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1.
Food Chem ; 421: 136092, 2023 Sep 30.
Artigo em Inglês | MEDLINE | ID: mdl-37087988

RESUMO

Some relevant food systems release tiny amounts of sulfidic gases, whose measurement is difficult because of their inherent instability. The present paper demonstrates that Cu(I) solutions trap quantitatively and stabilize sulfidic gases. Once trapped, the gases remain stable for weeks at 4 °C and at least 8 days at 75 °C. Trapped gases can be quantitatively released with tris(2-carboxyethyl) phosphine (TCEP) and brine dilution and then determined by GC. Trapping solutions, placed in 20-mL opened vials housed in 100 mL hermetically-sealed flasks containing wine in anoxia, have been used to monitor the release of sulfidic gases by wines, revealing that at 50 °C, up to 400 µg/L of H2S and 58 µg/L of MeSH can be released in 68 days, and 3-5 times more at 75 °C in 28 days. The possibility to differentiate between released and accumulated amounts provides key clues to understanding the fate of sulfidic gases in wine and other food systems.


Assuntos
Sulfeto de Hidrogênio , Vinho , Vinho/análise , Sulfeto de Hidrogênio/análise , Gases , Compostos de Sulfidrila/análise , Odorantes/análise , Sulfetos/análise
2.
Meat Sci ; 145: 202-208, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-29982074

RESUMO

Improving meat production traits has increased its importance in sheep breeding. We report novel associations of SNP present in genes related to lipid metabolism and growth with several carcass traits in purebred Texel lambs. Expected progeny differences (EPD) predictions from 461 animals from the Central Progeny Testing of Texel breed in Uruguay were used for the association analysis. Live weights at different stages, ultrasound and post-mortem traits were analyzed. Markers in several genes were associated with growth, carcass and meat quality traits. Among others: PPARGC1A with valuable cuts weight, hot carcass weight and carcass fatness; DGAT1 with live weights, fat thickness, rib-eye area and shoulder weight; CAST with birth weight and fat thickness; GHR with birth weight and carcass fatness, and GHRHR with live weights and fat thickness. Genotypic effects ranged from 0.035 to 0.923 (DGAT1 vs. weaning weight) units of phenotypic SD. Most of the associations described are novel in sheep breeding, deserving further analyses.


Assuntos
Tecido Adiposo , Peso Corporal , Cruzamento , Fenótipo , Polimorfismo de Nucleotídeo Único , Carne Vermelha/análise , Carneiro Doméstico/genética , Animais , Peso ao Nascer , Cruzamentos Genéticos , Genótipo , Humanos , Metabolismo dos Lipídeos/genética , Uruguai
3.
Occup Med (Lond) ; 67(2): 93-100, 2017 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-27496547

RESUMO

BACKGROUND: As the world's population ages, the prevalence of multiple chronic and non-chronic health-related conditions is increasing. Research on multimorbidity, the co-occurrence of two or more health-related conditions, has mainly involved patient and older populations. Its effect in working populations, presumably younger and healthier, is not well known but could conceivably affect sickness absence (SA) and ability to return to work. AIMS: To examine the effect of multimorbidity on the incidence and duration of SA episodes by frequent diagnostic groups. METHODS: A prospective study (in 2006-2008) of workers in Spain. Information on health-related conditions was gathered with a standardized questionnaire and used to construct a sex-specific multidimensional multimorbidity score (MDMS). In order to estimate the effect of MDMS on incidence and duration of SA episodes due to cardiovascular diseases (CVD), musculoskeletal disorders (MSD) and mental health disorders (MHD), we fitted Cox models adjusted by age, occupational social class and number of prior SA episodes for both sexes. RESULTS: The study population was 372370. Men with high MDMS showed a trend towards higher incidence risk for SA due to CVD and MSD [adjusted hazard ratio (aHR) = 2.03; 95% confidence interval (CI) 1.48-2.78 and aHR = 1.20; 95% CI 1.01-1.43, respectively]. Women showed a similar trend for MSD, but MHD had the strongest association (aHR = 4.78; 95% CI 1.97-11.62) for high MDMS. In both sexes, the effect of MDMS was strongest among those without a prior SA. No consistent associations with SA duration were observed. CONCLUSIONS: Multimorbidity increased the risk of incident musculoskeletal, mental and cardiovascular SA episodes but not their duration.


