SynthesisAmerican journal of public health2013
Job strain and health-related lifestyle: findings from an individual-participant meta-analysis of 118,000 working adults.
Synthesis in American journal of public health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05086198 (Differential Effectiveness of Two Recovery Strategies at Work, Based on Mindfulness and Physical Exercise, on Levels of Job Stress A Randomized Controlled Trial), which is not on this map. Cited by 67 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Differential Effectiveness of Two Recovery Strategies at Work, Based on Mindfulness and Physical Exercise, on Levels of Job Stress A Randomized Controlled Trial
Who cites it
67 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Physical inactivity, cardiometabolic disease, and risk of dementia: an individual-participant meta-analysis.BMJ (Clinical research ed.) · 2019Pooled it
- Job strain as a risk factor for type 2 diabetes: a pooled analysis of 124,808 men and women.Diabetes care · 2014Pooled it
- Efficacy of a Web-Based Stress Management Intervention for Beginning Teachers on Reducing Stress and Mechanisms of Change: Randomized Controlled Trial.Journal of medical Internet research · 2025Trial
- Mindfulness versus Physical Exercise: Effects of Two Recovery Strategies on Mental Health, Stress and Immunoglobulin A during Lunch Breaks. A Randomized Controlled Trial.International journal of environmental research and public health · 2020Trial
- Workplace stress and healthy aging: assessment strategies, research hypotheses, and pilot insights from the Semmelweis study.GeroScience · 2026Review
- Associations between sedentary behavior and allostatic load: The 1970 British Cohort Study.Psychoneuroendocrinology · 2026Article
- Bi-directional associations between alcohol consumption and pain among non-manual workers: a random-intercept cross-lagged panel analysis in the British Whitehall II cohort study.Alcohol and alcoholism (Oxford, Oxfordshire) · 2026Article
- Family socioeconomic status and moderate to vigorous physical activity among Chinese adults: the chain mediating roles of exercise environment and exercise motivation.Frontiers in public health · 2026Article
- Job stress evaluated using the brief job stress questionnaire and diabetes mellitus among a Japanese occupational population.Diabetology international · 2025Article
- Predictors of cigarette smoking and physical inactivity among teachers during the SARS-CoV-2 pandemic in Germany: a cross-sectional analysis of a nationwide online survey.Frontiers in public health · 2025Article
- Associations Between Active Commuting and Sickness Absence in Finnish Public Sector Cohort of 28 485 Employees.Scandinavian journal of medicine & science in sports · 2024Article
- Effort-reward imbalance at work assessed at midlife and prediabetes prevalence assessed 18 years later in a prospective cohort of white-collar workers.Annals of work exposures and health · 2024Article
- Occupational stress trajectories and metabolic dysfunction-associated steatotic liver disease among female nurses: a prospective Cohort Study.BMC public health · 2024Article
- Association between sleep regularity and arterial stiffness among middle-age adults in Southwestern China.BMC public health · 2024Article
- Association between job control and time to pregnancy in a preconception cohort.Fertility and sterility · 2024Article
- Sex, Gender, and Women's Heart Health: How Women's Heart Programs Address the Knowledge Gap.CJC open · 2024Review
- Working conditions and mental health functioning among young public sector employees.Scandinavian journal of public health · 2023Article
- Psychosocial work conditions and prediabetes risks: a cross-sectional study in middle-aged men and women.Scientific reports · 2023Article
- Article
- Evaluation of Cardiovascular Activity and Emotional Experience in Healthcare Workers (HCWs) Operating in COVID-19 Wards.Journal of clinical medicine · 2022Article
7 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
33 authors.
Funding
Abstract
objectivesWe examined the associations of job strain, an indicator of work-related stress, with overall unhealthy and healthy lifestyles.
methodsWe conducted a meta-analysis of individual-level data from 11 European studies (cross-sectional data: n = 118,701; longitudinal data: n = 43,971). We analyzed job strain as a set of binary (job strain vs no job strain) and categorical (high job strain, active job, passive job, and low job strain) variables. Factors used to define healthy and unhealthy lifestyles were body mass index, smoking, alcohol intake, and leisure-time physical activity.
resultsIndividuals with job strain were more likely than those with no job strain to have 4 unhealthy lifestyle factors (odds ratio [OR] = 1.25; 95% confidence interval [CI] = 1.12, 1.39) and less likely to have 4 healthy lifestyle factors (OR = 0.89; 95% CI = 0.80, 0.99). The odds of adopting a healthy lifestyle during study follow-up were lower among individuals with high job strain than among those with low job strain (OR = 0.88; 95% CI = 0.81, 0.96).
conclusionsWork-related stress is associated with unhealthy lifestyles and the absence of stress is associated with healthy lifestyles, but longitudinal analyses suggest no straightforward cause-effect relationship between work-related stress and lifestyle.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.