Job strain in relation to body mass index: pooled analysis of 160 000 adults from 13 cohort studies.
Identifieur interne : 000198 ( France/Analysis ); précédent : 000197; suivant : 000199Job strain in relation to body mass index: pooled analysis of 160 000 adults from 13 cohort studies.
Auteurs : Solja Nyberg [Finlande] ; Katriina Heikkil [Finlande] ; Eleonor Fransson [Suède] ; Lars Alfredsson [Suède] ; Dirk De Bacquer [Belgique] ; Jakob Bjorner [Danemark] ; Sébastien Bonenfant [France] ; Marianne Borritz [Danemark] ; Hermann Burr [Danemark] ; Annalisa Casini [Belgique] ; Els Clays [Belgique] ; Nico Dragano [Allemagne] ; Raimound Erbel [Allemagne] ; Goedele Geuskens [Pays-Bas] ; Marcel Goldberg [France] ; Wendela Hooftman [Pays-Bas] ; Irene Houtman [Pays-Bas] ; Karl-Heinz Jöckel [Allemagne] ; France Kittel [Belgique] ; Anders Knutsson [Suède] ; Markku Koskenvuo [Finlande] ; Constanze Leineweber [Suède] ; Thorsten Lunau [Allemagne] ; Idea Madsen [Danemark] ; Linda Magnusson Hanson [Suède] ; Michael Marmot [Royaume-Uni] ; Martin Nielsen [Danemark] ; Maria Nordin [Suède] ; Tuula Oksanen [Finlande] ; Jaana Pentti [Finlande] ; Reiner Rugulies [Danemark] ; Johannes Siegrist [Allemagne] ; Sakari Suominen [Finlande] ; Jussi Vahtera [Finlande] ; Mariana Virtanen [Finlande] ; Peter Westerholm [Suède] ; Hugo Westerlund [Suède] ; Marie Zins [France] ; Jane Ferrie [Royaume-Uni] ; Töres Theorell [Suède] ; Andrew Steptoe [Royaume-Uni] ; Mark Hamer [Royaume-Uni] ; Archana Singh-Manoux [France] ; G. David Batty [Royaume-Uni] ; Mika Kivim Ki [Finlande]Source :
- Journal of Internal Medicine [ 0954-6820 ] ; 2012-07.
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.
Url:
DOI: 10.1111/j.1365-2796.2011.02482.x
Affiliations:
- Allemagne, Belgique, Danemark, Finlande, France, Pays-Bas, Royaume-Uni, Suède
- Comté de Stockholm, East Middle Sweden, Finlande occidentale, Svealand, Écosse, Île-de-France
- Stockholm, Turku, Uppsala, Versailles, Édimbourg
- Université d'Uppsala, Université d'Édimbourg, Université de Stockholm, Université de Turku, Université de Versailles-Saint-Quentin-en-Yvelines
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Hal:inserm-00677219Le document en format XML
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<country>Finlande</country>
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<author><name sortKey="Westerholm, Peter" sort="Westerholm, Peter" uniqKey="Westerholm P" first="Peter" last="Westerholm">Peter Westerholm</name>
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<author><name sortKey="Westerlund, Hugo" sort="Westerlund, Hugo" uniqKey="Westerlund H" first="Hugo" last="Westerlund">Hugo Westerlund</name>
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<author><name sortKey="Zins, Marie" sort="Zins, Marie" uniqKey="Zins M" first="Marie" last="Zins">Marie Zins</name>
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</address>
</desc>
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</address>
</desc>
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<author><name sortKey="Ferrie, Jane" sort="Ferrie, Jane" uniqKey="Ferrie J" first="Jane" last="Ferrie">Jane Ferrie</name>
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<desc> <address> <addrLine>1-19 Torrington Place London WC1E 6BT</addrLine>
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<country>Suède</country>
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<author><name sortKey="Steptoe, Andrew" sort="Steptoe, Andrew" uniqKey="Steptoe A" first="Andrew" last="Steptoe">Andrew Steptoe</name>
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<author><name sortKey="Hamer, Mark" sort="Hamer, Mark" uniqKey="Hamer M" first="Mark" last="Hamer">Mark Hamer</name>
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<author><name sortKey="Singh Manoux, Archana" sort="Singh Manoux, Archana" uniqKey="Singh Manoux A" first="Archana" last="Singh-Manoux">Archana Singh-Manoux</name>
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<author><name sortKey="Batty, G David" sort="Batty, G David" uniqKey="Batty G" first="G. David" last="Batty">G. David Batty</name>