Assuntos
Doenças Cardiovasculares/epidemiologia , Transtornos Mentais/epidemiologia , Doenças Musculoesqueléticas/epidemiologia , Retorno ao Trabalho/estatística & dados numéricos , Licença Médica/estatística & dados numéricos , Absenteísmo , Adulto , Idoso , Comorbidade , Feminino , Cefaleia/epidemiologia , Humanos , Masculino , Pessoa de Meia-Idade , Saúde Ocupacional , Estudos Prospectivos , Fatores de Risco , Espanha/epidemiologia
4.
J Occup Rehabil ; 27(2): 210-217, 2017 06.
Artigo em Inglês | MEDLINE | ID: mdl-27250634

RESUMO

Objectives Patients with common mental disorders (CMDs) often suffer from comorbidities, which may limit their functioning at work. We assessed the longitudinal impact of multimorbidity, defined as two or more co-occurring chronic health conditions, on work functioning over time among workers who had returned to work after sick leave due to CMDs. Methods Prospective cohort study of 156 workers followed for 1 year after return to work from sick leave due to CMDs. A multimorbidity score was computed by counting severity-weighted chronic health conditions measured at baseline. Work functioning was measured at baseline and at 3, 6 and 12 months follow-up with the Work Role Functioning Questionnaire. Work functioning trajectories, i.e. the course of work functioning after return to work over time, were identified through latent class growth analysis. Results A total of 44 % of workers had multimorbidity. Four work functioning trajectories were identified: one (12 % of the workers) showed increasing work functioning scores during follow-up, whereas the other trajectories showed low, medium and high scores (23, 41 and 25 %, respectively) that remained stable across time points. Although multimorbidity did not predict membership in any trajectory, within the increasing score trajectory levels of work functioning were lower among those with high baseline multimorbidity score (p < 0.001). Conclusions Over time, multimorbidity negatively impacts work functioning after return to work from sick leave due to CMDs.


Assuntos
Emprego/psicologia , Transtornos Mentais/complicações , Multimorbidade , Retorno ao Trabalho/psicologia , Retorno ao Trabalho/estatística & dados numéricos , Licença Médica , Absenteísmo , Adulto , Estudos de Casos e Controles , Doença Crônica , Feminino , Humanos , Estudos Longitudinais , Masculino , Transtornos Mentais/reabilitação , Pessoa de Meia-Idade , Países Baixos , Serviços de Saúde do Trabalhador , Estudos Prospectivos , Autorrelato , Índice de Gravidade de Doença
5.
Animal ; 9(3): 373-9, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25431085

RESUMO

Temperament can be defined as the fearfulness and reactivity of an animal in response to humans and strange, novel or threatening environments. The productive performance of an animal is affected by its temperament, and selection of calm animals might improve their adaptation to the farming environment and handling, as well as improve productivity. The temperament was measured in lambs of two breeds of sheep in Uruguay. The effects of dam's age, type of birth, age of the lamb and contemporary group (CG; lambs belonging to the same year, flock, sex and rearing group) on the temperament of the lambs and the heritability of temperament were estimated with a Bayesian analysis using Gibbs sampling. Overall, 4962 Corriedale lambs and 2952 Merino lambs from 13 farms were tested. Temperament was measured using the isolation box test, isolating a lamb inside the box for 30 s, and recording the vibrations produced by its movements. The average temperament score (±s.e.m.) of the Corriedale lambs was 24.7 (±0.23) and that of the Merino was 36.8 (±0.45). Temperament was not associated with dam's age, type of birth or lamb's age. There were no relevant differences in the agitation score between lambs born in 2010 and 2011. The mean of the distribution of possible values of heritability (±s.d.) was 0.18 (±0.05) for the Corriedale and 0.31 (±0.06) for the Merino. The likelihood of heritability values to be greater than 0.15 exceeded 70% in the Corriedale and 90% in the Merino. The temperament of Merino and Corriedale sheep in Uruguay is moderately heritable. It is not related to dam's age, type of birth or age of the lambs; however, it is affected by some aspect of the CG.


