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The relationship between job stress and body mass index using longitudinal data from Canada

Abstract

Objective

This paper examines the effect of job stress, as measured by the job strain model (high job demands and low job control) on an individual’s body mass index (BMI) using data from the Canadian National Population Health Survey.

Methods

We use panel data estimation methods to account for unobserved individual-level heterogeneity to better examine the relationship between job-related stress and BMI.

Results

Results from the fixed effects and random effects models show no statistically significant difference in BMI levels between individuals in jobs with high/medium strain compared to jobs with low strain. However, in the cross-sectional OLS model, job stress has a positive and significant effect on BMI. These analyses control for socio-demographic factors, lifestyle behavior, workplace social support, occupational and provincial fixed effects. The results suggest that the mixed findings in the previous studies may in part be due to unobserved characteristics that cannot be controlled for using standard cross-sectional analysis.

Conclusion

This study results suggest the need for further longitudinal evidence in order to have a better understanding of the relationship between job stress and body weight.

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References

  • Amick BC III, McDonough P, Chang H, Rogers WH, Pieper CF, Duncan G (2002) Relationship between all-cause mortality and cumulative working life course psychosocial and physical exposures in the United States labor market from 1968 to 1992. Psychosom Med 64:370–381

    PubMed  Google Scholar 

  • Amick BC III, Kawachi I, Coakley EH, Lerner D, Levine S, Colditz GA (1998) Relationship of job strain and iso-strain to health status in a cohort of women in the United States. Scand J Work Environ Health 24:54–61

    PubMed  Article  Google Scholar 

  • American Psychological Association (2009) Stress in America 2009. http://www.apa.org/news/press/releases/stress-exec-summary.pdf

  • Azagba S, Sharaf MF (2011) Psychosocial working conditions and the utilization of health care services. BMC Public Health 11:642. doi:10.1186/1471-2458-11-642

    PubMed  Article  Google Scholar 

  • Bowman SA, Vinyard BT (2004) Fast food consumption of US adults: impact on energy and nutrient intakes and overweight status. J Am Coll Nutr 23(2):163–168

    PubMed  Google Scholar 

  • Brisson C, Larocque B, Moisan J, Vezina M, Dagenais GR (2000) Psychosocial factors at work, smoking, sedentary behavior, and body mass index: a prevalence study among 6995 white collar workers. J Occup Environ Med 42:40–46

    PubMed  Article  CAS  Google Scholar 

  • Dallman MF, Pecoraro N, Akana SF, la Fleur SE, Gomez F, Houshyar H, Bell ME, Bhatnagar S, Laugero KD, Manalo S (2003) Chronic stress and obesity: a new view of ‘comfort food’. Proc Natl Acad Sci USA 100:11696–11701

    PubMed  Article  CAS  Google Scholar 

  • Hellerstedt WL, Jeffrey RW (1997) The association of job strain and health behaviours in men and women. Int J Epidemiol 26:538–575

    Article  Google Scholar 

  • Hu FB (2008) Obesity epidemiology. Oxford University Press, Oxford

  • Ishizaki M, Morikawa Y, Nakagawa H, Honda R, Kawakami N, Haratani T et al (2004) The influence of work characteristics on body mass index and waist to hip ratio in Japanese employees. Ind Health 42:41–49

    PubMed  Article  Google Scholar 

  • Jonsson D, Rosengren A, Dotevall A, Lappas G, Wilhelmsen L (1999) Job control, job demands and social support at work in relation to cardiovascular risk factors in Monica 1995, Goteborg. J Cardiovasc Risk 6:379–385

    PubMed  CAS  Google Scholar 

  • Karasek RA (1979) Job demands, decision latitude, and mental strain: implications for job redesign. Admin Sci Q 24:285–308

    Article  Google Scholar 

  • Karasek R, Theorell T (1990) Healthy work-stress. Productivity and the reconstruction of working life. Basic Books, New York, pp 1–381

    Google Scholar 

  • Kivimäki M, Leino-Arjas P, Luukkonen R, Riihimaki H, Vahtera J, Kirjonen J (2002) Work stress and risk of cardiovascular mortality: prospective cohort study of industrial employees. BMJ 325:857–861

    PubMed  Article  Google Scholar 

  • Kouvonen A, Kivimäki M, Cox SJ, Cox T, Vahtera J (2005) Relationship between work stress and body mass index among 45,810 female and male employees. Psychosom Med 67:577–583

    PubMed  Article  Google Scholar 

  • Martikainen PT, Marmot MG (1999) Socioeconomic differences in weight gain and determinants and consequences of coronary risk factors. Am J Clin Nutr 69:719–726

    PubMed  CAS  Google Scholar 

  • McAdams MA, Van Dam RM, Hu FB (2007) Comparison of self-reported and measured BMI as correlates of disease markers in US adults. Obesity 15(1):188–196

