Health Study Job Exposure Matrix during 1996–2005 and linked to register data on employees of the City of Helsinki, Finland (n = 18 585). Outcomes were followed up during 2006–2015. Competing risk survival analyses were performed and synergy indices computed, adjusting for sociodemographic factors. Results Long-term exposure to rotation of the back was associated with disability pension due to any cause [age and sex-adjusted subhazard ratio (SHR) 2.39, 95% confidence interval (CI) 1.73–3.30], and specifically disability pension due to musculoskeletal disorders (SHR = 3.39, 95% CI 1.52–7.56) when compared to employees exposed to neither of the two exposures. Repetitive movements alone did not increase the risk of disability pension (all-cause SHR = 1.08, 95% CI 0.84–1.38, musculoskeletal SHR = 1.65, 95% CI 0.91–2.97). Employees with exposure to both rotation of the back and repetitive movements had the highest risk of disability pension due to musculoskeletal disorders (SHR = 5.98, 95% CI 3.85–9.28), but the interaction between exposures was additive rather than synergistic. Adjustment for education diluted the associations by 42–108%. Conclusion Long-term exposure to awkward work postures increased the risk of disability pension. Educational inequalities largely account for differences in occupational exposures.

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“…Title screening and abstracts generated 68 potential papers. Of the15 studies that were included, 11 had a cross-sectional study, 1 had a prospective cohort study, 2 had a longitudinal study, and 1 had a casecontrol study [7,[11][12][13][14][15][16][17][18][19][20][21][22][23]24]. Figure 1 shows the search and selection process of the paper.…”

Section: Literature Search and Evaluationmentioning

confidence: 99%

Risk Factors for Musculoskeletal Symptoms of Construction Workers: A Systematic Literature Review

Kusmasari¹,

Yassierli²,

Sutalaksana³

2018

KLS

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Influence of obesity and physical workload on disability benefits among construction workers followed up for 37 years

Cited by 18 publications

References 34 publications

Physical working conditions and subsequent disability retirement due to any cause, mental disorders and musculoskeletal diseases: does the risk vary by common mental disorders?

Physical working conditions and subsequent disability retirement due to any cause, mental disorders and musculoskeletal diseases: does the risk vary by common mental disorders?

Joint contribution of rotation of the back and repetitive movements to disability pension using job exposure matrix data

Risk Factors for Musculoskeletal Symptoms of Construction Workers: A Systematic Literature Review

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