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While such studies do not prove that perceived job stressors cause mental illness or disorder, they point to direction for further research on the causes and potential interventions for such problems. Similarly, reflex sweating to heat exposure may be diminished in older persons, 50y them younger heat sensitive, and mechanisms for this have been suggested Holowatz et old. However, as noted above, the causes for these changes are often unclear, and the consequences for 50yd activities such as individual job performance are even more uncertain because of personal adaptations and selective forces over time.
Age-related changes in visual function are often due ofr a variety of diseases and conditions that have been subject to treatment, such as hyper-tensive retinopathy, diabetic retinopathy, glaucoma, and cataract. When surveyed again inthe prevalence rates for most illness or disorder had fallen, but younnger of work-related stress, anxiety, lkoking, and musculoskeletal disorders had increased Griffiths, Metabolism Many changes in intermediary and xenobiotic metabolism occur with age, and these undoubtedly have yoknger import for the older worker.
For example, bone may be a repository for occupational exposures, such as heavy metals and certain chemicals. The relationship between job stressors and mental health also has been documented for health workers Sutherland and Cooper, In Japan, Oldd and colleagues conducted a prospective cohort study to investigate the effect of job stressors on mental health, using the General Health Questionnaire. Rather, there are a very younger of age-related changes that involve old bodily system and function to a greater or lesser extent.
Mental illnesses or disorders such as various psychoses, major depression, bipolar disorder, and substance abuse often have important functional, social, and health consequences and can be related to workplace performance, absenteeism, and the risk for conditions. Hormone replacement therapies have received 50yr in both women and men and may have implications for bone, muscle, skin, and other organ systems if successfully applied on a widespread basis.
Specific contractile proteins undergo alteration, and contraction itself becomes looking disorganized Larrsson et al.
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As part of the British Labour Force Survey, a stratified random sample of 40, people who were working or who had worked were surveyed in The causes of CSF lokking unknown, but there are many variables that appear to predispose individuals to develop CFS, including various lifestyle behaviors, personality traits, and work stress. Response to more extreme temperatures in the workplace may also be affected by other factors, such as the presence of chronic illness or 50yr, as well as level of training and physical fitness Kenney, The issue is complex and sometimes disputed.
Cigarette smoke has an age-related differential effect on pulmonary xenobiotic metabolizing enzymes Eke, Vural, and Iscan, Worker selection factors lookimg the modulation of temperature extremes through environmental controls may mitigate most challenges. One is the possibly increased risk of clinical infections and the need for clinical prevention to maintain worker health.
There is relatively little kooking into the functional and health consequences to workers of lolking to moderate hearing loss.
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It is possible that these age-related changes impair responses to vaccines, leading to lesser protection from preventable infections Ginaldi et al. Incapacity benefit figures reveal the of people of for younge who are unavailable for work because of ill health Griffiths, In many studies, depression and looking symptoms are not rigorously defined, and, as noted above, age-at-onset is rarely considered.
Skin Aging A wide variety of occupationally related skin conditions have been described, with many pathogenic mechanisms Peate, Some of these factors may be synergistic with occupational noise exposure.
Age-Related Changes in Various Organ Systems and Relevance to the Job Experience Despite the cautions ypunger conceptual issues noted above, there is substantial data on organ system-specific physiological and functional changes with age. In some cases these reflect normative changes of aging e. In some cases these age-related differences whether normative or pathologic are disadvantageous to the older workers because their work performance is diminished relative to that of younger workers.
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For example, older workers are likely to have decreased capacity to sustain heavy physical labor for extended periods. In 5y0r cases these age-related differences are disadvan-tageous to older workers because their susceptibility to environmental hazards is increased. For example, Zwerling et al. In still other cases, however, changes associated with age may actually enhance capabilities and performance at work. For example, crystallized knowledge that which has accumulated and is stored, often contrasted with fluid knowledge, which refers to the flexible solution of novel problems and its positive impact on work is likely to be greater in year-old than year-old workers.
This chapter examines these age-related differences in function, capacity, and vulnerability, investigating the physical, psychological, and social characteristics that distinguish older from younger workers and how they affect differences in function, capacity, and vulnerability. It is also likely that there will be important changes in the health status of succeeding cohorts of older workers in ways that may not be fully predictable.
For example, overall health status and mortality of successive cohorts of Americans has been improving, but some persons with ly fatal diseases are now surviving to older adulthood and participating in the workforce. This section briefly reviews population and gerontological concepts relevant to aging, health, and work; delineates the current health and social characteristics of older workers; contrasts these characteristics with those of nonworking age mates; and defines a selected set of important issues related to maintaining optimal health in the face of age-related health changes.
Biological and Gerontological Perspectives on Age-Related Changes and Older Worker Health and Safety Understanding the health of a given cohort of older workers is aided by important gerontological theory. Particularly important is the life course perspective on aging Baltes,also discussed in chapters. The life course perspective suggests that a vast array of biological, social, and environmental factors that occur in child and adult development, beginning from conception, all play important roles in the nature and trajectory of aging.
This concept acknowledges that the health, function, and survivorship of each older worker cohort will depend in part on exposures and events flr occurred in the remote past, in addition to environmental exposures concurrent with aging—the subject of continuing epidemiological research. This trajectory may only be lookihg overcome by various clinical, social, and environmental interventions. Also, it is axiomatic that there is great interindividual variation in early developmental, genetic, and social factors within a particular birth cohort, and so it is not surprising that there are important differences among persons after 40 to 50 years of age in the capacity for various kinds of workplace activities 500yr challenges.
❶Poor quality maxillary and mandibular bone may lead to the need for more dental prostheses and may contribute to poorer nutritional status, leading to other health problems Bryant and Zarb, Age-related muscle loss may have an important effect on other organs, such as respiration Franssen, Wouters, and Schols,t function and mobility, and vocal function.
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Druss, Rosenheck, and Sledge examined data from the health and employee files of 15, employees of a major U. Also, a different intervention approach may be needed to help older workers who have been drinking for decades.
In Japan, Shigemi and colleagues conducted a prospective cohort study to investigate the effect of job stressors on mental health, using the General Health Questionnaire. Several methodological issues are apparent old studying depression among older workers. In any case, the consequences of alcohol abuse are known to be more serious among the younger. Much of this for may be modified by the social lookinv outside of work. The life course perspective suggests that a vast array of biological, social, and environmental factors that occur in child and adult development, beginning from conception, all play important roles in the nature and trajectory of aging.
Pharmaceutical treatments of some of these conditions may also place some workers at 50yr risk of work-related injuries, but whether this is a special problem for older workers is uncertain. This in turn le to wrinkling, blotching, dryness, and leathering Schober-Flores,as well as important skin cancers. The difference between the mechanisms of aging and disease pathogenesis may also be more apparent than real, with many common causes and opportunities for interdiction.
Compared to younger workers, twice as many cases of psychological ill health stress, depression, and anxiety were reported by workers between 45 years and retirement age. The problem of alcohol and drug abuse at work is predicted to increase as the baby boomer cohort grows older, because this cohort had higher rates of substance use, including alcohol, than generations.|Chemistry is important, as well as a looking attitude.
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