ArticleOccupational and environmental medicine2022
Lifetime high occupational physical activity and total and cause-specific mortality among 320 000 adults in the NIH-AARP study: a cohort study.
Article in Occupational and environmental medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.
- 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
- The paradox of physical activity in relation to well-being and mental health: a compositional data analysis of the 24-hour movement patterns.BMC public health · 2026Article
- Occupational physical activity and incidence and mortality of 14 cancers in 404,249 adults.Nature communications · 2025Article
- Occupational and Nonoccupational Physical Activity and Their Association With All-Cause, Cardiovascular, and Cancer Mortality in US Adults: A Prospective Cohort Study from the NHANES 2007 to 2018.Journal of the American Heart Association · 2025Article
- Occupational physical activity and cardiovascular disease mortality in the United States, 1988-2019.BMC public health · 2025Article
- Occupational physical activity and risk of all-cause, cardiovascular disease and cancer mortality among adults in the USA: a national cohort study.BMJ public health · 2025Article
- Sex disparities in physical activity domains and hypertension prevalence.Clinical hypertension · 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
- Substituting device-measured sedentary time with alternative 24-hour movement behaviours: compositional associations with adiposity and cardiometabolic risk in the ORISCAV-LUX 2 study.Diabetology & metabolic syndrome · 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 characteristics and disability-free survival after retirement age: an exploratory analysis from the ASPREE study.Frontiers in public health · 2023Article
- Device-measured physical activity and sedentary time in a national sample of Luxembourg residents: the ORISCAV-LUX 2 study.The international journal of behavioral nutrition and physical activity · 2022Observational
Corrections and comments
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Authors and funding
7 authors at 6 institutions in 5 countries.
Funding
Abstract
objectivesWe examined the associations of history and duration in high occupational physical activity (OPA) with long-term total and cause-specific mortality.
methodsThe sample included 322 126 participants (135 254 women) from the National Institutes of Health-AARP Diet and Health Study, established in 1995-1996. History and duration in high OPA were reported by participants. All-cause, cardiovascular, cancer and other cause mortality records available through 31 December 2011.
resultsThe prevalence of high OPA was 52.1% in men and 16.1% in women. During 13.6 years (SD, 3.3) of follow-up, 73 563 participants (25 219 women) died. In age-adjusted models, the risk of death was higher among men (HR 1.14, 95% CI 1.12 to 1.16) and women (HR 1.22, 95% CI 1.18 to 1.26) with a history of high OPA. However, these associations were substantially attenuated in women (HR 1.04, 95% CI 1.00 to 1.07, an 81.8% attenuation) and eliminated in men (HR 1.02, 95% CI 0.99 to 1.04, 85.7% attenuation) after multivariable adjustments. Similar important attenuation results were found when examining duration in high OPA, as well as using cause-specific deaths as the outcomes. Educational attainment and smoking patterns were the main contributors in the excess mortality among people working in highly physically active jobs in both men and women.
conclusionParticipating in high OPA was not consistently associated with a higher mortality risk, after adjustments for education and smoking factors. Workers in high OPA should be aware that they might not be getting all well-known health benefits of being physically active if they are only very active at work.
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