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The effect of retirement on biomedical and behavioral risk factors for cardiovascular and metabolic disease

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  • Pedron, Sara
  • Maier, Werner
  • Peters, Annette
  • Linkohr, Birgit
  • Meisinger, Christine
  • Rathmann, Wolfgang
  • Eibich, Peter
  • Schwettmann, Lars

Abstract

Retirement is a major life event potentially associated with changes in relevant risk factors for cardiovascular and metabolic conditions. This study analyzes the effect of retirement on behavioral and biomedical risk factors for chronic disease, together with subjective health parameters using Southern German epidemiological data. We used panel data from the KORA cohort study, consisting of 11,168 observations for individuals 45–80 years old. Outcomes included health behavior (alcohol, smoking, physical activity), biomedical risk factors (body-mass-index (BMI), waist-to-hip ratio (WHR), glycosylated hemoglobin (HbA1c), total cholesterol/HDL quotient, systolic/diastolic blood pressure), and subjective health (SF12 mental and physical scales, self-rated health). We applied a parametric regression discontinuity design based on age thresholds for pension eligibility. Robust results after p-value corrections for multiple testing showed an increase in BMI in early retirees (at the age of 60) [β = 1.11, corrected p-val. < 0.05] and an increase in CHO/HDL in regular retirees (age 65) [β = 0.47, corrected p-val. < 0.05]. Stratified analyses indicate that the increase in BMI might be driven by women and low educated individuals retiring early, despite increasing physical activity. The increase in CHO/HDL might be driven by men retiring regularly, alongside an increase in subjective physical health. Blood pressure also increased, but the effect differs by retirement timing and sex and is not always robust to sensitivity analysis checks. Our study indicates that retirement has an impact on different risk factors for chronic disease, depending on timing, sex and education. Regular male, early female, and low educated retirees should be further investigated as potential high-risk groups for worsening risk factors after retirement. Future research should investigate if and how these results are linked: in fact, especially in the last two groups, the increase in leisure time physical activity might not be enough to compensate for the loss of work-related physical activity, leading thus to an increase in BMI.