Assuntos
Comportamento Animal/fisiologia , Ovinos/genética , Ovinos/fisiologia , Temperamento , Envelhecimento , Animais , Cruzamento , Feminino
6.
Sci Total Environ ; 425: 75-88, 2012 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-22464957

RESUMO

The environmental geochemical behaviour of the rhyolitic ashes from the 2008 eruption of Chaitén volcano, Southern Chile, has been studied. After the bulk characterisation, the potential contribution to the regional geochemical fluxes was examined using: i) single batch leaching tests to provide a rapid screening of the implied major and trace elements; and ii) column experiments to evaluate the temporal mobility of leached elements. The environmental concerns of these ashes are related to the fine grained component present in each sample (independent of distance from the source), in particular the presence of cristobalite, and the geochemical hazards posed by ash-water interaction. Leaching experiments show the fast dissolution of surface salts and aerosols, which dominate over glass dissolution during the first steps of the ash-water interaction. Chaitén ashes could transfer to the environment more than 1×10(10)g or 10,000 metric tonnes (mt) of Cl, S, Ca, Na, Si, and K; between 1000 and 10,000 mt of F, Mg, and Al; between 100 and 1000 mt of As, Pb, P, Fe, Sr, Zn, Mn, and Br; between 10 and 100 mt of Ba, Li, Ti, Ni, Nb, Cu, Rb, Zr, V, Mo, Co, and Sc; and less than 10 mt of Cr, Sb, Ce, Ga, Cs, and Y. These results show the fertilising potential of the ashes (e.g., providing Ca and Fe) but also the input of potentially toxic trace elements (e.g., F and As) in the regional geochemical mass balance. The Chaitén results evidence lower potentials for poisoning and fertilising than low silica ashes due to the lower contents released of practically all elements.

7.
Occup Med (Lond) ; 62(1): 60-3, 2012 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-21891779

RESUMO

BACKGROUND: There is limited evidence of the role of working conditions as prognostic factors for non-work-related sickness absence (i.e. absence due to injuries or diseases of non-occupational origin). AIMS: To analyse the association between working conditions and time to return to work (RTW) in workers with long-term (>15 days) non-work-related sickness absence. METHODS: We followed up a total of 655 workers, who completed a baseline questionnaire including physical and psychosocial work factors, until their non-work-related long-term sickness absence ended. Time to RTW was determined based on the health insurance company register. Cox proportional hazard models were constructed to evaluate the associations between working conditions and time to RTW. RESULTS: A self-perceived high level of physical activity at work and work with back twisted or bent were related to longer duration of sickness absence. We did not find any strong evidence of associations between psychosocial work factors and time to RTW, although higher job insecurity and low reward showed marginal statistical significance. CONCLUSIONS: Hazardous physical working conditions are associated with longer duration of non-work-related sickness absence. Workplace ergonomic interventions could conceivably shorten the length of sickness absence that has not originated at work.


Assuntos
Absenteísmo , Licença Médica/estatística & dados numéricos , Carga de Trabalho/estatística & dados numéricos , Feminino , Seguimentos , Humanos , Masculino , Estudos Prospectivos , Fatores de Risco , Autorrelato , Espanha , Tolerância ao Trabalho Programado/psicologia , Local de Trabalho/psicologia
8.
Arch. prev. riesgos labor. (Ed. impr.) ; 13(4): 216-218, oct.-dic. 2010.
Artigo em Espanhol | IBECS | ID: ibc-83377

RESUMO

Objetivos. Cada vez disponemos de más evidencia que demuestra que los niveles altos de justicia son beneficiosos parala salud de los trabajadores, aunque los mecanismos biológicos que explican esta asociación todavía necesitan clarificación.Nuestro objetivo es evaluar si las situaciones de justicia elevada en el trabajo protegen frente al síndrome metabólico.Métodos. Estudio de cohortes prospectivo de 20 departamentos de servicios públicos en Londres (Estudio Whitehall II),en el que se incluyen 6123 hombres y mujeres funcionarios británicos con edades entre 35 y 55 años y sin enfermedad coronariacardiaca prevalente al inicio del seguimiento (1985-1990). La percepción de justicia en el trabajo se determinó medianteun cuestionario en dos ocasiones entre 1985 y 1990. La determinación del síndrome metabólico y sus componentesentre 1999 y 2004 se basó en reconocimientos clínicas en tres ocasiones durante un periodo de más de 18 años.Resultados. Los modelos de riesgo proporcional de Cox ajustados por edad, etnia y categoría profesional demostraronque los hombres que percibían un elevado nivel de justicia en el trabajo tenían menor riesgo de síndrome metabólico incidenteen comparación con los trabajadores experimentando un bajo nivel de justicia (riesgo proporcional RP 0,75; IC95%0,63-0,89). Se obtuvo escasa evidencia de asociación entre la justicia en el trabajo y el síndrome metabólico o sus componentesen las mujeres.Conclusiones. Nuestros hallazgos prospectivos proporcionan evidencia acerca de una asociación entre niveles elevadosde justicia en el trabajo y la aparición de síndrome metabólico en los hombres(AU)


