Perceived Work Ability in the Light of Long-Term and Stress-Related Unhealthy Behaviors-a Prospective Cohort Study.

Abstract:

BACKGROUND:Most of the few studies that exist on the longitudinal associations between health behaviors and work ability target to single health behaviors. PURPOSE:To investigate how lifetime clusters of unhealthy behaviors associate with perceived work ability in early midlife. METHODS:The study population consisted of 46-year-old men and women (n = 3107) born in Northern Finland in 1966. Their current perceived work ability compared to lifetime best, and their unhealthy behaviors (physical inactivity, smoking, and alcohol consumption) were assessed by questionnaires. We determined clusters of unhealthy behaviors at the ages of 14, 31, and 46 and created lifetime development trajectories of health behaviors. We also assessed stress-related eating and drinking at the ages of 31 and 46. Cross-tabulations and multivariate logistic regression models were used to investigate the associations between clusters of health behaviors, stress-related eating and drinking, and work ability at 46 years. The analyses were controlled for basic education and physical strenuousness of work, psychosocial job characteristics, perceived work ability, and BMI (kg/m(2)) at 31 years. RESULTS:Four health behavior trajectories emerged: always healthy, moderate (reference group), deteriorated. and always unhealthy. Among men, always unhealthy behaviors [OR (95 % confidence interval) 2.81 (1.35, 5.86)], and among women, deteriorated health behaviors [1.67 (1.07, 2.58)] associated with poor perceived work ability at 46 years. In addition, stress-related eating and drinking associated independently with poor perceived work ability at 46 years [men 2.58 (1.62, 4.12) and women 2.48 (1.70, 3.61)]. CONCLUSION:Long-lasting and stress-related unhealthy behaviors increase the risk of poor work ability in midlife.

journal_name

Int J Behav Med

authors

Nevanperä N,Seitsamo J,Ala-Mursula L,Remes J,Hopsu L,Auvinen J,Tammelin T,Järvelin MR,Laitinen J

doi

10.1007/s12529-015-9512-0

subject

Has Abstract

pub_date

2016-04-01 00:00:00

pages

179-89

issue

2

eissn

1070-5503

issn

1532-7558

pii

10.1007/s12529-015-9512-0

journal_volume

23

pub_type

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