Job strain as a risk factor for leisure-time physical inactivity: an individual-participant meta-analysis of up to 170,000 men and women: the IPD-Work Consortium.

Eleonor Fransson; Katriina Heikkilä; Solja Nyberg; Marie Zins; Hugo Westerlund; Peter Westerholm; Ari Väänänen; Marianna Virtanen; Jussi Vahtera; Töres Theorell; Sakari Suominen; Archana Singh-Manoux; Johannes Siegrist; Séverine Sabia; Reiner Rugulies; Jaana Pentti; Tuula Oksanen; Maria Nordin; Martin Nielsen; Michael Marmot; Linda Magnusson Hanson; Ida Madsen; Thorsten Lunau; Constanze Leineweber; Meena Kumari; Anne Kouvonen; Aki Koskinen; Markku Koskenvuo; Anders Knutsson; France Kittel; Karl-Heinz Jöckel; Matti Joensuu; Irene Houtman; Wendela Hooftman; Marcel Goldberg; Goedele Geuskens; Jane Ferrie; Raimund Erbel; Nico Dragano; Dirk de Bacquer; Els Clays; Annalisa Casini; Hermann Burr; Marianne Borritz; Sébastien Bonenfant; Jakob Bjorner; Lars Alfredsson; Mark Hamer; G David Batty; Mika Kivimäki

doi:10.1093/aje/kws336

Journal articles

Job strain as a risk factor for leisure-time physical inactivity: an individual-participant meta-analysis of up to 170,000 men and women: the IPD-Work Consortium.

Eleonor Fransson ^{1, 2, 3, *} Katriina Heikkilä ⁴ Solja Nyberg ⁴ Marie Zins ⁵ Hugo Westerlund ^{3, 6} Peter Westerholm ⁷ Ari Väänänen ⁴ Marianna Virtanen ^{4, 6} Jussi Vahtera ^{8, 4} Töres Theorell ³ Sakari Suominen ^{8, 9} Archana Singh-Manoux ^{5, 6} Johannes Siegrist ¹⁰ Séverine Sabia ⁶ Reiner Rugulies ^{11, 12} Jaana Pentti ⁴ Tuula Oksanen ⁴ Maria Nordin ¹³ Martin Nielsen ¹⁴ Michael Marmot ⁶ Linda Magnusson Hanson ³ Ida Madsen ¹² Thorsten Lunau ¹⁵ Constanze Leineweber ³ Meena Kumari ⁶ Anne Kouvonen ^{16, 17} Aki Koskinen ⁴ Markku Koskenvuo ¹⁸ Anders Knutsson ¹⁹ France Kittel ²⁰ Karl-Heinz Jöckel ¹⁵ Matti Joensuu ⁴ Irene Houtman ²¹ Wendela Hooftman ²¹ Marcel Goldberg ⁵ Goedele Geuskens ²¹ Jane Ferrie ^{4, 6, 22} Raimund Erbel ²³ Nico Dragano ¹⁵ Dirk de Bacquer ²⁴ Els Clays ²⁴ Annalisa Casini ²⁰ Hermann Burr ²⁵ Marianne Borritz ¹⁴ Sébastien Bonenfant ⁵ Jakob Bjorner ¹² Lars Alfredsson ^{1, 26} Mark Hamer ⁶ G David Batty ^{27, 6} Mika Kivimäki ^{4, 6}

* Corresponding author

1 Institute of Environmental Medicine

2 Health Sciences School

3 Stress Research Institute

4 Finnish Institute of Occupational Health

5 CESP - Centre de recherche en épidémiologie et santé des populations

6 Department of Epidemiology and Public Health

7 Occupational and Environmental Medicine

8 Department of Public Health

9 Folkhälsan Research Center

10 Department of Medical Sociology

11 Department of Public Health [Copenhagen]

12 National Research Centre for the Working Environment

13 Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine

14 Department of Occupational and Environmental Medicine

15 Institute for Medical Informatics, Biometry, and Epidemiology

16 School of Sociology, Social Policy, & Social Work

17 Warsaw School of Social Sciences and Humanities

18 Department of Public Health

19 Department of Health Sciences

20 School of Public Health

21 TNO - The Netherlands Organisation for Applied Scientific Research

22 Social and Community Medicine School

23 Department of cardiology

24 Department of Public Health

25 Federal Institute for Occupational Safety and Health

26 Institute of Environmental Medicine

27 Department of Epidemiology and Public Health

Abstract : Unfavorable work characteristics, such as low job control and too high or too low job demands, have been suggested to increase the likelihood of physical inactivity during leisure time, but this has not been verified in large-scale studies. The authors combined individual-level data from 14 European cohort studies (baseline years from 1985-1988 to 2006-2008) to examine the association between unfavorable work characteristics and leisure-time physical inactivity in a total of 170,162 employees (50% women; mean age, 43.5 years). Of these employees, 56,735 were reexamined after 2-9 years. In cross-sectional analyses, the odds for physical inactivity were 26% higher (odds ratio = 1.26, 95% confidence interval: 1.15, 1.38) for employees with high-strain jobs (low control/high demands) and 21% higher (odds ratio = 1.21, 95% confidence interval: 1.11, 1.31) for those with passive jobs (low control/low demands) compared with employees in low-strain jobs (high control/low demands). In prospective analyses restricted to physically active participants, the odds of becoming physically inactive during follow-up were 21% and 20% higher for those with high-strain (odds ratio = 1.21, 95% confidence interval: 1.11, 1.32) and passive (odds ratio = 1.20, 95% confidence interval: 1.11, 1.30) jobs at baseline. These data suggest that unfavorable work characteristics may have a spillover effect on leisure-time physical activity.

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Journal articles

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Life Sciences [q-bio] / Santé publique et épidémiologie

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