Objectives. Growing evidence shows that high levels of justice are beneficial for employee health, although biologicalmechanisms underlying this association are yet to be clarified. We aim to test whether high justice at work protects againstmetabolic syndrome.Methods. A prospective cohort study of 20 civil service departments in London (the Whitehall II study) including 6123male and female British civil servants aged 35-55 years without prevalent coronary heart disease at baseline (1985-1990).Perceived justice at work was determined by means of questionnaire on two occasions between 1985 and 1990. Follow-upfor metabolic syndrome and its components occurring from 1990 to 2004 was based on clinical assessments on three occasionsover more than 18 years.Results. Cox proportional hazard models adjusted for age, ethnicity and employment grade showed that men who experienceda high level of justice at work had a lower risk of incident metabolic syndrome than employees with a low levelof justice (HR 0.75; 95% CI 0.63 to 0.89). There was little evidence of an association between organisational justice andmetabolic syndrome or its components in women (HR 0.88; 95% CI 0.67 to 1.17).Conclusions. Our prospective findings provide evidence of an association between high levels of justice at work andthe development of metabolic syndrome in men(AU)


Assuntos
Humanos , Justiça Social , Síndrome Metabólica/epidemiologia , Estudos Prospectivos , Fatores de Risco
9.
J Hazard Mater ; 183(1-3): 353-65, 2010 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-20675046

RESUMO

Volcanic ashes from the Puna and surrounding Andean areas in northern Argentina show that sometimes volcanic ash deposits are very well preserved (up to several million years) and can remain a potential hazard for the environment in a similar way as current deposits. Eight ashes have been characterized by SEM-EDX and DRX, and their potential released geochemical fluxes were examined by using water and nitric acid batches, which are analyzed by ICP-OES, ICP-MS and ISE (F). Results demonstrate that water batch system is better medium than nitric acid for this study. The high and fast reactivity of these ancient ashes is mainly associated with their high content in glass. The order of magnitude of released contents of implied elements is consistent among the samples, i.e., Al>B>Fe>Zn>F>P>Mn>Ba>Sr>Li>Ti>Rb>Cu>Ni>Sb>Pb>As>Cr>V. Ash-water interaction, although infrequent in arid regions such as the Puna Region in northern Argentina, introduces rapid changes in the geochemical fluxes of elements and pH and may constitute a potential hazard for the environment. In fact, many of these elements are included in the drinking water guidelines due to their potential toxicity and may constitute potential hazards for the environment and human health.


Assuntos
Poluição Ambiental/análise , Erupções Vulcânicas/análise , Argentina , Técnicas de Química Analítica , Monitoramento Ambiental , Metais/análise , Ácido Nítrico/química , Água/química , Abastecimento de Água
10.
J Epidemiol Community Health ; 64(5): 461-4, 2010 May.
Artigo em Inglês | MEDLINE | ID: mdl-20445214

RESUMO

BACKGROUND: Privatisation and private sector practices have been increasingly applied to the public sector in many industrialised countries. Over the same period, long-term work disability has risen substantially. We examined whether a major organisational change--the transfer of public sector work to executive agencies run on private sector lines--was associated with an increased risk of work disability. METHODS: The study uses self-reported data from the prospective Whitehall II cohort study. Associations between transfer to an executive agency assessed at baseline (1991-1994) and work disability ascertained over a period of approximately 8 years at three follow-up surveys (1995-1996, 1997-1999 and 2001) were examined using Cox proportional hazard models. RESULTS: In age- and sex-adjusted models, risk of work disability was higher among the 1263 employees who were transferred to an executive agency (HR 1.90, 95% CI 1.46 to 2.48) compared with the 3419 employees whose job was not transferred. These findings were robust to additional adjustment for physical and mental health and health behaviours at baseline. CONCLUSIONS: Increased work disability was observed among employees exposed to the transfer of public sector work to executive agencies run on private sector lines. This may highlight an unintentional cost for employees, employers and society.


