Evidence map›Paper›PMID 21098617›Full record

ArticleBMJ (Clinical research ed.)2010

Effect of retirement on major chronic conditions and fatigue: French GAZEL occupational cohort study.

Hugo Westerlund, Jussi Vahtera, Jane E Ferrie, Archana Singh-Manoux, Jaana Pentti, Maria Melchior, Constanze Leineweber, Markus Jokela, Johannes Siegrist, Marcel Goldberg and 2 more

Open access · hybridAbstract read
In one paragraph

Article in BMJ (Clinical research ed.), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 3 pooled it
24.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

75 citing papers in PubMed, 3 syntheses or guidelines pooled it, 230 citations in OpenAlex.

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15 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 7 institutions in 5 countries.

Hugo WesterlundStress Research Institute, Stockholm University, SE-106 91 Stockholm, Sweden. hugo.westerlund@stress.su.se
Jussi Vahtera
Jane E Ferrie
Archana Singh-Manoux
Jaana Pentti
Maria Melchior
Constanze Leineweber
Markus Jokela
Johannes Siegrist
Marcel Goldberg
Marie Zins
Mika Kivimäki
University College London · GBFinnish Institute of Occupational Health · FIInserm · FRUniversité de Versailles Saint-Quentin-en-Yvelines · FRHeinrich Heine University Düsseldorf · DEStockholm University · SETurku University Hospital · FI

Funding

Socio-economic status and heterogeneity in agingR01AG013196 · NIA · UNIVERSITY OF LONDON INST OF NEUROLOGY · PI MARMOT, MICHAEL G, SINGH-MANOUX, ARCHANA · 1996 to 2013
$3.5M
Socioeconomic gradient in CHD in early old ageR01HL036310 · NHLBI · UNIVERSITY OF LONDON · PI KIVIMAKI, MIKA J, MARMOT, MICHAEL G · 1986 to 2012
$3.1M
Health behaviors over the adult lifecourse and cognitive agingR01AG034454 · NIA · UNIVERSITY COLLEGE LONDON · PI KIVIMAKI, MIKA J, SINGH-MANOUX, ARCHANA · 2009 to 2013
$1.5M
NHLBI NIH HHS R01HL036310-20A2NIA NIH HHS R01 AG013196NIA NIH HHS R01AG013196NIA NIH HHS R01AG034454
6 · The paper itself

Abstract

objectivesTo determine, using longitudinal analyses, if retirement is followed by a change in the risk of incident chronic diseases, depressive symptoms, and fatigue. Design Prospective study with repeat measures from 7 years before to 7 years after retirement.

settingLarge French occupational cohort (the GAZEL study), 1989-2007. Participants 11 246 men and 2858 women.

main outcome measuresRespiratory disease, diabetes, coronary heart disease and stroke, mental fatigue, and physical fatigue, measured annually by self report over the 15 year observation period; depressive symptoms measured at four time points.

resultsThe average number of repeat measurements per participant was 12.1. Repeated measures logistic regression with generalised estimating equations showed that the cumulative prevalence of self reported respiratory disease, diabetes, and coronary heart disease and stroke increased with age, with no break in the trend around retirement. In contrast, retirement was associated with a substantial decrease in the prevalence of both mental fatigue (odds ratio for fatigue one year after versus one year before retirement 0.19, 95% confidence interval 0.18 to 0.21) and physical fatigue (0.27, 0.26 to 0.30). A major decrease was also observed in depressive symptoms (0.60, 0.53 to 0.67). The decrease in fatigue around retirement was more pronounced among people with a chronic disease before retirement.

conclusionsLongitudinal modelling of repeat data showed that retirement did not change the risk of major chronic diseases but was associated with a substantial reduction in mental and physical fatigue and depressive symptoms, particularly among people with chronic diseases.

Indexed as

AdultChronic DiseaseCohort StudiesDepressionFatigueFemaleFranceHumansMaleMental FatigueMiddle AgedRetirementRisk FactorsSocial ClassTime Factors

Identifiers

PMID21098617
PMCPMC2990862
OpenAlexW2165041020

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.