Physical capability in midlife and risk of disability pension and long-term sickness absence: prospective cohort study with register follow-up

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Standard

Physical capability in midlife and risk of disability pension and long-term sickness absence : prospective cohort study with register follow-up. / Sundstrup, Emil; Hansen, Åse Marie; Mortensen, Erik Lykke; Poulsen, Otto Melchior; Clausen, Thomas; Rugulies, Reiner; Møller, Anne; Andersen, Lars Louis.

I: Scandinavian Journal of Work, Environment & Health, Bind 45, Nr. 6, 2019, s. 610-621.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Harvard

Sundstrup, E, Hansen, ÅM, Mortensen, EL, Poulsen, OM, Clausen, T, Rugulies, R, Møller, A & Andersen, LL 2019, 'Physical capability in midlife and risk of disability pension and long-term sickness absence: prospective cohort study with register follow-up', Scandinavian Journal of Work, Environment & Health, bind 45, nr. 6, s. 610-621. https://doi.org/10.5271/sjweh.3842

APA

Sundstrup, E., Hansen, Å. M., Mortensen, E. L., Poulsen, O. M., Clausen, T., Rugulies, R., ... Andersen, L. L. (2019). Physical capability in midlife and risk of disability pension and long-term sickness absence: prospective cohort study with register follow-up. Scandinavian Journal of Work, Environment & Health, 45(6), 610-621. https://doi.org/10.5271/sjweh.3842

Vancouver

Sundstrup E, Hansen ÅM, Mortensen EL, Poulsen OM, Clausen T, Rugulies R o.a. Physical capability in midlife and risk of disability pension and long-term sickness absence: prospective cohort study with register follow-up. Scandinavian Journal of Work, Environment & Health. 2019;45(6):610-621. https://doi.org/10.5271/sjweh.3842

Author

Sundstrup, Emil ; Hansen, Åse Marie ; Mortensen, Erik Lykke ; Poulsen, Otto Melchior ; Clausen, Thomas ; Rugulies, Reiner ; Møller, Anne ; Andersen, Lars Louis. / Physical capability in midlife and risk of disability pension and long-term sickness absence : prospective cohort study with register follow-up. I: Scandinavian Journal of Work, Environment & Health. 2019 ; Bind 45, Nr. 6. s. 610-621.

Bibtex

@article{7c9eefd3b803454c88512865af334126,
title = "Physical capability in midlife and risk of disability pension and long-term sickness absence: prospective cohort study with register follow-up",
abstract = "Objective The aim of this study was to determine the association of physical capability with health-related labor market outcomes among older workers. Methods The prospective risk of disability pension and long-term sickness absence (LTSA) of ≥6 weeks was estimated from physical capability on 5076 older workers (age 49-63 years) from the Copenhagen Aging and Midlife Biobank (CAMB). Physical capability was objectively measured through nine different tests (jump performance, postural balance, chair-rise, explosive muscle strength, maximal strength of the hand, back and abdominal muscles, lung capacity, and aerobic fitness) and linked to a high-quality register on social transfer payments among all Danish residents. Cox-regression analyses estimated the association of physical capability with risk of disability pension and LTSA. Results For all measures, low physical capability [≥1 standard deviation (SD) below the mean for each gender] was associated with increased risk of disability pension and/or LTSA, whereas high physical capability (≥1 SD above the mean for each gender) was not. A capability-response association was observed between the number of tests with low capability and disability pension and LTSA (P<0.0001) - with the risk-estimate for disability pension being 8.52 (95{\%} confidence interval 3.98-18.25) when low capability was present in ≥5 physical tests. Population attributable risks analyses indicate that 42{\%} of the disability pension cases were attributable to low physical capability whereas this was the case for 12{\%} of the LTSA cases. Conclusions Using objective measures of predictors and outcomes, our study shows that low physical capability in midlife was associated with increased risk of disability pension and LTSA. The results indicate that increasing physical capability to an average level among older workers with low capability could potentially contribute to preventing >40{\%} of premature exits from the labor market.",
author = "Emil Sundstrup and Hansen, {{\AA}se Marie} and Mortensen, {Erik Lykke} and Poulsen, {Otto Melchior} and Thomas Clausen and Reiner Rugulies and Anne M{\o}ller and Andersen, {Lars Louis}",
year = "2019",
doi = "10.5271/sjweh.3842",
language = "English",
volume = "45",
pages = "610--621",
journal = "Scandinavian Journal of Work, Environment & Health",
issn = "0355-3140",
publisher = "Tyoterveyslaitos",
number = "6",

