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BMC Public Health
Published in: BMC Public Health 1/2017

Open Access 01-12-2017 | Research article

The joint associations of smoking and obesity with subsequent short and long sickness absence: a five year follow-up study with register-linkage

Authors: Eira Roos, Tea Lallukka, Eero Lahelma, Ossi Rahkonen

Published in: BMC Public Health | Issue 1/2017

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Abstract

Background

Both smoking and obesity are separately associated with sickness absence. Unhealthy lifestyle habits and health conditions may occur concurrently yet studies focusing on their joint association are few. This study examined the joint associations of smoking and obesity with sickness absence (SA).

Methods

A mail survey among employees of the City of Helsinki, Finland, during 2000–2002 included data on obesity, smoking and covariates (N = 8960, response rate 67%, 80% women). These data were prospectively linked with register data on self- (1–3 days) and medically certified (4 days or longer) SA among those consenting to the linkage (n = 6986). Pregnant, underweight and those with missing data on key variables were excluded (n = 138). The total number of participants included in the analyses was 6847. The follow-up time was 5 years. Poisson regression was used to calculate rate ratios (RR).

Results

Among women and men smoking and obesity were associated with self-certified SA. Among women there was a joint association with self-certified SA (obese smokers RR 1.81, 95% CI 1.59–2.07).
Among women and men smoking and obesity were jointly associated with medically certified SA (for obese smoking women RR 2.23, 95% CI 1.93–2.57, for obese smoking men RR 2.69, 95% CI 2.03–3.55). Associations remained after adjustments for socioeconomic position, working conditions, health behaviours and self-rated health.

