Metabolic status is not associated with job stress in individuals with obesity: the ELSA-Brasil baseline
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ORIGINAL ARTICLE
Metabolic status is not associated with job stress in individuals with obesity: the ELSA‑Brasil baseline Lia Imbiriba1 · Beatriz H. Tess1 · Rosane H. Griep2 · Maria J. M. Fonseca3 · Alexandre C. Pereira4 · Maria F. S. Diniz5 · Paulo A. Lotufo1,6 · Isabela M. Bensenor1,6 · Itamar S. Santos1,6 Received: 28 February 2020 / Accepted: 11 November 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Purpose Job stress has proven to be a relevant cause of stress for adults, but its effect on the development of metabolic alterations in individuals with obesity is still poorly explored. We aimed to investigate the association between job stress and metabolically unhealthy obesity (MUO) phenotype in participants with obesity at the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) baseline assessment. Methods This study analyzed data collected at the baseline examination between 2008 and 2010. A total of 2371 individuals with obesity were included. Two metabolic phenotypes were characterized based on the US National Health and Nutrition Examination Survey criteria. The job stress scale was based on the Brazilian version of the Swedish Demand-Control-Support Questionnaire. The association between job stress domains and MUO phenotype was assessed by binary logistic models. Results In our sample, 1297 (54.7%) participants were women, mean age was 49.6 ± 7.1 years and 1696 (71.5%) had MUO. Low skill discretion was associated with MUO after adjustment for age, sex and race. However, in fully-adjusted models, the MUO phenotype was not associated with high job demand (odds ratio [OR] = 1.05; 95% confidence interval [95%CI] 0.82–1.35), low skill discretion (OR = 1.26; 95%CI 0.95–1.68), low decision authority (OR = 0.94; 95%CI 0.70–1.25) nor low social support (OR = 0.93; 95%CI 0.71–1.20). Conclusion We found a significant association between low skill discretion and an adverse metabolic profile in models adjusted for age, sex and race. No associations were significant between job stress domains and the metabolic profile of individuals with obesity in full models. Keywords Epidemiology · Job stress · Metabolically unhealthy obesity · Metabolic abnormalities · Cross-sectional Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00420-020-01613-7) contains supplementary material, which is available to authorized users. * Itamar S. Santos [email protected] 1
Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
2
Laboratório de Educação em Ambiente e Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil
3
Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil
4
Instituto do Coração, Hospital das Clínicas da FMUSP, São Paulo, SP, Brazil
5
Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
6
Hospital Universitário, Universidade de São Paulo, Av. Prof. Lineu Prestes, 2565, São Paulo 05508‑000, SP, Brazil
Introduction Obesity is a globa
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