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Job strain and the risk of inflammatory bowel diseases: individual-participant meta-analysis of 95,000 men and women.

Identifieur interne : 001033 ( Main/Exploration ); précédent : 001032; suivant : 001034

Job strain and the risk of inflammatory bowel diseases: individual-participant meta-analysis of 95,000 men and women.

Auteurs : Katriina Heikkil [Finlande] ; Ida Madsen [Danemark] ; Solja Nyberg [Finlande] ; Eleonor Fransson [Suède] ; Kirsi Ahola [Finlande] ; Lars Alfredsson [Suède] ; Jakob Bjorner [Danemark] ; Marianne Borritz [Danemark] ; Hermann Burr [Allemagne] ; Nico Dragano [Allemagne] ; Jane Ferrie [Royaume-Uni] ; Anders Knutsson [Suède] ; Markku Koskenvuo [Finlande] ; Aki Koskinen [Finlande] ; Martin Nielsen [Danemark] ; Maria Nordin [Suède] ; Jan Pejtersen [Danemark] ; Jaana Pentti [Finlande] ; Reiner Rugulies [Danemark] ; Tuula Oksanen [Finlande] ; Martin Shipley [Royaume-Uni] ; Sakari Suominen [Finlande] ; Töres Theorell [Suède] ; Ari V N Nen [Finlande] ; Jussi Vahtera [Finlande] ; Marianna Virtanen [Finlande] ; Hugo Westerlund [Suède] ; Peter Westerholm [Suède] ; G David Batty [Royaume-Uni] ; Archana Singh-Manoux [Royaume-Uni] ; Mika Kivim Ki [Finlande]

Source :

RBID : Hal:inserm-01153091

English descriptors

Abstract

Many clinicians, patients and patient advocacy groups believe stress to have a causal role in inflammatory bowel diseases, such as Crohn's disease and ulcerative colitis. However, this is not corroborated by clear epidemiological research evidence. We investigated the association between work-related stress and incident Crohn's disease and ulcerative colitis using individual-level data from 95,000 European adults. We conducted individual-participant data meta-analyses in a set of pooled data from 11 prospective European studies. All studies are a part of the IPD-Work Consortium. Work-related psychosocial stress was operationalised as job strain (a combination of high demands and low control at work) and was self-reported at baseline. Crohn's disease and ulcerative colitis were ascertained from national hospitalisation and drug reimbursement registers. The associations between job strain and inflammatory bowel disease outcomes were modelled using Cox proportional hazards regression. The study-specific results were combined in random effects meta-analyses. Of the 95,379 participants who were free of inflammatory bowel disease at baseline, 111 men and women developed Crohn's disease and 414 developed ulcerative colitis during follow-up. Job strain at baseline was not associated with incident Crohn's disease (multivariable-adjusted random effects hazard ratio: 0.83, 95% confidence interval: 0.48, 1.43) or ulcerative colitis (hazard ratio: 1.06, 95% CI: 0.76, 1.48). There was negligible heterogeneity among the study-specific associations. Our findings suggest that job strain, an indicator of work-related stress, is not a major risk factor for Crohn's disease or ulcerative colitis.


Url:
DOI: 10.1371/journal.pone.0088711


Affiliations:


