Abstract
PurposeOccupational stress and obesity are both increasing in prevalence, but prospective findings relating these conditions are inconsistent. We investigated if baseline as well as prolonged exposure to high job demands and low decision latitude were associated with major weight gain (≥ 10% of baseline weight) in 3872 Swedish women and men examined three times over 20 years in the population-based Västerbotten Intervention Program.MethodsAnthropometry was measured and participants completed questionnaires on job strain, diet, and other lifestyle factors. Logistic regression was used to estimate odds ratios (OR) and 95% confidence intervals (CI), adjusting for confounders.ResultsAdjusting for age, baseline low decision latitude was associated with major weight gain over 10- and 20-year OR (95% CI) 1.16 (1.00–1.33) and 1.29 (1.13–1.47), respectively (both sexes combined). After adjustment for diet quality and other confounders, the effect over 20 years remained 1.30 (1.13–1.50). Sex modified the effect of prolonged exposure to high job demands over at least 10 years (interaction p = 0.02), showing that high job demands was a risk factor of major weight gain over 20 years in women [1.54 (1.14–2.07)], but not in men [0.87 (0.63–1.19)]. Neither diet nor other lifestyle factors explained these associations.ConclusionsIn conclusion, low decision latitude predicted major weight gain in women and men. In women, the results suggest an additional contribution to major weight gain from high job demands.
Highlights
The population mean body mass index (BMI) has increased in recent decades and a prognosis forecasts future increases in obesity prevalence (Breda et al 2015)
Age-adjusted analyses in both sexes combined, showed low decision latitude to predict major weight gain over both 10 and 20 years (Table 2), while high job demands were not associated with the outcome
We observed that low decision latitude independently and consistently predicts long-term major weight gain in a cohort of Swedish women and men
Summary
The population mean body mass index (BMI) has increased in recent decades and a prognosis forecasts future increases in obesity prevalence (Breda et al 2015). Effects of mental stress on weight gain could be mediated through unhealthy behaviors such as low diet quality. Chronic stress could, through higher cortisol levels, impact on visceral fat accumulation and reduction in lean body mass (Kyrou and Tsigos 2009). Alongside the trend of increasing BMI, the prevalence of self-reported mental stress has increased (Lissner et al 2008). Work-related stress, referred to as job strain, with high demands and low decision latitude as conceptualized by Karasek and Theorell (1990), has been reported to be higher in later years (Malard et al 2015; Utzet et al 2015) as have the prevalence of other
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