Title
The Association between Body Mass Index Status and Sick Leave and the Role of Emotional Exhaustion - A Mediation Analysis among a Representative Sample of Dutch Employees
Author
Proper, K.I.
Koppes, L.L.J.
Meijer, S.
Bemelmans, W.J.E.
Publication year
2013
Abstract
OBJECTIVE: To investigate the associations between body mass index (BMI) and sick leave, and the mediating role of emotional exhaustion. METHODS: Data were collected from a large survey among Dutch employees (n = 35,022). The causal pathway approach consisting of four regression analyses was applied. RESULTS: In women, moderate overweight and obesity were associated with higher sick leave; in men, obesity, but not moderate overweight, was associated with higher sick leave. Obese workers were at increased risk for emotional exhaustion. Emotional exhaustion was also associated with higher sick leave rates. Adjustment for emotional exhaustion in the association between BMI and sick leave hardly changed the effect size and significance remained. CONCLUSIONS: The association between BMI status and sick leave can be explained partially by the presence of emotional exhaustion. Workplace health promotion initiatives should take this into account. Copyright © 2013 by American College of Occupational and Environmental Medicine.
Subject
Organisation
WH - Work & Health
BSS - Behavioural and Societal Sciences
Work and Employment
Workplace
Healthy Living
Adult
Body mass
Controlled study
Emotional stress
Female
Health promotion
Human
Major clinical study
Male
Medical leave
Mental health
Obesity
Risk factor
Workplace
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http://resolver.tudelft.nl/uuid:db9f7e00-2e62-4af8-99d9-91179c1b8127
DOI
https://doi.org/10.1097/jom.0b013e31829f2f5c
TNO identifier
482983
ISSN
1076-2752
Source
Journal of Occupational and Environmental Medicine, 55 (10), 1213-1218
Document type
article