The first large study showing that leisure time physical
activity and occupational physical activity have opposite,
and independent, associations with cardiovascular disease
risk and longevity. The World Health Organization (WHO)
recommends physical activity during both recreation and work
to improve health. Previous studies have suggested that
occupational activity is related to an increased risk for
heart disease and mortality but have been too small to fully
explain whether this was due to the manual work or because
employees had unhealthy lifestyles or low socioeconomic
status . Participants completed questionnaires about
activity during leisure and employment and were categorised
as low, moderate, high, or very high activity for each.
During a median follow-up of 10 years, there were 9,846
(9.5%) deaths from all causes and 7,913 (7.6%) major adverse
cardiovascular events (MACE, defined as fatal and nonfatal
myocardial infarction, fatal and non-fatal stroke, and other
coronary death).Compared to low leisure time physical
activity, after adjustment for age, sex, lifestyle, health,
and education, moderate, high, and very high activity were
associated with 26%, 41%, and 40% reduced risks of early
death, respectively. In contrast, compared to low work
activity, high and very high activity were associated with
13% and 27% increased risks of death, respectively.
Similarly, after adjustments, compared to low leisure
activity, moderate, high, and very high levels of leisure
activity were associated with 14%, 23%, and 15% reduced
risks of MACE, respectively. Compared to low work activity,
high and very high levels were associated with 15% and 35%
increased risks of MACE, respectively. Work activity often
does not sufficiently increase heart rate to improve
fitness. In addition, work involving lifting for several
hours a day increases blood pressure for many hours, which
is linked with heart disease risk, while short bursts of
intense physical activity during leisure raises blood
pressure only briefly. |