Skip to main content
Log in

Influences of Obesity on Job Demands and Worker Capacity

  • Ergonomy (N Teasdale, Section Editor)
  • Published:
Current Obesity Reports Aims and scope Submit manuscript

Abstract

Evidence suggests that the growing prevalence of obesity in the workforce has resulted in an increase in the incidence and cost of musculoskeletal injuries. Obesity can modify job demands and affect worker capacity in terms of anthropometry and occupational biomechanics, which may place workers at greater risk of injury. This paper presents a review of studies quantifying the work-relevant impacts of obesity, specifically related to work task demands, capacities, and their potential imbalance. The increased body fat that accompanies obesity leads to larger anthropometric dimensions and inertial parameters, particularly in the trunk and thigh areas. Consequently, individuals who are obese adjust their work postures and motions as an accommodation. These changes may affect the biomechanical demands on the joints and increase the burden on the musculoskeletal system. Independent of job demands, obesity-related differences also occur with respect to strength, fatigue, and task performance. Directions for future research are provided, focusing on the need for workplace redesign to account for changing workforce demographics.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. Schmier JK, Jones ML, Halpern MT. Cost of obesity in the workplace. Scand J Work Environ Health. 2006;32(1):5–11.

    Article  PubMed  Google Scholar 

  2. Tsai AG, Williamson DF, Glick HA. Direct medical cost of overweight and obesity in the USA: a quantitative systematic review. Obes Rev. 2010;12(1):50–61.

    Article  Google Scholar 

  3. Withrow D, Alter DA. The economic burden of obesity worldwide: a systematic review of the direct costs of obesity. Obes Rev. 2011;12(2):131–41.

    Article  CAS  PubMed  Google Scholar 

  4. Kuehl KS, Kisbu-Sakarya Y, Elliot DL, Moe EL, DeFrancesco CA, MacKinnon DP, et al. Body mass index as a predictor of firefighter injury and workers' compensation claims. J Occup Environ Med. 2012;54(5):579–82.

    Article  PubMed Central  PubMed  Google Scholar 

  5. Finkelstein EA, DiBonaventura M, Burgess SM, Hale BC. The costs of obesity in the workplace. J Occup Environ Med. 2010;52(10):971–6.

    Article  PubMed  Google Scholar 

  6. Ricci JASMS, Chee ES. Lost productive time associated with excess weight in the U.S. workforce. J Occup Environ Med. 2005;47(12):1227–34.

    Article  PubMed  Google Scholar 

  7. Goetzel RZ, Gibson TB, Short ME, Chu B-C, Waddell J, Bowen J, et al. A multi-worksite analysis of the relationships among body mass index, medical utilization, and worker productivity. J Occup Environ Med. 2010;52(1S):S52–8.

    Article  PubMed  Google Scholar 

  8. Kouvonen A, Kivimäki M, Oksanen T, Pentti J, De Vogli R, Virtanen M, et al. Obesity and occupational injury: a prospective cohort study of 69,515 public sector employees. PLoS ONE. 2013;8(10):e77178.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  9. Viester L, Verhagen E, Hengel KM, Koppes L, van der Beek A, Bongers P. The relation between body mass index and musculoskeletal symptoms in the working population. BMC Musculoskelet Disord. 2013;14(1):238.

    Article  PubMed Central  PubMed  Google Scholar 

  10. Larsson U, Mattsson E. Functional limitations linked to high body mass index, age and current pain in obese women. Int J Obes. 2001;25(6):893–9.

    Article  Google Scholar 

  11. Wang F, McDonald T, Bender J, Reffitt B, Miller A, Edington D. Association of healthcare costs with per unit body mass index increase. J Occup Environ Med. 2006;48(7):668–74.

    Article  PubMed  Google Scholar 

  12. Flegal KM, Carroll MD, Ogden CL, Curtin LR. Prevalence and trends in obesity among US adults, 1999-2008. JAMA. 2010;303(3):235–41.

    Article  CAS  PubMed  Google Scholar 

  13. Park W, Park S. Body shape analyses of large persons in South Korea. Ergonomics. 2013;56(4):692–706.

    Article  PubMed  Google Scholar 

  14. Vague J, Vague P, Meignen J, Jubelin J, Tramoni M. Android and gynoid obesities, past and present. Metabolic Complication of Human Obesities. Proceedings of the 6th International Meeting of Endocrinology, Marseilles, France; 1985. p. 3–11.

  15. Lee S. Comparative analyses of anthropometry associated with overweight and obesity: PCA and ICA approaches. Theor Issues Ergon Sci. 2008;9:441–75.

    Article  Google Scholar 

  16. Fontaine KR, Gadbury G, Heymsfield SB, Kral J, Albu JB, Allison D. Quantitative prediction of body diameter in severely obese individuals. Ergonomics. 2002;45(1):49–60.

