Skip to main content

Advertisement

Log in

The prevalence of chronic psychological complaints and emotional exhaustion among overweight and obese workers

  • Original Article
  • Published:
International Archives of Occupational and Environmental Health Aims and scope Submit manuscript

Abstract

Purpose

Literature suggests a relationship between overweight and obesity, and mental health problems, but data regarding prevalence rates are scarce. This study aimed to determine the prevalence of chronic psychological complaints and emotional exhaustion among overweight and obese workers.

Methods

Data were used from the Netherlands Working Conditions Survey (NWCS), which is representative for Dutch employees (n = 43,928). Based on self-reported body mass index (BMI), workers were classified into underweight, healthy weight, overweight, and obesity. Respondents indicated whether they suffered from chronic psychological complaints. Emotional exhaustion was measured by using the UBOS subscale. Logistic regression analyses were used to test differences in prevalence across weight categories, with healthy weight as the reference group. Analyses were stratified for gender, age, education, and occupation.

Results

Of the obese workers, 15.7% reported emotional exhaustion and 3.7% reported chronic psychological complaints. These prevalence rates were significantly higher than among healthy weight workers. A significant J shape was found with healthy weight workers reporting the lowest prevalence of both indicators of mental health problems. This J shape was generally also seen among the gender, age, education, and occupation subgroups, though not consistently significant.

Conclusion

Considering the proportion of obese workers that also suffers from psychological co-morbidities, interventions targeting obesity should take this into account. As weight-related stigma may play a role in the risk for mental health problems among obese workers, future longitudinal research on the mechanisms for the relation between overweight and mental health problems are recommended.

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.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  • Abdullah A, Peeters A, de Courten M, Stoelwinder J (2010) The magnitude of association between overweight and obesity and the risk of diabetes: a meta-analysis of prospective cohort studies. Diabetes Res Clin Pract 89(3):309–319. doi:10.1016/j.diabres.2010.04.012

    Article  Google Scholar 

  • Ahola K, Vaananen A, Koskinen A, Kouvonen A, Shirom A (2010) Burnout as a predictor of all-cause mortality among industrial employees: a 10-year prospective register-linkage study. J Psychosom Res 69(1):51–57. doi:10.1016/j.jpsychores.2010.01.002

    Article  Google Scholar 

  • Armon G, Shirom A, Berliner S, Shapira I, Melamed S (2008) A prospective study of the association between obesity and burnout among apparently healthy men and women. J Occup Health Psychol 13(1):43–57. doi:10.1037/1076-8998.13.1.43

    Article  Google Scholar 

  • Block JP, He Y, Zaslavsky AM, Ding L, Ayanian JZ (2009) Psychosocial stress and change in weight among US adults. Am J Epidemiol 170(2):181–192. doi:10.1093/aje/kwp104

    Article  Google Scholar 

  • Boot CR, Koppes LL, van den Bossche SN, Anema JR, van der Beek AJ (2011) Relation between perceived health and sick leave in employees with a chronic illness. J Occup Rehabil 21(2):211–219. doi:10.1007/s10926-010-9273-1

    Google Scholar 

  • Branca F, Nikogosian H, Lobstein T (2007) The challenge of obesity in the WHO European region and the strategies for response. Summary. World Health Organization (WHO), Copenhagen, Denmark

    Google Scholar 

  • Brunner EJ, Chandola T, Marmot MG (2007) Prospective effect of job strain on general and central obesity in the Whitehall II Study. Am J Epidemiol 165(7):828–837. doi:10.1093/aje/kwk058

    Article  Google Scholar 

  • Caron J, Liu A (2010) A descriptive study of the prevalence of psychological distress and mental disorders in the Canadian population: comparison between low-income and non-low-income populations. Chronic Dis Can 30(3):84–94

    CAS  Google Scholar 

  • Finkelstein EA, Trogdon JG, Cohen JW, Dietz W (2009) Annual medical spending attributable to obesity: payer-and service-specific estimates. Health Aff (Millwood) 28(5):w822–w831. doi:10.1377/hlthaff.28.5.w822

    Article  Google Scholar 

  • Guh DP, Zhang W, Bansback N, Amarsi Z, Birmingham CL, Anis AH (2009) The incidence of co-morbidities related to obesity and overweight: a systematic review and meta-analysis. BMC Public Health 9:88. doi:10.1186/1471-2458-9-88

    Article  Google Scholar 

  • Kivimaki 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(7369):857

    Article  Google Scholar 

  • Kivimaki M, Head J, Ferrie JE, Shipley MJ, Brunner E, Vahtera J, Marmot MG (2006) Work stress, weight gain and weight loss: evidence for bidirectional effects of job strain on body mass index in the Whitehall II study. Int J Obes (Lond) 30(6):982–987. doi:10.1038/sj.ijo.0803229

    Article  CAS  Google Scholar 

  • Koppes LLJ, de Vroome EMM, Mol MEM, Janssen BJM, van den Bossche SNJ (2010) Nationale Enquête Arbeidsomstandigheden 2009: Methodologie en globale resultaten. [Netherlands Working Conditions Survey 2009: Methodology and overall results]. TNO, Hoofddorp

