Varga, TV;
Xu, T;
Kivimäki, M;
Mehta, AJ;
Rugulies, R;
Rod, NH;
(2022)
Organizational Justice and Long-term Metabolic Trajectories: A 25-Year Follow-up of the Whitehall II Cohort.
The Journal of Clinical Endocrinology & Metabolism
, 107
(2)
pp. 398-409.
10.1210/clinem/dgab704.
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Abstract
CONTEXT: Organizational justice has been linked to lower risk of several chronic conditions among employees, but less is known about the long-term mechanisms underlying this risk reduction. OBJECTIVE: To assess whether self-reported organizational justice is associated with individual and composite metabolic trajectories. DESIGN: 25 years follow-up of the Whitehall II prospective cohort study. SETTING: Middle-aged public servants from the United Kingdom. PARTICIPANTS: Data on 8,182 participants were used. MAIN OUTCOME MEASURES: Levels of eleven anthropometric, glycaemic, lipid and blood pressure biomarkers were measured at five timepoints (1991-2013). We used generalized estimating equations and group-based trajectory modelling to investigate the relationship between organizational justice and biomarker trajectories. RESULTS: High vs. low organizational justice were associated with lower waist (-1.7 cm) and hip (-1 cm) circumference, BMI (-0.6 kg/m 2), triglycerides (-1.07 mmol/L) and fasting insulin (-1.08 µIU/mL) trajectories. Two latent metabolic trajectory clusters were identified: a high-risk and a low-risk cluster. High organizational justice (vs. low) were associated with belonging to the low-risk cluster (ORpooled=1.47). The low-risk cluster demonstrated lower baseline levels of most biomarkers and better glycaemic control, whereas the high-risk cluster showed higher baseline levels of most biomarkers, glycaemic deterioration, but also greater improvements in lipid levels over time. CONCLUSIONS: People with high organizational justice had more favourable long-term cardiometabolic biomarkers patterns than those with low organizational justice, a potential mechanism contributing to the lower risk of chronic diseases in the first group. Further intervention studies are warranted to determine whether improvement of organizational justice might improve long-term health.
| Type: | Article |
|---|---|
| Title: | Organizational Justice and Long-term Metabolic Trajectories: A 25-Year Follow-up of the Whitehall II Cohort |
| Location: | United States |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1210/clinem/dgab704 |
| Publisher version: | https://doi.org/10.1210/clinem/dgab704 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher's terms and conditions. |
| Keywords: | cardiometabolic, latent cluster analysis, metabolic disease, organizational justice, relational justice, trajectory |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10136234 |
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