Pressure at work increases weight gain risk in women

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WorkpressureHeavy pressures at work seem to predispose women to weight gain, irrespective of whether they have received an academic education. This is shown in a study of more than 3,800 people in Sweden. “We were able to see that high job demands played a part in women’s weight gain, while for men there was no association between high demands and weight gain,” says Sofia Klingberg, a researcher in community medicine and public health at Sahlgrenska Academy, University of Gothenburg, and the study’s lead author.

The basis for the article was the Västerbotten Intervention Programme, a Swedish population-based study. Klingberg’s study included 3,872 participants in this programme.

The women and men in the study were investigated on three occasions over a 20-year period with respect to such variables as body weight and demands and control at work. They were followed either from age 30 to 50 or from 40 to 60.

To estimate the level of job demands, the respondents were asked about their work pace, psychological pressures, whether there was enough time for their duties and how often the demands made were contradictory.

The questions about control at work covered such matters as how often they learned something new; whether the job called for imagination or advanced skills; and whether the respondent was personally able to choose what to do and how to do it.

The results show that the respondents with a low degree of control in their work more frequently gained considerable weight, defined as a weight gain of 10% or more, in the course of the study. This applied to women and men alike. On the other hand, long-term exposure to high job demands played a part only for women. In just over half of the women who had been subjected to high demands, a major increase in weight took place over the 20 years. This gain in weight was some 20% higher than in women subject to low job demands.

“When it came to the level of demands at work, only the women were affected. We haven’t investigated the underlying causes, but it may conceivably be about a combination of job demands and the greater responsibility for the home that women often assume. This may make it difficult to find time to exercise and live a healthy life,” Klingberg says.

Having had or not had an academic education does not explain the associations in the study. Neither do quality of diet or other lifestyle factors. However, the information about dietary intake comes from the respondents themselves, with a certain risk of incorrect reporting.

At the same time, given the problems associated with work-related stress, the study is relevant in terms of public health. The researchers think identification of groups who are susceptible to stress and efforts to reduce work-related stress would likely achieve a decrease not only in weight gain but also in the incidence of ill health, including cardiovascular disease and diabetes.

Abstract
Purpose: Occupational 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.
Methods: Anthropometry 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.
Results: Adjusting 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.
Conclusions: In 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.

Authors
Sofia Klingberg, Kirsten Mehlig, Ingegerd Johansson, Bernt Lindahl, Anna Winkvist, Lauren Lissner

University of Gothenburg material
International Archives of Occupational and Environmental Health abstract


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