Obesity and Risk of Job Disability in Male Firefighters

Details

• Personal Author:
  Christiani, David C. ; Hauser R ; Kales SN ; Kawachi I ; Soteriades ES
• Description:
  Background: Obesity is a major public health problem and a workplace epidemic in Western societies. However, little is known about the association between obesity and job disability in specific occupational groups. Aim: To examine the association between obesity and risk of job disability among firefighters. Methods: A prospective cohort study design was employed in following 358 Massachusetts firefighters enrolled in a statewide medical surveillance program. We prospectively evaluated time to development of adverse employment outcomes >6 years of follow-up. Results: In multivariable-adjusted Cox proportional hazard models, we found that every one-unit increase in body mass index (BMI) was associated with a 5% increased risk of job disability. Compared to firefighters in the lowest tertile of BMI (BMI < 27.2), those in the highest tertile (BMI >or= 30.2) had a significantly increased risk of an adverse employment event with a multivariable-adjusted hazard ratio (HR) of 1.98 (95% CI 1.06-3.72). There was also a significant dose-response relationship of increasing risk across tertiles, as well as a significant trend: HR 1.39 (95% CI 1.04-1.86). The highest categories of BMI had a 60-90% increased risk of job disability compared to the lowest or normal-weight categories, respectively. Conclusions: Obesity is associated with higher risk of job disability in firefighters. Additional research is needed to further explore our findings. Our study may have economic and public health implications in other occupational settings. [Description provided by NIOSH]
• Subjects:
  Body Weight Emergency Responders Environmental Exposure Firefighters Fires Hazardous Substances Men Mental Health Occupational Health Risk Assessment Risk Factors Safety Workplace

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• Keywords:
  Author Keywords: BMI BMI Body Mass Index Body Weight Disabled Workers Exposure Levels Fire Fighters Firefighters Fire Fighting Fitness For Duty Hazards Health Effects Health Hazards Humans Job Disability Models Obesity Physical Fitness Physiological Effects Psychological Effects Rescue Workers Risk Factors Stress Surveillance Programs Work Environment

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• ISSN:
  0962-7480
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Massachusetts ; OSHA Region 1
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  245-250
• Volume:
  58
• Issue:
  4
• NIOSHTIC Number:
  nn:20059520
• Citation:
  Occup Med 2008 Jun; 58(4):245-250
• Contact Point Address:
  Elpidoforos S. Soteriades, 2 Antigonis Street, 2035 Strovolos, Nicosia, Cyprus
• Email:
  esoteria@hsph.harvard.edu
• Federal Fiscal Year:
  2008
• Performing Organization:
  Harvard School of Public Health
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Occupational Medicine
• End Date:
  20280630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:bae6b16b5c5bc6861eb0acc5f451ab772002e5d4a4d3e1a5921b89e8e7fc2b56942d5dcc69a1f3c3396a989ca8f5d24bf0fb5c6cfe4b517331c2a47ab22bbf7b
• Download URL:
  https://stacks.cdc.gov/view/cdc/223717/cdc_223717_DS1.pdf
• File Type:
  [PDF - 105.64 KB ]