Assuntos
Avaliação da Deficiência , Emprego/psicologia , Doenças Profissionais/epidemiologia , Inovação Organizacional , Local de Trabalho/psicologia , Pessoal Administrativo/organização & administração , Adulto , Estudos de Coortes , Feminino , Finlândia/epidemiologia , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Profissionais/psicologia , Estudos Prospectivos , Setor Público , Estresse Psicológico/epidemiologia , Estresse Psicológico/psicologia , Tolerância ao Trabalho Programado
11.
Psychol Med ; 40(5): 837-45, 2010 May.
Artigo em Inglês | MEDLINE | ID: mdl-19719898

RESUMO

BACKGROUND: Cognitive performance has been associated with mental and physical health, but it is unknown whether the strength of these associations changes with ageing and with age-related social transitions, such as retirement. We examined whether cognitive performance predicted mental and physical health from midlife to early old age. METHOD: Participants were 5414 men and 2278 women from the Whitehall II cohort study followed for 15 years between 1991 and 2006. The age range included over the follow-up was from 40 to 75 years. Mental health and physical functioning were measured six times using SF-36 subscales. Cognitive performance was assessed three times using five cognitive tests assessing verbal and numerical reasoning, verbal memory, and phonemic and semantic fluency. Socio-economic status (SES) and retirement were included as covariates. RESULTS: High cognitive performance was associated with better mental health and physical functioning. Mental health differences associated with cognitive performance widened with age from 39 to 76 years of age, whereas physical functioning differences widened only between 39 and 60 years and not after 60 years of age. SES explained part of the widening differences in mental health and physical functioning before age 60. Cognitive performance was more strongly associated with mental health in retired than non-retired participants, which contributed to the widening differences after 60 years of age. CONCLUSIONS: The strength of cognitive performance in predicting mental and physical health may increase from midlife to early old age, and these changes may be related to SES and age-related transitions, such as retirement.


Assuntos
Envelhecimento/psicologia , Nível de Saúde , Testes Neuropsicológicos/estatística & dados numéricos , Adulto , Idoso , Estudos de Coortes , Feminino , Humanos , Londres , Estudos Longitudinais , Masculino , Saúde Mental , Pessoa de Meia-Idade , Aposentadoria , Fatores Socioeconômicos , Estatística como Assunto
13.
Occup Environ Med ; 66(11): 772-6, 2009 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-19528047

RESUMO

BACKGROUND: There is mixed evidence on the association between psychosocial work exposures (ie, passive jobs) and physical activity, but previous studies did not take into account the effect of cumulative exposures nor did they examine different trajectories in exposure. We investigated whether exposure to passive jobs, measured three times over an average of 5 years, is associated with leisure-time physical activity (LTPA). METHODS: Data were from working men (n = 4291) and women (n = 1794) aged 35-55 years who participated in the first three phases of the Whitehall II prospective cohort. Exposure to passive jobs was measured at each phase and LTPA at phases 1 and 3. Participants were categorised according to whether or not they worked in a passive job at each phase, leading to a scale ranging from 0 (non-passive job at all three phases) to 3 (passive job at all three phases). Poisson regression with robust variance estimates were used to assess the prevalence ratios of low LTPA. RESULTS: An association was found in men between exposure to passive jobs over 5 years and low LTPA at follow-up, independently of other relevant risk factors. The prevalence ratio for low LTPA in men was 1.16 (95% CI 1.01 to 1.33) times greater for employees with three reports of passive job than for those who had never worked in passive jobs. No association was observed in women. CONCLUSION: This study provides evidence that working in passive jobs may encourage a passive lifestyle in men.


