Obesity, diet quality and absenteeism in a working population

dc.contributor.authorFitzgerald, Sarah
dc.contributor.authorKirby, Ann
dc.contributor.authorMurphy, Aileen
dc.contributor.authorGeaney, Fiona
dc.contributor.funderHealth Research Boarden
dc.contributor.funderDepartment of Agriculture, Fisheries and Food, Irelanden
dc.date.accessioned2016-10-24T13:34:15Z
dc.date.available2016-10-24T13:34:15Z
dc.date.issued2016-05-27
dc.description.abstractThe relationship between workplace absenteeism and adverse lifestyle factors (smoking, physical inactivity and poor dietary patterns) remains ambiguous. Reliance on self-reported absenteeism and obesity measures may contribute to this uncertainty. Using objective absenteeism and health status measures, the present study aimed to investigate what health status outcomes and lifestyle factors influence workplace absenteeism. Cross-sectional data were obtained from a complex workplace dietary intervention trial, the Food Choice at Work Study. Four multinational manufacturing workplaces in Cork, Republic of Ireland. Participants included 540 randomly selected employees from the four workplaces. Annual count absenteeism data were collected. Physical assessments included objective health status measures (BMI, midway waist circumference and blood pressure). FFQ measured diet quality from which DASH (Dietary Approaches to Stop Hypertension) scores were constructed. A zero-inflated negative binomial (zinb) regression model examined associations between health status outcomes, lifestyle characteristics and absenteeism. The mean number of absences was 2·5 (sd 4·5) d. After controlling for sociodemographic and lifestyle characteristics, the zinb model indicated that absenteeism was positively associated with central obesity, increasing expected absence rate by 72 %. Consuming a high-quality diet and engaging in moderate levels of physical activity were negatively associated with absenteeism and reduced expected frequency by 50 % and 36 %, respectively. Being in a managerial/supervisory position also reduced expected frequency by 50 %. To reduce absenteeism, workplace health promotion policies should incorporate recommendations designed to prevent and manage excess weight, improve diet quality and increase physical activity levels of employees.en
dc.description.sponsorshipHealth Research Board (HRB Centre for Health & Diet Research HRB grant number HRC2007/13; HRB Scholar Programme in Health Services Research (grant number PHD/2007/16)); Department of Agriculture, Fisheries and Food, Irelanden
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationFitzgerald, S., Kirby, A., Murphy, A. and Geaney, F. (2016) ‘Obesity, diet quality and absenteeism in a working population’, Public Health Nutrition, 19(18), pp. 3287-3295. doi: 10.1017/S1368980016001269.en
dc.identifier.doi10.1017/S1368980016001269
dc.identifier.endpage3295
dc.identifier.issn1368-9800
dc.identifier.issn1475-2727
dc.identifier.issued18
dc.identifier.journaltitlePublic Health Nutritionen
dc.identifier.startpage3287
dc.identifier.urihttps://hdl.handle.net/10468/3211
dc.identifier.volume19
dc.language.isoenen
dc.publisherCambridge University Pressen
dc.rights© The Authors 2016. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.en
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectAbsenteeismen
dc.subjectDiet qualityen
dc.subjectObesityen
dc.subjectWorkplace dietary interventionen
dc.subjectZero-inflated binomial regressionen
dc.titleObesity, diet quality and absenteeism in a working populationen
dc.typeArticle (peer-reviewed)en
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