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Assessing Relationships between Physically Demanding Work and Late-Life Disability in Italian Nonagenarian Women Living in a Rural Area

Author

Listed:
  • Gemma Lombardi

    (IRCCS Fondazione Don Carlo Gnocchi, 50143 Florence, Italy)

  • Silvia Pancani

    (IRCCS Fondazione Don Carlo Gnocchi, 50143 Florence, Italy)

  • Francesca Lorenzini

    (Medical School, University of Florence, 50134 Florence, Italy)

  • Federica Vannetti

    (IRCCS Fondazione Don Carlo Gnocchi, 50143 Florence, Italy)

  • Guido Pasquini

    (IRCCS Fondazione Don Carlo Gnocchi, 50143 Florence, Italy)

  • Roberta Frandi

    (IRCCS Fondazione Don Carlo Gnocchi, 50143 Florence, Italy)

  • Nona Turcan

    (IRCCS Fondazione Don Carlo Gnocchi, 50143 Florence, Italy)

  • Lorenzo Razzolini

    (Department of Neurofarba, University of Florence, 50139 Florence, Italy)

  • Raffaello Molino Lova

    (IRCCS Fondazione Don Carlo Gnocchi, 50143 Florence, Italy)

  • Francesca Cecchi

    (IRCCS Fondazione Don Carlo Gnocchi, 50143 Florence, Italy
    Department of Experimental and Clinical Medicine, University of Florence, 50134 Florence, Italy)

  • Claudio Macchi

    (IRCCS Fondazione Don Carlo Gnocchi, 50143 Florence, Italy
    Department of Experimental and Clinical Medicine, University of Florence, 50134 Florence, Italy)

Abstract

As more and more persons live into their 90s and beyond, investigating causes of disability in the oldest-old population is relevant for public health implications to plan preventive strategies and rehabilitation interventions. A negative association between physically demanding work and midlife physical function has been shown, but there is a paucity of longitudinal studies investigating possible work-related long-term effects in the oldest old. This study investigates the relationship between physically demanding work exposure and late-life physical performances, disability, general health status, and quality of life in a sample of women aged 90 years and over inside the Mugello Study. Sociodemographic data, cognitive and functional status, lifestyle, medical history, drug use, and work history were collected from 236 participants. Farmers had a lower percentage of individuals with preserved independence in basic activities of daily living compared to other occupations. However, in the multivariate analysis, only a higher cognitive function remained associated with functional independence. While confirming the well-known association between cognitive and functional decline in very old age, our results do not support the hypothesis that the negative effects of physical work exposure observed in midlife are relevant to predict disability in nonagenarian women.

Suggested Citation

  • Gemma Lombardi & Silvia Pancani & Francesca Lorenzini & Federica Vannetti & Guido Pasquini & Roberta Frandi & Nona Turcan & Lorenzo Razzolini & Raffaello Molino Lova & Francesca Cecchi & Claudio Macch, 2022. "Assessing Relationships between Physically Demanding Work and Late-Life Disability in Italian Nonagenarian Women Living in a Rural Area," IJERPH, MDPI, vol. 19(14), pages 1-12, July.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:14:p:8880-:d:868553
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    References listed on IDEAS

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    1. repec:aph:ajpbhl:10.2105/ajph.2017.303840_1 is not listed on IDEAS
    2. José Andrade Louzado & Matheus Lopes Cortes & Marcio Galvão Oliveira & Vanessa Moraes Bezerra & Sóstenes Mistro & Danielle Souto de Medeiros & Daniela Arruda Soares & Kelle Oliveira Silva & Clávdia Ni, 2021. "Gender Differences in the Quality of Life of Formal Workers," IJERPH, MDPI, vol. 18(11), pages 1-15, June.
    3. Shockey, T.M. & Zack, M. & Sussell, A., 2017. "Health-related quality of life among US workers: Variability across occupation groups," American Journal of Public Health, American Public Health Association, vol. 107(8), pages 1316-1323.
    4. Paola Bertuccio & Gianfranco Alicandro & Gabriella Sebastiani & Nicolas Zengarini & Giuseppe Costa & Carlo La Vecchia & Luisa Frova, 2018. "Mortality by occupation-based social class in Italy from 2012 to 2014," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(7), pages 865-874, September.
    5. Linda Enroth & Jani Raitanen & Antti Hervonen & Marja Jylhä, 2013. "Do Socioeconomic Health Differences Persist in Nonagenarians?," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 68(5), pages 837-847.
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