Assuntos
Atividades de Lazer , Atividade Motora , Saúde Ocupacional , Adulto , Métodos Epidemiológicos , Feminino , Humanos , Controle Interno-Externo , Estilo de Vida , Masculino , Pessoa de Meia-Idade , Fatores Sexuais , Estresse Psicológico/fisiopatologia
14.
J Epidemiol Community Health ; 63(9): 688-91, 2009 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-19414444

RESUMO

BACKGROUND: Major research contributions aimed at explaining the association between economic inequality and health have concentrated on the plausibility of the material deprivation and psychosocial factors pathways. However, little work has analysed the reciprocal associations between public policies and inequality and their effect on health. METHODS: A conceptual framework was first proposed explaining how the public policies-inequality feedback can influence health outcomes via material deprivation and psychosocial factors. Then, a critical review of the literature was conducted and an analysis of the health effects of the globalisation-inequality feedback as a case study. RESULTS: Different bodies of evidence seem to give support to the hypothesis of a public policies-inequality feedback influencing health-related outcomes. This seems to be particularly true when considering globalisation policies. Since the widespread adoption of the so-called "Washington Consensus", economic inequalities have sharply increased worldwide. The rise in inequality has, in turn, further consolidated the adoption of these policies through an increasing "democratic deficit". The reciprocal effects of globalisation and inequality have produced adverse health outcomes between and within societies through both material deprivation and psychosocial stress. CONCLUSIONS: Public policies and economic inequality are inextricably interrelated and can affect health through multiple, indirect, reciprocal pathways.


Assuntos
Medicina Baseada em Evidências/economia , Política de Saúde/economia , Nível de Saúde , Internacionalidade , Fatores Socioeconômicos , Humanos
15.
J Epidemiol Community Health ; 63(6): 468-73, 2009 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-19439578

RESUMO

BACKGROUND: Cognitive and physical functions are closely linked in old age, but less is known about this association in midlife. Whether cognitive function predicts physical function and whether physical function predicts cognitive function were assessed in middle-aged men and women. METHODS: Data were from Whitehall II, an ongoing large-scale, prospective occupational cohort study of employees from 20 London-based white-collar Civil Service departments. The participants, 3446 men and 1274 women aged 45-68 years at baseline (1995-1997), had complete data on cognitive performance and physical function at both baseline and follow-up (2002-2004). A composite cognitive score was compiled from the following tests: verbal memory, inductive reasoning (Alice Heim 4-I), verbal meaning (Mill Hill), phonemic and semantic fluency. Physical function was measured using the physical composite score of the short form (SF-36) scale. Average follow-up was 5.4 years. RESULTS: Poor baseline cognitive performance predicted poor physical function at follow-up (beta = 0.08, p<0.001), while baseline physical function did not predict cognitive performance (beta = 0.01, p = 0.67). After full adjustment for sociodemographic, behavioural and biological risk factors, baseline cognitive performance (beta = 0.04 p = 0.009) remained predictive of physical function. CONCLUSION: Despite previous work indicating that the association between physical and cognitive performance may be bidirectional, these findings suggest that, in middle age, the direction of the association is predominantly from poor cognition to poor physical function.


Assuntos
Cognição/fisiologia , Atividade Motora/fisiologia , Adulto , Idoso , Envelhecimento/fisiologia , Envelhecimento/psicologia , Consumo de Bebidas Alcoólicas/epidemiologia , Transtornos Cognitivos/epidemiologia , Transtornos Cognitivos/fisiopatologia , Feminino , Seguimentos , Humanos , Estilo de Vida , Londres/epidemiologia , Masculino , Pessoa de Meia-Idade , Testes Neuropsicológicos , Qualidade de Vida , Fumar/epidemiologia
16.
J Epidemiol Community Health ; 63(1): 24-30, 2009 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-18768568