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<author><name sortKey="Kivim Ki, Mika" sort="Kivim Ki, Mika" uniqKey="Kivim Ki M" first="Mika" last="Kivim Ki">Mika Kivim Ki</name>
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<idno type="DOI">10.1111/j.1365-2796.2011.02482.x</idno>
<series><title level="j">Journal of Internal Medicine</title>
<idno type="ISSN">0954-6820</idno>
<imprint><date type="datePub">2012-07</date>
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<front><div type="abstract" xml:lang="en"> <p>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.</p>
</div>
</front>
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<affiliations><list><country><li>Allemagne</li>
<li>Belgique</li>
<li>Danemark</li>
<li>Finlande</li>
<li>France</li>
<li>Pays-Bas</li>
<li>Royaume-Uni</li>
<li>Suède</li>
</country>
<region><li>Comté de Stockholm</li>
<li>East Middle Sweden</li>
<li>Finlande occidentale</li>
<li>Svealand</li>
<li>Écosse</li>
<li>Île-de-France</li>
</region>
<settlement><li>Stockholm</li>
<li>Turku</li>
<li>Uppsala</li>
<li>Versailles</li>
<li>Édimbourg</li>
</settlement>
<orgName><li>Université d'Uppsala</li>
<li>Université d'Édimbourg</li>
<li>Université de Stockholm</li>
<li>Université de Turku</li>
<li>Université de Versailles-Saint-Quentin-en-Yvelines</li>
</orgName>
</list>
<tree><country name="Finlande"><noRegion><name sortKey="Nyberg, Solja" sort="Nyberg, Solja" uniqKey="Nyberg S" first="Solja" last="Nyberg">Solja Nyberg</name>
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<name sortKey="Heikkil, Katriina" sort="Heikkil, Katriina" uniqKey="Heikkil K" first="Katriina" last="Heikkil">Katriina Heikkil</name>
<name sortKey="Kivim Ki, Mika" sort="Kivim Ki, Mika" uniqKey="Kivim Ki M" first="Mika" last="Kivim Ki">Mika Kivim Ki</name>
<name sortKey="Koskenvuo, Markku" sort="Koskenvuo, Markku" uniqKey="Koskenvuo M" first="Markku" last="Koskenvuo">Markku Koskenvuo</name>
<name sortKey="Oksanen, Tuula" sort="Oksanen, Tuula" uniqKey="Oksanen T" first="Tuula" last="Oksanen">Tuula Oksanen</name>
<name sortKey="Pentti, Jaana" sort="Pentti, Jaana" uniqKey="Pentti J" first="Jaana" last="Pentti">Jaana Pentti</name>
<name sortKey="Suominen, Sakari" sort="Suominen, Sakari" uniqKey="Suominen S" first="Sakari" last="Suominen">Sakari Suominen</name>
<name sortKey="Vahtera, Jussi" sort="Vahtera, Jussi" uniqKey="Vahtera J" first="Jussi" last="Vahtera">Jussi Vahtera</name>
<name sortKey="Virtanen, Mariana" sort="Virtanen, Mariana" uniqKey="Virtanen M" first="Mariana" last="Virtanen">Mariana Virtanen</name>
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<country name="Suède"><noRegion><name sortKey="Fransson, Eleonor" sort="Fransson, Eleonor" uniqKey="Fransson E" first="Eleonor" last="Fransson">Eleonor Fransson</name>
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<name sortKey="Alfredsson, Lars" sort="Alfredsson, Lars" uniqKey="Alfredsson L" first="Lars" last="Alfredsson">Lars Alfredsson</name>
<name sortKey="Knutsson, Anders" sort="Knutsson, Anders" uniqKey="Knutsson A" first="Anders" last="Knutsson">Anders Knutsson</name>
<name sortKey="Leineweber, Constanze" sort="Leineweber, Constanze" uniqKey="Leineweber C" first="Constanze" last="Leineweber">Constanze Leineweber</name>
<name sortKey="Magnusson Hanson, Linda" sort="Magnusson Hanson, Linda" uniqKey="Magnusson Hanson L" first="Linda" last="Magnusson Hanson">Linda Magnusson Hanson</name>
<name sortKey="Nordin, Maria" sort="Nordin, Maria" uniqKey="Nordin M" first="Maria" last="Nordin">Maria Nordin</name>
<name sortKey="Theorell, Tores" sort="Theorell, Tores" uniqKey="Theorell T" first="Töres" last="Theorell">Töres Theorell</name>
<name sortKey="Westerholm, Peter" sort="Westerholm, Peter" uniqKey="Westerholm P" first="Peter" last="Westerholm">Peter Westerholm</name>
<name sortKey="Westerlund, Hugo" sort="Westerlund, Hugo" uniqKey="Westerlund H" first="Hugo" last="Westerlund">Hugo Westerlund</name>
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<country name="Belgique"><noRegion><name sortKey="De Bacquer, Dirk" sort="De Bacquer, Dirk" uniqKey="De Bacquer D" first="Dirk" last="De Bacquer">Dirk De Bacquer</name>