Conclusion

Both smoking and obesity are jointly associated with all lengths of sickness absence. Support measures for smoking cessation and prevention of obesity could likely to reduce SA.
Literature
1.
Labriola M. Conceptual framework of sickness absence and return to work, focusing on both the individual and the contextual level. Work (Reading, Mass ). 2008;30(4):377–87.
2.
Kaikkonen R, Rahkonen O, Lallukka T, Lahelma E. Physical and psychosocial working conditions as explanations for occupational class inequalities in self-rated health. European journal of public health. 2009;19(5):458–63.CrossRefPubMed
3.
Haukka E, Kaila-Kangas L, Luukkonen R, Takala EP, Viikari-Juntura E, Leino-Arjas P. Predictors of sickness absence related to musculoskeletal pain: a two-year follow-up study of workers in municipal kitchens. Scand J Work Environ Health. 2014;40(3):278.CrossRefPubMed
4.
Laaksonen M, Piha K, Martikainen P, Rahkonen O, Lahelma E. Health-related behaviours and sickness absence from work. Occup Environ Med. 2009;66(12):840.CrossRefPubMed
5.
Labriola M, Lund T, Burr H. Prospective study of physical and psychosocial risk factors for sickness absence. Occup Med (Lond). 2006 Oct;56(7):469–74.CrossRef
6.
Quist HG, Thomsen BL, Christensen U, Clausen T, Holtermann A, Bjorner JB, et al. Influence of lifestyle factors on long-term sickness absence among female healthcare workers: a prospective cohort study. BMC Public Health. 2014;14:1084.CrossRefPubMedPubMedCentral
7.
Alavinia SM, van den Berg TI, van Duivenbooden C, Elders LA, Burdorf A. Impact of work-related factors, lifestyle, and work ability on sickness absence among Dutch construction workers. Scand J Work Environ Health. 2009 Oct;35(5):325–33.CrossRefPubMed
8.
Pai C, Mullin J, Payne GM, Love J, O'Connell G, Edington DW. Factors associated with incidental sickness absence among employees in one health care system. Am J Health Promot. 2009;24(1):37.CrossRefPubMed
9.
Piha K, Laaksonen M, Martikainen P, Rahkonen O, Lahelma E. Interrelationships between education, occupational class, income and sickness absence. Eur J Pub Health. 2010;20(3):276–80.CrossRef
10.
Sumanen H, Rahkonen O, Lahti J, Pietiläinen O, Lahelma E. Educational differences in sickness absence trends among young employees from 2002 to 2013 in Helsinki, Finland. BMJ Open. 2016;6(5):e008550.CrossRefPubMedPubMedCentral
11.
Sanchez A, Norman GJ, Sallis JF, Calfas KJ, Rock C, Patrick K. Patterns and correlates of multiple risk behaviors in overweight women. Prev Med. 2008;46(3):196.CrossRefPubMed
12.
Roos ET, Lallukka T, Lahelma E, Rahkonen O. Joint associations between smoking and obesity as determinants of premature mortality among midlife employees. Eur J Pub Health. 2016;
13.
Hultin H, Lindholm C, Malfert M, Möller J. Short-term sick leave and future risk of sickness absence and unemployment - the impact of health status. BMC Public Health. 2012;12:861.CrossRefPubMedPubMedCentral
14.
Helgesson M, Johansson B, Wernroth L, Vingård E. Exposure to different lengths of sick leave and subsequent work absence among young adults. BMC Public Health. 2016;16:51.CrossRefPubMedPubMedCentral
15.
Lahelma E, Aittomäki A, Laaksonen M, Lallukka T, Martikainen P, Piha K, et al. Cohort profile: the Helsinki health study. Int J Epidemiol. 2013;42(3):722–30.CrossRefPubMed
16.
Laaksonen M, Aittomaki A, Lallukka T, Rahkonen O, Saastamoinen P, Silventoinen K, et al. Register-based study among employees showed small nonparticipation bias in health surveys and check-ups. J Clin Epidemiol. 2008 Sep;61(9):900–6.CrossRefPubMed
17.
Ferrie JE, Head J, Shipley MJ, Vahtera J, Marmot MG, Kivimaki MBMI. Obesity, and sickness absence in the Whitehall II study. Obesity (Silver Spring). 2007 Jun;15(6):1554–64.CrossRef
18.
Laaksonen M, Piha K, Rahkonen O, Martikainen P, Lahelma E. Explaining occupational class differences in sickness absence: results from middle-aged municipal employees. J Epidemiol Community Health. 2010;64(9):802.CrossRefPubMed
19.
Roos E, Lallukka T, Rahkonen O, Lahelma E, Laaksonen M. Working conditions and major weight gain-a prospective cohort study. Arch Environ Occup Health. 2013;68(3):166.CrossRefPubMed
20.
Wang L, Lee IM, Manson JE, Buring JE, Sesso HD. Alcohol consumption, weight gain, and risk of becoming overweight in middle-aged and older women. Arch Intern Med. 2010;170(5):453.CrossRefPubMedPubMedCentral
21.
Salonsalmi A, Laaksonen M, Lahelma E, Rahkonen O. Drinking habits and sickness absence: the contribution of working conditions. Scand J Public Health. 2009;37(8):846.CrossRefPubMed
22.
Lahti J, Lahelma E, Rahkonen O. Changes in leisure-time physical activity and subsequent sickness absence: a prospective cohort study among middle-aged employees. Prev Med. 2012;55(6):618.CrossRefPubMed
23.
Pietiläinen O, Laaksonen M, Rahkonen O, Lahelma E. Self-rated health as a predictor of disability retirement--the contribution of ill-health and working conditions. PLoS One. 2011;6(9):e25004.CrossRefPubMedPubMedCentral
24.
Toch-Marquardt M, Menvielle G, Eikemo TA, Kulhanova I, Kulik MC, Bopp M, et al. Occupational class inequalities in all-cause and cause-specific mortality among middle-aged men in 14 European populations during the early 2000s. PLoS One. 2014;9(9):e108072.CrossRefPubMedPubMedCentral
25.
Piirainen H, Hirvonen M, Elo AL. The work and health interview study 2003. Basic report. Helsinki: Finnish institute of Occupational Health. 2003;
26.
Karasek R. Job demands, job decision latitude, and mental strain: implications for job redesign. Adm Sci Q. 1979;24:285–308.CrossRef
27.
Ainsworth BE, Haskell WL, Whitt MC, Irvin ML, Swartz AM, Strath SJ, et al. Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc. 2000;32(9):S498.CrossRefPubMed
28.
Ware JE. SF-36 health survey: manual and interpretation guide: John E. Ware, Jr. ; with Kristin K. Snow, Mark Kosinski, Barbara Gandek. Boston: The Health Institute, New England Medical Center; 1993.
29.
DeSalvo KB, Bloser N, Reynolds K, He J, Muntner P. Mortality prediction with a single general self-rated health question. A meta-analysis. J Gen Intern Med. 2006;21(3):267.CrossRefPubMedPubMedCentral
30.
Stenholm S, Pentti J, Kawachi I, Westerlund H, Kivimäki M, Vahtera J. Self-rated health in the last 12 years of life compared to matched surviving controls: the health and retirement study. PLoS One. 2014;9(9):e107879.CrossRefPubMedPubMedCentral
31.
Shiri R, Falah-Hassani K. The effect of smoking on the risk of sciatica: a meta-analysis. Am J Med. 2016;129(1):64.CrossRefPubMed
32.
Forey BA, Thornton AJ, Lee PN. Systematic review with meta-analysis of the epidemiological evidence relating smoking to COPD, chronic bronchitis and emphysema. BMC Pulm Med. 2011;11:36.
33.
Bullen C. Impact of tobacco smoking and smoking cessation on cardiovascular risk and disease. Expert Rev Cardiovasc Ther. 2008;6(6):883.CrossRefPubMed
34.
Guh DP, Zhang W, Bansback N, Amarsi Z, Birmingham CL, Anis AH. The incidence of co-morbidities related to obesity and overweight: a systematic review and meta-analysis. BMC Public Health. 2009:1–20.
35.
Schouteten R. Predicting absenteeism: screening for work ability or burnout. Occup Med (Lond). 2017;67(1):52–57.
36.
Sasco AJ, Secretan MB, Straif K. Tobacco smoking and cancer: a brief review of recent epidemiological evidence. Lung Cancer. 2004;45(Suppl 2):S3.CrossRefPubMed
37.
Yang H, Haldeman S. Behavior-related factors associated with low back pain in the US adult population. Spine (Phila Pa 1976). 2016;
38.
Cahill K, Hartmann-Boyce J, Perera R. Incentives for smoking cessation. Cochrane Database Syst Rev. 2015;5:CD004307.
39.
Loveman E, Frampton GK, Shepherd J, Picot J, Cooper K, Bryant J, et al. The clinical effectiveness and cost-effectiveness of long-term weight management schemes for adults: a systematic review. Health Technol Assess. 2011;15(2):1.CrossRef
40.
Roos E, Laaksonen M, Rahkonen O, Lahelma E, Lallukka T. Relative weight and disability retirement: a prospective cohort study. Scandinavian journal of work, environment & health. 2013;39(3):259–67.CrossRef
41.
Korpela K, Roos E, Lallukka T, Rahkonen O, Lahelma E, Laaksonen M. Different measures of body weight as predictors of sickness absence. Scand J Public Health. 2013;41(1):25–31.CrossRefPubMed
Metadata
Title
The joint associations of smoking and obesity with subsequent short and long sickness absence: a five year follow-up study with register-linkage
Authors
Eira Roos
Tea Lallukka
Eero Lahelma
Ossi Rahkonen
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2017
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-017-4997-x

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