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Published in: BMC Public Health 1/2022

Open Access 01-12-2022 | Research

The relationship between occupational physical activity and dyslipidaemia in farmers with varying working modes in southwest China: the China multi-ethnic cohort study

Authors: Lunwei Du, Feng Hong, Peng Luo, Ziyun Wang, Qibing Zeng, Han Guan, Haiyan Liu, Zhiping Yuan, Degan Xu, Fang Nie, Junhua Wang

Published in: BMC Public Health | Issue 1/2022

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Abstract

Background

Farmers are the integral members of rural communities. In the present study, we determined the association between occupational physical activity (OPA) of farmers and dyslipidaemia.

Methods

We included 7649 farmers from The China Multi-Ethnic Cohort (CMEC) Study. The working modes of all farmers were divided into four types according to their self-reported seasonal changes in farming work and/or other job changes (1: no change; 2: changing job; 3: seasonal changes; and 4: seasonal and job changes). OPA was self-reported, and the OPA levels in the four groups were classified as Q1, Q2–Q3, and Q4 by quantile. Dyslipidaemia was defined as the presence of abnormalities in lipid indicators. Binary logistic regression was used to estimate the association between OPA and dyslipidaemia.

Results

Compared with those in the no change group, the participants in other three groups were younger with lower level of education, annual income, and leisure-time physical activity (LTPA). Active OPA could reduce the risk of dyslipidaemia in the no change [men: odds ratios (OR) = 0.21, 95% confidence intervals (CI): 0.07–0.64; women: OR = 0.43, 95% CI: 0.20–0.93] and seasonal change (men: OR = 0.46, 95% CI: 0.27–0.77; women: OR = 0.59, 95% CI: 0.41–0.86) groups. However, in the seasonal and job change group (men: OR = 3.23, 95% CI: 1.06–9.80; women: OR = 3.24, 95% CI: 1.42–7.41), active OPA increased the risk of dyslipidaemia.

