The course of physical functional limitations and occupational conditions in a middle-aged working population in France
Physical functional limitations (PFL) have mainly been studied in older populations. The aim of this study was to better understand the course of PFL and associations with occupational factors by gender in a middle-aged working population.
The data came from 16,950 workers in the ESTEV (Enquête Santé Travail et Vieillissement) cohort in France. PFL were assessed using the physical abilities section of the Nottingham Health Profile. Occupational conditions were measured with a self-administered questionnaire covering physical and psychosocial factors in 1990 and 1995. Multivariate analyses were used to assess the associations.
The PFL appearance rate in 1995 was the same by gender (6.3%); the rate of PFL recovery was higher in men (23.9% versus 20.9%). Age was an independent factor of PFL at age 47 years or older in both genders after adjusting for confounding factors. The PFL appearance rate in 1995 was higher with physical occupational exposure in 1990, such as awkward work with a dose relation in both genders, while the PFL recovery rate decreased significantly only for men. Exposure to psychosocial occupational conditions, such as having the means to produce quality work in 1990, was significantly associated with a decreased PFL appearance rate in 1995 in both genders, and having high decision latitude in 1990 was associated with a decreased PFL appearance rate in 1995 only in men. Changes in exposure to occupational factors between 1990 and 1995 were associated with the PFL appearance and recovery rates in 1995 in both genders.
After five years, the course of PFL in this working population changed and was associated with physical and psychosocial occupational factors. Relationships were stronger for the PFL appearance rate in both genders and were weaker for recovery from PFL, mainly among women.
- Wiatrowski W: Changing retirement age: ups and downs. Mon Lab Rev 2001, 124:3–12.
- European Foundation for the Improvement of Living and Working Conditions: Third European Survey on Working Conditions 2000. In Luxembourg: Office for Official Publications of the European Communities; 2001.
- Miranda H, Kaila-Kangas L, Heliovaara M, Leino-Arjas P, Haukka E, Liira J, Viikari-Juntura E: Musculoskeletal pain at multiple sites and its effects on work ability in a general working population. Occup Environ Med 2010, 67:449–455. CrossRef
- Ha C, Roquelaure Y, Leclerc A, Touranchet A, Goldberg M, Imbernon E: The French Musculoskeletal Disorders Surveillance Program: pays de la Loire network. Occup Environ Med 2009, 66:471–479. CrossRef
- Yassi A: Work-related musculoskeletal disorders. Curr Opin Rheumatol 2000, 12:124–130. CrossRef
- Ferrand J, Chastang JF, Ravaud JF, Leclerc A: Travail et santé: quelques résultats portant sur une population active issue de l’enquête HID. Arch Maladies professionnelles 2005, 10:1–11. CrossRef
- Saastamoinen P, Leino-Arjas P, Laaksonen M, Martikainen P, Lahelma E: Pain and health related functioning among employees. J Epidemiol Community Health 2006, 60:793–798. CrossRef
- Rice NE, Lang IA, Henley W, Melzer D: Common health predictors of early retirement: findings from the English Longitudinal Study of Ageing. Age Ageing 2011, 40:54–61. CrossRef
- Borg K, Hensing G, Alexanderson K: Predictive factors for disability pension–an 11-year follow up of young persons on sick leave due to neck, shoulder, or back diagnoses. Scand J Public Health 2001, 29:104–112. CrossRef
- Joshi K, Kumar R, Avasthi A: Morbidity profile and its relationship with disability and psychological distress among elderly people in Northern India. Int J Epidemiol 2003, 32:978–987. CrossRef
- Verbrugge LM: Disability. Rheum Dis Clin North Am 1990, 16:741–761.
- Aublet-Cuvelier A, Aptel M, Weber H: The dynamic course of musculoskeletal disorders in an assembly line factory. Int Arch Occup Environ Health 2006, 79:578–584. CrossRef
- Korlin J, Alexanderson K, Svedberg P: Sickness absence among women and men in the police: a systematic literature review. Scand J Public Health 2009, 37:310–319. CrossRef
- Lotters F, Burdorf A: Prognostic factors for duration of sickness absence due to musculoskeletal disorders. Clin J Pain 2006, 22:212–221. CrossRef
- Cole DC, Manno M, Beaton D, Swift M: Transitions in self-reported musculoskeletal pain and interference with activities among newspaper workers. J Occup Rehabil 2002, 12:163–174. CrossRef
- da Costa BR, Vieira ER: Risk factors for work-related musculoskeletal disorders: a systematic review of recent longitudinal studies. Am J Ind Med 2010, 53:285–323.
- Derriennic F, Touranchet A, Volkoff S: Age, travail, santé: études sur les salariés âgés de 37 à 52 ans, enquête ESTEV 1990. Paris edn: Les éditions Inserm; 1996.
- Hunt SM, McKenna SP, McEwen J, Williams J, Papp E: The Nottingham Health Profile: subjective health status and medical consultations. Soc Sci Med A 1981, 15:221–229.
- Marquiés J, Paumès D, Volkoff S: Le travail au fil du temps. Toulouse: Octares; 1995.
