Changes in physical activity during transition to retirement: a cohort study

Sari Stenholm, Anna Pulakka, Ichiro Kawachi, Tuula Oksanen, Jaana I Halonen, Ville Aalto, Mika Kivimäki, Jussi Vahtera, Sari Stenholm, Anna Pulakka, Ichiro Kawachi, Tuula Oksanen, Jaana I Halonen, Ville Aalto, Mika Kivimäki, Jussi Vahtera

Abstract

Background: Retirement is a major life transition which may affect lifestyle. The aim of this study is to examine within-individual changes in physical activity during the transition from full-time work to retirement.

Methods: The study population consisted of 9,488 Finnish public-sector employees who retired in 2000-2011 and who reported their leisure-time and commuting physical activity before and after retirement. On average, participants provided data at 3.6 (of the four) repeat examinations during 10 years before and 10 years after the retirement. Physical activity was self-reported and was expressed as weekly metabolic equivalent task (MET) hours. Generalized estimating equations were used to examine physical activity trajectories around retirement.

Results: Among participants entering to statutory retirement physical activity first increased by 1.81 MET-hours (95% confidence interval [CI] 1.20 to 2.42) during 4-year retirement transition, but then decreased by -1.80 MET hours (95% CI -2.83 to -0.79) during the subsequent post-retirement period. Older retirement age, higher occupational status and fewer chronic diseases were associated with greater increase in physical activity during transition to statutory retirement.

Conclusions: Statutory retirement appears to be associated with a temporary increase in physical activity. Future research should examine ways to maintain the increased activity level after retirement.

Keywords: Aging; Cohort Study; Physical activity; Retirement.

Figures

Fig. 1
Fig. 1
Physical activity trajectories during retirement transition by retirement type. Adjusted for retirement age, sex and occupational status. Legends: Black line: statutory retirement; dashed black line: part-time retirement and gray line: disability retirement. a Average weekly MET hours, b Average hours of moderate-level physical activity, c Average hours of vigorous physical activity, d Proportion of physically inactive

