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

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

doi:10.1111/j.1365-2796.2011.02482.x

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

S T Nyberg, K Heikkilä, E I Fransson, L Alfredsson, D De Bacquer, J B Bjorner, S Bonenfant, M Borritz, H Burr, A Casini, E Clays, N Dragano, R Erbel, G A Geuskens, M Goldberg, W E Hooftman, I L Houtman, K-H Jöckel, F Kittel, A KnutssonM Koskenvuo, C Leineweber, T Lunau, I E H Madsen, L L Magnusson Hanson, M G Marmot, M L Nielsen, M Nordin, T Oksanen, J Pentti, R Rugulies, J Siegrist, S Suominen, J Vahtera, M Virtanen, P Westerholm, H Westerlund, M Zins, J E Ferrie, T Theorell, A Steptoe, M Hamer, A Singh-Manoux, G D Batty, M Kivimäki, IPD-Work Consortium

108 Citations (Scopus)

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 161746 participants (49% men, mean age, 43.7years). Longitudinal analysis with a median follow-up of 4years was possible for four cohort studies (n=42222). Results. A total of 86429 participants were of normal weight (BMI 18.5-24.9kgm ^-2), 2149 were underweight (BMI<18.5kgm ^-2), 56572 overweight (BMI 25.0-29.9kgm ^-2) and 13523 class I (BMI 30-34.9kgm ^-2) and 3073 classes II/III (BMI≥ 35kgm ^-2) obese. In addition, 27010 (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.

Original language	English
Journal	Journal of Internal Medicine
Volume	272
Issue number	1
Pages (from-to)	65-73
Number of pages	9
ISSN	0954-6820
DOIs	https://doi.org/10.1111/j.1365-2796.2011.02482.x
Publication status	Published - Jul 2012

Keywords

Adolescent
Adult
Aged
Aged, 80 and over
Body Mass Index
Cohort Studies
Cross-Sectional Studies
Employment
Europe
Female
Humans
Male
Middle Aged
Obesity
Odds Ratio
Overweight
Stress, Psychological
Weight Gain

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1111/j.1365-2796.2011.02482.x

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Nyberg, S. T., Heikkilä, K., Fransson, E. I., Alfredsson, L., De Bacquer, D., Bjorner, J. B., Bonenfant, S., Borritz, M., Burr, H., Casini, A., Clays, E., Dragano, N., Erbel, R., Geuskens, G. A., Goldberg, M., Hooftman, W. E., Houtman, I. L., Jöckel, K-H., Kittel, F., ... IPD-Work Consortium (2012). Job strain in relation to body mass index: pooled analysis of 160 000 adults from 13 cohort studies. Journal of Internal Medicine, 272(1), 65-73. https://doi.org/10.1111/j.1365-2796.2011.02482.x

Nyberg, ST, Heikkilä, K, Fransson, EI, Alfredsson, L, De Bacquer, D, Bjorner, JB, Bonenfant, S, Borritz, M, Burr, H, Casini, A, Clays, E, Dragano, N, Erbel, R, Geuskens, GA, Goldberg, M, Hooftman, WE, Houtman, IL, Jöckel, K-H, Kittel, F, Knutsson, A, Koskenvuo, M, Leineweber, C, Lunau, T, Madsen, IEH, Hanson, LLM, Marmot, MG, Nielsen, ML, Nordin, M, Oksanen, T, Pentti, J, Rugulies, R, Siegrist, J, Suominen, S, Vahtera, J, Virtanen, M, Westerholm, P, Westerlund, H, Zins, M, Ferrie, JE, Theorell, T, Steptoe, A, Hamer, M, Singh-Manoux, A, Batty, GD, Kivimäki, M & IPD-Work Consortium 2012, 'Job strain in relation to body mass index: pooled analysis of 160 000 adults from 13 cohort studies', Journal of Internal Medicine, vol. 272, no. 1, pp. 65-73. https://doi.org/10.1111/j.1365-2796.2011.02482.x

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title = "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 161746 participants (49% men, mean age, 43.7years). Longitudinal analysis with a median follow-up of 4years was possible for four cohort studies (n=42222). Results. A total of 86429 participants were of normal weight (BMI 18.5-24.9kgm -2), 2149 were underweight (BMI<18.5kgm -2), 56572 overweight (BMI 25.0-29.9kgm -2) and 13523 class I (BMI 30-34.9kgm -2) and 3073 classes II/III (BMI≥ 35kgm -2) obese. In addition, 27010 (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.",

keywords = "Adolescent, Adult, Aged, Aged, 80 and over, Body Mass Index, Cohort Studies, Cross-Sectional Studies, Employment, Europe, Female, Humans, Male, Middle Aged, Obesity, Odds Ratio, Overweight, Stress, Psychological, Weight Gain",

