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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 : 000199

Job 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 :

RBID : Hal:inserm-00677219

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


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<orgName>University College of London [London]</orgName>
<orgName type="acronym">UCL</orgName>
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<address>
<addrLine>Gower Street, London WC1E 6BT </addrLine>
<country key="GB"></country>
</address>
<ref type="url">http://www.ucl.ac.uk/</ref>
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<country>Royaume-Uni</country>
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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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<idno type="IdRef">156182254</idno>
<idno type="ISNI">0000 0004 0638 6872 </idno>
<idno type="RNSR">201019083D</idno>
<orgName>Centre de recherche en épidémiologie et santé des populations</orgName>
<orgName type="acronym">CESP</orgName>
<desc>
<address>
<addrLine>16 avenue Paul Vaillant Couturier 94807 Villejuif Cedex, France</addrLine>
<country key="FR"></country>
</address>
</desc>
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<org type="institution" xml:id="struct-81173" status="VALID">
<idno type="IdRef">03082057X</idno>
<idno type="ISNI">0000 0001 2323 0229 </idno>
<orgName>Université de Versailles Saint-Quentin-en-Yvelines</orgName>
<orgName type="acronym">UVSQ</orgName>
<date type="start">1991-07-22</date>
<desc>
<address>
<addrLine>55 avenue de Paris - 78035 Versailles cedex</addrLine>
<country key="FR"></country>
</address>
<ref type="url">http://www.uvsq.fr/</ref>
</desc>
</org>
</tutelle>
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<orgName>Université Paris-Sud - Paris 11</orgName>
<orgName type="acronym">UP11</orgName>
<desc>
<address>
<addrLine>Bâtiment 300 - 91405 Orsay cedex</addrLine>
<country key="FR"></country>
</address>
<ref type="url">http://www.u-psud.fr/</ref>
</desc>
</org>
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<tutelle active="#struct-300068" type="direct">
<org type="regroupinstitution" xml:id="struct-300068" status="VALID">
<orgName>Assistance publique - Hôpitaux de Paris (AP-HP)</orgName>
<orgName type="acronym">APHP</orgName>
<desc>
<address>
<country key="FR"></country>
</address>
</desc>
</org>
</tutelle>
<tutelle active="#struct-300153" type="direct">
<org type="institution" xml:id="struct-300153" status="VALID">
<orgName>Hôpital Paul Brousse</orgName>
<desc>
<address>
<addrLine>12 Avenue Paul Vaillant Couturier, 94800 Villejuif</addrLine>
<country key="FR"></country>
</address>
</desc>
</org>
</tutelle>
<tutelle name="U1018" active="#struct-303623" type="direct">
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<idno type="IdRef">026388278</idno>
<orgName>Institut National de la Santé et de la Recherche Médicale</orgName>
<orgName type="acronym">INSERM</orgName>
<desc>
<address>
<addrLine>101, rue de Tolbiac, 75013 Paris </addrLine>
<country key="FR"></country>
</address>
<ref type="url">http://www.inserm.fr</ref>
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</tutelle>
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<country>France</country>
<placeName>
<settlement type="city">Versailles</settlement>
<region type="region" nuts="2">Île-de-France</region>
</placeName>
<orgName type="university">Université de Versailles-Saint-Quentin-en-Yvelines</orgName>
</affiliation>
</author>
<author>
<name sortKey="Batty, G David" sort="Batty, G David" uniqKey="Batty G" first="G. David" last="Batty">G. David Batty</name>
<affiliation wicri:level="1">
<hal:affiliation type="laboratory" xml:id="struct-131164" status="INCOMING">
<orgName>Centre for Cognitive Ageing & Cognitive Epidemiology</orgName>
<desc>
<address>
<addrLine>Edinburgh</addrLine>
<country key="GB"></country>
</address>
</desc>
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<tutelle active="#struct-61277" type="direct">
<org type="institution" xml:id="struct-61277" status="VALID">
<orgName>University of Edinburgh</orgName>
<desc>
<address>
<addrLine>Old College South Bridge Edinburgh EH8 9YL</addrLine>
<country key="GB"></country>
</address>
<ref type="url">http://www.ed.ac.uk/home</ref>
</desc>
</org>
</tutelle>
</tutelles>
</hal:affiliation>
<country>Royaume-Uni</country>
<placeName>
<settlement type="city">Édimbourg</settlement>
<region type="country">Écosse</region>
</placeName>
<orgName type="university">Université d'Édimbourg</orgName>
</affiliation>
</author>
<author>
<name sortKey="Kivim Ki, Mika" sort="Kivim Ki, Mika" uniqKey="Kivim Ki M" first="Mika" last="Kivim Ki">Mika Kivim Ki</name>
<affiliation wicri:level="1">
<hal:affiliation type="laboratory" xml:id="struct-142361" status="INCOMING">
<orgName>Finnish Institute of Occupational Health</orgName>
<desc>
<address>
<addrLine>Topeliuksenkatu 41A 00250 Helsinki</addrLine>
<country key="FI"></country>
</address>
</desc>
<listRelation>
<relation active="#struct-303940" type="direct"></relation>
</listRelation>
<tutelles>
<tutelle active="#struct-303940" type="direct">
<org type="institution" xml:id="struct-303940" status="INCOMING">
<orgName>Finnish Institute of Occupational Health</orgName>
<desc>
<address>
<country key="FR"></country>
</address>
</desc>
</org>
</tutelle>
</tutelles>
</hal:affiliation>
<country>Finlande</country>
</affiliation>
</author>
</analytic>
<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>
</imprint>
</series>
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<textClass></textClass>
</profileDesc>
</teiHeader>
<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>
</TEI>
<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>
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<name sortKey="Oksanen, Tuula" sort="Oksanen, Tuula" uniqKey="Oksanen T" first="Tuula" last="Oksanen">Tuula Oksanen</name>
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<name sortKey="Fransson, Eleonor" sort="Fransson, Eleonor" uniqKey="Fransson E" first="Eleonor" last="Fransson">Eleonor Fransson</name>
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<name sortKey="Knutsson, Anders" sort="Knutsson, Anders" uniqKey="Knutsson A" first="Anders" last="Knutsson">Anders Knutsson</name>
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<name sortKey="Westerlund, Hugo" sort="Westerlund, Hugo" uniqKey="Westerlund H" first="Hugo" last="Westerlund">Hugo Westerlund</name>
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<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="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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<name sortKey="Madsen, Idea" sort="Madsen, Idea" uniqKey="Madsen I" first="Idea" last="Madsen">Idea Madsen</name>
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<name sortKey="Rugulies, Reiner" sort="Rugulies, Reiner" uniqKey="Rugulies R" first="Reiner" last="Rugulies">Reiner Rugulies</name>
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<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>
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<name sortKey="Marmot, Michael" sort="Marmot, Michael" uniqKey="Marmot M" first="Michael" last="Marmot">Michael Marmot</name>
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   |texte=   Job strain in relation to body mass index: pooled analysis of 160 000 adults from 13 cohort studies.
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