Conclusions

Different OPA levels might lead to differences in association with blood lipid levels. Thus, OPA guidelines must be developed for farmers, especially for those who experience seasonal changes in farming work and job changes.
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Literature
1.
go back to reference Ma LY, Chen WW, Gao RL, Liu LS, Zhu ML, Wang YJ, et al. China cardiovascular diseases report 2018: an updated summary. J Geriatr Cardiol. 2020;17:1–8.PubMedPubMedCentral Ma LY, Chen WW, Gao RL, Liu LS, Zhu ML, Wang YJ, et al. China cardiovascular diseases report 2018: an updated summary. J Geriatr Cardiol. 2020;17:1–8.PubMedPubMedCentral
2.
go back to reference Stevens W, Peneva D, Li JZ, Liu LZ, Liu G, Gao R, et al. Estimating the future burden of cardiovascular disease and the value of lipid and blood pressure control therapies in China. BMC Health Serv Res. 2016;16:175.CrossRef Stevens W, Peneva D, Li JZ, Liu LZ, Liu G, Gao R, et al. Estimating the future burden of cardiovascular disease and the value of lipid and blood pressure control therapies in China. BMC Health Serv Res. 2016;16:175.CrossRef
3.
go back to reference Xi Y, Niu L, Cao N, Bao H, Xu X, Zhu H, et al. Prevalence of dyslipidemia and associated risk factors among adults aged >/=35 years in northern China: a cross-sectional study. BMC Public Health. 2020;20:1068.CrossRef Xi Y, Niu L, Cao N, Bao H, Xu X, Zhu H, et al. Prevalence of dyslipidemia and associated risk factors among adults aged >/=35 years in northern China: a cross-sectional study. BMC Public Health. 2020;20:1068.CrossRef
4.
go back to reference Warburton DER, Bredin SSD. Cardiovascular health benefits of physical activity: Time to focus on strengths. Cahiers Nutr Diététique. 2021;56:40–50.CrossRef Warburton DER, Bredin SSD. Cardiovascular health benefits of physical activity: Time to focus on strengths. Cahiers Nutr Diététique. 2021;56:40–50.CrossRef
5.
go back to reference De Lima LRA, Back IC, Nunes EA, Silva DAS, Petroski EL. Aerobic fitness and physical activity are inversely associated with body fat, dyslipidemia and inflammatory mediators in children and adolescents living with HIV. J Sport Sci. 2019;37:50–8.CrossRef De Lima LRA, Back IC, Nunes EA, Silva DAS, Petroski EL. Aerobic fitness and physical activity are inversely associated with body fat, dyslipidemia and inflammatory mediators in children and adolescents living with HIV. J Sport Sci. 2019;37:50–8.CrossRef
6.
go back to reference Zhou J, Zhou Q, Dongping W. Associations of sedentary behavior and physical activity with dyslipidemia. J Peking Univ Med Ed. 2017;49:418–23. Zhou J, Zhou Q, Dongping W. Associations of sedentary behavior and physical activity with dyslipidemia. J Peking Univ Med Ed. 2017;49:418–23.
7.
go back to reference Durstine JL, Grandjean PW, Davis PG, Ferguson MA, Alderson NL, DuBose KD. Blood lipid and lipoprotein adaptations to exercise: a quantitative analysis. Sports Med. 2001;31:1033–62.CrossRef Durstine JL, Grandjean PW, Davis PG, Ferguson MA, Alderson NL, DuBose KD. Blood lipid and lipoprotein adaptations to exercise: a quantitative analysis. Sports Med. 2001;31:1033–62.CrossRef
8.
go back to reference Delavar M, Lye M, Hassan S, Khor G, Hanachi P. Physical activity, nutrition, and dyslipidemia in middle-aged women. Iran J Public Health. 2011;40:89.PubMedPubMedCentral Delavar M, Lye M, Hassan S, Khor G, Hanachi P. Physical activity, nutrition, and dyslipidemia in middle-aged women. Iran J Public Health. 2011;40:89.PubMedPubMedCentral
9.
go back to reference Tanaka S, Fujita K, Makimoto K, Kanaoka M, Yakushiji K, Tanaka R, et al. Relationships of accelerometer-determined physical activity with obesity, hypertension, diabetes, dyslipidemia, and health-related quality of life in patients after liver transplantation. Clin Transplant. 2020;34: e14117.CrossRef Tanaka S, Fujita K, Makimoto K, Kanaoka M, Yakushiji K, Tanaka R, et al. Relationships of accelerometer-determined physical activity with obesity, hypertension, diabetes, dyslipidemia, and health-related quality of life in patients after liver transplantation. Clin Transplant. 2020;34: e14117.CrossRef
10.
go back to reference LeBlanc AG, Janssen I. Dose-response relationship between physical activity and dyslipidemia in youth. Can J Cardiol. 2010;26:201–5.CrossRef LeBlanc AG, Janssen I. Dose-response relationship between physical activity and dyslipidemia in youth. Can J Cardiol. 2010;26:201–5.CrossRef
11.
