Effort/reward imbalance and sedentary lifestyle: an observational study in a large occupational cohort

Objectives: To investigate the association between effort/reward imbalance (ERI) at work and sedentary lifestyle. Methods: Cross sectional data from the ongoing Finnish Public Sector Study related to 30 433 women and 7718 men aged 17–64 were used (n = 35 918 after exclusion of participants with miss...

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Published in:Occupational and environmental medicine (London, England) England), 2006-06, Vol.63 (6), p.422-427
Main Authors: Kouvonen, A, Kivimäki, M, Elovainio, M, Pentti, J, Linna, A, Virtanen, M, Vahtera, J
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age
Behavior
Biological and medical sciences
Body mass index
Cross-Sectional Studies
effort reward imbalance
ERI
Exercise
Exercise - physiology
Female
Finland
Humans
Lack of exercise
Legislation. Organization
Leisure
Leisure Activities
Leisure time
Life Style
Lifestyles
Male
Medical sciences
Men
MET
Metabolic equivalent
metabolic equivalent task
Middle Aged
Modeling
Observational studies
Occupational health
Occupational Health - statistics & numerical data
Occupational medicine
Occupational stress
Original
physical activity
Public health. Hygiene-occupational medicine
Public sector
Questionnaires
Regression Analysis
Reward
Scope of employment
Sedentary behavior
sedentary lifestyle
Socioeconomic Factors
Studies
work stress
Working conditions
Working women
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Linna, A
Virtanen, M
Vahtera, J
description Objectives: To investigate the association between effort/reward imbalance (ERI) at work and sedentary lifestyle. Methods: Cross sectional data from the ongoing Finnish Public Sector Study related to 30 433 women and 7718 men aged 17–64 were used (n = 35 918 after exclusion of participants with missing values in covariates). From the responses to a questionnaire, an aggregated mean score for ERI in a work unit was assigned to each participant. The outcome was sedentary lifestyle defined as
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Methods: Cross sectional data from the ongoing Finnish Public Sector Study related to 30 433 women and 7718 men aged 17–64 were used (n = 35 918 after exclusion of participants with missing values in covariates). From the responses to a questionnaire, an aggregated mean score for ERI in a work unit was assigned to each participant. The outcome was sedentary lifestyle defined as &lt;2.00 metabolic equivalent task (MET) hours/day. Logistic regression with generalised estimating equations was used as an analysis method to include both individual and work unit level predictors in the models. Adjustments were made for age, marital status, occupational status, job contract, smoking, and heavy drinking. Results: Twenty five per cent of women and 27% of men had a sedentary lifestyle. High individual level ERI was associated with a higher likelihood of sedentary lifestyle both among women (odds ratio (OR) = 1.08, 95% CI 1.01 to 1.16) and men (OR = 1.17, 95% CI 1.02 to 1.33). These associations were not explained by relevant confounders and they were also independent of work unit level job strain measured as a ratio of job demands and control. Conclusions: A mismatch between high occupational effort spent and low reward received in turn seems to be associated with an increased risk of sedentary lifestyle, although this association is relatively weak.</description><identifier>ISSN: 1351-0711</identifier><identifier>EISSN: 1470-7926</identifier><identifier>DOI: 10.1136/oem.2005.020974</identifier><identifier>PMID: 16497854</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd</publisher><subject>Adolescent ; Adult ; Age ; Behavior ; Biological and medical sciences ; Body mass index ; Cross-Sectional Studies ; effort reward imbalance ; ERI ; Exercise ; Exercise - physiology ; Female ; Finland ; Humans ; Lack of exercise ; Legislation. 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Methods: Cross sectional data from the ongoing Finnish Public Sector Study related to 30 433 women and 7718 men aged 17–64 were used (n = 35 918 after exclusion of participants with missing values in covariates). From the responses to a questionnaire, an aggregated mean score for ERI in a work unit was assigned to each participant. The outcome was sedentary lifestyle defined as &lt;2.00 metabolic equivalent task (MET) hours/day. Logistic regression with generalised estimating equations was used as an analysis method to include both individual and work unit level predictors in the models. Adjustments were made for age, marital status, occupational status, job contract, smoking, and heavy drinking. Results: Twenty five per cent of women and 27% of men had a sedentary lifestyle. High individual level ERI was associated with a higher likelihood of sedentary lifestyle both among women (odds ratio (OR) = 1.08, 95% CI 1.01 to 1.16) and men (OR = 1.17, 95% CI 1.02 to 1.33). 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Methods: Cross sectional data from the ongoing Finnish Public Sector Study related to 30 433 women and 7718 men aged 17–64 were used (n = 35 918 after exclusion of participants with missing values in covariates). From the responses to a questionnaire, an aggregated mean score for ERI in a work unit was assigned to each participant. The outcome was sedentary lifestyle defined as &lt;2.00 metabolic equivalent task (MET) hours/day. Logistic regression with generalised estimating equations was used as an analysis method to include both individual and work unit level predictors in the models. Adjustments were made for age, marital status, occupational status, job contract, smoking, and heavy drinking. Results: Twenty five per cent of women and 27% of men had a sedentary lifestyle. High individual level ERI was associated with a higher likelihood of sedentary lifestyle both among women (odds ratio (OR) = 1.08, 95% CI 1.01 to 1.16) and men (OR = 1.17, 95% CI 1.02 to 1.33). These associations were not explained by relevant confounders and they were also independent of work unit level job strain measured as a ratio of job demands and control. Conclusions: A mismatch between high occupational effort spent and low reward received in turn seems to be associated with an increased risk of sedentary lifestyle, although this association is relatively weak.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd</pub><pmid>16497854</pmid><doi>10.1136/oem.2005.020974</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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source JSTOR Archival Journals and Primary Sources Collection; BMJ Journals - NESLi2; PubMed Central
subjects Adolescent
Adult
Age
Behavior
Biological and medical sciences
Body mass index
Cross-Sectional Studies
effort reward imbalance
ERI
Exercise
Exercise - physiology
Female
Finland
Humans
Lack of exercise
Legislation. Organization
Leisure
Leisure Activities
Leisure time
Life Style
Lifestyles
Male
Medical sciences
Men
MET
Metabolic equivalent
metabolic equivalent task
Middle Aged
Modeling
Observational studies
Occupational health
Occupational Health - statistics & numerical data
Occupational medicine
Occupational stress
Original
physical activity
Public health. Hygiene-occupational medicine
Public sector
Questionnaires
Regression Analysis
Reward
Scope of employment
Sedentary behavior
sedentary lifestyle
Socioeconomic Factors
Studies
work stress
Working conditions
Working women
title Effort/reward imbalance and sedentary lifestyle: an observational study in a large occupational cohort
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