Long working hours and change in body weight: analysis of individual-participant data from 19 cohort studies

被引:27
|
作者
Virtanen, Marianna [1 ,2 ]
Jokela, Markus [3 ]
Lallukka, Tea [4 ,5 ]
Hanson, Linda Magnusson [2 ]
Pentti, Jaana [5 ,6 ,7 ,8 ]
Nyberg, Solja T. [5 ]
Alfredsson, Lars [9 ,10 ]
Batty, G. David [11 ,12 ]
Casini, Annalisa [13 ,14 ]
Clays, Els [15 ]
DeBacquer, Dirk [15 ]
Ervasti, Jenni [4 ,9 ]
Fransson, Eleonor [2 ,9 ,16 ]
Halonen, Jaana, I [2 ,4 ]
Head, Jenny [11 ]
Kittel, France [13 ,14 ]
Knutsson, Anders [17 ]
Leineweber, Constanze [2 ]
Nordin, Maria [18 ]
Oksanen, Tuula [4 ]
Pietilainen, Olli [5 ]
Rahkonen, Ossi [5 ]
Salo, Paula [4 ,19 ]
Singh-Manoux, Archana [11 ,20 ]
Stenholm, Sari [6 ,7 ,8 ]
Suominen, Sakari B. [6 ,7 ,21 ,22 ]
Theorell, Tores [2 ]
Vahtera, Jussi [6 ,7 ,8 ]
Westerholm, Peter [23 ]
Westerlund, Hugo [2 ]
Kivimaki, Mika [5 ,11 ]
机构
[1] Univ Eastern Finland, Sch Educ Sci & Psychol, Joensuu, Finland
[2] Stockholm Univ, Stress Res Inst, Stockholm, Sweden
[3] Univ Helsinki, Dept Psychol & Logoped, Helsinki, Finland
[4] Finnish Inst Occupat Hlth, Helsinki, Finland
[5] Univ Helsinki, Dept Publ Hlth, Clinicum, Helsinki, Finland
[6] Univ Turku, Dept Publ Hlth, Turku, Finland
[7] Turku Univ Hosp, Turku, Finland
[8] Univ Turku, Ctr Populat Hlth Res, Turku, Finland
[9] Karolinska Inst, Inst Environm Med, Stockholm, Sweden
[10] Stockholm Cty Council, Ctr Occupat & Environm Med, Stockholm, Sweden
[11] UCL, Dept Epidemiol & Publ Hlth, London, England
[12] Oregon State Univ, Sch Biol & Populat Hlth Sci, Corvallis, OR 97331 USA
[13] Univ Catholique Louvain UCLouvain, IPSY, Louvain La Neuve, Belgium
[14] Univ Libre Bruxelles ULB, Sch Publ Hlth, Brussels, Belgium
[15] Univ Ghent, Dept Publ Hlth, Ghent, Belgium
[16] Jonkoping Univ, Sch Hlth & Welf, Jonkoping, Sweden
[17] Mid Sweden Univ, Dept Hlth Sci, Sundsvall, Sweden
[18] Umea Univ, Dept Psychol, Umea, Sweden
[19] Univ Turku, Dept Psychol, Turku, Finland
[20] INSERM, U 1018, Villejuif, France
[21] Folkhalsan Res Ctr, Helsinki, Finland
[22] Univ Skovde, Skovde, Sweden
[23] Uppsala Univ, Occupat & Environm Med, Uppsala, Sweden
关键词
CORONARY-HEART-DISEASE; JOB STRAIN; UNPUBLISHED DATA; RISK-FACTORS; MASS INDEX; FOLLOW-UP; METAANALYSIS; OBESITY; PROFILE; GAIN;
D O I
10.1038/s41366-019-0480-3
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective To examine the relation between long working hours and change in body mass index (BMI). Methods We performed random effects meta-analyses using individual-participant data from 19 cohort studies from Europe, US and Australia (n = 122,078), with a mean of 4.4-year follow-up. Working hours were measured at baseline and categorised as part time (<35 h/week), standard weekly hours (35-40 h, reference), 41-48 h, 49-54 h and >= 55 h/week (long working hours). There were four outcomes at follow-up: (1) overweight/obesity (BMI >= 25 kg/m(2)) or (2) overweight (BMI 25-29.9 kg/m(2)) among participants without overweight/obesity at baseline; (3) obesity (BMI >= 30 kg/m(2)) among participants with overweight at baseline, and (4) weight loss among participants with obesity at baseline. Results Of the 61,143 participants without overweight/obesity at baseline, 20.2% had overweight/obesity at follow-up. Compared with standard weekly working hours, the age-, sex- and socioeconomic status-adjusted relative risk (RR) of overweight/obesity was 0.95 (95% CI 0.90-1.00) for part-time work, 1.07 (1.02-1.12) for 41-48 weekly working hours, 1.09 (1.03-1.16) for 49-54 h and 1.17 (1.08-1.27) for long working hours (Pfor trend <0.0001). The findings were similar after multivariable adjustment and in subgroup analyses. Long working hours were associated with an excess risk of shift from normal weight to overweight rather than from overweight to obesity. Long working hours were not associated with weight loss among participants with obesity. Conclusions This analysis of large individual-participant data suggests a small excess risk of overweight among the healthy-weight people who work long hours.
引用
收藏
页码:1368 / 1375
页数:8
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