    Article  PubMed  Google Scholar 

  17. Gordon CC, Bradtmiller B. Anthropometric change: implications for office ergonomics. Work. 2012;41:4606–11.

    PubMed  Google Scholar 

  18. Buckle P, Buckle J. Obesity, ergonomics and public health. Perspect Public Heal. 2011;131(4):170–6.

    Article  Google Scholar 

  19. Matrangola SL, Madigan ML, Nussbaum MA, Ross R, Davy KP. Changes in body segment inertial parameters of obese individuals with weight loss. J Biomech. 2008;41(15):3278–81.

    Article  PubMed Central  PubMed  Google Scholar 

  20. Singh D, Park W, Levy MS, Jung ES. The effects of obesity and standing time on postural sway during prolonged quiet standing. Ergonomics. 2009;52(8):977–86.

    Article  CAS  PubMed  Google Scholar 

  21. Park W, Ramachandran J, Weisman P, Jung ES. Obesity effect on male active joint range of motion. Ergonomics. 2010;53(1):102–8.

    Article  PubMed  Google Scholar 

  22. Blaszczyk JW, Cieslinska-Swider J, Plewa M, Zahorska-Markiewicz B, Markiewicz A. Effects of excessive body weight on postural control. J Biomech. 2009;42(9):1295–300.

    Article  PubMed  Google Scholar 

  23. Pryce RT. Obesity and loading during lifting: Ph.D. Dissertation, University of Manitoba; 2013. Available: http://hdl.handle.net/1993/22070.

  24. Chambers AJ, Sukits AL, McCrory JL, Cham R. The effect of obesity and gender on body segment parameters in older adults. Clin Biomech. 2010;25(2):131–6.

    Article  Google Scholar 

  25. Gilleard W, Smith T. Effect of obesity on posture and hip joint moments during a standing task, and trunk forward flexion motion. Int J Obes. 2007;31(2):267–71.

    Article  CAS  Google Scholar 

  26. Hamilton MA, Strawderman L, Babski-Reeves K, Hale B. Effects of BMI and task parameters on joint angles during simulated small parts assembly. Ing J Ind Ergon. 2013;43(5):417–24. This paper considered obesity-related differences under occupationally-relevant task conditions and identified shorter functional reach with obesity, but similar postures adopted during the task.

    Article  Google Scholar 

  27. Paul JA, Frings-Dresen MHW, Sallé HJA, Rozendal RH. Pregnant women and working surface height and working surface areas for standing manual work. Appl Ergon. 1995;26(2):129–33.

    Article  CAS  PubMed  Google Scholar 

  28. Xu X, Mirka GA, Hsiang SM. The effects of obesity on lifting performance. Appl Ergon. 2008;39(1):93–8.

    Article  PubMed  Google Scholar 

  29. Wood S, Pearsall DJ, Ross R, Reid JG. Trunk muscle parameters determined from MRI for lean to obese males. Clin Biomech. 1996;11(3):139–44.

    Article  Google Scholar 

  30. Menegoni F. Kinematics of trunk movements: protocol design and application in obese females. J Appl Biomater Biom. 2008;6(3):178–85.

    CAS  Google Scholar 

  31. Vismara L, Romei M, Galli M, Montesano A, Baccalaro G, Crivellini M, et al. Clinical implications of gait analysis in the rehabilitation of adult patients with "Prader-Willi" syndrome: a cross-sectional comparative study. J Neuroeng Rehabil. 2007;4:14.

    Article  PubMed Central  PubMed  Google Scholar 

  32. Park W, Singh DP, Levy MS, Jung ES. Obesity effect on perceived postural stress during static posture maintenance tasks. Ergonomics. 2009;52(9):1169–82.

    Article  PubMed  Google Scholar 

  33. Singh B, Brown TD, Callaghan JJ, Yack HJ. Abdomen-thigh contact during forward reaching tasks in obese individuals. J Appl Biomech. 2013;29(5):517–24.

    PubMed  Google Scholar 

  34. Gupta M, Dashottar A, Borstad JD. Scapula kinematics differ by body mass index. J Appl Biomech. 2013;29(4):380–5.

    PubMed  Google Scholar 

  35. Berrigan F, Simoneau M, Tremblay A, Hue O, Teasdale N. Influence of obesity on accurate and rapid arm movement performed from a standing posture. Int J Obes. 2006;30(12):1750–7.

    Article  CAS  Google Scholar 

  36. D'Hondt E, Deforche B, De Bourdeaudhuij I, Lenoir M. Childhood obesity affects fine motor skill performance under different postural constraints. Neurosci Lett. 2008;440(1):72–5.