References

    1. Oeppen J, Vaupel JW. Demography. Broken limits to life expectancy. Science. 2002;296(5570):1029–31. doi: 10.1126/science.1069675.
    1. Ekerdt DJ. Frontiers of research on work and retirement. J Gerontol B Psychol Sci Soc Sci. 2010;65B(1):69–80. doi: 10.1093/geronb/gbp109.
    1. Behncke S. Does retirement trigger ill health? Health Econ. 2012;21(3):282–300. doi: 10.1002/hec.1712.
    1. World Health Organization . Global recommendations on physical activity for health. Geneva: WHO Press; 2010. p. 10.
    1. Hupin D, Roche F, Gremeaux V, Chatard JC, Oriol M, Gaspoz JM, et al. Even a low-dose of moderate-to-vigorous physical activity reduces mortality by 22% in adults aged >/=60 years: a systematic review and meta-analysis. Br J Sports Med. 2015;49(19):1262–7. doi: 10.1136/bjsports-2014-094306.
    1. Barnett I, van Sluijs EM, Ogilvie D. Physical activity and transitioning to retirement: a systematic review. Am J Prev Med. 2012;43(3):329–36. doi: 10.1016/j.amepre.2012.05.026.
    1. Barnett I, van Sluijs E, Ogilvie D, Wareham NJ. Changes in household, transport and recreational physical activity and television viewing time across the transition to retirement: longitudinal evidence from the EPIC-Norfolk cohort. J Epidemiol Commun H. 2014;68(8):747–53. doi: 10.1136/jech-2013-203225.
    1. Sjösten N, Kivimäki M, Singh-Manoux A, Ferrie JE, Goldberg M, Zins M, et al. Change in physical activity and weight in relation to retirement: the French GAZEL Cohort Study. BMJ open. 2012;2:e000522–2011. doi: 10.1136/bmjopen-2011-000522.
    1. Lahti J, Laaksonen M, Lahelma E, Rahkonen O. Changes in leisure-time physical activity after transition to retirement: a follow-up study. Int J Behav Nutr Phys Act. 2011;8:36. doi: 10.1186/1479-5868-8-36.
    1. Koeneman MA, Chinapaw MJ, Verheijden MW, van Tilburg TG, Visser M, Deeg DJ, et al. Do major life events influence physical activity among older adults: the Longitudinal Aging Study Amsterdam. Int J Behav Nutr Phys Act. 2012;9:147. doi: 10.1186/1479-5868-9-147.
    1. Sjösten N, Vahtera J, Salo P, Oksanen T, Saaresranta T, Virtanen M, et al. Increased risk of lost workdays prior to the diagnosis of sleep apnea. Chest. 2009;136(1):130–6. doi: 10.1378/chest.08-2201.
    1. Suoyrjö H, Oksanen T, Hinkka K, Kivimäki M, Klaukka T, Pentti J, et al. The effectiveness of vocationally oriented multidisciplinary intervention on sickness absence and early retirement among employees at risk: an observational study. Occup Environ Med. 2009;66(4):235–42. doi: 10.1136/oem.2007.038067.
    1. OECD . Sickness, disability and work: breaking the barriers. 2010.
    1. Kujala UM, Kaprio J, Sarna S, Koskenvuo M. Relationship of leisure-time physical activity and mortality: the Finnish twin cohort. JAMA. 1998;279(6):440–4. doi: 10.1001/jama.279.6.440.
    1. Ainsworth BE, Haskell WL, Herrmann SD, Meckes N, Bassett DR, Jr, Tudor-Locke C, et al. Compendium of physical activities: a second update of codes and MET values. Med Sci Sport Exer. 2011;43(8):1575–81. doi: 10.1249/MSS.0b013e31821ece12.
    1. Kouvonen A, Vahtera J, Oksanen T, Pentti J, Väänänen AK, Heponiemi T, et al. Chronic workplace stress and insufficient physical activity: a cohort study. Occup Environ Med. 2013;70(1):3–8. doi: 10.1136/oemed-2012-100808.
    1. Finland S. Classification of occupations. 2001.
    1. World Health Organization . Obesity: preventing and managing the global epidemic. Report of a WHO Consultation. Geneva: WHO Technical Report Series 894; 2000.
    1. World Health Organization . International guide for monitoring alcohol consumption and related harm. 2000.
    1. Zeger SL, Liang KY. Longitudinal data analysis for discrete and continuous outcomes. Biometrics. 1986;42:121–30. doi: 10.2307/2531248.
    1. Diggle PJ, Liang KY, Zeger SL. Analysis of longitudinal data. Oxford: Oxford University Press; 1994.
    1. Baxter S, Johnson M, Payne N, Buckley-Woods H, Blank L, Hock E, et al. Promoting and maintaining physical activity in the transition to retirement: a systematic review of interventions for adults around retirement age. Int J Behav Nutr Phys Act. 2016;13(1):12. doi: 10.1186/s12966-016-0336-3.
    1. Westerlund H, Kivimäki M, Singh-Manoux A, Melchior M, Ferrie JE, Pentti J, et al. Self-rated health before and after retirement in France (GAZEL): a cohort study. Lancet. 2009;374(9705):1889–96. doi: 10.1016/S0140-6736(09)61570-1.
    1. Oksanen T, Vahtera J, Westerlund H, Pentti J, Sjösten N, Virtanen M, et al. Is retirement beneficial for mental health?: antidepressant use before and after retirement. Epidemiology. 2011;22(4):553–9. doi: 10.1097/EDE.0b013e31821c41bd.
    1. Sjösten N, Nabi H, Westerlund H, Singh-Manoux A, Dartigues JF, Goldberg M, et al. Influence of retirement and work stress on headache prevalence: a longitudinal modelling study from the GAZEL Cohort Study. Cephalalgia. 2011;31(6):696–705. doi: 10.1177/0333102410394677.
    1. Donaldson SI, Grant-Vallone EJ. Understanding self-reported bias in organizational behavior research. J Bus Psychol. 2002;17:245–60. doi: 10.1023/A:1019637632584.
    1. Shiroma EJ, Freedson PS, Trost SG, Lee IM. Patterns of accelerometer-assessed sedentary behavior in older women. JAMA. 2013;310(23):2562–3. doi: 10.1001/jama.2013.278896.
    1. Sabia S, van Hees VT, Shipley MJ, Trenell MI, Hagger-Johnson G, Elbaz A, et al. Association between questionnaire- and accelerometer-assessed physical activity: the role of sociodemographic factors. Am J Epidemiol. 2014;179(6):781–90. doi: 10.1093/aje/kwt330.
    1. Troiano RP, McClain JJ, Brychta RJ, Chen KY. Evolution of accelerometer methods for physical activity research. Brit J Sport Med. 2014;48(13):1019–23. doi: 10.1136/bjsports-2014-093546.
    1. Koskinen S, Lundqvist A, Ristiluoma N. Health, functional capacity and welfare in Finland in 2011 (in Finnish with English abstract) Helsinki: National Institute for Health and Welfare (THL), Report 68/2012; 2012.

Source: PubMed

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