Evidence map›Paper›PMID 30941545›Full record

ArticleInternational archives of occupational and environmental health2019

Physical workload and obesity have a synergistic effect on work ability among construction workers.

Susanne C Tonnon, Suzan R J Robroek, Allard J van der Beek, Alex Burdorf, Hidde P van der Ploeg, Margo Caspers, Karin I Proper

Open access · greenAbstract read
PubMed Publisher
In one paragraph

Article in International archives of occupational and environmental health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.3field-weighted citation impact, top 9% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 37 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
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  5. Article
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  7. Observational
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  10. Review
  11. Obesity and sickness absenteeism among health workers in a private hospital in South Africa.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2022
    Article
  12. Article
  13. Psychosocial determinants of physical activity among workers: an integrative review.Revista brasileira de medicina do trabalho : publicacao oficial da Associacao Nacional de Medicina do Trabalho-ANAMT · 2021
    Review
  14. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Susanne C TonnonDepartment of Public and Occupational Health, Amsterdam Public Health research institute, VU University Medical Center, PO Box 7057, 1007 MB, Amsterdam, The Netherlands.ORCID 0000-0002-0595-4351
Suzan R J RobroekDepartment of Public Health, Erasmus MC University Medical Center, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands.
Allard J van der BeekDepartment of Public and Occupational Health, Amsterdam Public Health research institute, VU University Medical Center, PO Box 7057, 1007 MB, Amsterdam, The Netherlands. a.vanderbeek@vumc.nl.
Alex BurdorfDepartment of Public Health, Erasmus MC University Medical Center, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands.
Hidde P van der PloegDepartment of Public and Occupational Health, Amsterdam Public Health research institute, VU University Medical Center, PO Box 7057, 1007 MB, Amsterdam, The Netherlands.
Margo CaspersVolandis, Postbus 85, 3840 AB, Harderwijk, The Netherlands.
Karin I ProperDepartment of Public and Occupational Health, Amsterdam Public Health research institute, VU University Medical Center, PO Box 7057, 1007 MB, Amsterdam, The Netherlands.
Erasmus MC · NLAmsterdam UMC Location Vrije Universiteit Amsterdam · NLNational Institute for Public Health and the Environment · NL

Funding

ZonMw 531005004
6 · The paper itself

Abstract

purposeObesity and high physical workload are both associated with poor work ability, but the interaction between obesity and high physical workload on work ability is not yet fully understood. Obesity and high physical workload may share a common mechanical pathway, possibly leading to a synergistic negative effect on work ability. The purpose of this study was to investigate the effect of obesity on work ability in workers with high versus low physical work load.

methodsA longitudinal study was conducted among 36,435 Dutch construction workers who participated in at least two periodic medical examinations during the years 2008-2015. Logistic regression analyses were used to investigate the effect of manual material handling and strenuous work postures in sports on the association between obesity and work ability. Work ability was measured using the self-reported Work Ability Index consisting of seven dimensions. Confounding effects were tested for age, educational level, smoking, vigorous physical activity, psychosocial work demands, and working hours. Additive interaction between obesity and physical workload on work ability was tested using the relative excess risk due to interaction (RERI).

resultsConstruction workers with overweight (OR = 1.09; 95% CI 1.02-1.16) or obesity (OR = 1.27; 95% CI 1.17-1.38) had an increased risk of poor/moderate work ability. Exposure to manual material handling (OR = 1.58; 95% CI 1.49-1.68) or strenuous work postures (OR = 1.80; 95% CI 1.70-1.90) also increased the risk of poor/moderate work ability. The effect of the combination of obesity with high physical workload was greater than the sum of the individual effects (strenuous work postures: RERI = 0.39; 95% CI 0.10-0.67; manual material handling: RERI = 0.26; 95% CI 0.02-0.51).

conclusionsObesity and high physical workload were associated with poor work ability and had a synergistic, negative effect on work ability. Interventions that prevent obesity and high physical workload might have a beneficial effect on work ability.

Indexed as

Construction IndustryWork Capacity EvaluationWorkloadAdolescentAdultHumansLiftingLongitudinal StudiesMaleMiddle AgedNetherlandsObesityOccupational ExposurePhysical ExertionPostureRisk FactorsBlue collarHealthOccupational healthSustainable employability

Identifiers

PMID30941545
OpenAlexW2934735568

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.