Obesity and occupational injury: a prospective cohort study of 69,515 public sector employees

Obesity and overweight are suggested to increase the risk of occupational injury but longitudinal evidence to confirm this is rare. We sought to evaluate obesity and overweight as risk factors for occupational injuries. A total of 69,515 public sector employees (80% women) responded to a survey in 2...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:PloS one 2013-10, Vol.8 (10), p.e77178-e77178
Hauptverfasser: Kouvonen, Anne, Kivimäki, Mika, Oksanen, Tuula, Pentti, Jaana, De Vogli, Roberto, Virtanen, Marianna, Vahtera, Jussi
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page e77178
container_issue 10
container_start_page e77178
container_title PloS one
container_volume 8
creator Kouvonen, Anne
Kivimäki, Mika
Oksanen, Tuula
Pentti, Jaana
De Vogli, Roberto
Virtanen, Marianna
Vahtera, Jussi
description Obesity and overweight are suggested to increase the risk of occupational injury but longitudinal evidence to confirm this is rare. We sought to evaluate obesity and overweight as risk factors for occupational injuries. A total of 69,515 public sector employees (80% women) responded to a survey in 2000-2002, 2004 or 2008. Body mass index (kg/m(2)) was derived from self-reported height and weight and was linked to records of subsequent occupational injuries obtained from national registers. Different injury types, locations and events or exposures (the manner in which the injury was produced or inflicted) were analyzed by body mass index category adjusting for baseline socio-demographic characteristics, work characteristics, health-risk behaviors, physical and mental health, insomnia symptoms, and sleep duration. During the mean follow-up of 7.8 years (SD = 3.2), 18% of the employees (N = 12,204) recorded at least one occupational injury. Obesity was associated with a higher overall risk of occupational injury; multivariable adjusted hazard ratio (HR) 1.21 (95% CI 1.14-1.27). A relationship was observed for bone fractures (HR = 1.37; 95% CI: 1.10-1.70), dislocations, sprains and strains (HR = 1.36; 95% CI: 1.25-1.49), concussions and internal injuries (HR = 1.26; 95% CI: 1.11-1.44), injuries to lower extremities (HR = 1.62; 95%: 1.46-1.79) and injuries to whole body or multiple sites (HR = 1.37; 95%: 1.10-1.70). Furthermore, obesity was associated with a higher risk of injuries caused by slipping, tripping, stumbling and falling (HR = 1.55; 95% CI: 1.40-1.73), sudden body movement with or without physical stress (HR = 1.24; 95% CI: 1.10-1.41) and shock, fright, violence, aggression, threat or unexpected presence (HR = 1.33; 95% CI: 1.03-1.72). The magnitude of the associations between overweight and injuries was smaller, but the associations were generally in the same direction as those of obesity. Obese employees record more occupational injuries than those with recommended healthy weight.
doi_str_mv 10.1371/journal.pone.0077178
format Article
fullrecord <record><control><sourceid>gale_plos_</sourceid><recordid>TN_cdi_plos_journals_1442465721</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A478246525</galeid><doaj_id>oai_doaj_org_article_1d1a75be600a48d2853b09b86f8543b8</doaj_id><sourcerecordid>A478246525</sourcerecordid><originalsourceid>FETCH-LOGICAL-c692t-22ce2de6a43a7c2f9da614b6a16365bbebaf0c3b7998aaeb95ad59d52124c8c03</originalsourceid><addsrcrecordid>eNqNk1trFDEUxwdRbK1-A9EBQRTcNfdMfBBK8bJQWPD2JiHJZHazzE6mSaa4395Md1p2pQ-Sh4ST3_mfnJNziuI5BHOIOXy_8UPoVDvvfWfnAHAOefWgOIUCoxlDAD88OJ8UT2LcAEBxxdjj4gQRSJhg7LT4vdQ2urQrVVeX3pihV8n5rFu6bjOE3YdSlX3wsbcmuWtbGr_2IZUxDfWu9E3JxDsKadkPunWmjJnyobTbvvU7a-PT4lGj2mifTftZ8fPzpx8XX2eXyy-Li_PLmWECpRlCxqLaMkWw4gY1olYMEs0UZJhRra1WDTBYcyEqpawWVNVU1BRBRExlAD4rXu51c9wop8pECQlBhFGOYCYWe6L2aiP74LYq7KRXTt4YfFhJFZIzrZWwhopTbRkAilQ1qijWQOiKNRUlWFdZ6-MUbdBbWxvbpaDaI9Hjm86t5cpfS8wF54RkgTeTQPBXg41Jbl00tm1VZ_1w826CBQF8RF_9g96f3UStVE7AdY3Pcc0oKs8Jr0YM0UzN76Hyqu3WmdxGjcv2I4e3Rw6ZSfZPWqkhRrn4_u3_2eWvY_b1Abu2qk3r6Nth7Lx4DJI9aHILxmCbuyJDIMcpuK2GHKdATlOQ3V4cftCd023b4797uQHn</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1442465721</pqid></control><display><type>article</type><title>Obesity and occupational injury: a prospective cohort study of 69,515 public sector