    PubMed  Article  Google Scholar 

  • Netterstrom B, Kristensen TS, Damsgaard MT, Olsen O, Sjol A (1991) Job strain and cardiovascular risk factors: a cross sectional study of employed Danish men and women. Br J Ind Med 48:684–689

    PubMed  CAS  Google Scholar 

  • Niedhammer I, Goldberg M, Leclerc A, David S, Bugel I, Landre MF (1998) Psychosocial work environment and cardiovascular risk factors in an occupational cohort in France. J Epidemiol Community Health 52:93–100

    PubMed  Article  CAS  Google Scholar 

  • Oliver G, Wardle J, Gibson EL (2000) Stress and food choice: a laboratory study. Psychosom Med 62(6):853–865

    PubMed  CAS  Google Scholar 

  • Oliver G, Wardle J (1999) Perceived effects of stress on food choice. Physiol Behav 66(3):511–515

    PubMed  Article  CAS  Google Scholar 

  • Ostry A, Radi S, Louie A, LaMontagne A (2006) Psychosocial and other working conditions in relation to body mass index in a representative sample of Australian workers. BMC Public Health 6:53

    PubMed  Article  Google Scholar 

  • Overgaard D, Gyntelberg F, Heitmann BL (2004) Psychological workload and body weight: is there an association? A review of the literature. Occup Med (Lond). 54(1):35–41

    Article  CAS  Google Scholar 

  • Pak SK, Olsen LK, Mahoney BS (2000) The relationships of health behaviors to perceived stress, job satisfaction, and role modeling among health professionals in South Korea. Int J Community Health Educ 19:65–76

    Google Scholar 

  • Petersen T (2004) Analyzing panel data: fixed and random effects models. In: Hardy M, Bryman A (eds) Handbook of data Analysis. Sage, London, pp 331–345

    Google Scholar 

  • Raine K (2004) Overweight and obesity in Canada: a population health perspective. Canadian Institute for Health Information, Canadian Population Health Initiative

  • Schneider S, Becker S (2005) Prevalence of physical activity among the working population and correlation with work-related factors: results from the first German national health survey. J Occup Health 47(5):414–423

    PubMed  Article  Google Scholar 

  • Siegrist J (1996) Adverse health effects of high-effort/low-reward conditions. J Occup Health Psychol 1:27–41

    PubMed  Article  CAS  Google Scholar 

  • Siegrist J, Rodel A (2006) Work stress and health risk behavior. Scand J Work Environ Health 32:473–481

    PubMed  Article  Google Scholar 

  • Statistics Canada (2009) National Population Health Survey Household Component. http://www.statcan.gc.ca/imdb-bmdi/document/3225_D10_T9_V3-eng.pdf

  • Steptoe A, Cropley M, Griffith J, Joekes A (1999) The influence of abdominal obesity and chronic work stress on ambulatory blood pressure in men and women. Int J Obes 23:1184–1191

    Article  CAS  Google Scholar 

  • Stunkard AJ, Allison KC (2003) Two forms of disordered eating in obesity: binge eating and night eating. Int J Obes 27:1–12

    Article  Google Scholar 

  • Theorell T, Ahlberg-Hulten G, Jodko M, Sigala F, de la Torre B (1993) Influence of job strain and emotion on blood pressure in female hospital personnel during work hours. Scand J Work Environ Health 19:313–318

    PubMed  Article  CAS  Google Scholar 

  • Verbeek M, Nijman TE (1992) Testing for selectivity bias in panel data models. Int Econ Rev 33(2):681–703

    Article  Google Scholar 

  • Visscher TLS, Seidell JC (2001) The public health impact of obesity. Annu Rev Public Health 22:355–375

    PubMed  Article  CAS  Google Scholar 

  • Viswesvaran C, Sanchez JI, Fisher J (1999) The role of social support in the process of job stress: a meta-analysis. J Vocat Behav 54(2):314–334

    Article  Google Scholar 

  • Wamala SP, Wolk A, Orth-Gomer K (1997) Determinants of obesity in relation to socioeconomic status among middle-aged Swedish women. Prev Med 26:734–744

    PubMed  Article  CAS  Google Scholar 

  • Wooldridge JM (2002) Econometric analysis of cross section and panel data. The MIT Press, Cambridge, MA

    Google Scholar 

Download references

Acknowledgments

This paper uses Statistics Canada confidential data, and the opinions expressed do not represent the views of Statistics Canada. For helpful comments and suggestions we wish to thank, Gordon Fisher, Nikolay Gospodinov, Greg LeBlanc and Ian Irvine.

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Correspondence to Sunday Azagba.

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Azagba, S., Sharaf, M.F. The relationship between job stress and body mass index using longitudinal data from Canada. Int J Public Health 57, 807–815 (2012). https://doi.org/10.1007/s00038-012-0348-y

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  • DOI: https://doi.org/10.1007/s00038-012-0348-y

Keywords

  • Job stress
  • Body mass index
  • Unobserved heterogeneity
  • Panel data