Occupational class differences in body mass index and weight gain in Japan and Finland.
Occupational class differences in body mass index and weight gain in Japan and Finland.
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DOI：
10.2188/jea.je20130023
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发表时间：
2013
影响因子：
4.7
通讯作者：
Lallukka T
中科院分区：
文献类型：
--
作者：
Silventoinen K;Tatsuse T;Martikainen P;Rahkonen O;Lahelma E;Sekine M;Lallukka T
在发达国家，有系统地报道了身体质量指数（BMI）的职业阶层差异，但研究主要集中在食用西方饮食的白色人群。我们比较了日本和芬兰的BMI和BMI变化的职业类别差异。1998-1999年期间在日本（n = 4 080）和2000-2002年期间在芬兰（n = 8 685）公共部门雇员中进行了基线调查。分别于2003年（n = 3 213）和2007年（n = 7 086）对仍然就业的人进行了后续调查。职业类别和各种解释因素进行了调查的基线问卷。线性回归模型用于数据分析。基线时BMI较高，芬兰的BMI增加速度比日本快。在芬兰，基线BMI在最高职业类别的男性和女性中最低，并逐渐增加到最低职业类别;在日本没有发现梯度（国家相互作用效应，男性P = 0.020，女性P < 0.0001）。调整混杂因素，反映工作条件和健康行为增加了芬兰男性和女性之间的职业类梯度，而社会生活相关的因素没有影响。不同职业类别之间的BMI增加没有统计学显著差异。芬兰员工的BMI职业等级梯度很强，但日本员工中没有。这表明，即使在高收入社会，肥胖的职业阶层不平等也不是不可避免的。
Occupational class differences in body mass index (BMI) have been systematically reported in developed countries, but the studies have mainly focused on white populations consuming a Westernized diet. We compared occupational class differences in BMI and BMI change in Japan and Finland. The baseline surveys were conducted during 1998–1999 among Japanese (n = 4080) and during 2000–2002 among Finnish (n = 8685) public-sector employees. Follow-up surveys were conducted among those still employed, in 2003 (n = 3213) and 2007 (n = 7086), respectively. Occupational class and various explanatory factors were surveyed in the baseline questionnaires. Linear regression models were used for data analysis. BMI was higher at baseline and BMI gain was more rapid in Finland than in Japan. In Finland, baseline BMI was lowest among men and women in the highest occupational class and progressively increased to the lowest occupational class; no gradient was found in Japan (country interaction effect, P = 0.020 for men and P < 0.0001 for women). Adjustment for confounding factors reflecting work conditions and health behavior increased the occupational class gradient among Finnish men and women, whereas factors related to social life had no effect. No statistically significant difference in BMI gain was found between occupational classes. The occupational class gradient in BMI was strong among Finnish employees but absent among Japanese employees. This suggests that occupational class inequalities in obesity are not inevitable, even in high-income societies.
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影响因子：
7.7
作者：
Funatogawa, Ikuko;Funatogawa, Takashi;Nakao, Mutsuhiro;Karita, Kanae;Yano, Eiji
通讯作者：
Yano, Eiji
影响因子：
5.4
作者：
Nishi, N;Makino, K;Tatara, K
通讯作者：
Tatara, K
影响因子：
168.9
作者：
Huisman, M;Kunst, AE;Mackenbach, JP
通讯作者：
Mackenbach, JP
影响因子：
4.9
作者：
Kelly, T.;Yang, W.;He, J.
通讯作者：
He, J.
影响因子：
3.2
作者：
Konttinen, Hanna;Sarlio-Lahteenkorva, Sirpa;Haukkala, Ari
通讯作者：
Haukkala, Ari