employees</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Public Library of Science (PLoS)</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><creator>Kouvonen, Anne ; Kivimäki, Mika ; Oksanen, Tuula ; Pentti, Jaana ; De Vogli, Roberto ; Virtanen, Marianna ; Vahtera, Jussi</creator><contributor>Zhang, Harry</contributor><creatorcontrib>Kouvonen, Anne ; Kivimäki, Mika ; Oksanen, Tuula ; Pentti, Jaana ; De Vogli, Roberto ; Virtanen, Marianna ; Vahtera, Jussi ; Zhang, Harry</creatorcontrib><description>Obesity and overweight are suggested to increase the risk of occupational injury but longitudinal evidence to confirm this is rare. We sought to evaluate obesity and overweight as risk factors for occupational injuries. A total of 69,515 public sector employees (80% women) responded to a survey in 2000-2002, 2004 or 2008. Body mass index (kg/m(2)) was derived from self-reported height and weight and was linked to records of subsequent occupational injuries obtained from national registers. Different injury types, locations and events or exposures (the manner in which the injury was produced or inflicted) were analyzed by body mass index category adjusting for baseline socio-demographic characteristics, work characteristics, health-risk behaviors, physical and mental health, insomnia symptoms, and sleep duration. During the mean follow-up of 7.8 years (SD = 3.2), 18% of the employees (N = 12,204) recorded at least one occupational injury. Obesity was associated with a higher overall risk of occupational injury; multivariable adjusted hazard ratio (HR) 1.21 (95% CI 1.14-1.27). A relationship was observed for bone fractures (HR = 1.37; 95% CI: 1.10-1.70), dislocations, sprains and strains (HR = 1.36; 95% CI: 1.25-1.49), concussions and internal injuries (HR = 1.26; 95% CI: 1.11-1.44), injuries to lower extremities (HR = 1.62; 95%: 1.46-1.79) and injuries to whole body or multiple sites (HR = 1.37; 95%: 1.10-1.70). Furthermore, obesity was associated with a higher risk of injuries caused by slipping, tripping, stumbling and falling (HR = 1.55; 95% CI: 1.40-1.73), sudden body movement with or without physical stress (HR = 1.24; 95% CI: 1.10-1.41) and shock, fright, violence, aggression, threat or unexpected presence (HR = 1.33; 95% CI: 1.03-1.72). The magnitude of the associations between overweight and injuries was smaller, but the associations were generally in the same direction as those of obesity. Obese employees record more occupational injuries than those with recommended healthy weight.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0077178</identifier><identifier>PMID: 24146966</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescent ; Adult ; Age Factors ; Aged ; Aggression ; Analysis ; Body mass ; Body Mass Index ; Body size ; Body weight ; Cohort analysis ; Concussion ; Demographics ; Dislocations ; Employees ; Epidemiology ; Extremities ; Female ; Finland - epidemiology ; Follow-Up Studies ; Fractures ; Government employees ; Health risks ; Humans ; Injuries ; Injury analysis ; Insomnia ; Male ; Mental health ; Middle Aged ; Obesity ; Obesity - complications ; Occupational accidents ; Occupational health ; Occupational Injuries - complications ; Occupational Injuries - epidemiology ; Occupational safety ; Overweight ; Personal injuries ; Physical stress ; Proportional Hazards Models ; Prospective Studies ; Public sector ; Public Sector - statistics &amp; numerical data ; Risk analysis ; Risk Factors ; Risk taking ; Sleep ; Sleep disorders ; Socioeconomic Factors ; Studies ; Surveys ; Violence ; Work related injuries ; Young Adult</subject><ispartof>PloS one, 2013-10, Vol.8 (10), p.e77178-e77178</ispartof><rights>COPYRIGHT 2013 Public Library of Science</rights><rights>2013 Kouvonen et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: https://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2013 Kouvonen et al 2013 Kouvonen et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-22ce2de6a43a7c2f9da614b6a16365bbebaf0c3b7998aaeb95ad59d52124c8c03</citedby><cites>FETCH-LOGICAL-c692t-22ce2de6a43a7c2f9da614b6a16365bbebaf0c3b7998aaeb95ad59d52124c8c03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3797744/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3797744/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2100,2926,23864,27922,27923,53789,53791,79370,79371</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24146966$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Zhang, Harry</contributor><creatorcontrib>Kouvonen, Anne</creatorcontrib><creatorcontrib>Kivimäki, Mika</creatorcontrib><creatorcontrib>Oksanen, Tuula</creatorcontrib><creatorcontrib>Pentti, Jaana</creatorcontrib><creatorcontrib>De