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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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</affiliation>
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</address>
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</address>
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<author>
<name sortKey="V N Nen, Ari" sort="V N Nen, Ari" uniqKey="V N Nen A" first="Ari" last="V N Nen">Ari V N Nen</name>
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<orgName>Finnish Institute of Occupational Health</orgName>
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</address>
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<address>
<country key="FR"></country>
</address>
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</affiliation>
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<author>
<name sortKey="Vahtera, Jussi" sort="Vahtera, Jussi" uniqKey="Vahtera J" first="Jussi" last="Vahtera">Jussi Vahtera</name>
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<orgName>Finnish Institute of Occupational Health</orgName>
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<address>
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</address>
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<address>
<country key="FR"></country>
</address>
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<country>Finlande</country>
</affiliation>
</author>
<author>
<name sortKey="Virtanen, Marianna" sort="Virtanen, Marianna" uniqKey="Virtanen M" first="Marianna" last="Virtanen">Marianna Virtanen</name>
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<orgName>Finnish Institute of Occupational Health</orgName>
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</address>
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</affiliation>
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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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<orgName>Stress Research Institute</orgName>
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<addrLine>Stockholm University, SE-106 91 Stockholm, Sweden</addrLine>
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</address>
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<settlement type="city">Stockholm</settlement>
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<name sortKey="Westerholm, Peter" sort="Westerholm, Peter" uniqKey="Westerholm P" first="Peter" last="Westerholm">Peter Westerholm</name>
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<addrLine>Box 256, SE-751 05 Uppsala</addrLine>
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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>
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<orgName>Department of Epidemiology and Public Health</orgName>
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<addrLine>1-19 Torrington Place, London WC1E 6BT</addrLine>
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</hal:affiliation>
<country>Royaume-Uni</country>
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</author>
<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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<hal:affiliation type="laboratory" xml:id="struct-227084" status="INCOMING">
<orgName>Department of Epidemiology and Public Health</orgName>
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<address>
<addrLine>1-19 Torrington Place, London WC1E 6BT</addrLine>
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</address>
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<country>Royaume-Uni</country>
</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>
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<orgName>Finnish Institute of Occupational Health</orgName>
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<address>
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</address>
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</hal:affiliation>
<country>Finlande</country>
</affiliation>
</author>
</analytic>
<idno type="DOI">10.1371/journal.pone.0088711</idno>
<series>
<title level="j">PLoS ONE</title>
<idno type="ISSN">1932-6203</idno>
<imprint>
<date type="datePub">2013-11-30</date>
</imprint>
</series>
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</sourceDesc>
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<profileDesc>
<textClass>
<keywords scheme="mix" xml:lang="en">
<term>Female</term>
<term>Humans</term>
<term>Inflammatory Bowel Diseases/epidemiology</term>
<term>Inflammatory Bowel Diseases/psychology</term>
<term>Male</term>
<term>Risk</term>
<term>StressPsychological</term>
<term>Work/psychology</term>
</keywords>
</textClass>
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</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p>Many clinicians, patients and patient advocacy groups believe stress to have a causal role in inflammatory bowel diseases, such as Crohn's disease and ulcerative colitis. However, this is not corroborated by clear epidemiological research evidence. We investigated the association between work-related stress and incident Crohn's disease and ulcerative colitis using individual-level data from 95,000 European adults. We conducted individual-participant data meta-analyses in a set of pooled data from 11 prospective European studies. All studies are a part of the IPD-Work Consortium. Work-related psychosocial stress was operationalised as job strain (a combination of high demands and low control at work) and was self-reported at baseline. Crohn's disease and ulcerative colitis were ascertained from national hospitalisation and drug reimbursement registers. The associations between job strain and inflammatory bowel disease outcomes were modelled using Cox proportional hazards regression. The study-specific results were combined in random effects meta-analyses. Of the 95,379 participants who were free of inflammatory bowel disease at baseline, 111 men and women developed Crohn's disease and 414 developed ulcerative colitis during follow-up. Job strain at baseline was not associated with incident Crohn's disease (multivariable-adjusted random effects hazard ratio: 0.83, 95% confidence interval: 0.48, 1.43) or ulcerative colitis (hazard ratio: 1.06, 95% CI: 0.76, 1.48). There was negligible heterogeneity among the study-specific associations. Our findings suggest that job strain, an indicator of work-related stress, is not a major risk factor for Crohn's disease or ulcerative colitis.</p>
</div>
</front>
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<li>Allemagne</li>
<li>Danemark</li>
<li>Finlande</li>
<li>Royaume-Uni</li>
<li>Suède</li>
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<li>Comté de Stockholm</li>
<li>East Middle Sweden</li>
<li>Svealand</li>
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<li>Stockholm</li>
<li>Uppsala</li>
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