    Google Scholar 

  • Kouvonen A, Kivimaki 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(4):577–583. doi:10.1097/01.psy.0000170330.08704.62

    Article  Google Scholar 

  • Kuper H, Marmot M (2003) Job strain, job demands, decision latitude, and risk of coronary heart disease within the Whitehall II study. J Epidemiol Community Health 57(2):147–153

    Article  CAS  Google Scholar 

  • Luppino FS, de Wit LM, Bouvy PF, Stijnen T, Cuijpers P, Penninx BW, Zitman FG (2010) Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies. Arch Gen Psychiatry 67(3):220–229. doi:10.1001/archgenpsychiatry.2010.2

    Article  Google Scholar 

  • Luz J, Green MS (1997) Sickness absenteeism from work–a critical review of the literature. Public Health Rev 25(2):89–122

    CAS  Google Scholar 

  • Maslach C, Jackson SE (1981) The measurement of experienced burnout. Journal of Occup Behav 2:99–113

    Article  Google Scholar 

  • Maslach C, Jackson SE, Leiter MD (1996) Maslach Burnout Inventory manual, 3rd edn. Consulting Psychologist’s Press, Palo Alto, CA

    Google Scholar 

  • Ogden CL, Carroll MD (2010) Prevalence of overweight, obesity, and extreme obesity among adults: United States, Trends 1976–1980 through 2007–2008. http://www.cdc.gov/nchs/fastats/overwt.htm

  • 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 

  • Puhl RM, Heuer CA (2009) The stigma of obesity: a review and update. Obesity (Silver Spring) 17(5):941–964. doi:10.1038/oby.2008.636

    Article  Google Scholar 

  • Schaufeli WB, Enzman D (1998) The burnout companion to study and practice: A critical analysis. Taylor and Francis, London

    Google Scholar 

  • Schaufeli WB, Kompier MA (2001) Managing job stress in the Netherlands. Int J Stress Manag 8:15–34

    Article  Google Scholar 

  • Schaufeli WB, van Dierendonck D (2000) Handleiding van de Utrechtse Burnout Schaal (UBOS). Swess & Zeitlinger, Lisse

    Google Scholar 

  • Shiri R, Karppinen J, Leino-Arjas P, Solovieva S, Viikari-Juntura E (2010) The association between obesity and low back pain: a meta-analysis. Am J Epidemiol 171(2):135–154. doi:10.1093/aje/kwp356

    Article  Google Scholar 

  • Teychenne M, Ball K, Salmon J (2010) Sedentary behavior and depression among adults: a review. Int J Behav Med 17(4):246–254. doi:10.1007/s12529-010-9075-z

    Article  Google Scholar 

  • Trogdon JG, Finkelstein EA, Hylands T, Dellea PS, Kamal-Bahl SJ (2008) Indirect costs of obesity: a review of the current literature. Obes Rev 9(5):489–500. doi:10.1111/j.1467-789X.2008.00472.x

    Article  CAS  Google Scholar 

  • Vahtera J, Kivimaki M, Pentti J, Linna A, Virtanen M, Virtanen P, Ferrie JE (2004) Organisational downsizing, sickness absence, and mortality: 10-town prospective cohort study. BMJ 328(7439):555. doi:10.1136/bmj.37972.496262.0D

    Article  Google Scholar 

  • van Duijvenbode DC, Hoozemans MJ, van Poppel MN, Proper KI (2009) The relationship between overweight and obesity, and sick leave: a systematic review. Int J Obes (Lond) 33(8):807–816. doi:10.1038/ijo.2009.121

    Article  Google Scholar 

  • Verweij LM, Coffeng J, van Mechelen W, Proper KI (2011) Meta-analyses of workplace physical activity and dietary behaviour interventions on weight outcomes. Obes Rev 12(6):406–429. doi:10.1111/j.1467-789X.2010.00765.x

    Article  CAS  Google Scholar 

  • Wardle J, Gibson EL (2002) Impact of stress on diet: processes and implications. In: Stansfeld S, Marmot M (eds) Stress and the heart: Psychosocial Pathways to coronary heart disease. BMJ Books, London, pp 124–149

    Google Scholar 

  • World Health Organization (2000) Obesity: preventing and managing the global epidemic. Report of a WHO Consultation. WHO Technical Report Series 894. World Health Organization, Geneva

    Google Scholar 

  • Yach D, Stuckler D, Brownell KD (2006) Epidemiologic and economic consequences of the global epidemics of obesity and diabetes. Nat Med 12(1):62–66. doi:10.1038/nm0106-62

    Article  CAS  Google Scholar 

Download references

Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Karin I. Proper.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Proper, K.I., Koppes, L.L.J., van Zwieten, M.H.J. et al. The prevalence of chronic psychological complaints and emotional exhaustion among overweight and obese workers. Int Arch Occup Environ Health 85, 537–545 (2012). https://doi.org/10.1007/s00420-011-0703-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00420-011-0703-y

Keywords

Navigation