Skip to main content
Top
Published in: International Archives of Occupational and Environmental Health 8/2017

01-11-2017 | Original Article

Overweight and obesity are progressively associated with lower work ability in the general working population: cross-sectional study among 10,000 adults

Authors: Lars L. Andersen, Mikel Izquierdo, Emil Sundstrup

Published in: International Archives of Occupational and Environmental Health | Issue 8/2017

Login to get access

Abstract

Purpose

Obesity is associated with many diseases and functional limitations. Workplaces are not always designed to accommodate this challenge. This study investigated the association between body mass index (BMI) and work ability in the general working population.

Methods

Currently employed wage earners (N = 10,427) from the 2010 round of the Danish Work Environment Cohort Study (DWECS) replied to questions about work and health. Cumulative logistic regression analyses controlling for age, gender, physical and psychosocial work factors, lifestyle, and chronic diseases modeled the associations between BMI and work ability.

Results

BMIs above the normal range were progressively associated with lower work ability in relation to the physical demands of the job. Odds ratios for having lower work ability were 1.11 (95% CI 1.01–1.22), 1.17 (95% CI 1.01–1.34), 1.43 (95% CI 1.09–1.88), 1.69 (95% CI 1.10–2.62) for overweight and obesity classes I, II, and III, respectively. In subgroup analyses, the associations between BMI and work ability were more pronounced among individuals with mainly sedentary work than among those with physically active work. BMI was not associated with work ability in relation to the mental demands of the work.

