Clinically Significant Weight Gain 1 Year After Occupational Back Injury

Keeney, Benjamin J.; Fulton‐Kehoe, Deborah; Wickizer, Thomas M.; Turner, Judith A.; Chan, Kwun Chuen Gary; Franklin, Gary M.

doi:10.1097/jom.0b013e31827943c6

Cited by 17 publications

(10 citation statements)

References 63 publications

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“…Including subjects followed for a longer time would allow more time for behavioral and health changes that may take place after the injury to affect the incidence of common chronic diseases, in particular. As mentioned earlier, previous prospective studies in occupational and nonoccupational populations have found that injuries may reduce physical activity and be associated with subsequent weight gain . We did still observe modest increases in HRs for chronic diseases, and the increase in mortality for circulatory disease among men was statistically significant.…”

Section: Discussionsupporting

confidence: 74%

“…Prospective studies have documented that work‐related injuries may affect long‐term physical and mental health and well‐being, including factors associated with mortality. For instance, injuries may lead to decreased physical activity and increased weight gain . In addition, workers who suffered injuries may also have enduring disabilities .…”

Section: Introductionmentioning

confidence: 99%

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Suicide and drug‐related mortality following occupational injury

Applebaum

Asfaw

O'Leary

et al. 2019

American J Industrial Med

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Background Drug overdoses and suicides have been rising since 2000 and are major contributors to a 3‐year decline in US life expectancy. Studies suggest that injured workers have elevated rates of depression and opioid use, but no studies have measured excess mortality related to these risks. Materials and methods We linked New Mexico workers' compensation data for 100 806 workers injured in 1994 through 2000 with Social Security Administration earnings and mortality data through 2013 and National Death Index cause of death data. We then estimated the association between receiving lost‐time workers' compensation benefits and mortality hazard ratios (HRs) and 95% confidence intervals (CIs) based on Fine and Gray cause‐specific subdistribution hazards for common causes of death and for drug‐related, suicide, and alcohol‐related mortality. Results There was almost a 3‐fold increase in combined drug‐related and suicide mortality hazard among women (HR = 2.63, 95% CI = 1.91‐3.64) and a substantial increase among men (HR = 1.42, 95% CI = 1.13‐1.79). Circulatory disease mortality hazard was elevated for men (HR = 1.25, 95% CI = 1.05‐1.50). Conclusion Workplace injuries severe enough to require more than a week off work may impair workers' long‐term health and well‐being. Drug‐related deaths and suicides may be important contributors to the long‐term excess mortality of injured workers. Improved workplace conditions, improved pain treatment, better treatment of substance use disorders, and treatment of postinjury depression may substantially reduce mortality consequent to workplace injuries.

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Section: Discussionsupporting

confidence: 74%

Section: Introductionmentioning

confidence: 99%

Suicide and drug‐related mortality following occupational injury

Applebaum

Asfaw

O'Leary

et al. 2019

American J Industrial Med

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“…This is an important finding because obese workers who are injured may experience long-term adverse mental and physical outcomes (Keeney et al, 2013; Schulz & Sherwood, 2008). To reduce obesity-related workplace injury, employers could implement work risk assessments such as evaluating physical demands and sequence of tasks, identifying occupational stressors (excessive workload, overtime, workplace conflict) and organizational stressors (difficult relationships with coworkers, lack of support, lack of motivation) in the workplace, and appropriate implementation of a job rotation program (if the job is required for 24 h).…”

Section: Discussionmentioning

confidence: 99%

“…However, in a systematic review study, it was reported that although the risk of injury among obese persons was slightly increased, many of the estimates were not statistically significant (Pollack & Cheskin, 2007). Another study conducted among workers in Washington State indicated that obese women with occupational back injuries showed significant weight gain after one year of the occurrence (Keeney et al, 2013). The relationship between obesity and injury appears to be bidirectional, with one impacting the risk of the other.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of work-site injuries and relationship between obesity and injury among U.S. workers: NHIS 2004–2012