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<name sortKey="Casini, Annalisa" sort="Casini, Annalisa" uniqKey="Casini A" first="Annalisa" last="Casini">Annalisa Casini</name>
<name sortKey="Clays, Els" sort="Clays, Els" uniqKey="Clays E" first="Els" last="Clays">Els Clays</name>
<name sortKey="Kittel, France" sort="Kittel, France" uniqKey="Kittel F" first="France" last="Kittel">France Kittel</name>
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<country name="Danemark"><noRegion><name sortKey="Bjorner, Jakob" sort="Bjorner, Jakob" uniqKey="Bjorner J" first="Jakob" last="Bjorner">Jakob Bjorner</name>
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<name sortKey="Borritz, Marianne" sort="Borritz, Marianne" uniqKey="Borritz M" first="Marianne" last="Borritz">Marianne Borritz</name>
<name sortKey="Burr, Hermann" sort="Burr, Hermann" uniqKey="Burr H" first="Hermann" last="Burr">Hermann Burr</name>
<name sortKey="Madsen, Idea" sort="Madsen, Idea" uniqKey="Madsen I" first="Idea" last="Madsen">Idea Madsen</name>
<name sortKey="Nielsen, Martin" sort="Nielsen, Martin" uniqKey="Nielsen M" first="Martin" last="Nielsen">Martin Nielsen</name>
<name sortKey="Rugulies, Reiner" sort="Rugulies, Reiner" uniqKey="Rugulies R" first="Reiner" last="Rugulies">Reiner Rugulies</name>
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<country name="France"><region name="Île-de-France"><name sortKey="Bonenfant, Sebastien" sort="Bonenfant, Sebastien" uniqKey="Bonenfant S" first="Sébastien" last="Bonenfant">Sébastien Bonenfant</name>
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<name sortKey="Goldberg, Marcel" sort="Goldberg, Marcel" uniqKey="Goldberg M" first="Marcel" last="Goldberg">Marcel Goldberg</name>
<name sortKey="Singh Manoux, Archana" sort="Singh Manoux, Archana" uniqKey="Singh Manoux A" first="Archana" last="Singh-Manoux">Archana Singh-Manoux</name>
<name sortKey="Zins, Marie" sort="Zins, Marie" uniqKey="Zins M" first="Marie" last="Zins">Marie Zins</name>
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<country name="Allemagne"><noRegion><name sortKey="Dragano, Nico" sort="Dragano, Nico" uniqKey="Dragano N" first="Nico" last="Dragano">Nico Dragano</name>
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<name sortKey="Erbel, Raimound" sort="Erbel, Raimound" uniqKey="Erbel R" first="Raimound" last="Erbel">Raimound Erbel</name>
<name sortKey="Jockel, Karl Heinz" sort="Jockel, Karl Heinz" uniqKey="Jockel K" first="Karl-Heinz" last="Jöckel">Karl-Heinz Jöckel</name>
<name sortKey="Lunau, Thorsten" sort="Lunau, Thorsten" uniqKey="Lunau T" first="Thorsten" last="Lunau">Thorsten Lunau</name>
<name sortKey="Siegrist, Johannes" sort="Siegrist, Johannes" uniqKey="Siegrist J" first="Johannes" last="Siegrist">Johannes Siegrist</name>
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<country name="Pays-Bas"><noRegion><name sortKey="Geuskens, Goedele" sort="Geuskens, Goedele" uniqKey="Geuskens G" first="Goedele" last="Geuskens">Goedele Geuskens</name>
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<name sortKey="Hooftman, Wendela" sort="Hooftman, Wendela" uniqKey="Hooftman W" first="Wendela" last="Hooftman">Wendela Hooftman</name>
<name sortKey="Houtman, Irene" sort="Houtman, Irene" uniqKey="Houtman I" first="Irene" last="Houtman">Irene Houtman</name>
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<country name="Royaume-Uni"><noRegion><name sortKey="Marmot, Michael" sort="Marmot, Michael" uniqKey="Marmot M" first="Michael" last="Marmot">Michael Marmot</name>
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<name sortKey="Batty, G David" sort="Batty, G David" uniqKey="Batty G" first="G. David" last="Batty">G. David Batty</name>
<name sortKey="Ferrie, Jane" sort="Ferrie, Jane" uniqKey="Ferrie J" first="Jane" last="Ferrie">Jane Ferrie</name>
<name sortKey="Hamer, Mark" sort="Hamer, Mark" uniqKey="Hamer M" first="Mark" last="Hamer">Mark Hamer</name>
<name sortKey="Steptoe, Andrew" sort="Steptoe, Andrew" uniqKey="Steptoe A" first="Andrew" last="Steptoe">Andrew Steptoe</name>
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