Vogli, Roberto</creatorcontrib><creatorcontrib>Virtanen, Marianna</creatorcontrib><creatorcontrib>Vahtera, Jussi</creatorcontrib><title>Obesity and occupational injury: a prospective cohort study of 69,515 public sector employees</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Obesity and overweight are suggested to increase the risk of occupational injury but longitudinal evidence to confirm this is rare. We sought to evaluate obesity and overweight as risk factors for occupational injuries. A total of 69,515 public sector employees (80% women) responded to a survey in 2000-2002, 2004 or 2008. Body mass index (kg/m(2)) was derived from self-reported height and weight and was linked to records of subsequent occupational injuries obtained from national registers. Different injury types, locations and events or exposures (the manner in which the injury was produced or inflicted) were analyzed by body mass index category adjusting for baseline socio-demographic characteristics, work characteristics, health-risk behaviors, physical and mental health, insomnia symptoms, and sleep duration. During the mean follow-up of 7.8 years (SD = 3.2), 18% of the employees (N = 12,204) recorded at least one occupational injury. Obesity was associated with a higher overall risk of occupational injury; multivariable adjusted hazard ratio (HR) 1.21 (95% CI 1.14-1.27). A relationship was observed for bone fractures (HR = 1.37; 95% CI: 1.10-1.70), dislocations, sprains and strains (HR = 1.36; 95% CI: 1.25-1.49), concussions and internal injuries (HR = 1.26; 95% CI: 1.11-1.44), injuries to lower extremities (HR = 1.62; 95%: 1.46-1.79) and injuries to whole body or multiple sites (HR = 1.37; 95%: 1.10-1.70). Furthermore, obesity was associated with a higher risk of injuries caused by slipping, tripping, stumbling and falling (HR = 1.55; 95% CI: 1.40-1.73), sudden body movement with or without physical stress (HR = 1.24; 95% CI: 1.10-1.41) and shock, fright, violence, aggression, threat or unexpected presence (HR = 1.33; 95% CI: 1.03-1.72). The magnitude of the associations between overweight and injuries was smaller, but the associations were generally in the same direction as those of obesity. Obese employees record more occupational injuries than those with recommended healthy weight.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aggression</subject><subject>Analysis</subject><subject>Body mass</subject><subject>Body Mass Index</subject><subject>Body size</subject><subject>Body weight</subject><subject>Cohort analysis</subject><subject>Concussion</subject><subject>Demographics</subject><subject>Dislocations</subject><subject>Employees</subject><subject>Epidemiology</subject><subject>Extremities</subject><subject>Female</subject><subject>Finland - epidemiology</subject><subject>Follow-Up Studies</subject><subject>Fractures</subject><subject>Government employees</subject><subject>Health risks</subject><subject>Humans</subject><subject>Injuries</subject><subject>Injury analysis</subject><subject>Insomnia</subject><subject>Male</subject><subject>Mental health</subject><subject>Middle Aged</subject><subject>Obesity</subject><subject>Obesity - complications</subject><subject>Occupational accidents</subject><subject>Occupational health</subject><subject>Occupational Injuries - complications</subject><subject>Occupational Injuries - epidemiology</subject><subject>Occupational safety</subject><subject>Overweight</subject><subject>Personal injuries</subject><subject>Physical stress</subject><subject>Proportional Hazards Models</subject><subject>Prospective Studies</subject><subject>Public sector</subject><subject>Public Sector - statistics &amp; numerical data</subject><subject>Risk analysis</subject><subject>Risk Factors</subject><subject>Risk taking</subject><subject>Sleep</subject><subject>Sleep disorders</subject><subject>Socioeconomic