Stressful Life Events and Chronic Fatigue Among Chinese Government Employees: A Population-Based Cohort Study

Qiu, Dan; He, Jun; Li, Yilu; Li, Ruiqi; Ouyang, Feiyun; Li, Ling; Luo, Dan; Xiao, Shuiyuan

doi:10.3389/fpubh.2022.890604

Cited by 4 publications

(4 citation statements)

References 47 publications

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“…Concerning cumulative fatigue, 47% of the respondents had symptoms of cumulative fatigue, and 22.7% of the total participants had serious symptoms of cumulative fatigue. This index was also higher than the average level of other industries [ 28 , 29 , 30 ]. Stress and fatigue might have some correlation.…”

Section: Discussionmentioning

confidence: 84%

The Prevalence and Correlated Factors of Occupational Stress, Cumulative Fatigue, and Musculoskeletal Disorders among Information Technology Workers: A Cross-Sectional Study in Chongqing, China

Zheng,

Chen,

Wang

et al. 2023

Healthcare

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Occupational stress, cumulative fatigue, and work-related musculoskeletal disorders (WMSDs) are major concerns in the field of occupational health. Previous studies on occupational health focused on key industries, such as medical care, while there were few related studies on Information Technology (IT) industry. Our study explored the factors influencing occupational stress, cumulative fatigue, and musculoskeletal disorders in the IT industry. We collected 1363 IT workers’ valid questionnaires, of which 73.1% of participants were technicians in Chongqing, 2021. The core occupational stress scale (COSS), self-diagnosis checklist for the assessment of workers’ accumulated fatigue and Chinese musculoskeletal disorders questionnaire were used to measure the occupational stress, cumulative fatigue, and musculoskeletal disorders of the respondents. Logistic regressions were used to explore the correlated factors affecting these indicators. The results showed that the prevalence of occupational stress, cumulative fatigue, and musculoskeletal disorders was 50.4%, 47%, and 72.3%, respectively. Working in the current position for 3–10 years was a common increased risk for all three indicators. Insomnia was associated with an increased risk of cumulative fatigue (Odds Ratio, OR = 2.156, p < 0.001) and musculoskeletal disorders (OR = 1.878, p < 0.001). Cumulative fatigue was also associated with an increased risk of having WMSDs (OR = 3.207, p < 0.001). According to our findings, occupational factors, such as long working years, overtime work, and personal lifestyle, are highly related to the occurrence of occupational stress, cumulative fatigue, and musculoskeletal disorders for IT industry workers. More attention should be paid to women and those with long working hours in the IT industry.

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Section: Discussionmentioning

confidence: 84%

The Prevalence and Correlated Factors of Occupational Stress, Cumulative Fatigue, and Musculoskeletal Disorders among Information Technology Workers: A Cross-Sectional Study in Chongqing, China

Zheng,

Chen,

Wang

et al. 2023

Healthcare

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“…All employees filled out an online questionnaire via a cellphone or tablet prior to the ultrasound examination. Detailed information and data collection procedures have been published in previous studies [ 17 , 18 ]. We excluded participants who had a previous history of chronic hepatitis, cirrhosis, liver cancer ( N = 73) or excessive alcohol consumption (Males: ≥25 g per day; females: ≥15 g per day) ( N = 295).…”

Section: Methodsmentioning

confidence: 99%

Association of Healthy Lifestyles with Non-Alcoholic Fatty Liver Disease: A Prospective Cohort Study in Chinese Government Employees

Ling

Zhang

et al. 2023

Nutrients

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Background: Evidence indicates that certain healthy lifestyle factors are associated with non-alcoholic fatty liver disease (NAFLD). However, little is known about the effect of combined healthy lifestyle factors. Objective: To assess the association of combined healthy lifestyle factors with the incidence of NAFLD. Methods: This cohort study was conducted in Changsha, Hunan Province, China. The healthy lifestyles factors studied were not being a current smoker, having a healthy diet, engaging in physical activity, having a normal body mass index (BMI) and engaging in non-sedentary behavior. NAFLD was diagnosed based on abdominal ultrasonography. Logistic regression models were conducted to investigate the associations being studied. Results: Of the 5411 participants, 1280 participants had NAFLD, with a prevalence of 23.7% at baseline. The incidence of NAFLD among participants without NAFLD at baseline was found to be 7.2% over a mean follow-up of 1.1 years. Compared with participants with 0–1 low-risk factors, the OR of NAFLD was 0.50 (95% CI: 0.29–0.82, p = 0.008) for those with at least 4 low-risk factors. Similar associations were observed in subgroup analyses and sensitivity analyses. Conclusion: This study suggests that a combined healthy lifestyle pattern may considerably decrease the risk of NAFLD in Chinese government employees.