author = "Nyberg, {S T} and K Heikkil{\"a} and Fransson, {E I} and L Alfredsson and {De Bacquer}, D and Bjorner, {J B} and S Bonenfant and M Borritz and H Burr and A Casini and E Clays and N Dragano and R Erbel and Geuskens, {G A} and M Goldberg and Hooftman, {W E} and Houtman, {I L} and K-H J{\"o}ckel and F Kittel and A Knutsson and M Koskenvuo and C Leineweber and T Lunau and Madsen, {I E H} and Hanson, {L L Magnusson} and Marmot, {M G} and Nielsen, {M L} and M Nordin and T Oksanen and J Pentti and R Rugulies and J Siegrist and S Suominen and J Vahtera and M Virtanen and P Westerholm and H Westerlund and M Zins and Ferrie, {J E} and T Theorell and A Steptoe and M Hamer and A Singh-Manoux and Batty, {G D} and M Kivim{\"a}ki and {IPD-Work Consortium}",

note = "{\textcopyright} 2011 The Association for the Publication of the Journal of Internal Medicine.",

year = "2012",

month = jul,

doi = "10.1111/j.1365-2796.2011.02482.x",

language = "English",

volume = "272",

pages = "65--73",

journal = "Acta Medica Scandinavica",

issn = "0955-7873",

publisher = "Wiley-Blackwell",

number = "1",

}

TY - JOUR

T1 - Job strain in relation to body mass index

T2 - pooled analysis of 160 000 adults from 13 cohort studies

AU - Nyberg, S T

AU - Heikkilä, K

AU - Fransson, E I

AU - Alfredsson, L

AU - De Bacquer, D

AU - Bjorner, J B

AU - Bonenfant, S

AU - Borritz, M

AU - Burr, H

AU - Casini, A

AU - Clays, E

AU - Dragano, N

AU - Erbel, R

AU - Geuskens, G A

AU - Goldberg, M

AU - Hooftman, W E

AU - Houtman, I L

AU - Jöckel, K-H

AU - Kittel, F

AU - Knutsson, A

AU - Koskenvuo, M

AU - Leineweber, C

AU - Lunau, T

AU - Madsen, I E H

AU - Hanson, L L Magnusson

AU - Marmot, M G

AU - Nielsen, M L

AU - Nordin, M

AU - Oksanen, T

AU - Pentti, J

AU - Rugulies, R

AU - Siegrist, J

AU - Suominen, S

AU - Vahtera, J

AU - Virtanen, M

AU - Westerholm, P

AU - Westerlund, H

AU - Zins, M

AU - Ferrie, J E

AU - Theorell, T

AU - Steptoe, A

AU - Hamer, M

AU - Singh-Manoux, A

AU - Batty, G D

AU - Kivimäki, M

AU - IPD-Work Consortium

PY - 2012/7

Y1 - 2012/7

N2 - 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 161746 participants (49% men, mean age, 43.7years). Longitudinal analysis with a median follow-up of 4years was possible for four cohort studies (n=42222). Results. A total of 86429 participants were of normal weight (BMI 18.5-24.9kgm -2), 2149 were underweight (BMI<18.5kgm -2), 56572 overweight (BMI 25.0-29.9kgm -2) and 13523 class I (BMI 30-34.9kgm -2) and 3073 classes II/III (BMI≥ 35kgm -2) obese. In addition, 27010 (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.

AB - 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 161746 participants (49% men, mean age, 43.7years). Longitudinal analysis with a median follow-up of 4years was possible for four cohort studies (n=42222). Results. A total of 86429 participants were of normal weight (BMI 18.5-24.9kgm -2), 2149 were underweight (BMI<18.5kgm -2), 56572 overweight (BMI 25.0-29.9kgm -2) and 13523 class I (BMI 30-34.9kgm -2) and 3073 classes II/III (BMI≥ 35kgm -2) obese. In addition, 27010 (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.

KW - Adolescent

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Body Mass Index

KW - Cohort Studies

KW - Cross-Sectional Studies

KW - Employment

KW - Europe

KW - Female

KW - Humans

KW - Male

KW - Middle Aged

KW - Obesity

KW - Odds Ratio

KW - Overweight

KW - Stress, Psychological

KW - Weight Gain

U2 - 10.1111/j.1365-2796.2011.02482.x

DO - 10.1111/j.1365-2796.2011.02482.x

M3 - Journal article

C2 - 22077620

SN - 0955-7873

VL - 272

SP - 65

EP - 73

JO - Acta Medica Scandinavica

JF - Acta Medica Scandinavica

IS - 1

ER -

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

Abstract

Keywords

UN SDGs

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