The longitudinal joint effect of obesity and major depression on work performance impairment

American Journal of Public Health
Yeshambel T NigatuUte Bültmann

Abstract

We examined the longitudinal effect of obesity, major depression, and their combination on work performance impairment (WPI). We collected longitudinal data (2004-2013) on 1726 paid employees from the Netherlands Study of Depression and Anxiety at baseline and 2-, 4-, and 6-year follow-up. We defined obesity with body mass index and waist circumference. We diagnosed major depression with the Composite International Diagnostic Interview 2.1. We assessed work performance impairment with a questionnaire for illness-associated costs. We used generalized estimating equations for modeling, and estimated interaction on the additive scale. Obesity, abdominal obesity, and major depression were longitudinally associated with increased risk of high WPI. The combinations of obesity and major depression, and of abdominal obesity and major depression were associated with increased risk of high WPI (odds ratios of 2.36 [95% confidence interval = 1.61, 3.44] and 1.88 [95% confidence interval = 1.40, 2.53], respectively), but the relative excess risks attributable to interaction were nonsignificant. The longitudinal joint effect of obesity and major depression on high WPI implies that obesity intervention may be more beneficial for individuals ...Continue Reading

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Citations

Jul 25, 2012·Clinics in Liver Disease·Karen E Stewart, James L Levenson
Oct 12, 2017·European Journal of Public Health·Yeshambel T NigatuSijmen A Reijneveld
Dec 19, 2019·Journal of Occupational and Environmental Medicine·Takashi ZaitsuYoko Kawaguchi
May 21, 2021·Biostatistics & Epidemiology·Michail KatsoulisChristina Bamia
Aug 28, 2021·International Journal of Environmental Research and Public Health·Blanca Lozano-ChaconJavier Alvarez-Galvez

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