go back to reference Chen Y, Li X, Liu Y. Increasing China’s Agricultural Labor Productivity: Comparison and Policy Implications from Major Agrarian Countries. J Resourc Ecol. 2018;9:575–84.CrossRef Chen Y, Li X, Liu Y. Increasing China’s Agricultural Labor Productivity: Comparison and Policy Implications from Major Agrarian Countries. J Resourc Ecol. 2018;9:575–84.CrossRef
12.
go back to reference Li J, Loerbroks A, Angerer P. Physical activity and risk of cardiovascular disease: what does the new epidemiological evidence show? Curr Opin Cardiol. 2013;28:575–83.CrossRef Li J, Loerbroks A, Angerer P. Physical activity and risk of cardiovascular disease: what does the new epidemiological evidence show? Curr Opin Cardiol. 2013;28:575–83.CrossRef
13.
go back to reference Schulz PS, Zimmerman L, Johansson P. Seasonal Work and Cardiovascular Risk Factors in Farmers. J Cardiovasc Nurs. 2018;33:E35–9.CrossRef Schulz PS, Zimmerman L, Johansson P. Seasonal Work and Cardiovascular Risk Factors in Farmers. J Cardiovasc Nurs. 2018;33:E35–9.CrossRef
15.
go back to reference Bennett DA, Du H, Clarke R, Guo Y, Yang L, Bian Z, et al. Association of Physical Activity With Risk of Major Cardiovascular Diseases in Chinese Men and Women. JAMA Cardiol. 2017;2:1349–58.CrossRef Bennett DA, Du H, Clarke R, Guo Y, Yang L, Bian Z, et al. Association of Physical Activity With Risk of Major Cardiovascular Diseases in Chinese Men and Women. JAMA Cardiol. 2017;2:1349–58.CrossRef
16.
go back to reference Barbara EA, William LH, Stephen DH, Nathanael M, David RB, Catrine T, et al. 2011 Compendium of Physical Activities: A Second Update of Codes and MET Values. Med Sci Sports Exerc. 2011;43:1575–81.CrossRef Barbara EA, William LH, Stephen DH, Nathanael M, David RB, Catrine T, et al. 2011 Compendium of Physical Activities: A Second Update of Codes and MET Values. Med Sci Sports Exerc. 2011;43:1575–81.CrossRef
17.
go back to reference Zhu J, Gao R, Zhao S, Lu G, Zhao D, Li J. Guidelines for the prevention and treatment of dyslipidemia in Chinese adults (revised in 2016). Chin J Circul. 2016;10:937–53. Zhu J, Gao R, Zhao S, Lu G, Zhao D, Li J. Guidelines for the prevention and treatment of dyslipidemia in Chinese adults (revised in 2016). Chin J Circul. 2016;10:937–53.
18.
go back to reference Kim EK, Yeon SE, Lee SH, Choe JS. Comparison of total energy expenditure between the farming season and off farming season and accuracy assessment of estimated energy requirement prediction equation of Korean farmers. Nutr Res Pract. 2015;9:71–8.CrossRef Kim EK, Yeon SE, Lee SH, Choe JS. Comparison of total energy expenditure between the farming season and off farming season and accuracy assessment of estimated energy requirement prediction equation of Korean farmers. Nutr Res Pract. 2015;9:71–8.CrossRef
19.
go back to reference Mix JM, Elon L, Thein MV, Flocks J, Economos J, Tovar-Aguilar AJ, et al. Physical activity and work activities in Florida agricultural workers. Am J Ind Med. 2019;62:1058–67.CrossRef Mix JM, Elon L, Thein MV, Flocks J, Economos J, Tovar-Aguilar AJ, et al. Physical activity and work activities in Florida agricultural workers. Am J Ind Med. 2019;62:1058–67.CrossRef
20.
go back to reference Habib RR, Fathallah FA, Messing K. Full-time homemakers: workers who cannot “go home and relax.” Int J Occup Saf Ergon. 2010;16:113–28.CrossRef Habib RR, Fathallah FA, Messing K. Full-time homemakers: workers who cannot “go home and relax.” Int J Occup Saf Ergon. 2010;16:113–28.CrossRef
21.
go back to reference Monda KL, Gordon-Larsen P, Stevens J, Popkin BM. China’s transition: the effect of rapid urbanization on adult occupational physical activity. Soc Sci Med. 2007;64:858–70.CrossRef Monda KL, Gordon-Larsen P, Stevens J, Popkin BM. China’s transition: the effect of rapid urbanization on adult occupational physical activity. Soc Sci Med. 2007;64:858–70.CrossRef
22.
go back to reference Ding D, Sallis JF, Hovell MF, Du J, Zheng M, He H, et al. Physical activity and sedentary behaviours among rural adults in Suixi, China: a cross-sectional study. Int J Behav Nutr Phys Act. 2011;8:1–8.CrossRef Ding D, Sallis JF, Hovell MF, Du J, Zheng M, He H, et al. Physical activity and sedentary behaviours among rural adults in Suixi, China: a cross-sectional study. Int J Behav Nutr Phys Act. 2011;8:1–8.CrossRef
24.
go back to reference Wang C, De Roos AJ, Fujishiro K, Allison MA, Wallace R, Seguin RA, et al. Occupational Physical Activity and Coronary Heart Disease in Women’s Health Initiative Observational Study. J Gerontol A Biol Sci Med Sci. 2019;74:1952–8.CrossRef Wang C, De Roos AJ, Fujishiro K, Allison MA, Wallace R, Seguin RA, et al. Occupational Physical Activity and Coronary Heart Disease in Women’s Health Initiative Observational Study. J Gerontol A Biol Sci Med Sci. 2019;74:1952–8.CrossRef
