Evidence map›Paper›PMID 27476023›Full record

ArticleInternational archives of occupational and environmental health2016

Long-term physical workload in middle age and disability pension in men and women: a follow-up study of Swedish cohorts.

Katarina Kjellberg, Andreas Lundin, Daniel Falkstedt, Peter Allebeck, Tomas Hemmingsson

Open access · hybridAbstract read
In one paragraph

Article in International archives of occupational and environmental health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
7.7field-weighted citation impact, top 3% 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

24 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
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  4. Review
  5. Job control and working life expectancy in Sweden.Scandinavian journal of work, environment & health · 2025
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  9. Classification of body postures using smart workwear.BMC musculoskeletal disorders · 2022
    Article
  10. Article
  11. Article
  12. Article
  13. Predictors of working days lost due to sickness absence and disability pension.International archives of occupational and environmental health · 2021
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  14. Article
  15. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Katarina KjellbergInstitute of Environmental Medicine, Karolinska Institutet, Solnavägen 4, 10th Floor, 113 65, Stockholm, Sweden. katarina.kjellberg@ki.se.
Andreas LundinInstitute of Environmental Medicine, Karolinska Institutet, Solnavägen 4, 10th Floor, 113 65, Stockholm, Sweden.
Daniel FalkstedtDepartment of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
Peter AllebeckDepartment of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
Tomas HemmingssonInstitute of Environmental Medicine, Karolinska Institutet, Solnavägen 4, 10th Floor, 113 65, Stockholm, Sweden.
Karolinska Institutet · SEStockholm University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe study investigates the association between level of long-term physical workload in middle age and disability pension (DP) before 61 years of age with adjustments made for early life factors, level of education, and psychosocial working conditions. Associations with DP overall, DP due to musculoskeletal disorders and DP due to psychiatric disorders were examined.

methodsThe study is based on cohorts of 21,809 Swedish men and women born in 1948 and 1953, with data on physical workload estimated with a job exposure matrix based on occupational titles in 1985 and 1990 and follow-up data on diagnosis-specific DP in the years 1991-2009. Data on paternal education and intelligence were collected in primary school. Data on level of education were taken from administrative records. Data on psychosocial working conditions were estimated with a job exposure matrix based on occupational titles in 1990.

resultsLong-term exposure to high physical workload measured 5 years apart at around age 40 was strongly associated with DP due to musculoskeletal disorders up to the age of 61 among both men (HR 5.44, 95 % CI 3.35-8.84) and women (HR 3.82, CI 95 % 2.88-5.08). For women, the association between high physical load and overall DP was also significantly increased (HR 2.33, CI 95 % 1.92-2.82). The increased risks remained but were clearly attenuated after adjustments for fathers' education, IQ in childhood, achieved education and level of control at work.

conclusionsExposure to high physical workload is associated with long-term risk of DP due to musculoskeletal disorders, even though adjustments for early life factors, level of education and psychosocial working conditions clearly attenuated the risks.

Indexed as

AgedCohort StudiesEducational StatusFemaleFollow-Up StudiesHumansMaleMental DisordersMiddle AgedMusculoskeletal DiseasesOccupational DiseasesOccupational ExposureOccupationsPensionsRisk FactorsSick LeaveCohort studyEducationIQJob controlJob exposure matrixMusculoskeletal disorder

Identifiers

PMID27476023
PMCPMC5052305
OpenAlexW2499854543

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.