Frailty is a risk factor for occupational falls among older workers: an internet-based prospective cohort study.

IF 2.6 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Occupational Health Pub Date : 2024-10-28 DOI:10.1093/joccuh/uiae065

Ryutaro Matsugaki, Yoshihisa Fujino, Masayoshi Zaitsu, Satoru Saeki, Shinya Matsuda, Akira Ogami

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Abstract

Objective: Occupational falls are a significant concern among older workers. Although recent cross-sectional studies have indicated a potential association between frailty and occupational falls among older workers, the causal relationship remains unclear. This longitudinal study aimed to investigate whether frailty is a risk factor for occupational falls among older workers using a longitudinal design.

Methods: This was an Internet-based prospective cohort study. A total of 5,000 older workers (aged 60-75 years) were recruited, with 2,873 participants meeting the inclusion criteria for the follow-up survey. Frailty was assessed using a frailty screening index based on the Fried phenotype model. Occupational falls were defined as those that occurred during the follow-up period.

Results: Among the participants, 13.9% were frail. The incidence of occupational falls was higher in the frailty group (11.6%) than that in the non-frailty group (4.9%). In the multivariate-adjusted model, frailty was significantly associated with occupational falls (relative risk: 2.10, 95% confidential interval: 1.51-2.94).

Conclusion: Frailty is a significant risk factor for occupational falls among older workers. Employers should consider implementing health-management strategies that focus on frailty to prevent occupational falls in this population.

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虚弱是老年工人职业性跌倒的风险因素：一项基于互联网的前瞻性队列研究。

目的：职业性跌倒是老年工人的一个重大问题。尽管最近的横断面研究表明，老年工人的体弱与职业性跌倒之间存在潜在联系，但其中的因果关系仍不清楚。这项纵向研究旨在通过纵向设计调查体弱是否是老年工人职业性跌倒的风险因素：这是一项基于互联网的前瞻性队列研究。共招募了 5000 名老年工人（年龄在 60-75 岁之间），其中 2873 人符合后续调查的纳入标准。根据弗里德表型模型，采用虚弱筛查指数对虚弱程度进行评估。职业性跌倒是指在随访期间发生的跌倒：结果：参与者中有 13.9% 的人体质虚弱。体弱组的职业性跌倒发生率（11.6%）高于非体弱组（4.9%）。在多变量调整模型中，体弱与职业性跌倒显著相关（相对风险：2.10，95% 置信区间：1.51-2.94）：结论：体弱是老年工人职业性跌倒的一个重要风险因素。雇主应考虑实施以虚弱为重点的健康管理策略，以防止该人群发生职业性跌倒。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Occupational Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

3.30%

发文量

审稿时长

6-12 weeks

期刊介绍： The scope of the journal is broad, covering toxicology, ergonomics, psychosocial factors and other relevant health issues of workers, with special emphasis on the current developments in occupational health. The JOH also accepts various methodologies that are relevant to investigation of occupational health risk factors and exposures, such as large-scale epidemiological studies, human studies employing biological techniques and fundamental experiments on animals, and also welcomes submissions concerning occupational health practices and related issues.