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  • Pedron, Sara & Maier, Werner & Peters, Annette & Linkohr, Birgit & Meisinger, Christine & Rathmann, Wolfgang & Eibich, Peter & Schwettmann, Lars, 2020. "The effect of retirement on biomedical and behavioral risk factors for cardiovascular and metabolic disease," Economics & Human Biology, Elsevier, vol. 38(C).
  • Handle: RePEc:eee:ehbiol:v:38:y:2020:i:c:s1570677x19302837
    DOI: 10.1016/j.ehb.2020.100893
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    as
    1. Andries De Grip & Maarten Lindeboom & Raymond Montizaan, 2012. "Shattered Dreams: The Effects of Changing the Pension System Late in the Game," Economic Journal, Royal Economic Society, vol. 122(559), pages 1-25, March.
    2. Kolodziej, Ingo W.K. & García-Gómez, Pilar, 2019. "Saved by retirement: Beyond the mean effect on mental health," Social Science & Medicine, Elsevier, vol. 225(C), pages 85-97.
    3. Godard, Mathilde, 2016. "Gaining weight through retirement? Results from the SHARE survey," Journal of Health Economics, Elsevier, vol. 45(C), pages 27-46.
    4. Sebastian Calonico & Matias D. Cattaneo & Max H. Farrell & Rocío Titiunik, 2019. "Regression Discontinuity Designs Using Covariates," The Review of Economics and Statistics, MIT Press, vol. 101(3), pages 442-451, July.
    5. David S. Lee & Thomas Lemieux, 2010. "Regression Discontinuity Designs in Economics," Journal of Economic Literature, American Economic Association, vol. 48(2), pages 281-355, June.
    6. Garret Christensen & Edward Miguel, 2018. "Transparency, Reproducibility, and the Credibility of Economics Research," Journal of Economic Literature, American Economic Association, vol. 56(3), pages 920-980, September.
    7. Winkleby, M.A. & Jatulis, D.E. & Frank, E. & Fortmann, S.P., 1992. "Socioeconomic status and health: How education, income, and occupation contribute to risk factors for cardiovascular disease," American Journal of Public Health, American Public Health Association, vol. 82(6), pages 816-820.
    8. Celidoni, Martina & Dal Bianco, Chiara & Weber, Guglielmo, 2017. "Retirement and cognitive decline. A longitudinal analysis using SHARE data," Journal of Health Economics, Elsevier, vol. 56(C), pages 113-125.
    9. Messe, Pierre-Jean & Wolff, François-Charles, 2019. "The short-term effects of retirement on health within couples: Evidence from France," Social Science & Medicine, Elsevier, vol. 221(C), pages 27-39.
    10. Coe, N.B. & Lindeboom, M., 2008. "Does Retirement Kill You? Evidence from Early Retirement Windows," Other publications TiSEM 749af81e-10f6-4c32-b9ae-0, Tilburg University, School of Economics and Management.
    11. Bonsang, Eric & Adam, Stéphane & Perelman, Sergio, 2012. "Does retirement affect cognitive functioning?," Journal of Health Economics, Elsevier, vol. 31(3), pages 490-501.
    12. Yoshinori Nishimura & Masato Oikawa & Hiroyuki Motegi, 2018. "What Explains The Difference In The Effect Of Retirement On Health? Evidence From Global Aging Data," Journal of Economic Surveys, Wiley Blackwell, vol. 32(3), pages 792-847, July.
    13. Mazzonna, Fabrizio & Peracchi, Franco, 2012. "Ageing, cognitive abilities and retirement," European Economic Review, Elsevier, vol. 56(4), pages 691-710.
    14. Brockmann, Hilke & Müller, Rolf & Helmert, Uwe, 2009. "Time to retire - Time to die? A prospective cohort study of the effects of early retirement on long-term survival," Social Science & Medicine, Elsevier, vol. 69(2), pages 160-164, July.
    15. Michael Insler, 2014. "The Health Consequences of Retirement," Journal of Human Resources, University of Wisconsin Press, vol. 49(1), pages 195-233.
    16. Müller, Tobias & Shaikh, Mujaheed, 2018. "Your retirement and my health behavior: Evidence on retirement externalities from a fuzzy regression discontinuity design," Journal of Health Economics, Elsevier, vol. 57(C), pages 45-59.
    17. Blake, H. & Garrouste, C., 2013. "Killing me softly: work and mortality among French seniors," Health, Econometrics and Data Group (HEDG) Working Papers 13/25, HEDG, c/o Department of Economics, University of York.
    18. Zhao, Meng & Konishi, Yoshifumi & Noguchi, Haruko, 2017. "Retiring for better health? Evidence from health investment behaviors in Japan," Japan and the World Economy, Elsevier, vol. 42(C), pages 56-63.
    19. Johnston, David W. & Lee, Wang-Sheng, 2009. "Retiring to the good life? The short-term effects of retirement on health," Economics Letters, Elsevier, vol. 103(1), pages 8-11, April.
    20. Thomas Barnay, 2016. "Health, work and working conditions: a review of the European economic literature," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 17(6), pages 693-709, July.
    21. Kämpfen, Fabrice & Maurer, Jürgen, 2016. "Time to burn (calories)? The impact of retirement on physical activity among mature Americans," Journal of Health Economics, Elsevier, vol. 45(C), pages 91-102.
    22. Douglas Staiger & James H. Stock, 1997. "Instrumental Variables Regression with Weak Instruments," Econometrica, Econometric Society, vol. 65(3), pages 557-586, May.
    23. David E. Bloom & Elizabeth Cafiero & Eva Jané-Llopis & Shafika Abrahams-Gessel & Lakshmi Reddy Bloom & Sana Fathima & Andrea B. Feigl & Tom Gaziano & Ali Hamandi & Mona Mowafi & Danny O’Farrell & Emre, 2012. "The Global Economic Burden of Noncommunicable Diseases," PGDA Working Papers 8712, Program on the Global Demography of Aging.