    Article  PubMed  Google Scholar 

  37. Hue O, Berrigan F, Simoneau M, Marcotte J, Marceau P, Marceau S, et al. Muscle force and force control after weight loss in obese and morbidly obese men. Obes Surg. 2008;18(9):1112–8.

    Article  PubMed  Google Scholar 

  38. Cavuoto LA, Nussbaum MA. Obesity-related differences in muscular capacity during sustained isometric exertions. Appl Ergon. 2013;44(2):254–60.

    Article  PubMed  Google Scholar 

  39. Cavuoto LA, Nussbaum MA. Differences in functional performance of the shoulder musculature with obesity and aging. Int J Ind Ergon. 2013;43(5):393–9.

    Article  Google Scholar 

  40. Miyatake N, Fujii M, Nishikawa H, Wada J, Shikata K, Makino H, et al. Clinical evaluation of muscle strength in 20-79-years-old obese Japanese. Diabetes Res Clin Pract. 2000;48(1):15–21.

    Article  CAS  PubMed  Google Scholar 

  41. Kitagawa K, Miyashita M. Muscle strengths in relation to fat storage rate in young men. Eur J Appl Physiol Occup. 1978;38(3):189–96.

    Article  CAS  Google Scholar 

  42. Pescatello LS, Kelsey BK, Price TB, Seip RL, Angelopoulos TJ, Clarkson PM, et al. The muscle strength and size response to upper arm, unilateral resistance training among adults who are overweight and obese. J Strength Cond Res. 2007;21(2):307–13.

    PubMed  Google Scholar 

  43. Zoeller R, Ryan E, Gordish-Dressman H, Price T, Seip R, Angelopoulos T, et al. Allometric scaling of isometric biceps strength in adult females and the effect of body mass index. Eur J Appl Physiol. 2008;104(4):701–10.

    Article  PubMed Central  PubMed  Google Scholar 

  44. Rolland Y, Lauwers-Cances V, Pahor M, Fillaux J, Grandjean H, Vellas B. Muscle strength in obese elderly women: effect of recreational physical activity in a cross-sectional study. Am J Clin Nutr. 2004;79(4):552–7.

    CAS  PubMed  Google Scholar 

  45. Duvigneaud N, Matton L, Wijndaele K, Deriemaeker P, Lefevre J, Philippaerts R, et al. Relationship of obesity with physical activity, aerobic fitness and muscle strength in Flemish adults. J Sports Med Phys Fitness. 2008;48(2):201–10.

    CAS  PubMed  Google Scholar 

  46. Maffiuletti N, Jubeau M, Munzinger U, Bizzini M, Agosti F, De Col A, et al. Differences in quadriceps muscle strength and fatigue between lean and obese subjects. Eur J Appl Physiol. 2007;101(1):51–9.

    Article  PubMed  Google Scholar 

  47. Mannion A, Adams M, Cooper R, Dolan P. Prediction of maximal back muscle strength from indices of body mass and fat-free body mass. Rheumatology. 1999;38(7):652–5.

    Article  CAS  PubMed  Google Scholar 

  48. Hulens M, Vansant G, Lysens R, Claessens AL, Muls E, Brumagne S. Study of differences in peripheral muscle strength of lean versus obese women: an allometric approach. Int J Obes. 2001;25(5):676–81.

    Article  CAS  Google Scholar 

  49. Lafortuna CL, Maffiuletti NA, Agosti F, Sartorio A. Gender variations of body composition, muscle strength and power output in morbid obesity. Int J Obes. 2005;29(7):833–41.

    Article  CAS  Google Scholar 

  50. Folland J, Mc Cauley T, Williams A. Allometric scaling of strength measurements to body size. Eur J Appl Physiol. 2008;102(6):739–45.

    Article  CAS  PubMed  Google Scholar 

  51. de Looze M, Bosch T, van Dieën J. Manifestations of shoulder fatigue in prolonged activities involving low-force contractions. Ergonomics. 2009;52(4):428–37.

    Article  PubMed  Google Scholar 

  52. Visser B, van Dieën JH. Pathophysiology of upper extremity muscle disorders. J Electromyogr Kinesiol. 2006;16(1):1–16.

    Article  PubMed  Google Scholar 

  53. Frey Law LA, Avin KG. Endurance time is joint-specific: a modelling and meta-analysis investigation. Ergonomics. 2010;53(1):109–29.

    Article  PubMed  Google Scholar 

  54. Garg A, Hegmann KT, Schwoerer BJ, Kapellusch JM. The effect of maximum voluntary contraction on endurance times for the shoulder girdle. Int J Ind Ergon. 2002;30(2):103–13.