- Karasek R: The political implications of psychosocial work redesign: a model of the psychosocial class structure. Int J Health Serv 1989, 19:481–508. CrossRef
- Cassou B, Derriennic F, Monfort C, Norton J, Touranchet A: Chronic neck and shoulder pain, age, and working conditions: longitudinal results from a large random sample in France. Occup Environ Med 2002, 59:537–544. CrossRef
- Kaergaard A, Andersen JH: Musculoskeletal disorders of the neck and shoulders in female sewing machine operators: prevalence, incidence, and prognosis. Occup Environ Med 2000, 57:528–534. CrossRef
- Roquelaure Y, Mariel J, Fanello S, Boissiere JC, Chiron H, Dano C, Bureau D, Penneau-Fontbonne D: Active epidemiological surveillance of musculoskeletal disorders in a shoe factory. Occup Environ Med 2002, 59:452–458. CrossRef
- Orfila F, Ferrer M, Lamarca R, Tebe C, Domingo-Salvany A, Alonso J: Gender differences in health-related quality of life among the elderly: the role of objective functional capacity and chronic conditions. Soc Sci Med 2006, 63:2367–2380. CrossRef
- Guyatt GH, Eagle DJ, Sackett B, Willan A, Griffith L, McIlroy W, Patterson CJ, Turpie I: Measuring quality of life in the frail elderly. J Clin Epidemiol 1993, 46:1433–1444. CrossRef
- Adamson J, Hunt K, Ebrahim S: Socioeconomic position, occupational exposures, and gender: the relation with locomotor disability in early old age. J Epidemiol Community Health 2003, 57:453–455. CrossRef
- McGeary DD, Mayer TG, Gatchel RJ, Anagnostis C, Proctor TJ: Gender-related differences in treatment outcomes for patients with musculoskeletal disorders. Spine J 2003, 3:197–203. CrossRef
- Melchior M, Roquelaure Y, Evanoff B, Chastang JF, Ha C, Imbernon E, Goldberg M, Leclerc A: Why are manual workers at high risk of upper limb disorders? The role of physical work factors in a random sample of workers in France (the Pays de la Loire study). Occup Environ Med 2006, 63:754–761. CrossRef
- Roquelaure Y, Ha C, Leclerc A, Touranchet A, Sauteron M, Melchior M, Imbernon E, Goldberg M: Epidemiologic surveillance of upper-extremity musculoskeletal disorders in the working population. Arthritis Rheum 2006, 55:765–778. CrossRef
- Knutsson A, Hallquist J, Reuterwall C, Theorell T, Akerstedt T: Shiftwork and myocardial infarction: a case–control study. Occup Environ Med 1999, 56:46–50. CrossRef
- Hoogendoorn WE, van Poppel MN, Bongers PM, Koes BW, Bouter LM: Systematic review of psychosocial factors at work and private life as risk factors for back pain. Spine 2000, 25:2114–2125. CrossRef
- Ostergren PO, Hanson BS, Balogh I, Ektor-Andersen J, Isacsson A, Orbaek P, Winkel J, Isacsson SO: Incidence of shoulder and neck pain in a working population: effect modification between mechanical and psychosocial exposures at work? Results from a one year follow up of the Malmo shoulder and neck study cohort. J Epidemiol Community Health 2005, 59:721–728. CrossRef
- Berntsson L, Lundberg U, Krantz G: Gender differences in work-home interplay and symptom perception among Swedish white-collar employees. J Epidemiol Community Health 2006, 60:1070–1076. CrossRef
- Lundberg U, Mardberg B, Frankenhaeuser M: The total workload of male and female white collar workers as related to age, occupational level, and number of children. Scand J Psychol 1994, 35:315–327. CrossRef
- Lidwall U, Marklund S, Voss M: Work-family interference and long-term sickness absence: a longitudinal cohort study. Eur J Public Health 2009, 20:676–681. CrossRef
- Direction Générale du Travail: Bilans et Rapports conditions de travail (Ministère du travail dlsedlfp ed.; 2010.
- Young Y, Boyd CM, Guralnik JM, Fried LP: Does self-reported function correspond to objective measures of functional impairment? J Am Med Dir Assoc 2010, 11:645–653. CrossRef
- The course of physical functional limitations and occupational conditions in a middle-aged working population in France
- Open Access
- Available under Open Access This content is freely available online to anyone, anywhere at any time.
Journal of Occupational Medicine and Toxicology
- Online Date
- April 2012
- Online ISSN
- BioMed Central
- Additional Links
- Physical functional limitations
- Physical occupational factors
- Psychosocial occupational factors
- Working population
- Author Affiliations
- 1. UPRES EA 2506 Laboratoire Santé-Environnement-Vieillissement, AP-HP, Hôpital Sainte Perine, Université Versailles St-Quentin, Paris, France
- 4. UPRES EA 2506 Laboratoire Santé-Environnement-Vieillissement, AP-HP, Hôpital Sainte Perine, Université Versailles St-Quentin, 49 rue Mirabeau, 75016, Paris, France
- 2. INSERM, Unité 754, 16 Avenue Paul-Vaillant Couturier, 94807, Villejuif, France
- 3. Inspection médicale régionale du travail des Pays de Loire, 26 Boulevard Vincent Gâche, 44063, Nantes, Cedex 02, France