Gomero Raúl, Murguía Ludy, Calizaya Livia, Mejia Christian R, Sánchez-B Arnaldo
Environmental and Occupational Medicine, Faculty of Medicine, Cayetano Heredia University, Lima, Peru.
Faculty of Medicine, Cayetano Heredia University, Lima, Peru.
Int J Occup Environ Med. 2018 Jul;9(3):129-136. doi: 10.15171/ijoem.2018.1201.
Obesity and overweight are associated with work absenteeism of medical cause. However, there is little knowledge on the relationship between incremental body mass index (BMI) and absenteeism.
To assess the effect of annual increase in BMI on amount of prolonged absenteeism.
Data from a longitudinal historical cohort of workers of a mining camp in Peru between 2006 and 2014 were used for the analysis. Prolonged absenteeism of 30 days or more in one year was chosen as the dependent variable; annual increase in BMI was considered as the explanatory variable. Regression analysis with generalized estimating equation was used to determine the relative risk adjusted for age, sex and type of work.
There were 1347 cases of medical leave reported with a median of 6 days. Of all cases of medical leave, 11% of those who had an annual increase in BMI and 6% of those who maintained their BMI were cases of prolonged absenteeism. Prolonged absenteeism significantly increased in workers who had an annual increment in BMI (adj RR 1.16, 95% CI 1.05 to 1.29).
The annual increase in BMI was marginally associated with prolonged absenteeism. Temporal increment in BMI, regardless of the baseline BMI, may be an independent determinant of the work absenteeism of medical cause.
肥胖和超重与因病缺勤有关。然而，关于体重指数（BMI）增加与缺勤之间的关系，人们了解甚少。
评估BMI的年度增加对长期缺勤天数的影响。
分析了2006年至2014年秘鲁一个采矿营地工人纵向历史队列的数据。将一年中30天及以上的长期缺勤作为因变量；BMI的年度增加作为解释变量。使用广义估计方程进行回归分析，以确定经年龄、性别和工作类型调整后的相对风险。
共报告了1347例病假，中位数为6天。在所有病假案例中，BMI年度增加者中有11%、BMI保持不变者中有6%为长期缺勤案例。BMI年度增加的工人长期缺勤显著增加（调整后相对风险1.16，95%置信区间1.05至1.29）。
BMI的年度增加与长期缺勤存在微弱关联。无论基线BMI如何，BMI的时间性增加可能是因病缺勤的一个独立决定因素。
