Job strain and changes in the body mass index among working women: a prospective study
Job strain and changes in the body mass index among working women: a prospective study
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DOI：
10.1038/ijo.2015.91
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发表时间：
2015-09-01
影响因子：
4.9
通讯作者：
Rich-Edwards, J. W.
中科院分区：
文献类型：
--
作者：
Fujishiro, K.;Lawson, C. C.;Rich-Edwards, J. W.
目的：工作压力和体重增加之间的关系尚不清楚，尤其是对于女性来说。从超过52 000名职业女性的数据，我们比较了工作压力的变化和变化之间的关联在不同水平的基线BMI.SUBJECTS/METHODS：我们使用的数据从参与者的护士健康研究II（n = 52 656，平均年龄= 38.4岁），一个正在进行的前瞻性队列研究。使用线性回归，我们模拟了BMI在4年内的变化，作为工作压力变化，基线BMI以及两者之间相互作用的函数。工作压力的变化分为四类，结合基线和随访水平，如下所示：持续低压力（两个点都低），压力降低（仅基线时高压力），压力增加（仅随访时高压力）和持续高压力（两个点都高）。结果：在调整后的模型中，在4年期间至少报告一次高工作压力的妇女BMI增加更大（Δ BMI = 0.06-0.12，P
OBJECTIVE: The relationship between job strain and weight gain has been unclear, especially for women. Using data from over 52 000 working women, we compare the association between change in job strain and change in body mass index (BMI) across different levels of baseline BMI.SUBJECTS/METHODS: We used data from participants in the Nurses' Health Study II (n = 52 656, mean age = 38.4 years), an ongoing prospective cohort study. Using linear regression, we modeled the change in BMI over 4 years as a function of the change in job strain, baseline BMI and the interaction between the two. Change in job strain was characterized in four categories combining baseline and follow-up levels as follows: consistently low strain (low at both points), decreased strain (high strain at baseline only), increased strain (high strain at follow-up only) and consistently high strain (high at both points). Age, race/ethnicity, pregnancy history, job types and health behaviors at baseline were controlled for in the model.RESULTS: In adjusted models, women who reported high job strain at least once during the 4-year period had a greater increase in BMI (Delta BMI = 0.06-0.12, P