Conclusions

BMIs above the normal range are progressively associated with lower work ability in relation to the physical demands of the job, especially among individuals with mainly sedentary work. Ergonomic research on how to optimally design workstations for workers with obesity are needed.
Literature
go back to reference Alavinia SM, van den Berg TIJ, van Duivenbooden C et al (2009) Impact of work-related factors, lifestyle, and work ability on sickness absence among Dutch construction workers. Scand J Work Environ Health 35:325–333CrossRef Alavinia SM, van den Berg TIJ, van Duivenbooden C et al (2009) Impact of work-related factors, lifestyle, and work ability on sickness absence among Dutch construction workers. Scand J Work Environ Health 35:325–333CrossRef
go back to reference Calatayud J, Jakobsen MD, Sundstrup E et al (2015) Dose-response association between leisure time physical activity and work ability: cross-sectional study among 3000 workers. Scand J Public Health 43:819–824. doi:10.1177/1403494815600312 CrossRef Calatayud J, Jakobsen MD, Sundstrup E et al (2015) Dose-response association between leisure time physical activity and work ability: cross-sectional study among 3000 workers. Scand J Public Health 43:819–824. doi:10.​1177/​1403494815600312​ CrossRef
go back to reference El Fassi M, Bocquet V, Majery N et al (2013) Work ability assessment in a worker population: comparison and determinants of Work Ability Index and Work Ability score. BMC Public Health 13:305. doi:10.1186/1471-2458-13-305 CrossRef El Fassi M, Bocquet V, Majery N et al (2013) Work ability assessment in a worker population: comparison and determinants of Work Ability Index and Work Ability score. BMC Public Health 13:305. doi:10.​1186/​1471-2458-13-305 CrossRef
go back to reference Fischer FM, Martinez MC (2013) Individual features, working conditions and work injuries are associated with work ability among nursing professionals. Work Read Mass 45:509–517. doi:10.3233/WOR-131637 Fischer FM, Martinez MC (2013) Individual features, working conditions and work injuries are associated with work ability among nursing professionals. Work Read Mass 45:509–517. doi:10.​3233/​WOR-131637
go back to reference Gunstad J, Lhotsky A, Wendell CR et al (2010) Longitudinal examination of obesity and cognitive function: results from the baltimore longitudinal study of aging. Neuroepidemiology 34:222–229. doi:10.1159/000297742 CrossRef Gunstad J, Lhotsky A, Wendell CR et al (2010) Longitudinal examination of obesity and cognitive function: results from the baltimore longitudinal study of aging. Neuroepidemiology 34:222–229. doi:10.​1159/​000297742 CrossRef
go back to reference Hunter GR, Kekes-Szabo T, Snyder SW et al (1997) Fat distribution, physical activity, and cardiovascular risk factors. Med Sci Sports Exerc 29:362–369CrossRef Hunter GR, Kekes-Szabo T, Snyder SW et al (1997) Fat distribution, physical activity, and cardiovascular risk factors. Med Sci Sports Exerc 29:362–369CrossRef
go back to reference Ilmarinen J (2009) Work ability—a comprehensive concept for occupational health research and prevention. Scand J Work Environ Health 35:1–5CrossRef Ilmarinen J (2009) Work ability—a comprehensive concept for occupational health research and prevention. Scand J Work Environ Health 35:1–5CrossRef
go back to reference Jakobsen MD, Sundstrup E, Brandt M et al (2015) Physical exercise at the workplace prevents deterioration of work ability among healthcare workers: cluster randomized controlled trial. BMC Public Health 15:1174. doi:10.1186/s12889-015-2448-0 CrossRef Jakobsen MD, Sundstrup E, Brandt M et al (2015) Physical exercise at the workplace prevents deterioration of work ability among healthcare workers: cluster randomized controlled trial. BMC Public Health 15:1174. doi:10.​1186/​s12889-015-2448-0 CrossRef
go back to reference James PT, Rigby N, Leach R, International Obesity Task Force (2004) The obesity epidemic, metabolic syndrome and future prevention strategies. Eur J Cardiovasc Prev Rehabil Off J Eur Soc Cardiol Work Groups Epidemiol Prev Card Rehabil Exerc Physiol 11:3–8 James PT, Rigby N, Leach R, International Obesity Task Force (2004) The obesity epidemic, metabolic syndrome and future prevention strategies. Eur J Cardiovasc Prev Rehabil Off J Eur Soc Cardiol Work Groups Epidemiol Prev Card Rehabil Exerc Physiol 11:3–8
go back to reference Kaplan RC, Avilés-Santa ML, Parrinello CM et al (2014) Body mass index, sex, and cardiovascular disease risk factors among Hispanic/Latino adults: hispanic community health study/study of Latinos. J Am Heart Assoc. doi:10.1161/JAHA.114.000923 Kaplan RC, Avilés-Santa ML, Parrinello CM et al (2014) Body mass index, sex, and cardiovascular disease risk factors among Hispanic/Latino adults: hispanic community health study/study of Latinos. J Am Heart Assoc. doi:10.​1161/​JAHA.​114.​000923
go back to reference Laitinen J, Näyhä S, Kujala V (2005) Body mass index and weight change from adolescence into adulthood, waist-to-hip ratio and perceived work ability among young adults. Int J Obes 29:697–702. doi:10.1038/sj.ijo.0802936 CrossRef Laitinen J, Näyhä S, Kujala V (2005) Body mass index and weight change from adolescence into adulthood, waist-to-hip ratio and perceived work ability among young adults. Int J Obes 29:697–702. doi:10.​1038/​sj.​ijo.​0802936 CrossRef
go back to reference Lemieux I, Lamarche B, Couillard C et al (2001) Total cholesterol/HDL cholesterol ratio vs LDL cholesterol/HDL cholesterol ratio as indices of ischemic heart disease risk in men: the Quebec Cardiovascular Study. Arch Intern Med 161:2685–2692CrossRef Lemieux I, Lamarche B, Couillard C et al (2001) Total cholesterol/HDL cholesterol ratio vs LDL cholesterol/HDL cholesterol ratio as indices of ischemic heart disease risk in men: the Quebec Cardiovascular Study. Arch Intern Med 161:2685–2692CrossRef
go back to reference Li CY, Sung FC (1999) A review of the healthy worker effect in occupational epidemiology. Occup Med Oxf Engl 49:225–229CrossRef Li CY, Sung FC (1999) A review of the healthy worker effect in occupational epidemiology. Occup Med Oxf Engl 49:225–229CrossRef
