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Feeling vigorous and the risks of all-cause mortality, ischemic heart disease, and diabetes: a 20-year follow-up of healthy employees.
Psychosom Med. 2010 Oct; 72(8):727-33.PM

Abstract

OBJECTIVE

To investigate prospectively the effects of vigor at work on the end points of mortality and the prevalence of ischemic heart disease (IHD) and diabetes.

METHODS

We tested the hypothesized beneficial effects of feeling vigorous at work at baseline on the risks of all-cause mortality, IHD, and diabetes during a 20-year follow-up. Participants were healthy employees (n = 968) who underwent a routine health check at baseline. We calculated the risk of all-cause mortality, IHD, and diabetes, with days as the time scale, using the Cox proportional hazard model. In our analyses, we predicted the above end points by baseline vigor, age, gender, and educational level, adjusting for the physiological risk factors of total cholesterol, glucose, and body mass index, the behavioral risk factors of smoking, alcohol intake, and physical activity, and the psychological risk factors of depressive and anxiety symptoms.

RESULTS

As hypothesized, we found that, after the above adjustments, baseline vigor decreased the risk of follow-up mortality by 26% (hazard ratio, 0.74; 95% confidence interval, 0.58-0.95) and the risk of diabetes by 17% (hazard ratio, 0.83; 95% confidence interval, 0.68-0.98). However, vigor did not have a significant effect on the risk of IHD.

CONCLUSIONS

Independently of physiological, behavioral, and psychological risk factors, feeling vigorous at work protected the participants from diabetes and reduced their risk of mortality.

Authors+Show Affiliations

Faculty of Management, Tel Aviv University, Ramat Aviv, Tel Aviv 69978, Israel. ashirom@post.tau.ac.ilNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

20716713

Citation

Shirom, Arie, et al. "Feeling Vigorous and the Risks of All-cause Mortality, Ischemic Heart Disease, and Diabetes: a 20-year Follow-up of Healthy Employees." Psychosomatic Medicine, vol. 72, no. 8, 2010, pp. 727-33.
Shirom A, Toker S, Jacobson O, et al. Feeling vigorous and the risks of all-cause mortality, ischemic heart disease, and diabetes: a 20-year follow-up of healthy employees. Psychosom Med. 2010;72(8):727-33.
Shirom, A., Toker, S., Jacobson, O., & Balicer, R. D. (2010). Feeling vigorous and the risks of all-cause mortality, ischemic heart disease, and diabetes: a 20-year follow-up of healthy employees. Psychosomatic Medicine, 72(8), 727-33. https://doi.org/10.1097/PSY.0b013e3181eeb643
Shirom A, et al. Feeling Vigorous and the Risks of All-cause Mortality, Ischemic Heart Disease, and Diabetes: a 20-year Follow-up of Healthy Employees. Psychosom Med. 2010;72(8):727-33. PubMed PMID: 20716713.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Feeling vigorous and the risks of all-cause mortality, ischemic heart disease, and diabetes: a 20-year follow-up of healthy employees. AU - Shirom,Arie, AU - Toker,Sharon, AU - Jacobson,Orit, AU - Balicer,Ran D, Y1 - 2010/08/17/ PY - 2010/8/19/entrez PY - 2010/8/19/pubmed PY - 2010/11/6/medline SP - 727 EP - 33 JF - Psychosomatic medicine JO - Psychosom Med VL - 72 IS - 8 N2 - OBJECTIVE: To investigate prospectively the effects of vigor at work on the end points of mortality and the prevalence of ischemic heart disease (IHD) and diabetes. METHODS: We tested the hypothesized beneficial effects of feeling vigorous at work at baseline on the risks of all-cause mortality, IHD, and diabetes during a 20-year follow-up. Participants were healthy employees (n = 968) who underwent a routine health check at baseline. We calculated the risk of all-cause mortality, IHD, and diabetes, with days as the time scale, using the Cox proportional hazard model. In our analyses, we predicted the above end points by baseline vigor, age, gender, and educational level, adjusting for the physiological risk factors of total cholesterol, glucose, and body mass index, the behavioral risk factors of smoking, alcohol intake, and physical activity, and the psychological risk factors of depressive and anxiety symptoms. RESULTS: As hypothesized, we found that, after the above adjustments, baseline vigor decreased the risk of follow-up mortality by 26% (hazard ratio, 0.74; 95% confidence interval, 0.58-0.95) and the risk of diabetes by 17% (hazard ratio, 0.83; 95% confidence interval, 0.68-0.98). However, vigor did not have a significant effect on the risk of IHD. CONCLUSIONS: Independently of physiological, behavioral, and psychological risk factors, feeling vigorous at work protected the participants from diabetes and reduced their risk of mortality. SN - 1534-7796 UR - https://www.unboundmedicine.com/medline/citation/20716713/Feeling_vigorous_and_the_risks_of_all_cause_mortality_ischemic_heart_disease_and_diabetes:_a_20_year_follow_up_of_healthy_employees_ L2 - http://dx.doi.org/10.1097/PSY.0b013e3181eeb643 DB - PRIME DP - Unbound Medicine ER -