Effects of Work and Lifestyle on Risk for Future Disability Pension Due to Low Back Diagnoses A 30-Year Prospective Study of Finnish Twins

被引：16

作者：

Ropponen, Annina ^{[1
]}

Silventoinen, Karri ^{[2
,3
]}

Svedberg, Pia ^{[4
]}

Alexanderson, Kristina ^{[4
]}

Huunan-Seppala, Antti ^{[5
]}

Koskenvuo, Karoliina ^{[6
]}

Koskenvuo, Markku ^{[3
]}

Kaprio, Jaakko ^{[3
,7
,8
]}

机构：

[1] Univ Eastern Finland, Sch Med, Kuopio 70211, Finland

[2] Univ Helsinki, Dept Sociol, Populat Res Unit, FIN-00014 Helsinki, Finland

[3] Univ Helsinki, Hjelt Inst, Dept Publ Hlth, FIN-00014 Helsinki, Finland

[4] Karolinska Inst, Dept Clin Neurosci, Div Insurance Med, Stockholm, Sweden

[5] Univ Tampere, Dept Gen Practice, FIN-33101 Tampere, Finland

[6] Social Insurance Inst Finland, Res Dept, Helsinki, Finland

[7] Natl Int Hlth & Welf, Dept Mental Hlth & Subst Abuse Serv, Helsinki, Finland

[8] Univ Helsinki, Inst Mol Med, FIN-00014 Helsinki, Finland

来源：

JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE | 2012年 / 54卷 / 11期

基金：

芬兰科学院;

关键词：

PROSPECTIVE COHORT; PHYSICAL WORKLOAD; PREDICTORS; RETIREMENT; PAIN; STRESS;

D O I：

10.1097/JOM.0b013e3182775881

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective: To investigate work and lifestyle factors as predictors for disability pension (DP) due to low back diagnoses (LBDs) during a 30-year follow-up. Methods: Baseline survey data were obtained in 1975 for 16,028 working-age twins followed with register data on DP, emigration, old-age pension, and death until end of 2004; analyzed by Cox proportional hazards regression. Results: Among those at work at baseline, 470 DPs due to LBDs were granted during the follow-up. Monotonous work, lifting and carrying at work or physically heavy work, and unemployment at least once before baseline were significant predictors for DP. A healthy lifestyle was a protective factor for DP. Family background played a role in all these associations. Conclusion: The factors shared by family members seemed to influence both work and lifestyle factors, which then influenced the incidence of DP due to LBDs.

引用

页码：1330 / 1336

页数：7

共 24 条

[1] Occupational driving and lumbar disc degeneration:: a case-control study [J].

Battié, MC ;

Videman, T ;

Gibbons, LE ;

Manninen, H ;

Gill, K ;

Pope, M ;

Kaprio, J .

LANCET, 2002, 360 (9343) :1369-1374

[2] Prevalence of Neck and Low Back Pain in Community-Dwelling Adults in Spain A Population-Based National Study [J].

Fernandez-de-las-Penas, Cesar ;

Hernandez-Barrera, Valentin ;

Alonso-Blanco, Cristina ;

Palacios-Cena, Domingo ;

Carrasco-Garrido, Pilar ;

Jimenez-Sanchez, Silvia ;

Jimenez-Garcia, Rodrigo .

SPINE, 2011, 36 (03) :E213-E219

[3] Gender differences in disability after sickness absence with musculoskeletal disorders: five-year prospective study of 37,942 women and 26,307 men [J].

Gjesdal, Sturla ;

Bratberg, Espen ;

Maeland, John G. .

BMC MUSCULOSKELETAL DISORDERS, 2011, 12

[4] A prospective cohort study of risk factors for disability retirement because of back pain in the general working population [J].

Hagen, KB ;

Tambs, K ;

Bjerkedal, T .

SPINE, 2002, 27 (16) :1790-1796

[5] Chapter 6. Sickness absence due to back and neck disorders [J].

Hansson, T ;

Jensen, I .

SCANDINAVIAN JOURNAL OF PUBLIC HEALTH, 2004, 32 :109-151

[6] The Genetic Liability to Disability Retirement: A 30-Year Follow-Up Study of 24,000 Finnish Twins [J].

Harkonmaki, Karoliina ;

Silventoinen, Karri ;

Levalahti, Esko ;

Pitkaniemi, Janne ;

Huunan-Seppala, Antti ;

Klaukka, Timo ;

Koskenvuo, Markku ;

Kaprio, Jaakko .

PLOS ONE, 2008, 3 (10)

[7] Heritability of Spinal Pain and Consequences of Spinal Pain: A Comprehensive Genetic Epidemiologic Analysis Using a Population-Based Sample of 15,328 Twins Ages 20-71 Years [J].

Hartvigsen, Jan ;

Nielsen, Jan ;

Kyvik, Kirsten Ohm ;

Fejer, Rene ;

Vach, Werner ;

Iachine, Ivan ;

Leboeuf-Yde, Charlotte .

ARTHRITIS CARE & RESEARCH, 2009, 61 (10) :1343-1351

[8] Genetic and environmental factors in complex diseases: The older Finnish twin cohort [J].

Kaprio, J ;

Koskenvuo, M .

TWIN RESEARCH, 2002, 5 (05) :358-365

[9] Physical workload and risk of early retirement: Prospective population-based study among middle-aged men [J].

Karpansalo, M ;

Manninen, P ;

Lakka, TA ;

Kauhanen, J ;

Rauramaa, R ;

Salonen, JT .

JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 2002, 44 (10) :930-939

[10] Predictors of major weight gain in adult Finns:: Stress, life satisfaction and personality traits [J].

Korkeila, M ;

Kaprio, J ;

Rissanen, A ;

Koskenvuo, M ;

Sörensen, TIA .

INTERNATIONAL JOURNAL OF OBESITY, 1998, 22 (10) :949-957

← 1 2 3 →