go back to reference Niedhammer I, Bugel I, Bonenfant S et al (2000) Validity of self-reported weight and height in the French GAZEL cohort. Int J Obes Relat Metab Disord J Int Assoc Study Obes 24:1111–1118CrossRef Niedhammer I, Bugel I, Bonenfant S et al (2000) Validity of self-reported weight and height in the French GAZEL cohort. Int J Obes Relat Metab Disord J Int Assoc Study Obes 24:1111–1118CrossRef
go back to reference Pohjonen T (2001) Age-related physical fitness and the predictive values of fitness tests for work ability in home care work. J Occup Environ Med Am Coll Occup Environ Med 43:723–730CrossRef Pohjonen T (2001) Age-related physical fitness and the predictive values of fitness tests for work ability in home care work. J Occup Environ Med Am Coll Occup Environ Med 43:723–730CrossRef
go back to reference Punnett L, Wegman DH (2004) Work-related musculoskeletal disorders: the epidemiologic evidence and the debate. J Electromyogr Kinesiol 14:13–23CrossRef Punnett L, Wegman DH (2004) Work-related musculoskeletal disorders: the epidemiologic evidence and the debate. J Electromyogr Kinesiol 14:13–23CrossRef
go back to reference Selassie M, Sinha AC (2011) The epidemiology and aetiology of obesity: a global challenge. Best Pract Res Clin Anaesthesiol 25:1–9CrossRef Selassie M, Sinha AC (2011) The epidemiology and aetiology of obesity: a global challenge. Best Pract Res Clin Anaesthesiol 25:1–9CrossRef
go back to reference Shrestha N, Pedisic Z, Neil-Sztramko S et al (2016) The impact of obesity in the workplace: a review of contributing factors, consequences and potential solutions. Curr Obes Rep 5:344–360. doi:10.1007/s13679-016-0227-6 CrossRef Shrestha N, Pedisic Z, Neil-Sztramko S et al (2016) The impact of obesity in the workplace: a review of contributing factors, consequences and potential solutions. Curr Obes Rep 5:344–360. doi:10.​1007/​s13679-016-0227-6 CrossRef
go back to reference Sundstrup E, Jakobsen MD, Brandt M et al (2014) Workplace strength training prevents deterioration of work ability among workers with chronic pain and work disability: a randomized controlled trial. Scand J Work Environ Health 40:244–251. doi:10.5271/sjweh.3419 CrossRef Sundstrup E, Jakobsen MD, Brandt M et al (2014) Workplace strength training prevents deterioration of work ability among workers with chronic pain and work disability: a randomized controlled trial. Scand J Work Environ Health 40:244–251. doi:10.​5271/​sjweh.​3419 CrossRef
go back to reference Sundstrup E, Jakobsen MD, Mortensen OS, Andersen LL (2017) Joint association of multimorbidity and work ability with risk of long-term sickness absence: a prospective cohort study with register follow-up. Scand J Work Environ Health 43:146–154. doi:10.5271/sjweh.3620 CrossRef Sundstrup E, Jakobsen MD, Mortensen OS, Andersen LL (2017) Joint association of multimorbidity and work ability with risk of long-term sickness absence: a prospective cohort study with register follow-up. Scand J Work Environ Health 43:146–154. doi:10.​5271/​sjweh.​3620 CrossRef
go back to reference Thorp AA, Kingwell BA, Owen N, Dunstan DW (2014) Breaking up workplace sitting time with intermittent standing bouts improves fatigue and musculoskeletal discomfort in overweight/obese office workers. Occup Environ Med 71:765–771. doi:10.1136/oemed-2014-102348 CrossRef Thorp AA, Kingwell BA, Owen N, Dunstan DW (2014) Breaking up workplace sitting time with intermittent standing bouts improves fatigue and musculoskeletal discomfort in overweight/obese office workers. Occup Environ Med 71:765–771. doi:10.​1136/​oemed-2014-102348 CrossRef
go back to reference Tuomi K, Eskelinen L, Toikkanen J et al (1991) Work load and individual factors affecting work ability among aging municipal employees. Scand J Work Environ Health 17(Suppl 1):128–134 Tuomi K, Eskelinen L, Toikkanen J et al (1991) Work load and individual factors affecting work ability among aging municipal employees. Scand J Work Environ Health 17(Suppl 1):128–134
go back to reference Tuomi K, Huuhtanen P, Nykyri E, Ilmarinen J (2001) Promotion of work ability, the quality of work and retirement. Occup Med Oxf Engl 51:318–324CrossRef Tuomi K, Huuhtanen P, Nykyri E, Ilmarinen J (2001) Promotion of work ability, the quality of work and retirement. Occup Med Oxf Engl 51:318–324CrossRef
go back to reference van den Berg TIJ, Elders LAM, de Zwart BCH, Burdorf A (2009) The effects of work-related and individual factors on the Work Ability Index: a systematic review. Occup Environ Med 66:211–220. doi:10.1136/oem.2008.039883 CrossRef van den Berg TIJ, Elders LAM, de Zwart BCH, Burdorf A (2009) The effects of work-related and individual factors on the Work Ability Index: a systematic review. Occup Environ Med 66:211–220. doi:10.​1136/​oem.​2008.​039883 CrossRef
go back to reference von Eyben FE, Mouritsen E, Holm J et al (2003) Intra-abdominal obesity and metabolic risk factors: a study of young adults. Int J Obes Relat Metab Disord J Int Assoc Study Obes 27:941–949. doi:10.1038/sj.ijo.0802309 CrossRef von Eyben FE, Mouritsen E, Holm J et al (2003) Intra-abdominal obesity and metabolic risk factors: a study of young adults. Int J Obes Relat Metab Disord J Int Assoc Study Obes 27:941–949. doi:10.​1038/​sj.​ijo.​0802309 CrossRef
go back to reference Williams MJ, Hunter GR, Kekes-Szabo T et al (1997) Regional fat distribution in women and risk of cardiovascular disease. Am J Clin Nutr 65:855–860 Williams MJ, Hunter GR, Kekes-Szabo T et al (1997) Regional fat distribution in women and risk of cardiovascular disease. Am J Clin Nutr 65:855–860
Metadata
Title
Overweight and obesity are progressively associated with lower work ability in the general working population: cross-sectional study among 10,000 adults
Authors
Lars L. Andersen
Mikel Izquierdo
Emil Sundstrup
Publication date
01-11-2017
Publisher
Springer Berlin Heidelberg
Published in
International Archives of Occupational and Environmental Health / Issue 8/2017
Print ISSN: 0340-0131
Electronic ISSN: 1432-1246
DOI
https://doi.org/10.1007/s00420-017-1240-0

Other articles of this Issue 8/2017

International Archives of Occupational and Environmental Health 8/2017 Go to the issue