25.
go back to reference Clays E, De Bacquer D, Janssens H, De Clercq B, Casini A, Braeckman L, et al. The association between leisure time physical activity and coronary heart disease among men with different physical work demands: a prospective cohort study. Eur J Epidemiol. 2013;28:241–7.CrossRef Clays E, De Bacquer D, Janssens H, De Clercq B, Casini A, Braeckman L, et al. The association between leisure time physical activity and coronary heart disease among men with different physical work demands: a prospective cohort study. Eur J Epidemiol. 2013;28:241–7.CrossRef
28.
go back to reference Ma X, Yan H, Zhang H, Wang M, Zhang Q, Zhou X. Progress in the seasonal variations of blood lipids: a mini-review. Lipids Health Dis. 2020;19:1–8.CrossRef Ma X, Yan H, Zhang H, Wang M, Zhang Q, Zhou X. Progress in the seasonal variations of blood lipids: a mini-review. Lipids Health Dis. 2020;19:1–8.CrossRef
29.
go back to reference Zhou X, Lin H, Zhang S, Ren J, Wang Z, Zhang Y, Wang M, Zhang Q. Effects of climatic factors on plasma lipid levels: A 5-year longitudinal study in a large Chinese population. J CLIN LIPIDOL. 2016;10(5):1119–28.CrossRef Zhou X, Lin H, Zhang S, Ren J, Wang Z, Zhang Y, Wang M, Zhang Q. Effects of climatic factors on plasma lipid levels: A 5-year longitudinal study in a large Chinese population. J CLIN LIPIDOL. 2016;10(5):1119–28.CrossRef
30.
go back to reference Hadaegh F, Harati H, Zabetian A, Azizi F. Seasonal variability of serum lipids in adults: Tehran Lipid and Glucose Study. Med J Malaysia. 2006;61(3):332–8.PubMed Hadaegh F, Harati H, Zabetian A, Azizi F. Seasonal variability of serum lipids in adults: Tehran Lipid and Glucose Study. Med J Malaysia. 2006;61(3):332–8.PubMed
31.
go back to reference Ockene IS, Chiriboga DE, Stanek ER, Harmatz MG, Nicolosi R, Saperia G, Well AD, Freedson P, Merriam PA, Reed G, et al. Seasonal variation in serum cholesterol levels: treatment implications and possible mechanisms. Arch Intern Med. 2004;164(8):863–70.CrossRef Ockene IS, Chiriboga DE, Stanek ER, Harmatz MG, Nicolosi R, Saperia G, Well AD, Freedson P, Merriam PA, Reed G, et al. Seasonal variation in serum cholesterol levels: treatment implications and possible mechanisms. Arch Intern Med. 2004;164(8):863–70.CrossRef
32.
go back to reference Szapary PO, Bloedon LT, Foster GD. Physical activity and its effects on lipids. Curr Cardiol Rep. 2003;5:488–92.CrossRef Szapary PO, Bloedon LT, Foster GD. Physical activity and its effects on lipids. Curr Cardiol Rep. 2003;5:488–92.CrossRef
33.
go back to reference Holtermann A, Krause N, Van Der Beek AJ, Straker L. The physical activity paradox: six reasons why occupational physical activity (OPA) does not confer the cardiovascular health benefits that leisure time physical activity does. Br J Sports Med. 2018;5:149–50.CrossRef Holtermann A, Krause N, Van Der Beek AJ, Straker L. The physical activity paradox: six reasons why occupational physical activity (OPA) does not confer the cardiovascular health benefits that leisure time physical activity does. Br J Sports Med. 2018;5:149–50.CrossRef
35.
go back to reference Jorgensen K. Permissible loads based on energy expenditure measurements. Ergonomics. 1985;28:365–9.CrossRef Jorgensen K. Permissible loads based on energy expenditure measurements. Ergonomics. 1985;28:365–9.CrossRef
36.
go back to reference Kasapis C, Thompson PD. The Effects of Physical Activity on Serum C-Reactive Protein and Inflammatory Markers. J Am Coll Cardiol. 2005;45:1563–9.CrossRef Kasapis C, Thompson PD. The Effects of Physical Activity on Serum C-Reactive Protein and Inflammatory Markers. J Am Coll Cardiol. 2005;45:1563–9.CrossRef
37.
go back to reference Wang X, Yamauchi F, Otsuka K, Huang J. Wage Growth, Landholding, and Mechanization in Chinese Agriculture. World Dev. 2016;86:30–45.CrossRef Wang X, Yamauchi F, Otsuka K, Huang J. Wage Growth, Landholding, and Mechanization in Chinese Agriculture. World Dev. 2016;86:30–45.CrossRef
38.
Metadata
Title
The relationship between occupational physical activity and dyslipidaemia in farmers with varying working modes in southwest China: the China multi-ethnic cohort study
Authors
Lunwei Du
Feng Hong
Peng Luo
Ziyun Wang
Qibing Zeng
Han Guan
Haiyan Liu
Zhiping Yuan
Degan Xu
Fang Nie
Junhua Wang
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2022
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-022-13266-x

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