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Assessing physiological response mechanisms and the role of psychosocial job resources in the physical activity health paradox : study protocol for the Flemish Employees' Physical Activity (FEPA) study

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Abstract
Background: In the current labour system many workers are still exposed to heavy physical demands during their job. In contrast to leisure time physical activity (LTPA), occupational physical activity (OPA) is associated with an increased risk of cardiovascular diseases and all-cause mortality, termed the physical activity (PA) health paradox. In order to gain more insight into the PA health paradox, an exploration of structural preventive measures at the workplace is needed and therefore objective field measurements are highly recommended. The objective of this paper is to provide an overview of the protocol of the Flemish Employees' Physical Activity (FEPA) study, including objective measurements of PA, heart rate (HR) and cardiorespiratory fitness (CRF) to gain more insight into the PA health paradox. Methods: A total of 401 workers participated in the FEPA study across seven companies in the service and production sector in Belgium. The participants comprised 167 men and 234 women, aged 20 to 65years. OPA and LTPA were assessed by two Axivity AX3 accelerometers on the thigh and upper back. Ambulatory HR was measured by the Faros eMotion 90 degrees monitor. Both devices were worn during two to four consecutive working days. In addition, CRF was estimated by using the Harvard Step Test. Statistical analyses will be performed using Pearson correlation, and multiple regression adjusted for possible confounders. Discussion: This study aims to provide a better insight in the PA health paradox and the possible buffering factors by using valid and objective measurements of PA and HR (both during LTPA and OPA) over multiple working days. The results of the study can contribute to the prevention of cardiovascular disease by providing tailored recommendations for participants with high levels of OPA and by disseminating the results and recommendations to workplaces, policy makers and occupational health practitioners.
Keywords
Physical activity, Psychosocial, Occupational health, Work environment, Cardiovascular, Cardiac autonomic regulation, Heart rate monitoring, Accelerometers, FEPA, HEART-RATE-VARIABILITY, ALL-CAUSE MORTALITY, CONTROL-SUPPORT MODEL, LEISURE-TIME, CARDIORESPIRATORY FITNESS, CARDIOVASCULAR-DISEASE, WORK, RISK, VALIDITY, DEMANDS

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Citation

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MLA
Ketels, Margo, et al. “Assessing Physiological Response Mechanisms and the Role of Psychosocial Job Resources in the Physical Activity Health Paradox : Study Protocol for the Flemish Employees’ Physical Activity (FEPA) Study.” BMC PUBLIC HEALTH, vol. 19, 2019.
APA
Ketels, M., De Bacquer, D., Geens, T., Janssens, H., Korshøj, M., Holtermann, A., & Clays, E. (2019). Assessing physiological response mechanisms and the role of psychosocial job resources in the physical activity health paradox : study protocol for the Flemish Employees’ Physical Activity (FEPA) study. BMC PUBLIC HEALTH, 19.
Chicago author-date
Ketels, Margo, Dirk De Bacquer, Tom Geens, Heidi Janssens, Mette Korshøj, Andreas Holtermann, and Els Clays. 2019. “Assessing Physiological Response Mechanisms and the Role of Psychosocial Job Resources in the Physical Activity Health Paradox : Study Protocol for the Flemish Employees’ Physical Activity (FEPA) Study.” BMC PUBLIC HEALTH 19.
Chicago author-date (all authors)
Ketels, Margo, Dirk De Bacquer, Tom Geens, Heidi Janssens, Mette Korshøj, Andreas Holtermann, and Els Clays. 2019. “Assessing Physiological Response Mechanisms and the Role of Psychosocial Job Resources in the Physical Activity Health Paradox : Study Protocol for the Flemish Employees’ Physical Activity (FEPA) Study.” BMC PUBLIC HEALTH 19.
Vancouver
1.
Ketels M, De Bacquer D, Geens T, Janssens H, Korshøj M, Holtermann A, et al. Assessing physiological response mechanisms and the role of psychosocial job resources in the physical activity health paradox : study protocol for the Flemish Employees’ Physical Activity (FEPA) study. BMC PUBLIC HEALTH. 2019;19.
IEEE
[1]
M. Ketels et al., “Assessing physiological response mechanisms and the role of psychosocial job resources in the physical activity health paradox : study protocol for the Flemish Employees’ Physical Activity (FEPA) study,” BMC PUBLIC HEALTH, vol. 19, 2019.
@article{8628970,
  abstract     = {Background: In the current labour system many workers are still exposed to heavy physical demands during their job. In contrast to leisure time physical activity (LTPA), occupational physical activity (OPA) is associated with an increased risk of cardiovascular diseases and all-cause mortality, termed the physical activity (PA) health paradox. In order to gain more insight into the PA health paradox, an exploration of structural preventive measures at the workplace is needed and therefore objective field measurements are highly recommended. The objective of this paper is to provide an overview of the protocol of the Flemish Employees' Physical Activity (FEPA) study, including objective measurements of PA, heart rate (HR) and cardiorespiratory fitness (CRF) to gain more insight into the PA health paradox.
Methods: A total of 401 workers participated in the FEPA study across seven companies in the service and production sector in Belgium. The participants comprised 167 men and 234 women, aged 20 to 65years. OPA and LTPA were assessed by two Axivity AX3 accelerometers on the thigh and upper back. Ambulatory HR was measured by the Faros eMotion 90 degrees monitor. Both devices were worn during two to four consecutive working days. In addition, CRF was estimated by using the Harvard Step Test. Statistical analyses will be performed using Pearson correlation, and multiple regression adjusted for possible confounders.
Discussion: This study aims to provide a better insight in the PA health paradox and the possible buffering factors by using valid and objective measurements of PA and HR (both during LTPA and OPA) over multiple working days. The results of the study can contribute to the prevention of cardiovascular disease by providing tailored recommendations for participants with high levels of OPA and by disseminating the results and recommendations to workplaces, policy makers and occupational health practitioners.},
  articleno    = {765},
  author       = {Ketels, Margo and De Bacquer, Dirk and Geens, Tom and Janssens, Heidi and Korshøj, Mette and Holtermann, Andreas and Clays, Els},
  issn         = {1471-2458},
  journal      = {BMC PUBLIC HEALTH},
  keywords     = {Physical activity,Psychosocial,Occupational health,Work environment,Cardiovascular,Cardiac autonomic regulation,Heart rate monitoring,Accelerometers,FEPA,HEART-RATE-VARIABILITY,ALL-CAUSE MORTALITY,CONTROL-SUPPORT MODEL,LEISURE-TIME,CARDIORESPIRATORY FITNESS,CARDIOVASCULAR-DISEASE,WORK,RISK,VALIDITY,DEMANDS},
  language     = {eng},
  pages        = {10},
  title        = {Assessing physiological response mechanisms and the role of psychosocial job resources in the physical activity health paradox : study protocol for the Flemish Employees' Physical Activity (FEPA) study},
  url          = {http://dx.doi.org/10.1186/s12889-019-6950-7},
  volume       = {19},
  year         = {2019},
}

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