Charles

Andrew

et al. 2016

Journal of Safety Research

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Introduction Studies have reported associations between obesity and injury in a single occupation or industry. Our study estimated the prevalence of work-site injuries and investigated the association between obesity and work-site injury in a nationally representative sample of U.S. workers. Methods Self-reported weight, height, and injuries within the previous three months were collected annually for U.S. workers in the National Health Interview Survey (NHIS) from 2004–2012. Participants were categorized as normal weight (BMI: 18.5–24.9 kg/m2), overweight (BMI: 25.0–29.9), obese I (BMI: 30.0–34.9), and obese II (BMI: 35+). The prevalence of injury and prevalence ratios from fitted logistic regression models was used to assess relationships between obesity and injury after adjusting for covariates. Sampling weights were incorporated using SUDAAN software. Results During the 9-year study period from 2004 to 2012, 1120 workers (78 workers per 10,000) experienced a work-related injury during the previous three months. The anatomical sites with the highest prevalence of injury were the back (14.3/10,000 ± 1.2), fingers (11.5 ± 1.3), and knees (7.1 ± 0.8). The most common types of injuries were sprains/strains/twists (41.5% of all injuries), cuts (20.0%), and fractures (11.8%). Compared to normal weight workers, overweight and obese workers were more likely to experience work-site injuries [overweight: PR = 1.25 (95% CI = 1.04–1.52); obese I: 1.41 (1.14–1.74); obese II: 1.68 (1.32–2.14)]. These injuries were more likely to affect the lower extremities [overweight: PR = 1.48, (95% CI = 1.03–2.13); obese I: 1.70 (1.13–2.55); obese II: 2.91 (1.91–4.41)] and were more likely to be due to sprains/strains/twists [overweight: PR = 1.73 (95% CI=1.29–2.31); obese I: PR = 2.24 (1.64–3.06); obese II: PR = 2.95 (2.04–4.26)]. Conclusions Among NHIS participants, overweight and obese workers were 25% to 68% more likely to experience injuries than normal weight workers. Practical applications Weight reduction policies and management programs may be effectively targeted towards overweight and obese groups to prevent or reduce work-site injuries.

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“…Significant weight gain during follow-up was defined by the standard criterion of a > 7% increase relative to baseline (19)(20)(21)(22).…”

Section: Study Populationsmentioning

confidence: 99%

Arterial and Cardiac Remodeling Associated With Extra Weight Gain in an Isolated Abdominal Obesity Cohort

Mandry

Girerd

Lamiral

et al. 2021

Front. Cardiovasc. Med.

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Introduction: This study aims to assess the changes in cardiovascular remodeling attributable to bodyweight gain in a middle-aged abdominal obesity cohort. A remodeling worsening might explain the increase in cardiovascular risk associated with a dynamic of weight gain.Methods: Seventy-five middle-aged subjects (56 ± 5 years, 38 women) with abdominal obesity and no known cardiovascular disease underwent MRI-based examinations at baseline and at a 6.1 ± 1.2-year follow-up to monitor cardiovascular remodeling and hemodynamic variables, most notably the effective arterial elastance (Ea). Ea is a proxy of the arterial load that must be overcome during left ventricular (LV) ejection, with increased EA resulting in concentric LV remodeling.Results: Sixteen obese subjects had significant weight gain (>7%) during follow-up (WG+), whereas the 59 other individuals did not (WG–). WG+ and WG– exhibited significant differences in the baseline to follow-up evolutions of several hemodynamic parameters, notably diastolic and mean blood pressures (for mean blood pressure, WG+: +9.3 ± 10.9 mmHg vs. WG–: +1.7 ± 11.8 mmHg, p = 0.022), heart rate (WG+: +0.6 ± 9.4 min−1 vs. −8.9 ± 11.5 min−1, p = 0.003), LV concentric remodeling index (WG: +0.08 ± 0.16 g.mL−1 vs. WG−: −0.02 ± 0.13 g.mL−1, p = 0.018) and Ea (WG+: +0.20 ± 0.28 mL mmHg−1 vs. WG−: +0.01 ± 0.30 mL mmHg−1, p = 0.021). The evolution of the LV concentric remodeling index and Ea were also strongly correlated in the overall obese population (p < 0.001, R2 = 0.31).Conclusions: A weight gain dynamic is accompanied by increases in arterial load and load-related concentric LV remodeling in an isolated abdominal obesity cohort. This remodeling could have a significant impact on cardiovascular risk.

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Clinically Significant Weight Gain 1 Year After Occupational Back Injury

Cited by 17 publications

References 63 publications

Suicide and drug‐related mortality following occupational injury

Suicide and drug‐related mortality following occupational injury

Prevalence of work-site injuries and relationship between obesity and injury among U.S. workers: NHIS 2004–2012

Arterial and Cardiac Remodeling Associated With Extra Weight Gain in an Isolated Abdominal Obesity Cohort

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