Occupational Physical Activity and Cardiovascular Disease in the United States

Details

• Personal Author:
  Gibbs BB ; Quinn TD ; Seo Y ; Smith PM ; Whitfield GP ; Yorio, Patrick L.
• Description:
  Background: Emerging evidence, predominately from European and Asian countries, describes opposing effects of occupational physical activity (OPA) and leisuretime physical activity (LTPA) on cardiovascular health. This analysis examined cardiovascular disease (CVD) prevalence associated with OPA and LTPA. Methods: This cross-sectional analysis of 2015 National Health Interview Survey data (n=16 974) employed logistic regression to estimate odds (OR) of self-reported CVD (coronary heart disease, heart attack, stroke or angina) with self-reported total occupational activity (TOA), occupational exertion (OE), occupational standing and walking (OSW) and LTPA. OPA was measured using two questions: 'How often does your job involve...' (1) 'repeated lifting, pushing, pulling or bending?' (OE) and (2) 'standing or walking around?' (OSW) with responses on a 5-item Likert scale (0=never, 4=always). TOA was categorised similarly after summing OE and OSW scores. LTPA was defined as 0, 1-149 or >/=150 min/week of moderate-to-vigorous activity. All models adjusted for common socioeconomic variables and additional analyses were stratified by sex, smoking status and LTPA. Results: Odds for CVD were higher when 'always' performing TOA (OR 1.99 95% CI 1.12 to 3.53), OE (OR 2.15, 95% CI 1.45 to 3.19) or OSW (OR 1.84, 95% CI 1.07 to 3.17) compared with 'never'. When restricting to never-smokers, odds for CVD were higher when 'always' performing TOA (OR 3.00, 95% CI 1.38 to 6.51) and OE (OR 3.00, 95% CI 1.80 to 5.02) versus 'never'. Conclusion: Associations of high OPA with CVD were equally apparent across sexes, stronger in lower LTPA levels and stronger in never-smokers. While uncontrolled confounding is still possible, even after extensive adjustment, the seemingly paradoxical adverse associations with OPA and CVD should be investigated further. [Description provided by NIOSH]
• Subjects:
  Cardiovascular Diseases Cardiovascular System Occupational Health Safety Workplace
• Keywords:
  Cardiovascular Disease Heart Disease Physical Exercise Statistical Analysis Work Environment Workers
• ISSN:
  1351-0711
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  Georgia ; OSHA Region 3 ; OSHA Region 4 ; Pennsylvania
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  NPPTL - National Personal Protective Technology Laboratory
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  78
• Issue:
  10
• NIOSHTIC Number:
  nn:20062281
• Citation:
  Occup Environ Med 2021 Oct; 78(10):724-730
• Contact Point Address:
  Dr. Tyler D. Quinn, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Pittsburgh, Pennsylvania, USA
• Email:
  yhh7@cdc.gov
• Federal Fiscal Year:
  2022
• Peer Reviewed:
  True
• Source Full Name:
  Occupational and Environmental Medicine
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:113ee06bf2bdb4f3196fe08c163e8b7fc8ba06ebc6f068fb4bdf9202e6a4141882755cd97cb8b69d340fdf08e92505afc05c86a08640cf095124ec4b715ae616
• Download URL:
  https://stacks.cdc.gov/view/cdc/225561/cdc_225561_DS1.pdf
• File Type:
  [PDF - 278.68 KB ]