RESUMO

OBJECTIVE: To examine whether high job strain (a combination of high job demands and low job control) is a risk factor for disability pension. SETTING: Ten municipalities and 21 hospitals in Finland. DESIGN AND PARTICIPANTS: A prospective cohort study of 20 386 female and 4 764 male Finnish public sector employees aged 19-50 using data from two surveys (baseline in 2000-2 and follow-up in 2005) and employers' registers. In addition to self-reported job strain, we computed work unit-aggregated job strain for each participant (the average of scores of all workers of participant's work unit except the participant him/herself). MAIN RESULTS: 93 employees (0.4%) retired because of disability during the follow-up. In multilevel logistic regression analysis adjusted for demographic characteristics and health risk behaviour, odds for disability pension was 2.60 (95% CI 1.26 to 5.34) times higher for employees with high self-assessed job strain than for those with low self-assessed job strain at baseline. The corresponding OR for passive job versus low job strain was 2.82 (95% CI 1.34 to 5.96). Analysis of work unit-aggregated scores replicated the association for high job strain, OR 2.25 (95% CI 1.17 to 4.35), but not that for passive job. The association between work unit job strain and disability pension remained significant after further adjustment for prevalent diseases, psychological distress and perceived health status. CONCLUSIONS: Job strain is associated with risk of subsequent disability pension. If causal, this association suggests that organisational interventions to reduce job strain may also reduce early exit from work.


Assuntos
Emprego/psicologia , Doenças Profissionais/epidemiologia , Pensões/estatística & dados numéricos , Aposentadoria/estatística & dados numéricos , Estresse Psicológico/epidemiologia , Absenteísmo , Adulto , Feminino , Finlândia/epidemiologia , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Profissionais/psicologia , Estudos Prospectivos , Setor Público/estatística & dados numéricos , Fatores de Risco , Licença Médica/estatística & dados numéricos , Estresse Psicológico/psicologia , Tolerância ao Trabalho Programado , Carga de Trabalho/psicologia
17.
Psychol Med ; 39(3): 413-23, 2009 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-18533059

RESUMO

BACKGROUND: A lack of longitudinal studies has made it difficult to establish the direction of associations between circulating concentrations of low-grade chronic inflammatory markers, such as C-reactive protein and interleukin-6, and cognitive symptoms of depression. The present study sought to assess whether C-reactive protein and interleukin-6 predict cognitive symptoms of depression or whether these symptoms predict inflammatory markers. METHOD: In a prospective occupational cohort study of British white-collar civil servants (the Whitehall II study), serum C-reactive protein, interleukin-6 and cognitive symptoms of depression were measured at baseline in 1991-1993 and at follow-up in 2002-2004, an average follow-up of 11.8 years. Symptoms of depression were measured with four items describing cognitive symptoms of depression from the General Health Questionnaire. The number of participants varied between 3339 and 3070 (mean age 50 years, 30% women) depending on the analysis. RESULTS: Baseline C-reactive protein (beta=0.046, p=0.004) and interleukin-6 (beta=0.046, p=0.005) predicted cognitive symptoms of depression at follow-up, while baseline symptoms of depression did not predict inflammatory markers at follow-up. After full adjustment for sociodemographic, behavioural and biological risk factors, health conditions, medication use and baseline cognitive systems of depression, baseline C-reactive protein (beta=0.038, p=0.036) and interleukin-6 (beta=0.041, p=0.018) remained predictive of cognitive symptoms of depression at follow-up. CONCLUSIONS: These findings suggest that inflammation precedes depression at least with regard to the cognitive symptoms of depression.


Assuntos
Proteína C-Reativa/análise , Transtornos Cognitivos/sangue , Transtorno Depressivo/sangue , Interleucina-6/sangue , Biomarcadores/sangue , Transtornos Cognitivos/diagnóstico , Estudos de Coortes , Transtorno Depressivo/diagnóstico , Feminino , Seguimentos , Nível de Saúde , Humanos , Inflamação/sangue , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Testes Neuropsicológicos , Inquéritos e Questionários
18.
Occup Environ Med ; 66(1): 63-7, 2009 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-18805879

RESUMO

OBJECTIVE: In Spain, sick pay benefits for work-related sick leave episodes are higher than for non-work-related episodes. Our aim is to assess whether time to return to work is longer for higher paid sick leave episodes than for lower paid episodes. METHODS: We used data from 62,376 work-related and 76,932 non-work-related sick leave episodes occurring among 338,226 workers from 56,099 companies in Spain in 2002. All episodes were followed for up to 18 months. Episodes were classified by a physician as being work- or non-work-related according to medico-legal judgments. The median episode duration and the 25th and 75th percentiles were calculated. The probability of remaining absent from work was estimated by a non-parametric estimator of the marginal survival function. The time ratio between both types of sick leave was estimated by a log-logistic regression model, using non-work-related episodes as the reference. RESULTS: Median episode duration (25th-75th percentiles) was 11 (6-21) days for work-related episodes and 9 (4-29) days for non-work-related episodes. Time to return to work was longer for work-related episodes than for non-work-related episodes of less than 16 days (time ratio: 1.19 in men and 1.08 in women), while the opposite was observed for episodes of more than 15 days (0.58 in men and 0.40 in women). CONCLUSIONS: Sick pay benefits have a limited effect on time to return to work after a sick leave episode.


