Cumulative occupational mechanical exposures during working life and risk of sickness absence and disability pension: prospective cohort study

Research output: Contribution to journalJournal articleResearchpeer-review

Standard

Cumulative occupational mechanical exposures during working life and risk of sickness absence and disability pension : prospective cohort study. / Sundstrup, Emil; Hansen, Åse Marie; Mortensen, Erik Lykke; Poulsen, Otto Melchior; Clausen, Thomas; Rugulies, Reiner; Møller, Anne; Andersen, Lars L.

In: Scandinavian Journal of Work, Environment & Health, Vol. 43, No. 5, 01.09.2017, p. 415-425.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Sundstrup, E, Hansen, ÅM, Mortensen, EL, Poulsen, OM, Clausen, T, Rugulies, R, Møller, A & Andersen, LL 2017, 'Cumulative occupational mechanical exposures during working life and risk of sickness absence and disability pension: prospective cohort study', Scandinavian Journal of Work, Environment & Health, vol. 43, no. 5, pp. 415-425. https://doi.org/10.5271/sjweh.3663

APA

Sundstrup, E., Hansen, Å. M., Mortensen, E. L., Poulsen, O. M., Clausen, T., Rugulies, R., ... Andersen, L. L. (2017). Cumulative occupational mechanical exposures during working life and risk of sickness absence and disability pension: prospective cohort study. Scandinavian Journal of Work, Environment & Health, 43(5), 415-425. https://doi.org/10.5271/sjweh.3663

Vancouver

Sundstrup E, Hansen ÅM, Mortensen EL, Poulsen OM, Clausen T, Rugulies R et al. Cumulative occupational mechanical exposures during working life and risk of sickness absence and disability pension: prospective cohort study. Scandinavian Journal of Work, Environment & Health. 2017 Sep 1;43(5):415-425. https://doi.org/10.5271/sjweh.3663

Author

Sundstrup, Emil ; Hansen, Åse Marie ; Mortensen, Erik Lykke ; Poulsen, Otto Melchior ; Clausen, Thomas ; Rugulies, Reiner ; Møller, Anne ; Andersen, Lars L. / Cumulative occupational mechanical exposures during working life and risk of sickness absence and disability pension : prospective cohort study. In: Scandinavian Journal of Work, Environment & Health. 2017 ; Vol. 43, No. 5. pp. 415-425.

Bibtex

@article{4e94ac4686cd458d8e72ddfda080e595,
title = "Cumulative occupational mechanical exposures during working life and risk of sickness absence and disability pension: prospective cohort study",
abstract = "Objectives: The aim of this study was to determine the prospective association of cumulative mechanical exposure during working life with health-related labor market outcomes. Methods: This prospective cohort study combines data from 5076 older workers (age 49-63 years) from the Copenhagen Aging and Midlife Biobank with a job exposure matrix and a national register containing information on social transfer payment. By coding individual job histories from the Danish version of ISCO-codes (International Standard Classification of Occupations), we calculated cumulative occupational mechanical exposures from a JEM for ton-years (lifting 1000 kg each day in one year), lifting-years (lifting loads weighing ≥20 kg >10 times each day in one year), kneeling-years (kneeling for one hour each day in one year) and vibration-years (whole-body vibration for one hour each day in one year). Cox-regression analyses estimated the relative risk of register-based long-term sickness absence (LTSA) and disability pension with cumulative occupational mechanical exposures throughout working life. Analyses were censored for competing events and adjusted for multiple confounders.Results: During the follow-up period, 970 persons (19.3{\%}) had ≥1 episode of LTSA and 85 persons (1.7{\%}) were granted a disability pension. Number of ton-, lifting- and kneeling-years showed an exposure-response association with increased risk of LTSA (P<0.0001). In addition, both long term [≥20 years; hazard ratio (HR) 1.76 95{\%} CI 1.39-2.22] and short term (<10 years; HR 1.20 95{\%} CI 1.02-1.41) exposure to kneeling work increased the risk of LTSA. Lifting-years, but not the other mechanical exposures, were associated with risk of disability pension (HR 1.75 95{\%} CI 1.01-3.04). Conclusions: Cumulative occupational mechanical exposures during working life - such as lifting and kneeling work - increased the risk of LTSA. Importantly, being exposed to lifting increased the risk of disability pension.",
keywords = "Journal Article",
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 L.}",
year = "2017",
month = "9",
day = "1",
doi = "10.5271/sjweh.3663",
language = "English",
volume = "43",
pages = "415--425",
journal = "Scandinavian Journal of Work, Environment & Health",
issn = "0355-3140",
publisher = "Tyoterveyslaitos",
number = "5",

}

RIS

TY - JOUR

T1 - Cumulative occupational mechanical exposures during working life and risk of sickness absence and disability pension

T2 - prospective cohort study

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 L.

