ArticleBMJ open2019
Physical heaviness of work and sitting at work as predictors of mortality: a 26-year follow-up of the Helsinki Birth Cohort Study.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- High occupational physical activity and its combined effect with leisure-time physical activity on cardiovascular disease and mortality: systematic reviews and meta-analyses.Occupational and environmental medicine · 2025Pooled it
- Physical activity at work may not be health enhancing. A systematic review with meta-analysis on the association between occupational physical activity and cardiovascular disease mortality covering 23 studies with 655 892 participants.Scandinavian journal of work, environment & health · 2022Pooled it
- Pooled it
- Associations of psychosocial and physical work demands with all-cause mortality: a pooled analysis of prospective cohort studies.International journal of epidemiology · 2025Article
- Application of GUHA data mining method in cohort data to explore paths associated with premature death: a 29-year follow-up study.BMC medical research methodology · 2025Article
- The role of working conditions in educational differences in all-cause and ischemic heart disease mortality among Swedish men.Scandinavian journal of work, environment & health · 2024Article
- Racial, Ethnic, and Immigrant Generational Disparities in Physically Strenuous and Hazardous Work Conditions.Journal of immigrant and minority health · 2024Article
- Occupational physical activity, all-cause mortality and incidence of cardiovascular diseases: results from three Italian cohorts.International archives of occupational and environmental health · 2024Article
- Labour market trajectories after part-time sickness absence: a nationwide cohort study from Finland.BMJ open · 2023Article
- Re: Cillekens B, Huysmans MA, Holtermann A, van Mechelen W, Straker L, Krause N, van der Beek AJ, Coenen P. Physical activity at work may not be health enhancing. A systematic review with meta-analysis on the association between occupational physical activity and cardiovascular disease mortality covering 23 studies with 655 892 participants. Scand J Work Environ Health. 2022;48(2):86-98. doi:10.5271/sjweh.3993.Scandinavian journal of work, environment & health · 2023Article
- Leisure time and occupational physical activity, overall and cardiovascular mortality: a 24-year follow-up in the OPERA study.Annals of medicine · 2023Article
- Occupational physical activity, mortality and CHD events in the Italian Longitudinal Study.International archives of occupational and environmental health · 2022Article
- Occupation-Based Life Expectancy: Actuarial Fairness in Determining Statutory Retirement Age.Frontiers in sociology · 2021Article
- Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo examine the relationships of late-career physical heaviness of work and sitting at work with mortality. A national-level job exposure matrix was used to determine the occupation-specific level of physical heaviness and sitting.
designProspective cohort study between years 1990 and 2015.
settingCommunity.
participants5210 men and 4725 women from the Helsinki Birth Cohort Study with an occupational code at baseline (ages 45-57 years). PRIMARY AND SECONDARY OUTCOME MEASURES: Total, cardiovascular (International Classification of Diseases 10th Revision I00-I99), cancer (C00-C97) and external (S00-Y84) mortality.
resultsThe exposures, physical heaviness and sitting had a non-linear, inverse relationship. During the 26-year follow-up, 1536 men and 759 women died. Among men, physical heaviness of work was positively associated and sitting at work was negatively associated with all-cause, cardiovascular and external cause mortality but they were not associated with cancer mortality. The HRs for men in the highest quartile of physical heaviness of work compared with men in the lowest quartile were 1.54 (1.31-1.80) for all-cause mortality, 1.70 (1.30-2.23) for cardiovascular mortality and 3.18 (1.75-5.78) for external cause mortality (adjusted for age and years of education). Compared with the lowest quartile, the HRs for the highest quartile of sitting at work among men were 0.71 (0.61-0.82) for all-cause mortality, 0.59 (0.45-0.77) for cardiovascular mortality and 0.38 (0.22-0.66) for external cause mortality. In women, neither physical heaviness of work nor sitting at work was associated with mortality.
conclusionsMen in physically heavy work at their late-work career are at higher risk of death than men in physically light work.
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