Effects of six month personalized endurance training on work ability in middle-aged sedentary women: a secondary analysis of a randomized controlled trial

Abstract Background To test the effects of guided endurance training on work ability in middle-aged female hospital workers of various occupations. Methods We randomized 265 healthy, sedentary, middle-aged women (45–65 years) to an endurance training group (EG 210 min/week) or a wait-list control gr...

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Main Authors: Hedwig T. Stenner, Julian Eigendorf, Arno Kerling, Momme Kueck, Alexander A. Hanke, Johanna Boyen, Anne-Katrin Nelius, Anette Melk, Dietmar Boethig, Christoph Bara, Andres Hilfiker, Dominik Berliner, Johann Bauersachs, Denise Hilfiker-Kleiner, Jörg Eberhard, Meike Stiesch, Cordula Schippert, Axel Haverich, Uwe Tegtbur, Sven Haufe
Format: Article
Language:English
Published: BMC 2020-05-01
Series:Journal of Occupational Medicine and Toxicology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12995-020-00261-4
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author Hedwig T. Stenner
Julian Eigendorf
Arno Kerling
Momme Kueck
Alexander A. Hanke
Johanna Boyen
Anne-Katrin Nelius
Anette Melk
Dietmar Boethig
Christoph Bara
Andres Hilfiker
Dominik Berliner
Johann Bauersachs
Denise Hilfiker-Kleiner
Jörg Eberhard
Meike Stiesch
Cordula Schippert
Axel Haverich
Uwe Tegtbur
Sven Haufe
author_facet Hedwig T. Stenner
Julian Eigendorf
Arno Kerling
Momme Kueck
Alexander A. Hanke
Johanna Boyen
Anne-Katrin Nelius
Anette Melk
Dietmar Boethig
Christoph Bara
Andres Hilfiker
Dominik Berliner
Johann Bauersachs
Denise Hilfiker-Kleiner
Jörg Eberhard
Meike Stiesch
Cordula Schippert
Axel Haverich
Uwe Tegtbur
Sven Haufe
author_sort Hedwig T. Stenner
collection DOAJ
description Abstract Background To test the effects of guided endurance training on work ability in middle-aged female hospital workers of various occupations. Methods We randomized 265 healthy, sedentary, middle-aged women (45–65 years) to an endurance training group (EG 210 min/week) or a wait-list control group (CG). At baseline and at 6-month follow-up, we assessed work ability (Work Ability Index [WAI]), physical activity (Freiburger activity questionnaire) and peak oxygen uptake (VO2peak) by cardiopulmonary exercise testing. To examine the influence of baseline work ability, participants were divided into poor-moderate (WAI 1, 7–36 points, n = 83), good (WAI 2, 37–43 points, n = 136) and excellent (WAI 3, 44–49 points, n = 46) WAI subgroups. Results Cardiorespiratory fitness improved significantly after 6 months in the EG but not in the CG. The WAI total score increased significantly in the EG (38.3 ± 5.0 to 39.8 ± 4.9 points) but not in the CG (39.4 ± 4.7 to 39.3 ± 4.9 points), with a significant difference between groups (p < 0.01). In the EG, only the poor-moderate subgroup (WAI 1, 33.0 ± 2.9 to 36.6 ± 4.8 points, p < 0.05) increased the WAI total score, with this increase being significantly higher compared to the good (WAI 2, 40.2 ± 2.1 to, 40.4 ± 3.7 points) and excellent (WAI 3, 45.6 ± 1.5 to 45.7 ± 1.8 points) subgroup. Conclusions A 6-month guided exercise training intervention significantly increases cardiorespiratory fitness with concomitant improvements in work ability in middle-aged previously sedentary hospital employees. Women with low baseline work ability seem to particularly benefit from the intervention, which implies that similar interventions may be particularly beneficial for this group of individuals. Trial registration German Clinical Trails Register Identifier: DRKS00005159 . Registered 25 September 2013.
