Work-related psychosocial factors and inflammatory markers: A systematic review and meta-analysis

We conducted a systematic review and meta-analysis to evaluate the prospective effect of adverse work-related psychosocial factors on increases in inflammatory markers. A systematic literature search was conducted in PubMed, Embase, PsycINFO, PsycARTICLES, and the Japan Medical Abstracts Society dat...

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Veröffentlicht in:Journal of psychosomatic research 2023-07, Vol.170, p.111349-111349, Article 111349
Hauptverfasser: Eguchi, Hisashi, Watanabe, Kazuhiro, Kawakami, Norito, Ando, Emiko, Imamura, Kotaro, Sakuraya, Asuka, Sasaki, Natsu, Inoue, Akiomi, Tsuno, Kanami, Otsuka, Yasumasa, Inoue, Reiko, Nishida, Norimitsu, Iwanaga, Mai, Hino, Ayako, Shimazu, Akihito, Tsutsumi, Akizumi
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container_title Journal of psychosomatic research
container_volume 170
creator Eguchi, Hisashi
Watanabe, Kazuhiro
Kawakami, Norito
Ando, Emiko
Imamura, Kotaro
Sakuraya, Asuka
Sasaki, Natsu
Inoue, Akiomi
Tsuno, Kanami
Otsuka, Yasumasa
Inoue, Reiko
Nishida, Norimitsu
Iwanaga, Mai
Hino, Ayako
Shimazu, Akihito
Tsutsumi, Akizumi
description We conducted a systematic review and meta-analysis to evaluate the prospective effect of adverse work-related psychosocial factors on increases in inflammatory markers. A systematic literature search was conducted in PubMed, Embase, PsycINFO, PsycARTICLES, and the Japan Medical Abstracts Society database. Studies were eligible for inclusion if they examined associations between work-related psychosocial factors and inflammatory markers (interleukin-6, tumor necrosis factor-alpha, and C-reactive protein), used longitudinal or prospective cohort designs, were conducted among workers, were original articles written in English or Japanese, and were published up to 2017 for the first search, October 2020 for the second, and November 2022 for the third. A meta-analysis was conducted using a random-effects model to assess the pooled effect size for the associations. A meta-regression analysis was used to estimate the association between length of follow-up and effect size. The ROBINS-I tool was used to assess risk of bias. Of the 11,121 studies identified in the first search, 29,135 studies from the second, and 9448 studies from the third, eleven were eligible for this review and meta-analysis. The pooled coefficient between adverse work-related psychosocial factors and inflammatory markers was significant and positive (β = 0.014, 95% confidence interval: 0.005–0.023). However, a clear association was only observed for interleukin-6, and all the studies included had serious risks of bias. Meta-regression showed the effect size decreased depending on the follow-up period. This study revealed a weak positive association between adverse work-related psychosocial factors and increases in inflammatory markers. Trial registration: PROSPERO CRD42018081553 (https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=81553). •We evaluated impact of work-related psychosocial factors on inflammatory markers.•The inflammatory markers included CRP, TNF-α, and IL-6.•The eleven research were eligible for the review and meta-analysis.•Adverse work-related psychosocial factors positively associated with increased inflammatory markers.•The association between length of follow-up and effect size was slightly negative.
doi_str_mv 10.1016/j.jpsychores.2023.111349
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Of the 11,121 studies identified in the first search, 29,135 studies from the second, and 9448 studies from the third, eleven were eligible for this review and meta-analysis. The pooled coefficient between adverse work-related psychosocial factors and inflammatory markers was significant and positive (β = 0.014, 95% confidence interval: 0.005–0.023). However, a clear association was only observed for interleukin-6, and all the studies included had serious risks of bias. Meta-regression showed the effect size decreased depending on the follow-up period. This study revealed a weak positive association between adverse work-related psychosocial factors and increases in inflammatory markers. Trial registration: PROSPERO CRD42018081553 (https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=81553). •We evaluated impact of work-related psychosocial factors on inflammatory markers.•The inflammatory markers included CRP, TNF-α, and IL-6.•The eleven research were eligible for the review and meta-analysis.•Adverse work-related psychosocial factors positively associated with increased inflammatory markers.•The association between length of follow-up and effect size was slightly negative.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>37187013</pmid><doi>10.1016/j.jpsychores.2023.111349</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects C-reactive protein
Humans
Interleukin-6
Japan
Meta-analysis
Prospective Studies
Psychosocial factor
Tumor necrosis factor-alpha
Workplace
title Work-related psychosocial factors and inflammatory markers: A systematic review and meta-analysis
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