Factors</subject><subject>Studies</subject><subject>Surveys</subject><subject>Violence</subject><subject>Work related injuries</subject><subject>Young Adult</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk1trFDEUxwdRbK1-A9EBQRTcNfdMfBBK8bJQWPD2JiHJZHazzE6mSaa4395Md1p2pQ-Sh4ST3_mfnJNziuI5BHOIOXy_8UPoVDvvfWfnAHAOefWgOIUCoxlDAD88OJ8UT2LcAEBxxdjj4gQRSJhg7LT4vdQ2urQrVVeX3pihV8n5rFu6bjOE3YdSlX3wsbcmuWtbGr_2IZUxDfWu9E3JxDsKadkPunWmjJnyobTbvvU7a-PT4lGj2mifTftZ8fPzpx8XX2eXyy-Li_PLmWECpRlCxqLaMkWw4gY1olYMEs0UZJhRra1WDTBYcyEqpawWVNVU1BRBRExlAD4rXu51c9wop8pECQlBhFGOYCYWe6L2aiP74LYq7KRXTt4YfFhJFZIzrZWwhopTbRkAilQ1qijWQOiKNRUlWFdZ6-MUbdBbWxvbpaDaI9Hjm86t5cpfS8wF54RkgTeTQPBXg41Jbl00tm1VZ_1w826CBQF8RF_9g96f3UStVE7AdY3Pcc0oKs8Jr0YM0UzN76Hyqu3WmdxGjcv2I4e3Rw6ZSfZPWqkhRrn4_u3_2eWvY_b1Abu2qk3r6Nth7Lx4DJI9aHILxmCbuyJDIMcpuK2GHKdATlOQ3V4cftCd023b4797uQHn</recordid><startdate>20131016</startdate><enddate>20131016</enddate><creator>Kouvonen, Anne</creator><creator>Kivimäki, Mika</creator><creator>Oksanen, Tuula</creator><creator>Pentti, Jaana</creator><creator>De Vogli, Roberto</creator><creator>Virtanen, Marianna</creator><creator>Vahtera, Jussi</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20131016</creationdate><title>Obesity and occupational injury: a prospective cohort study of 69,515 public sector employees</title><author>Kouvonen, Anne ; Kivimäki, Mika ; Oksanen, Tuula ; Pentti, Jaana ; De Vogli, Roberto ; Virtanen, Marianna ; Vahtera, Jussi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-22ce2de6a43a7c2f9da614b6a16365bbebaf0c3b7998aaeb95ad59d52124c8c03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aggression</topic><topic>Analysis</topic><topic>Body mass</topic><topic>Body Mass Index</topic><topic>Body size</topic><topic>Body weight</topic><topic>Cohort analysis</topic><topic>Concussion</topic><topic>Demographics</topic><topic>Dislocations</topic><topic>Employees</topic><topic>Epidemiology</topic><topic>Extremities</topic><topic>Female</topic><topic>Finland - epidemiology</topic><topic>Follow-Up Studies</topic><topic>Fractures</topic><topic>Government employees</topic><topic>Health risks</topic><topic>Humans</topic><topic>Injuries</topic><topic>Injury analysis</topic><topic>Insomnia</topic><topic>Male</topic><topic>Mental health</topic><topic>Middle Aged</topic><topic>Obesity</topic><topic>Obesity - complications</topic><topic>Occupational accidents</topic><topic>Occupational health</topic><topic>Occupational Injuries - complications</topic><topic>Occupational Injuries - epidemiology</topic><topic>Occupational safety</topic><topic>Overweight</topic><topic>Personal injuries</topic><topic>Physical stress</topic><topic>Proportional Hazards Models</topic><topic>Prospective Studies</topic><topic>Public sector</topic><topic>Public Sector - statistics &amp; numerical data</topic><topic>Risk analysis</topic><topic>Risk Factors</topic><topic>Risk taking</topic><topic>Sleep</topic><topic>Sleep disorders</topic><topic>Socioeconomic Factors</topic><topic>Studies</topic><topic>Surveys</topic><topic>Violence</topic><topic>Work related injuries</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kouvonen, Anne</creatorcontrib><creatorcontrib>Kivimäki, Mika</creatorcontrib><creatorcontrib>Oksanen, Tuula</creatorcontrib><creatorcontrib>Pentti, Jaana</creatorcontrib><creatorcontrib>De Vogli, Roberto</creatorcontrib><creatorcontrib>Virtanen, Marianna</creatorcontrib><creatorcontrib>Vahtera, Jussi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological &amp; Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science &amp; Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies &amp; Aerospace Collection</collection><collection>Agricultural &amp; Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Meteorological &amp; Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Advanced Technologies &amp; Aerospace Database</collection><collection>ProQuest Advanced Technologies &amp; Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kouvonen, Anne</au><au>Kivimäki, Mika</au><au>Oksanen, Tuula</au><au>Pentti, Jaana</au><au>De Vogli, Roberto</au><au>Virtanen, Marianna</au><au>Vahtera, Jussi</au><au>Zhang, Harry</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Obesity and occupational injury: a prospective cohort study of 69,515 public sector