eprintid: 10087074
rev_number: 22
eprint_status: archive
userid: 608
dir: disk0/10/08/70/74
datestamp: 2019-12-03 13:43:34
lastmod: 2021-12-02 00:17:15
status_changed: 2019-12-03 13:43:34
type: article
metadata_visibility: show
creators_name: Virtanen, M
creators_name: Jokela, M
creators_name: Lallukka, T
creators_name: Magnusson Hanson, L
creators_name: Pentti, J
creators_name: Nyberg, ST
creators_name: Alfredsson, L
creators_name: Batty, GD
creators_name: Casini, A
creators_name: Clays, E
creators_name: DeBacquer, D
creators_name: Ervasti, J
creators_name: Fransson, E
creators_name: Halonen, JI
creators_name: Head, J
creators_name: Kittel, F
creators_name: Knutsson, A
creators_name: Leineweber, C
creators_name: Nordin, M
creators_name: Oksanen, T
creators_name: Pietiläinen, O
creators_name: Rahkonen, O
creators_name: Salo, P
creators_name: Singh-Manoux, A
creators_name: Stenholm, S
creators_name: Suominen, SB
creators_name: Theorell, T
creators_name: Vahtera, J
creators_name: Westerholm, P
creators_name: Westerlund, H
creators_name: Kivimäki, M
title: Long working hours and change in body weight: analysis of individual-participant data from 19 cohort studies
ispublished: inpress
divisions: UCL
divisions: B02
divisions: D12
divisions: G19
note: This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
abstract: OBJECTIVE
To examine the relation between long working hours and change in body mass index (BMI).

METHODS
We performed random effects meta-analyses using individual-participant data from 19 cohort studies from Europe, US and Australia (n = 122,078), with a mean of 4.4-year follow-up. Working hours were measured at baseline and categorised as part time (<35 h/week), standard weekly hours (35–40 h, reference), 41–48 h, 49–54 h and ≥55 h/week (long working hours). There were four outcomes at follow-up: (1) overweight/obesity (BMI ≥ 25 kg/m2) or (2) overweight (BMI 25–29.9 kg/m2) among participants without overweight/obesity at baseline; (3) obesity (BMI ≥ 30 kg/m2) among participants with overweight at baseline, and (4) weight loss among participants with obesity at baseline.

RESULTS
Of the 61,143 participants without overweight/obesity at baseline, 20.2% had overweight/obesity at follow-up. Compared with standard weekly working hours, the age-, sex- and socioeconomic status-adjusted relative risk (RR) of overweight/obesity was 0.95 (95% CI 0.90–1.00) for part-time work, 1.07 (1.02–1.12) for 41–48 weekly working hours, 1.09 (1.03–1.16) for 49–54 h and 1.17 (1.08–1.27) for long working hours (P for trend <0.0001). The findings were similar after multivariable adjustment and in subgroup analyses. Long working hours were associated with an excess risk of shift from normal weight to overweight rather than from overweight to obesity. Long working hours were not associated with weight loss among participants with obesity.

CONCLUSIONS
This analysis of large individual-participant data suggests a small excess risk of overweight among the healthy-weight people who work long hours.
date: 2019-11-25
date_type: published
official_url: https://doi.org/10.1038/s41366-019-0480-3
oa_status: green
full_text_type: pub
language: eng
primo: open
primo_central: open_green
verified: verified_manual
elements_id: 1723671
doi: 10.1038/s41366-019-0480-3
pii: 10.1038/s41366-019-0480-3
lyricists_name: Batty, George
lyricists_name: Head, Jennifer
lyricists_name: Kivimaki, Mika
lyricists_name: Singh-Manoux, Archana
lyricists_id: GDBAT67
lyricists_id: JAHEA10
lyricists_id: MJKIV95
lyricists_id: ASING25
actors_name: Austen, Jennifer
actors_id: JAUST66
actors_role: owner
full_text_status: public
publication: International Journal of Obesity
event_location: England
citation:        Virtanen, M;    Jokela, M;    Lallukka, T;    Magnusson Hanson, L;    Pentti, J;    Nyberg, ST;    Alfredsson, L;                                                                                                 ... Kivimäki, M; + view all <#>        Virtanen, M;  Jokela, M;  Lallukka, T;  Magnusson Hanson, L;  Pentti, J;  Nyberg, ST;  Alfredsson, L;  Batty, GD;  Casini, A;  Clays, E;  DeBacquer, D;  Ervasti, J;  Fransson, E;  Halonen, JI;  Head, J;  Kittel, F;  Knutsson, A;  Leineweber, C;  Nordin, M;  Oksanen, T;  Pietiläinen, O;  Rahkonen, O;  Salo, P;  Singh-Manoux, A;  Stenholm, S;  Suominen, SB;  Theorell, T;  Vahtera, J;  Westerholm, P;  Westerlund, H;  Kivimäki, M;   - view fewer <#>    (2019)    Long working hours and change in body weight: analysis of individual-participant data from 19 cohort studies.                   International Journal of Obesity        10.1038/s41366-019-0480-3 <https://doi.org/10.1038/s41366-019-0480-3>.    (In press).    Green open access   
 
document_url: https://discovery.ucl.ac.uk/id/eprint/10087074/1/s41366-019-0480-3.pdf