    24. Susann Rohwedder & Robert J. Willis, 2010. "Mental Retirement," Journal of Economic Perspectives, American Economic Association, vol. 24(1), pages 119-138, Winter.
    25. Dominique Anxo & Thomas Ericson & Chizheng Miao, 2019. "Impact of late and prolonged working life on subjective health: the Swedish experience," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 20(3), pages 389-405, April.
    26. Sahlgren, Gabriel H., 2012. "Work ‘til You Drop: Short- and Longer-Term Health Effects of Retirement in Europe," Working Paper Series 928, Research Institute of Industrial Economics.
    27. Valerie L. Forman-Hoffman & Kelly K. Richardson & Jon W. Yankey & Stephen L. Hillis & Robert B. Wallace & Fredric D. Wolinsky, 2008. "Retirement and Weight Changes Among Men and Women in the Health and Retirement Study," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 63(3), pages 146-153.
    28. Shai, Ori, 2018. "Is retirement good for men’s health? Evidence using a change in the retirement age in Israel," Journal of Health Economics, Elsevier, vol. 57(C), pages 15-30.
    29. Martina Celidoni & Vincenzo Rebba, 2017. "Healthier lifestyles after retirement in Europe? Evidence from SHARE," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 18(7), pages 805-830, September.
    30. Eibich, Peter, 2015. "Understanding the effect of retirement on health: Mechanisms and heterogeneity," Journal of Health Economics, Elsevier, vol. 43(C), pages 1-12.
    31. Clouston, Sean A.P. & Denier, Nicole, 2017. "Mental retirement and health selection: Analyses from the U.S. Health and Retirement Study," Social Science & Medicine, Elsevier, vol. 178(C), pages 78-86.
    32. Coe, Norma B. & Zamarro, Gema, 2011. "Retirement effects on health in Europe," Journal of Health Economics, Elsevier, vol. 30(1), pages 77-86, January.
    33. Hiroyuki Motegi & Yoshinori Nishimura & Kazuyuki Terada, 2016. "Does Retirement Change Lifestyle Habits?," The Japanese Economic Review, Japanese Economic Association, vol. 67(2), pages 169-191, June.
    34. repec:dau:papers:123456789/12127 is not listed on IDEAS
    35. Sukyung Chung & Marisa E. Domino & Sally C. Stearns, 2009. "The Effect of Retirement on Weight," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 64(5), pages 656-665.
    36. Hessel, Philipp, 2016. "Does retirement (really) lead to worse health among European men and women across all educational levels?," Social Science & Medicine, Elsevier, vol. 151(C), pages 19-26.
    37. Axel Börsch-Supan & Irene Ferrari, 2017. "Old-age Labor Force Participation in Germany: What Explains the Trend Reversal among Older Men? And What the Steady Increase among Women?," NBER Working Papers 24044, National Bureau of Economic Research, Inc.
    38. Solja T Nyberg & Eleonor I Fransson & Katriina Heikkilä & Lars Alfredsson & Annalisa Casini & Els Clays & Dirk De Bacquer & Nico Dragano & Raimund Erbel & Jane E Ferrie & Mark Hamer & Karl-Heinz Jöcke, 2013. "Job Strain and Cardiovascular Disease Risk Factors: Meta-Analysis of Individual-Participant Data from 47,000 Men and Women," PLOS ONE, Public Library of Science, vol. 8(6), pages 1-6, June.
    39. Romano, Joseph P. & Wolf, Michael, 2016. "Efficient computation of adjusted p-values for resampling-based stepdown multiple testing," Statistics & Probability Letters, Elsevier, vol. 113(C), pages 38-40.
    40. Stefanie Behncke, 2012. "Does retirement trigger ill health?," Health Economics, John Wiley & Sons, Ltd., vol. 21(3), pages 282-300, March.
    41. Dhaval Dave & Inas Rashad & Jasmina Spasojevic, 2006. "The Effects of Retirement on Physical and Mental Health Outcomes," NBER Working Papers 12123, National Bureau of Economic Research, Inc.
    42. Hult, Carl & Stattin, Mikael & Janlert, Urban & Järvholm, Bengt, 2010. "Timing of retirement and mortality - A cohort study of Swedish construction workers," Social Science & Medicine, Elsevier, vol. 70(10), pages 1480-1486, May.
    43. Marco Bertoni & Stefania Maggi & Guglielmo Weber, 2018. "Work, retirement, and muscle strength loss in old age," Health Economics, John Wiley & Sons, Ltd., vol. 27(1), pages 115-128, January.
    44. Norma B. Coe & Hans‐Martin von Gaudecker & Maarten Lindeboom & Jürgen Maurer, 2012. "The Effect Of Retirement On Cognitive Functioning," Health Economics, John Wiley & Sons, Ltd., vol. 21(8), pages 913-927, August.
    45. Hallberg, Daniel & Johansson, Per & Josephson, Malin, 2015. "Is an early retirement offer good for your health? Quasi-experimental evidence from the army," Journal of Health Economics, Elsevier, vol. 44(C), pages 274-285.
    46. repec:dau:papers:123456789/12125 is not listed on IDEAS
    47. de Grip, Andries & Dupuy, Arnaud & Jolles, Jelle & van Boxtel, Martin, 2015. "Retirement and cognitive development in the Netherlands: Are the retired really inactive?," Economics & Human Biology, Elsevier, vol. 19(C), pages 157-169.
    48. Moon, J. Robin & Glymour, M. Maria & Subramanian, S.V. & Avendaño, Mauricio & Kawachi, Ichiro, 2012. "Transition to retirement and risk of cardiovascular disease: Prospective analysis of the US health and retirement study," Social Science & Medicine, Elsevier, vol. 75(3), pages 526-530.
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    3. Kollerup, Anna & Ladenburg, Jacob & Heinesen, Eskil & Kolodziejczyk, Christophe, 2021. "The importance of workplace accommodation for cancer survivors – The role of flexible work schedules and psychological help in returning to work," Economics & Human Biology, Elsevier, vol. 43(C).

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