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spelling doaj.art-4996c1a5b14c4d589bce432f6c01f7d12022-12-22T04:01:19ZengBMCJournal of Occupational Medicine and Toxicology1745-66732020-05-0115111010.1186/s12995-020-00261-4Effects of six month personalized endurance training on work ability in middle-aged sedentary women: a secondary analysis of a randomized controlled trialHedwig T. Stenner0Julian Eigendorf1Arno Kerling2Momme Kueck3Alexander A. Hanke4Johanna Boyen5Anne-Katrin Nelius6Anette Melk7Dietmar Boethig8Christoph Bara9Andres Hilfiker10Dominik Berliner11Johann Bauersachs12Denise Hilfiker-Kleiner13Jörg Eberhard14Meike Stiesch15Cordula Schippert16Axel Haverich17Uwe Tegtbur18Sven Haufe19Institute of Sports Medicine, Hannover Medical SchoolInstitute of Sports Medicine, Hannover Medical SchoolInstitute of Sports Medicine, Hannover Medical SchoolInstitute of Sports Medicine, Hannover Medical SchoolInstitute of Sports Medicine, Hannover Medical SchoolInstitute of Sports Medicine, Hannover Medical SchoolInstitute of Sports Medicine, Hannover Medical SchoolDepartment of Pediatric Kidney, Liver and Metabolic Diseases, Hannover Medical SchoolDepartment of Cardiac, Thoracic, Transplantation and Vascular Surgery, Hannover Medical SchoolDepartment of Cardiac, Thoracic, Transplantation and Vascular Surgery, Hannover Medical SchoolDepartment of Cardiac, Thoracic, Transplantation and Vascular Surgery, Hannover Medical SchoolDepartment of Cardiology and Angiology, Hannover Medical SchoolDepartment of Cardiology and Angiology, Hannover Medical SchoolDepartment of Cardiology and Angiology, Hannover Medical SchoolDepartment of Prosthetic Dentistry and Biomedical Material Sciences, Hannover Medical SchoolDepartment of Prosthetic Dentistry and Biomedical Material Sciences, Hannover Medical SchoolDepartment of Obstetrics and Gynecology, Hannover Medical SchoolDepartment of Cardiac, Thoracic, Transplantation and Vascular Surgery, Hannover Medical SchoolInstitute of Sports Medicine, Hannover Medical SchoolInstitute of Sports Medicine, Hannover Medical SchoolAbstract Background To test the effects of guided endurance training on work ability in middle-aged female hospital workers of various occupations. Methods We randomized 265 healthy, sedentary, middle-aged women (45–65 years) to an endurance training group (EG 210 min/week) or a wait-list control group (CG). At baseline and at 6-month follow-up, we assessed work ability (Work Ability Index [WAI]), physical activity (Freiburger activity questionnaire) and peak oxygen uptake (VO2peak) by cardiopulmonary exercise testing. To examine the influence of baseline work ability, participants were divided into poor-moderate (WAI 1, 7–36 points, n = 83), good (WAI 2, 37–43 points, n = 136) and excellent (WAI 3, 44–49 points, n = 46) WAI subgroups. Results Cardiorespiratory fitness improved significantly after 6 months in the EG but not in the CG. The WAI total score increased significantly in the EG (38.3 ± 5.0 to 39.8 ± 4.9 points) but not in the CG (39.4 ± 4.7 to 39.3 ± 4.9 points), with a significant difference between groups (p < 0.01). In the EG, only the poor-moderate subgroup (WAI 1, 33.0 ± 2.9 to 36.6 ± 4.8 points, p < 0.05) increased the WAI total score, with this increase being significantly higher compared to the good (WAI 2, 40.2 ± 2.1 to, 40.4 ± 3.7 points) and excellent (WAI 3, 45.6 ± 1.5 to 45.7 ± 1.8 points) subgroup. Conclusions A 6-month guided exercise training intervention significantly increases cardiorespiratory fitness with concomitant improvements in work ability in middle-aged previously sedentary hospital employees. Women with low baseline work ability seem to particularly benefit from the intervention, which implies that similar interventions may be particularly beneficial for this group of individuals. Trial registration German Clinical Trails Register Identifier: DRKS00005159 . Registered 25 September 2013.http://link.springer.com/article/10.1186/s12995-020-00261-4Physical activityWorkplace interventionWork ability indexSubgroups
spellingShingle Hedwig T. Stenner
Julian Eigendorf
Arno Kerling
Momme Kueck
Alexander A. Hanke
Johanna Boyen
Anne-Katrin Nelius
Anette Melk
Dietmar Boethig
Christoph Bara
Andres Hilfiker
Dominik Berliner
Johann Bauersachs
Denise Hilfiker-Kleiner
Jörg Eberhard
Meike Stiesch
Cordula Schippert
Axel Haverich
Uwe Tegtbur
Sven Haufe
Effects of six month personalized endurance training on work ability in middle-aged sedentary women: a secondary analysis of a randomized controlled trial
Journal of Occupational Medicine and Toxicology
Physical activity
Workplace intervention
Work ability index
Subgroups
title Effects of six month personalized endurance training on work ability in middle-aged sedentary women: a secondary analysis of a randomized controlled trial
title_full Effects of six month personalized endurance training on work ability in middle-aged sedentary women: a secondary analysis of a randomized controlled trial
title_fullStr Effects of six month personalized endurance training on work ability in middle-aged sedentary women: a secondary analysis of a randomized controlled trial
title_full_unstemmed Effects of six month personalized endurance training on work ability in middle-aged sedentary women: a secondary analysis of a randomized controlled trial
title_short Effects of six month personalized endurance training on work ability in middle-aged sedentary women: a secondary analysis of a randomized controlled trial
title_sort effects of six month personalized endurance training on work ability in middle aged sedentary women a secondary analysis of a randomized controlled trial
topic Physical activity
Workplace intervention
Work ability index
Subgroups
url http://link.springer.com/article/10.1186/s12995-020-00261-4
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