Stability and change of body mass index as a predictor of disability pension

Scandinavian Journal of Public Health
Annina RopponenJ Kaprio

Abstract

To investigate whether stability or change in body mass index (BMI) predict disability pension (DP) due to musculoskeletal diagnosis (MSD) when controlling for familial confounding. Our study cohort consisted of 17,169 Finnish twins born before 1958. Data on BMI and multiple covariates from questionnaires in 1975 and 1981 were included and DPs were collected from the national pension registers until the end of 2004. Cox proportional hazards regression models with Hazard Ratios (HR) and 95% Confidence Intervals (CI) were used for statistical analyses. General DP was granted to 2853 individuals and DP due to MSD to 1143 individuals during the 23-year follow-up. A one-unit increase in BMI in both 1975 (HR 1.08, 95% CI 1.05, 1.10) and 1981 (HR 1.06, 95% CI 1.04, 1.07), as well as the stability of and change in BMI from 1975 to 1981 were all associated with an increased risk of DP. These associations held in the analyses controlling for multiple covariates (age, sex, socioeconomic status, education, marital status, leisure-time physical activity, and musculoskeletal pain), and mainly also familial confounding, that is, genetics and shared environment. HR for stable obesity was 2.28 (95% CI 1.69, 3.08) for DP due to MSD, and 1.91 (95...Continue Reading

References

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Citations

Jun 18, 2019·Journal of Occupational and Environmental Medicine·Annina RopponenPia Svedberg
Aug 31, 2019·Occupational and Environmental Medicine·Rahman ShiriTea Lallukka
Dec 13, 2019·International Archives of Occupational and Environmental Health·Sanna KärkkäinenAnnina Ropponen
Feb 6, 2020·BMC Public Health·Irmeli LindströmMarkku Heliövaara

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