Assuntos
Doenças Profissionais/reabilitação , Licença Médica/estatística & dados numéricos , Feminino , Humanos , Masculino , Estudos Retrospectivos , Previdência Social , Espanha , Fatores de Tempo
19.
Occup Environ Med ; 66(1): 32-7, 2009 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-18805883

RESUMO

OBJECTIVES: A high-strain job (a combination of high job demands and low job control) is expected to increase the risk of health problems, whereas an active job (high demands and high control) can be hypothesised to be associated with a greater capacity to learn. We tested associations between high-strain and active jobs and cognitive function in middle-aged men and women. METHODS: Data on 4146 British civil servants (2989 men and 1157 women) aged 35-55 years at baseline came from the Whitehall II study. Cumulative exposure to both high-strain and active jobs was assessed at phases 1 (1985-1988), 2 (1989-1990) and 3 (1991-1993). Cognitive performance was assessed at phases 5 (1997-1999) and 7 (2003-2004) using the following tests: verbal memory, inductive reasoning (Alice Heim), verbal meaning (Mill Hill), phonemic and semantic fluency. Analyses were adjusted for age, sex and employment grade. RESULTS: Longer exposure to high job strain and shorter exposure to active jobs were associated with lower scores in most of the cognitive performance tests. However, these associations disappeared on adjustment for employment grade. Phonemic fluency was an exception to this pattern. Associations between exposure to an active job and phonemic fluency at both follow-up phases were robust to adjustment for employment grade. However, there was no association between exposure to active jobs and change in phonemic fluency score between the follow-up phases after adjustment for employment grade. CONCLUSIONS: In these data, associations between cumulative exposure to high-strain or active jobs and cognition are largely explained by socioeconomic position.


Assuntos
Cognição , Controle Interno-Externo , Doenças Profissionais/psicologia , Estresse Psicológico/psicologia , Adulto , Feminino , Humanos , Aprendizagem , Londres/epidemiologia , Masculino , Pessoa de Meia-Idade , Testes Neuropsicológicos , Doenças Profissionais/epidemiologia , Exposição Ocupacional , Classe Social , Estresse Psicológico/epidemiologia
20.
Int J Epidemiol ; 37(2): 290-8, 2008 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-18056120

RESUMO

BACKGROUND: It is unclear when in the life course do social inequalities in inflammation emerge. We examined whether the association between socioeconomic position (SEP) and C-reactive protein (CRP) is determined at conception, in childhood, adolescence or adulthood in 1484 participants from the population-based Cardiovascular Risk in Young Finns Study. METHODS: Five variants of the CRP gene were used to investigate whether SEP differences in CRP levels are determined at conception. SEP and serum CRP were assessed in childhood (age 3-9), adolescence (age 12-18) and in adulthood (age 24-39). SEP was measured using parental education and occupational status in childhood and adolescence, and participants' own education and occupational status in adulthood. Participants with CRP > 10 mg/l were excluded. RESULTS: All CRP gene variants were associated with circulating CRP concentrations in childhood, but there were no differences in the distribution of these variants by SEP. No strong evidence was found of associations between parental SEP and CRP. A graded association between higher SEP and lower CRP was observed in adulthood for education (P = 0.0005) but not for occupational status. Trajectories that led to high educational achievement both in the participants and their parents were associated with lower (P

Assuntos
Proteína C-Reativa/análise , Doenças Cardiovasculares/imunologia , Classe Social , Adolescente , Adulto , Fatores Etários , Biomarcadores/sangue , Proteína C-Reativa/genética , Doenças Cardiovasculares/etnologia , Criança , Pré-Escolar , Escolaridade , Feminino , Finlândia , Humanos , Masculino , Ocupações , Polimorfismo Genético , Gravidez , Estudos Prospectivos , Fatores de Risco , População Branca
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