PY - 2017/9/1

Y1 - 2017/9/1

N2 - Objectives: The aim of this study was to determine the prospective association of cumulative mechanical exposure during working life with health-related labor market outcomes. Methods: This prospective cohort study combines data from 5076 older workers (age 49-63 years) from the Copenhagen Aging and Midlife Biobank with a job exposure matrix and a national register containing information on social transfer payment. By coding individual job histories from the Danish version of ISCO-codes (International Standard Classification of Occupations), we calculated cumulative occupational mechanical exposures from a JEM for ton-years (lifting 1000 kg each day in one year), lifting-years (lifting loads weighing ≥20 kg >10 times each day in one year), kneeling-years (kneeling for one hour each day in one year) and vibration-years (whole-body vibration for one hour each day in one year). Cox-regression analyses estimated the relative risk of register-based long-term sickness absence (LTSA) and disability pension with cumulative occupational mechanical exposures throughout working life. Analyses were censored for competing events and adjusted for multiple confounders.Results: During the follow-up period, 970 persons (19.3%) had ≥1 episode of LTSA and 85 persons (1.7%) were granted a disability pension. Number of ton-, lifting- and kneeling-years showed an exposure-response association with increased risk of LTSA (P<0.0001). In addition, both long term [≥20 years; hazard ratio (HR) 1.76 95% CI 1.39-2.22] and short term (<10 years; HR 1.20 95% CI 1.02-1.41) exposure to kneeling work increased the risk of LTSA. Lifting-years, but not the other mechanical exposures, were associated with risk of disability pension (HR 1.75 95% CI 1.01-3.04). Conclusions: Cumulative occupational mechanical exposures during working life - such as lifting and kneeling work - increased the risk of LTSA. Importantly, being exposed to lifting increased the risk of disability pension.

AB - Objectives: The aim of this study was to determine the prospective association of cumulative mechanical exposure during working life with health-related labor market outcomes. Methods: This prospective cohort study combines data from 5076 older workers (age 49-63 years) from the Copenhagen Aging and Midlife Biobank with a job exposure matrix and a national register containing information on social transfer payment. By coding individual job histories from the Danish version of ISCO-codes (International Standard Classification of Occupations), we calculated cumulative occupational mechanical exposures from a JEM for ton-years (lifting 1000 kg each day in one year), lifting-years (lifting loads weighing ≥20 kg >10 times each day in one year), kneeling-years (kneeling for one hour each day in one year) and vibration-years (whole-body vibration for one hour each day in one year). Cox-regression analyses estimated the relative risk of register-based long-term sickness absence (LTSA) and disability pension with cumulative occupational mechanical exposures throughout working life. Analyses were censored for competing events and adjusted for multiple confounders.Results: During the follow-up period, 970 persons (19.3%) had ≥1 episode of LTSA and 85 persons (1.7%) were granted a disability pension. Number of ton-, lifting- and kneeling-years showed an exposure-response association with increased risk of LTSA (P<0.0001). In addition, both long term [≥20 years; hazard ratio (HR) 1.76 95% CI 1.39-2.22] and short term (<10 years; HR 1.20 95% CI 1.02-1.41) exposure to kneeling work increased the risk of LTSA. Lifting-years, but not the other mechanical exposures, were associated with risk of disability pension (HR 1.75 95% CI 1.01-3.04). Conclusions: Cumulative occupational mechanical exposures during working life - such as lifting and kneeling work - increased the risk of LTSA. Importantly, being exposed to lifting increased the risk of disability pension.

KW - Journal Article

U2 - 10.5271/sjweh.3663

DO - 10.5271/sjweh.3663

M3 - Journal article

VL - 43

SP - 415

EP - 425

JO - Scandinavian Journal of Work, Environment & Health

JF - Scandinavian Journal of Work, Environment & Health

SN - 0355-3140

IS - 5

ER -

ID: 183246564