National Institute for Public Health and the Environment (Drs Proper and Bemelmans and Ms Meijer), Bilthoven, The Netherlands; and Netherlands Organization for Applied Scientific Research (Dr Koppes), TNO, Division Work and Employment, Hoofddorp, The Netherlands.
J Occup Environ Med. 2013 Oct;55(10):1213-8. doi: 10.1097/JOM.0b013e31829f2f5c.
To investigate the associations between body mass index (BMI) and sick leave, and the mediating role of emotional exhaustion.
Data were collected from a large survey among Dutch employees (n = 35,022). The causal pathway approach consisting of four regression analyses was applied.
In women, moderate overweight and obesity were associated with higher sick leave; in men, obesity, but not moderate overweight, was associated with higher sick leave. Obese workers were at increased risk for emotional exhaustion. Emotional exhaustion was also associated with higher sick leave rates. Adjustment for emotional exhaustion in the association between BMI and sick leave hardly changed the effect size and significance remained.
The association between BMI status and sick leave can be explained partially by the presence of emotional exhaustion. Workplace health promotion initiatives should take this into account.
研究体重指数（BMI）与病假之间的关联，以及情绪耗竭的中介作用。
数据来自对荷兰雇员（n=35022）的一项大型调查。采用包含四个回归分析的因果路径方法。
在女性中，中度超重和肥胖与较高的病假相关；在男性中，肥胖而不是中度超重与较高的病假相关。肥胖工人更容易出现情绪耗竭。情绪耗竭也与较高的病假率相关。调整 BMI 和病假之间的情绪耗竭关联后，效应大小几乎没有变化，且仍然具有统计学意义。
BMI 状况与病假之间的关联部分可以通过情绪耗竭的存在来解释。工作场所健康促进计划应考虑到这一点。
