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Job strain in relation to body mass index: pooled analysis of 160 000 adults from 13 cohort studies.


ABSTRACT:

Background

Evidence of an association between job strain and obesity is inconsistent, mostly limited to small-scale studies, and does not distinguish between categories of underweight or obesity subclasses.

Objectives

To examine the association between job strain and body mass index (BMI) in a large adult population.

Methods

We performed a pooled cross-sectional analysis based on individual-level data from 13 European studies resulting in a total of 161 746 participants (49% men, mean age, 43.7 years). Longitudinal analysis with a median follow-up of 4 years was possible for four cohort studies (n = 42 222).

Results

A total of 86 429 participants were of normal weight (BMI 18.5-24.9 kg m(-2) ), 2149 were underweight (BMI < 18.5 kg m(-2) ), 56 572 overweight (BMI 25.0-29.9 kg m(-2) ) and 13 523 class I (BMI 30-34.9 kg m(-2) ) and 3073 classes II/III (BMI ? 35 kg m(-2) ) obese. In addition, 27 010 (17%) participants reported job strain. In cross-sectional analyses, we found increased odds of job strain amongst underweight [odds ratio 1.12, 95% confidence interval (CI) 1.00-1.25], obese class I (odds ratio 1.07, 95% CI 1.02-1.12) and obese classes II/III participants (odds ratio 1.14, 95% CI 1.01-1.28) as compared with participants of normal weight. In longitudinal analysis, both weight gain and weight loss were related to the onset of job strain during follow-up.

Conclusions

In an analysis of European data, we found both weight gain and weight loss to be associated with the onset of job strain, consistent with a 'U'-shaped cross-sectional association between job strain and BMI. These associations were relatively modest; therefore, it is unlikely that intervention to reduce job strain would be effective in combating obesity at a population level.

SUBMITTER: Nyberg ST 

PROVIDER: S-EPMC3437471 | biostudies-literature | 2012 Jul

REPOSITORIES: biostudies-literature

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Publications

Job strain in relation to body mass index: pooled analysis of 160 000 adults from 13 cohort studies.

Nyberg S T ST   Heikkilä K K   Heikkilä K K   Fransson E I EI   Alfredsson L L   De Bacquer D D   Bjorner J B JB   Bonenfant S S   Borritz M M   Burr H H   Casini A A   Clays E E   Dragano N N   Erbel R R   Geuskens G A GA   Goldberg M M   Hooftman W E WE   Houtman I L IL   Jöckel K-H KH   Kittel F F   Knutsson A A   Koskenvuo M M   Leineweber C C   Lunau T T   Madsen I E H IE   Hanson L L Magnusson LL   Marmot M G MG   Nielsen M L ML   Nordin M M   Oksanen T T   Pentti J J   Rugulies R R   Siegrist J J   Suominen S S   Vahtera J J   Virtanen M M   Westerholm P P   Westerlund H H   Zins M M   Ferrie J E JE   Theorell T T   Steptoe A A   Hamer M M   Singh-Manoux A A   Batty G D GD   Kivimäki M M  

Journal of internal medicine 20111205 1


<h4>Background</h4>Evidence of an association between job strain and obesity is inconsistent, mostly limited to small-scale studies, and does not distinguish between categories of underweight or obesity subclasses.<h4>Objectives</h4>To examine the association between job strain and body mass index (BMI) in a large adult population.<h4>Methods</h4>We performed a pooled cross-sectional analysis based on individual-level data from 13 European studies resulting in a total of 161 746 participants (49  ...[more]

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