Environmental Department [Milieudienst], University Hospital, Gent University, Gent, Belgium.
Central Administration, Secretariat of the Board of Governors, Faculty of Medicine and Health Sciences, University Hospital, Gent University, Gent, Belgium.
Acta Clin Belg. 2023 Apr;78(2):128-134. doi: 10.1080/17843286.2022.2084936. Epub 2022 Jun 15.
Obesity is associated with a number of chronic diseases such as cardiovascular diseases and cancers. The association of obesity with occupational accidents has been suggested although the evidence is less convincing. The objective of the study is to analyse the relationship between BMI values and ergonomic accidents in a large University Hospital.
The relationship between body mass index (BMI) and the incidence of ergonomic occupational accidents over a period of 8 years was investigated in a cohort of employees of a large University Hospital, covering almost 27,000 person-years of observation. This relationship was stratified according to the variables age, gender, functional status within the organization and work schedule (part-time or full time). Height and weight were objectively measured, demographic data were obtained from the human resource department and the registration of ergonomic accidents was carried out by the safety and prevention department of the hospital.
The number of ergonomic accidents, expressed as number/1000 person-years was higher for female employees compared to male employees, increased with age and markedly increased from functional class A (leading or expert function and higher educational level) to D (executive function in patient care and technical department). However, the incidence of ergonomic accidents accompanied by loss of working time was not significantly associated with BMI, independently of age and gender. In addition, the type of accident and the severity of the accidents expressed as the number of days absent from work were unrelated to BMI.
No independent relationship between BMI and the incidence of ergonomic accidents could be identified in our cohort. Tailoring working conditions to individual BMI levels is not recommended.
肥胖与许多慢性疾病有关，如心血管疾病和癌症。尽管证据不太令人信服，但肥胖与职业事故之间存在关联。本研究的目的是分析某大学附属医院大量员工的 BMI 值与人体工程学事故之间的关系。
对一家大型大学附属医院的员工队列进行了为期 8 年的研究，调查了 8 年期间体重指数（BMI）与人体工程学职业事故发生率之间的关系，共观察了近 27000 人年。根据年龄、性别、组织内功能状态和工作时间表（兼职或全职）等变量对这种关系进行了分层。身高和体重进行了客观测量，人口统计学数据来自人力资源部门，医院的安全和预防部门负责登记人体工程学事故。
以每 1000 人年发生的事故数表示的人体工程学事故数量，女性员工高于男性员工，随着年龄的增长而增加，并从 A 级（领导或专家职能和较高教育水平）显著增加到 D 级（患者护理和技术部门的行政职能）。然而，与 BMI 无关，无论年龄和性别如何，与工作时间损失相关的人体工程学事故的发生率均无显著相关性。此外，事故类型和缺勤天数（表示为缺勤天数）与 BMI 无关。
在我们的队列中，BMI 与人体工程学事故发生率之间没有独立的关系。不建议根据个人 BMI 水平调整工作条件。