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“…Stressful life events of Chinese government employees were assessed using the Life Events Scale (LES), the details of which were described in our previous study [17]. There are 48 items in this scale, which were classified into different dimensions, including stressful life events related to marriage and family, stressful life events related to work and study, health-related events, stressful life events related to accidents, legal disputes, and economic problems.…”

Section: Stressful Life Eventsmentioning

confidence: 99%

“…Based on participants' daily experiences over the past year, Chinese government employees were asked to choose "yes" or "no" for each item. In the current study, the Chinese version of the Life Events Scale was used, for which our previous study reported favorable validity and reliability and which is widely used in China [17]. In this study, we divided stressful life events into four groups according to the number of occurrences: none, one, two, and three or more stressful life events.…”

Section: Stressful Life Eventsmentioning

confidence: 99%

Stressful Life Events, Unhealthy Eating Behaviors and Obesity among Chinese Government Employees: A Follow-Up Study

Qiu

et al. 2023

Nutrients

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Background: The underlying mechanisms of the relationship between stressful life events and obesity among Chinese workers are unclear. Objective: This study aimed to understand the processes and mechanisms involved in stressful life events, unhealthy eating behavior, and obesity among Chinese workers. Methods: From January 2018 to December 2019, a total of 15,921 government employees were included at baseline and they were followed-up until May 2021. Stressful life events were assessed using the Life Events Scale, and unhealthy eating behavior was assessed using four items. BMI was calculated as weight (kg) divided by height (m2) using physically measured data. Results: Overeating at each mealtime (OR = 2.21, 95%CI: 1.78–2.71) at baseline led to reports of higher risk of obesity at follow up. Eating before going to bed at night sometimes (OR = 1.51, 95%CI: 1.31–1.73) or often (OR = 3.04, 95%CI: 2.28–4.05) at baseline led to reports of higher risk of obesity at follow-up. Eating out sometimes (OR = 1.74, 95%CI: 1.47–2.07) or often (OR = 1.59, 95%CI: 1.07–2.36) at baseline led to reports of higher risk of obesity at follow-up. Stressful life events were not directly associated with obesity, but unhealthy eating behaviors, including overeating at each mealtime (β = 0.010, 95%CI: 0.007–0.014; β = 0.002, 95%CI: 0.001–0.004, respectively) and irregular meal timing (β = −0.011, 95%CI: −0.015–−0.008; β = −0.004, 95%CI: −0.006–−0.001, respectively), significantly mediated the associations between stressful life events at baseline and obesity at both baseline and follow-up. Conclusions: Unhealthy eating behaviors mediated the relationship between stressful life events and obesity. Interventions should be provided to workers who have experienced stressful life events and unhealthy eating behaviors.

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Stressful Life Events and Chronic Fatigue Among Chinese Government Employees: A Population-Based Cohort Study

Cited by 4 publications

References 47 publications

The Prevalence and Correlated Factors of Occupational Stress, Cumulative Fatigue, and Musculoskeletal Disorders among Information Technology Workers: A Cross-Sectional Study in Chongqing, China

The Prevalence and Correlated Factors of Occupational Stress, Cumulative Fatigue, and Musculoskeletal Disorders among Information Technology Workers: A Cross-Sectional Study in Chongqing, China

Association of Healthy Lifestyles with Non-Alcoholic Fatty Liver Disease: A Prospective Cohort Study in Chinese Government Employees

Stressful Life Events, Unhealthy Eating Behaviors and Obesity among Chinese Government Employees: A Follow-Up Study

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