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Body Mass Index (BMI) and Work Ability in Older Workers: Results from the Health and Employment after Fifty (HEAF) Prospective Cohort Study

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  • Catherine H Linaker

    (MRC Versus Arthritis Centre for Musculoskeletal Health and Work, University of Southampton, Southampton General Hospital, Southampton SO16 6YD, UK
    Medical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton General Hospital, Southampton SO16 6YD, UK)

  • Stefania D’Angelo

    (MRC Versus Arthritis Centre for Musculoskeletal Health and Work, University of Southampton, Southampton General Hospital, Southampton SO16 6YD, UK
    Medical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton General Hospital, Southampton SO16 6YD, UK)

  • Holly E Syddall

    (MRC Versus Arthritis Centre for Musculoskeletal Health and Work, University of Southampton, Southampton General Hospital, Southampton SO16 6YD, UK
    Medical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton General Hospital, Southampton SO16 6YD, UK)

  • E Clare Harris

    (MRC Versus Arthritis Centre for Musculoskeletal Health and Work, University of Southampton, Southampton General Hospital, Southampton SO16 6YD, UK
    Medical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton General Hospital, Southampton SO16 6YD, UK)

  • Cyrus Cooper

    (Medical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton General Hospital, Southampton SO16 6YD, UK)

  • Karen Walker-Bone

    (MRC Versus Arthritis Centre for Musculoskeletal Health and Work, University of Southampton, Southampton General Hospital, Southampton SO16 6YD, UK
    Medical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton General Hospital, Southampton SO16 6YD, UK)

Abstract

This study explores associations between BMI and prolonged sickness absence; cutting down at work; and health-related job loss (HRJL) over two years of follow-up among workers aged ≥50 years. A cohort of 2299 men and 2425 women (aged 50–64 years) self-reported height and weight at baseline and provided information about work ability at 12 and 24 months for the Health and Employment after Fifty (HEAF) Study. Associations between BMI and work ability were assessed by logistic regression and HRJL by multiple-record Cox’s proportional hazards models, with adjustment for other risk factors. The prevalence of obesity/severe obesity was 22.6%/1.2% amongst men and 21.4%/2.6% amongst women, respectively. In men and women, obesity and severe obesity predicted having to cut down at work for health over two years. In women, severe obesity predicted prolonged sickness absence, and also HRJL even after adjustment for age, proximity to retirement, financial difficulties, and lifestyle factors (hazard ratio [HR] 2.93, 95% CI 1.38, 6.23), and additional adjustment for health conditions (HR 2.52, 95% CI 1.12, 5.67). Obesity, and particularly severe obesity, negatively impacts work ability amongst people aged 50–64 years, with greatest effects in women. Obesity can be expected to hinder attempts to encourage work to older ages.

Suggested Citation

  • Catherine H Linaker & Stefania D’Angelo & Holly E Syddall & E Clare Harris & Cyrus Cooper & Karen Walker-Bone, 2020. "Body Mass Index (BMI) and Work Ability in Older Workers: Results from the Health and Employment after Fifty (HEAF) Prospective Cohort Study," IJERPH, MDPI, vol. 17(5), pages 1-13, March.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:5:p:1647-:d:327964
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    References listed on IDEAS

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    1. Maximilian Tremmel & Ulf-G. Gerdtham & Peter M. Nilsson & Sanjib Saha, 2017. "Economic Burden of Obesity: A Systematic Literature Review," IJERPH, MDPI, vol. 14(4), pages 1-18, April.
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    1. Wojciech Gruszka & Aleksander J. Owczarek & Mateusz Glinianowicz & Monika Bąk-Sosnowska & Jerzy Chudek & Magdalena Olszanecka-Glinianowicz, 2022. "Can Nutritional Status in Adults Be Influenced by Health Locus of Control?," IJERPH, MDPI, vol. 19(23), pages 1-13, November.

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