}

RIS

TY - JOUR

T1 - Physical capability in midlife and risk of disability pension and long-term sickness absence

T2 - prospective cohort study with register follow-up

AU - Sundstrup, Emil

AU - Hansen, Åse Marie

AU - Mortensen, Erik Lykke

AU - Poulsen, Otto Melchior

AU - Clausen, Thomas

AU - Rugulies, Reiner

AU - Møller, Anne

AU - Andersen, Lars Louis

PY - 2019

Y1 - 2019

N2 - Objective The aim of this study was to determine the association of physical capability with health-related labor market outcomes among older workers. Methods The prospective risk of disability pension and long-term sickness absence (LTSA) of ≥6 weeks was estimated from physical capability on 5076 older workers (age 49-63 years) from the Copenhagen Aging and Midlife Biobank (CAMB). Physical capability was objectively measured through nine different tests (jump performance, postural balance, chair-rise, explosive muscle strength, maximal strength of the hand, back and abdominal muscles, lung capacity, and aerobic fitness) and linked to a high-quality register on social transfer payments among all Danish residents. Cox-regression analyses estimated the association of physical capability with risk of disability pension and LTSA. Results For all measures, low physical capability [≥1 standard deviation (SD) below the mean for each gender] was associated with increased risk of disability pension and/or LTSA, whereas high physical capability (≥1 SD above the mean for each gender) was not. A capability-response association was observed between the number of tests with low capability and disability pension and LTSA (P<0.0001) - with the risk-estimate for disability pension being 8.52 (95% confidence interval 3.98-18.25) when low capability was present in ≥5 physical tests. Population attributable risks analyses indicate that 42% of the disability pension cases were attributable to low physical capability whereas this was the case for 12% of the LTSA cases. Conclusions Using objective measures of predictors and outcomes, our study shows that low physical capability in midlife was associated with increased risk of disability pension and LTSA. The results indicate that increasing physical capability to an average level among older workers with low capability could potentially contribute to preventing >40% of premature exits from the labor market.

AB - Objective The aim of this study was to determine the association of physical capability with health-related labor market outcomes among older workers. Methods The prospective risk of disability pension and long-term sickness absence (LTSA) of ≥6 weeks was estimated from physical capability on 5076 older workers (age 49-63 years) from the Copenhagen Aging and Midlife Biobank (CAMB). Physical capability was objectively measured through nine different tests (jump performance, postural balance, chair-rise, explosive muscle strength, maximal strength of the hand, back and abdominal muscles, lung capacity, and aerobic fitness) and linked to a high-quality register on social transfer payments among all Danish residents. Cox-regression analyses estimated the association of physical capability with risk of disability pension and LTSA. Results For all measures, low physical capability [≥1 standard deviation (SD) below the mean for each gender] was associated with increased risk of disability pension and/or LTSA, whereas high physical capability (≥1 SD above the mean for each gender) was not. A capability-response association was observed between the number of tests with low capability and disability pension and LTSA (P<0.0001) - with the risk-estimate for disability pension being 8.52 (95% confidence interval 3.98-18.25) when low capability was present in ≥5 physical tests. Population attributable risks analyses indicate that 42% of the disability pension cases were attributable to low physical capability whereas this was the case for 12% of the LTSA cases. Conclusions Using objective measures of predictors and outcomes, our study shows that low physical capability in midlife was associated with increased risk of disability pension and LTSA. The results indicate that increasing physical capability to an average level among older workers with low capability could potentially contribute to preventing >40% of premature exits from the labor market.

U2 - 10.5271/sjweh.3842

DO - 10.5271/sjweh.3842

M3 - Journal article

VL - 45

SP - 610

EP - 621

JO - Scandinavian Journal of Work, Environment & Health

JF - Scandinavian Journal of Work, Environment & Health

SN - 0355-3140

IS - 6

ER -

ID: 226825134