employees</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2013-10-16</date><risdate>2013</risdate><volume>8</volume><issue>10</issue><spage>e77178</spage><epage>e77178</epage><pages>e77178-e77178</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Obesity and overweight are suggested to increase the risk of occupational injury but longitudinal evidence to confirm this is rare. We sought to evaluate obesity and overweight as risk factors for occupational injuries. A total of 69,515 public sector employees (80% women) responded to a survey in 2000-2002, 2004 or 2008. Body mass index (kg/m(2)) was derived from self-reported height and weight and was linked to records of subsequent occupational injuries obtained from national registers. Different injury types, locations and events or exposures (the manner in which the injury was produced or inflicted) were analyzed by body mass index category adjusting for baseline socio-demographic characteristics, work characteristics, health-risk behaviors, physical and mental health, insomnia symptoms, and sleep duration. During the mean follow-up of 7.8 years (SD = 3.2), 18% of the employees (N = 12,204) recorded at least one occupational injury. Obesity was associated with a higher overall risk of occupational injury; multivariable adjusted hazard ratio (HR) 1.21 (95% CI 1.14-1.27). A relationship was observed for bone fractures (HR = 1.37; 95% CI: 1.10-1.70), dislocations, sprains and strains (HR = 1.36; 95% CI: 1.25-1.49), concussions and internal injuries (HR = 1.26; 95% CI: 1.11-1.44), injuries to lower extremities (HR = 1.62; 95%: 1.46-1.79) and injuries to whole body or multiple sites (HR = 1.37; 95%: 1.10-1.70). Furthermore, obesity was associated with a higher risk of injuries caused by slipping, tripping, stumbling and falling (HR = 1.55; 95% CI: 1.40-1.73), sudden body movement with or without physical stress (HR = 1.24; 95% CI: 1.10-1.41) and shock, fright, violence, aggression, threat or unexpected presence (HR = 1.33; 95% CI: 1.03-1.72). The magnitude of the associations between overweight and injuries was smaller, but the associations were generally in the same direction as those of obesity. Obese employees record more occupational injuries than those with recommended healthy weight.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>24146966</pmid><doi>10.1371/journal.pone.0077178</doi><tpages>e77178</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1932-6203
ispartof PloS one, 2013-10, Vol.8 (10), p.e77178-e77178
issn 1932-6203
1932-6203
language eng
recordid cdi_plos_journals_1442465721
source MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS); PubMed Central; Free Full-Text Journals in Chemistry
subjects Adolescent
Adult
Age Factors
Aged
Aggression
Analysis
Body mass
Body Mass Index
Body size
Body weight
Cohort analysis
Concussion
Demographics
Dislocations
Employees
Epidemiology
Extremities
Female
Finland - epidemiology
Follow-Up Studies
Fractures
Government employees
Health risks
Humans
Injuries
Injury analysis
Insomnia
Male
Mental health
Middle Aged
Obesity
Obesity - complications
Occupational accidents
Occupational health
Occupational Injuries - complications
Occupational Injuries - epidemiology
Occupational safety
Overweight
Personal injuries
Physical stress
Proportional Hazards Models
Prospective Studies
Public sector
Public Sector - statistics & numerical data
Risk analysis
Risk Factors
Risk taking
Sleep
Sleep disorders
Socioeconomic Factors
Studies
Surveys
Violence
Work related injuries
Young Adult
title Obesity and occupational injury: a prospective cohort study of 69,515 public sector employees
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-09T20%3A30%3A59IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Obesity%20and%20occupational%20injury:%20a%20prospective%20cohort%20study%20of%2069,515%20public%20sector%20employees&rft.jtitle=PloS%20one&rft.au=Kouvonen,%20Anne&rft.date=2013-10-16&rft.volume=8&rft.issue=10&rft.spage=e77178&rft.epage=e77178&rft.pages=e77178-e77178&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0077178&rft_dat=%3Cgale_plos_%3EA478246525%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1442465721&rft_id=info:pmid/24146966&rft_galeid=A478246525&rft_doaj_id=oai_doaj_org_article_1d1a75be600a48d2853b09b86f8543b8&rfr_iscdi=true