Evidence map›Paper›PMID 34158612›Full record

ArticleInternational journal of obesity (2005)2021

Effects of increased body mass index on employment status: a Mendelian randomisation study.

Desmond D Campbell, Michael Green, Neil Davies, Evangelia Demou, Joey Ward, Laura D Howe, Sean Harrison, Keira J A Johnston, Rona J Strawbridge, Frank Popham and 3 more

Open access · hybridAbstract read
In one paragraph

Article in International journal of obesity (2005), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 12% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Obesity, Employment, and Economic Productivity in Europe: A Systematic Literature Review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Pooled it
  2. Pooled it
  3. Association Between Socioeconomic Status and Atrial Fibrillation: A Two-Sample Mendelian Randomization Study.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2026
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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

13 authors at 5 institutions in 3 countries.

Desmond D CampbellMRC/CSO Social & Public Health Sciences Unit, University of Glasgow, Glasgow, UK.ORCID http://orcid.org/0000-0003-1085-714X
Michael GreenMRC/CSO Social & Public Health Sciences Unit, University of Glasgow, Glasgow, UK.
Neil DaviesMRC Integrative Epidemiology Unit at the University of Bristol, Population Health Sciences, University of Bristol, Bristol, UK.
Evangelia DemouMRC/CSO Social & Public Health Sciences Unit, University of Glasgow, Glasgow, UK.
Joey WardMental Health & Wellbeing, University of Glasgow, Glasgow, UK.
Laura D HoweMRC Integrative Epidemiology Unit at the University of Bristol, Population Health Sciences, University of Bristol, Bristol, UK.
Sean HarrisonMRC Integrative Epidemiology Unit at the University of Bristol, Population Health Sciences, University of Bristol, Bristol, UK.
Keira J A JohnstonMental Health & Wellbeing, University of Glasgow, Glasgow, UK.
Rona J StrawbridgeMental Health & Wellbeing, University of Glasgow, Glasgow, UK.ORCID http://orcid.org/0000-0001-8506-3585
Frank PophamMRC/CSO Social & Public Health Sciences Unit, University of Glasgow, Glasgow, UK.
Daniel J SmithMental Health & Wellbeing, University of Glasgow, Glasgow, UK.
Marcus R MunafòMRC Integrative Epidemiology Unit at the University of Bristol, Population Health Sciences, University of Bristol, Bristol, UK.ORCID http://orcid.org/0000-0002-4049-993X
Srinivasa Vittal KatikireddiMRC/CSO Social & Public Health Sciences Unit, University of Glasgow, Glasgow, UK. Vittal.Katikireddi@glasgow.ac.uk.ORCID http://orcid.org/0000-0001-6593-9092
MRC/CSO Social and Public Health Sciences Unit · GBUniversity of Bristol · GBUniversity of Glasgow · GBKarolinska Institutet · SENorwegian University of Science and Technology · NO

Funding

Medical Research Council MC_PC_13027Medical Research Council MC_PC_17228Medical Research Council MC_QA137853Medical Research Council MC_UU_00011/7Medical Research Council MC_UU_00022/2Medical Research Council MC_UU_12017/13Medical Research Council MR/S003061/1
6 · The paper itself

Abstract

backgroundThe obesity epidemic may have substantial implications for the global workforce, including causal effects on employment, but clear evidence is lacking. Obesity may prevent people from being in paid work through poor health or through social discrimination. We studied genetic variants robustly associated with body mass index (BMI) to investigate its causal effects on employment. DATASET/

methodsWhite UK ethnicity participants of working age (men 40-64 years, women 40-59 years), with suitable genetic data were selected in the UK Biobank study (N = 230,791). Employment status was categorised in two ways: first, contrasting being in paid employment with any other status; and second, contrasting being in paid employment with sickness/disability, unemployment, early retirement and caring for home/family. Socioeconomic indicators also investigated were hours worked, household income, educational attainment and Townsend deprivation index (TDI). We conducted observational and two-sample Mendelian randomisation (MR) analyses to investigate the effect of increased BMI on employment-related outcomes.

resultsRegressions showed BMI associated with all the employment-related outcomes investigated. MR analyses provided evidence for higher BMI causing increased risk of sickness/disability (OR 1.08, 95% CI 1.04, 1.11, per 1 Kg/m DISCUSSION: BMI appears to exert a causal effect on employment status, largely by affecting an individual's health rather than through increased unemployment arising from social discrimination. The obesity epidemic may be contributing to increased worklessness and therefore could impose a substantial societal burden.

Indexed as

Body Mass IndexObesityAdultEmploymentFemaleHumansMaleMendelian Randomization AnalysisMiddle AgedPolymorphism, Single Nucleotide

Identifiers

PMID34158612
PMCPMC8310793
OpenAlexW3172072564

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.