Body mass index and the risk of disability retirement : a systematic review and meta-analysis

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Shiri , R , Falah-Hassani , K & Lallukka , T 2020 , ' Body mass index and the risk of disability retirement : a systematic review and meta-analysis ' , Occupational and Environmental Medicine , vol. 77 , no. 1 , pp. 48-55 . https://doi.org/10.1136/oemed-2019-105876

Title: Body mass index and the risk of disability retirement : a systematic review and meta-analysis
Author: Shiri, Rahman; Falah-Hassani, Kobra; Lallukka, Tea
Contributor: University of Helsinki, Finnish Institute of Occupational Health (TTL)
University of Helsinki, Department of Public Health
Date: 2020-01
Language: eng
Number of pages: 8
Belongs to series: Occupational and Environmental Medicine
ISSN: 1351-0711
URI: http://hdl.handle.net/10138/314603
Abstract: The aim of this study was to determine the associations of body mass index (BMI) with all-cause and cause-specific disability retirement. Literature searches were conducted in PubMed, Embase and Web of Science from their inception to May 2019. A total of 27 (25 prospective cohort and 2 nested case-control) studies consisting of 2 199 632 individuals qualified for a meta-analysis. Two reviewers independently assessed the methodological quality of the included studies. We used a random effects meta-analysis, assessed heterogeneity and publication bias, and performed sensitivity analyses. There were a large number of participants and the majority of studies were rated at low or moderate risk of bias. There was a J-shaped relationship between BMI and disability retirement. Underweight (hazard ratio (HR)/risk ratio (RR)=1.20, 95% CI 1.02 to 1.41), overweight (HR/RR=1.13, 95% CI 1.07 to 1.19) and obese individuals (HR/RR=1.52, 95% CI 1.36 to 1.71) were more commonly granted all-cause disability retirement than normal-weight individuals. Moreover, overweight increased the risk of disability retirement due to musculoskeletal disorders (HR/RR=1.26, 95% CI 1.15 to 1.39) and cardiovascular diseases (HR=1.73, 95% CI 1.24 to 2.41), and obesity increased the risk of disability retirement due to musculoskeletal disorders (HR/RR=1.66, 95% CI 1.42 to 1.94), mental disorders (HR=1.29, 95% CI 1.04 to 1.61) and cardiovascular diseases (HR=2.80, 95% CI 1.85 to 4.24). The association between excess body mass and all-cause disability retirement did not differ between men and women and was independent of selection bias, performance bias, confounding and adjustment for publication bias. Obesity markedly increases the risk of disability retirement due to musculoskeletal disorders, cardiovascular diseases and mental disorders. Since the prevalence of obesity is increasing globally, disease burden associated with excess body mass and disability retirement consequently are projected to increase. Reviewregistrationnumber: CRD42018103110.
Subject: overweight
obesity
pension
retirement
TIME PHYSICAL-ACTIVITY
PAID EMPLOYMENT
WORK DISABILITY
FOLLOW-UP
MUSCULOSKELETAL DISORDERS
CONSTRUCTION WORKERS
SICKNESS ABSENCE
OBESITY STATUS
LIFE-STYLE
BACK-PAIN
3142 Public health care science, environmental and occupational health
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