    Article  Google Scholar 

  55. Mathiassen SE, Åhsberg E. Prediction of shoulder flexion endurance from personal factors. Int J Ind Ergon. 1999;24(3):315–29.

    Article  Google Scholar 

  56. Rohmert W. Problems in determining rest allowances: part 1: use of modern methods to evaluate stress and strain in static muscular work. Appl Ergon. 1973;4(2):91–5.

    Article  CAS  PubMed  Google Scholar 

  57. Rohmert W. Problems of determination of rest allowances part 2: determining rest allowances in different human tasks. Appl Ergon. 1973;4(3):158–62.

    Article  CAS  PubMed  Google Scholar 

  58. Ma L, Chablat D, Bennis F, Zhang W. A new simple dynamic muscle fatigue model and its validation. Int J Ind Ergon. 2009;39(1):211–20.

    Article  Google Scholar 

  59. Kern PA, Simsolo RB, Fournier M. Effect of weight loss on muscle fiber type, fiber size, capillarity, and succinate dehydrogenase activity in humans. J Clin Endocrinol Metab. 1999;84(11):4185–90.

    CAS  PubMed  Google Scholar 

  60. Newcomer BR, Larson-Meyer DE, Hunter GR, Weinsier RL. Skeletal muscle metabolism in overweight and post-overweight women: an isometric exercise study using 31P magnetic resonance spectroscopy. Int J Obes. 2001;25(9):1309–15.

    Article  CAS  Google Scholar 

  61. Eksioglu M. Endurance time of grip-force as a function of grip-span, posture and anthropometric variables. Int J Ind Ergon. 2011;41(5):401–9.

    Article  Google Scholar 

  62. Cavuoto LA, Nussbaum MA. The influences of obesity and age on functional performance during intermittent upper extremity tasks. J Occup Environ Hyg. 2014. doi:10.1080/15459624.2014.887848.

  63. Kirkwood SP, Zurlo F, Larson K, Ravussin E. Muscle mitochondrial morphology, body composition, and energy expenditure in sedentary individuals. Am J Physiol Endocrinol Metab. 1991;260(1):E89–94.

    CAS  Google Scholar 

  64. Kankaanpää M, Laaksonen D, Taimela S, Kokko S-M, Airaksinen O, Hänninen O. Age, sex, and body mass index as determinants of back and hip extensor fatigue in the isometric Sørensen back endurance test. Arch Phys Med Rehabil. 1998;79(9):1069–75.

    Article  PubMed  Google Scholar 

  65. Maher CA, Mire E, Harrington DM, Staiano AE, Katzmarzyk PT. The independent and combined associations of physical activity and sedentary behavior with obesity in adults: NHANES 2003-06. Obesity. 2013;21(12):E730–7.

    Article  PubMed  Google Scholar 

  66. Mayer JM, Nuzzo JL, Chen R, Quillen WS, Verna JL, Miro R, et al. The impact of obesity on back and core muscular endurance in firefighters. J Obes. 2012;2012:7.

    Article  Google Scholar 

  67. Tetteh EG, Latif N, McGlothlin JD, Peters J. Impacts of frequency and posture on body mass index in manual handling tasks. Hum Factor Ergon Man. 2009;19(4):329–43.

    Article  Google Scholar 

  68. Blimkie C, Sale D, Bar-Or O. Voluntary strength, evoked twitch contractile properties and motor unit activation of knee extensors in obese and non-obese adolescent males. Eur J Appl Physiol Occup. 1990;61(3):313–8.

    Article  CAS  Google Scholar 

  69. Maffiuletti N, Ratel S, Sartorio A, Martin V. The impact of obesity on in vivo human skeletal muscle function. Curr Obes Rep. 2013;2(3):251–60.

    Article  Google Scholar 

  70. Singh D, Park W, Levy MS. Obesity does not reduce maximum acceptable weights of lift. Appl Ergon. 2009;40(1):1–7.

    Article  PubMed  Google Scholar 

  71. Corbeil P, Plamondon A, Teasdale N, Handrigan G. Biomechanical differences between obese and healthy-weight workers in manual materials handling. Proc Hum Factors Ergon Soc Annu Meet. 2013;57:958–61. This paper identified lifting strategy and biomechanical loading differences between obese and non-obese participants under relatively realistic testing conditions.

    Article  Google Scholar 

Download references

Compliance with Ethics Guidelines

Conflict of Interest

Lora A. Cavuoto and Maury A. Nussbaum declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Lora A. Cavuoto.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Cavuoto, L.A., Nussbaum, M.A. Influences of Obesity on Job Demands and Worker Capacity. Curr Obes Rep 3, 341–347 (2014). https://doi.org/10.1007/s13679-014-0105-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13679-014-0105-z

Keywords

Navigation