Abstract

BackgroundLifestyle variables may serve as important intermediate factors between psychosocial work environment and health outcomes. Previous studies, focussing on work stress models have shown mixed and weak results in relation to weight change. This study aims to investigate psychosocial factors outside the classical work stress models as potential predictors of change in body mass index (BMI) in a population of health care workers.MethodsA cohort study, with three years follow-up, was conducted among Danish health care workers (3982 women and 152 men). Logistic regression analyses examined change in BMI (more than +/− 2 kg/m2) as predicted by baseline psychosocial work factors (work pace, workload, quality of leadership, influence at work, meaning of work, predictability, commitment, role clarity, and role conflicts) and five covariates (age, cohabitation, physical work demands, type of work position and seniority).ResultsAmong women, high role conflicts predicted weight gain, while high role clarity predicted both weight gain and weight loss. Living alone also predicted weight gain among women, while older age decreased the odds of weight gain. High leadership quality predicted weight loss among men. Associations were generally weak, with the exception of quality of leadership, age, and cohabitation.ConclusionThis study of a single occupational group suggested a few new risk factors for weight change outside the traditional work stress models.

Highlights

  • Lifestyle variables may serve as important intermediate factors between psychosocial work environment and health outcomes

  • In addition to the psychosocial work factors, we found that living alone (OR = 1.33; 95% Confidence interval (CI): 1.06-1.68) increased the odds for weight gain, while older age significantly decreased the odds for weight gain (OR = 0.71; 95% CI: 0.64-0.79)

  • We found some support for bi-directional effects of psychosocial work factors on weight change, in with role clarity, which was associated with both body mass index (BMI) gain and BMI loss

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Summary

Introduction

Lifestyle variables may serve as important intermediate factors between psychosocial work environment and health outcomes. Previous studies, focussing on work stress models have shown mixed and weak results in relation to weight change. This study aims to investigate psychosocial factors outside the classical work stress models as potential predictors of change in body mass index (BMI) in a population of health care workers. Obesity is a well-known risk factor for mortality and morbidity, including cardiovascular disease, hypertension, stroke, type II diabetes and some types of cancer [1,2,3]. Epidemiological researchers have tied body weight/weight change to other work and sociocultural factors, such as shift work, working overtime, education, income and marital status [34,35,36,37,38,39].

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