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      Factores laborales asociados a sobrepeso y obesidad en adultos jóvenes Translated title: Association between work related factors with obesity and overweight in young workers

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          Abstract

          RESUMEN. Introducción: La obesidad y el sobrepeso representan un grave problema de salud pública en México, donde son frecuentes las condiciones laborales precarias como jornadas laborales extenuantes, rotación de turnos y pluriempleo los cuales impactan en el estado nutricional de la población económicamente activa. Objetivo: Determinar los factores laborales asociados a sobrepeso y obesidad en adultos jóvenes. Material y Métodos: Estudio transversal analítico, en adultos laboralmente activos con 2 grupos de 136 pacientes por grupo, grupo 1 con peso normal (IMC≤24.9) y grupo 2 con sobrepeso/obesidad (IMC≥25). Los factores asociados incluyeron duración de jornada laboral, turno, rotación, pluriempleo y estrés laboral. Se estimaron razón de momios, intervalos de confianza y regresión logística. Resultados: Se identificaron como factores asociados al sobrepeso/obesidad la Jornada mayor a 50 horas semanales (RM=4.23), la Rotación de Turno (RM=5.21), el Turno Nocturno (RM=5.55) y el Estrés Laboral Moderado-Alto (RM=4.92). El modelo de regresión que explica el sobrepeso/obesidad incluye jornada, turno nocturno y estrés laboral (p=0.000). Conclusión: Son factores asociados a sobrepeso y obesidad la Jornada Laboral mayor a 50 horas semanales, Rotación de turno, el Turno Nocturno, y el Estrés Laboral Moderado o Alto.

          Translated abstract

          ABSTRACT Introduction: Overweight and Obesity are a major public health problem in México, where poor working conditions like long working hours, rotating shifts and moonlighting are frequent and have a negative impact on the nutritional status of the economically active population. Objective: To determine the association between work related factors and overweight and obesity in young workers. Materials and Methods: cross-sectional study, in working adults with 2 groups of 136 patients for each, group one with normal weight (BMI≤24.9) and group two with overweight/obesity (BMI≥25). The factors to study were working hours, work schedule, shift rotation, moonlighting and occupational stress. Binary logistic regression, odds ratio and confidence intervals were used to determine the association between overweight/obesity and the work-related factors. Results: It was identified significant association between Overweight/Obesity with Long Work Hours (RM=4.23), Rotating Shift Schedule (RM=5.21), Night Shift (RM=5.55) and Moderate to Severe Occupational Stress (RM=4.92). The regression model that explains the Overweight/Obesity includes Long Work Hours, Night Shift and Work-Related Stress (p=0.000). Conclusions: There is association between Overweight/Obesity with Long Work Hours, Rotating Shift Schedule, Night Shift and Moderate to Severe Work-Related Stress.

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          Most cited references23

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          Stress and Obesity

          Many pathways connect stress and obesity, two highly prevalent problems facing society today. First, stress interferes with cognitive processes such as executive function and self-regulation. Second, stress can affect behavior by inducing overeating and consumption of foods that are high in calories, fat, or sugar; by decreasing physical activity; and by shortening sleep. Third, stress triggers physiological changes in the hypothalamic-pituitary-adrenal axis, reward processing in the brain, and possibly the gut microbiome. Finally, stress can stimulate production of biochemical hormones and peptides such as leptin, ghrelin, and neuropeptide Y. Obesity itself can be a stressful state due to the high prevalence of weight stigma. This article therefore traces the contribution of weight stigma to stress and obesogenic processes, ultimately describing a vicious cycle of stress to obesity to stigma to stress. Current obesity prevention efforts focus solely on eating and exercise; the evidence reviewed in this article points to stress as an important but currently overlooked public policy target.
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            Meta-analysis on shift work and risks of specific obesity types

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              Stress and Obesity: Are There More Susceptible Individuals?

              Purpose of Review Stress has long been suspected to be interrelated to (abdominal) obesity. However, interindividual differences in this complex relationship exist. We suggest that the extent of glucocorticoid action partly explains these interindividual differences. We provide latest insights with respect to multiple types of stressors. Recent Findings Increased long-term cortisol levels, as measured in scalp hair, are strongly related to abdominal obesity and to specific mental disorders. However, not all obese patients have elevated cortisol levels. Possibly, the interindividual variation in glucocorticoid sensitivity, which is partly genetically determined, may lead to higher vulnerability to mental or physical stressors. Other evidence for the important role for increased glucocorticoid action is provided by recent studies investigating associations between body composition and local and systemic corticosteroids. Summary Stress may play a major role in the development and maintenance of obesity in individuals who have an increased glucocorticoid exposure or sensitivity. These insights may lead to more effective and individualized obesity treatment strategies.
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                Author and article information

                Journal
                medtra
                Revista de la Asociación Española de Especialistas en Medicina del Trabajo
                Rev Asoc Esp Espec Med Trab
                Asociación Española de Especialistas en Medicina del Trabajo (Madrid, Madrid, Spain )
                1132-6255
                3020-1160
                2021
                : 30
                : 3
                : 318-327
                Affiliations
                [3] Querétaro orgnameInstituto Mexicano del Seguro Social orgdiv1Unidad de Investigación Epidemiológica y Servicios de Salud Mexico
                [1] Querétaro orgnameInstituto Mexicano del Seguro Social orgdiv1Unidad de Medicina Familiar No 16 orgdiv2Residencia de Medicina Familiar Mexico
                [4] Querétaro orgnameInstituto Mexicano del Seguro Social orgdiv1Unidad de Investigación Epidemiológica y Servicios de Salud Mexico
                [2] Querétaro orgnameInstituto Mexicano del Seguro Social orgdiv1Unidad de Investigación Epidemiológica y Servicios de Salud Mexico
                Article
                S3020-11602021000300007 S3020-1160(21)03000300007
                77791f00-9ca0-409f-9351-82b8feee4882

                This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

                History
                : 10 October 2021
                : 04 May 2021
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 28, Pages: 10
                Product

                SciELO Spain

                Categories
                Textos Originales

                Horario-de-Trabajo-por-turnos,Estrés Laboral,Trabajo,Sobrepeso,Obesidad,Shift-Work-Schedule,Occupational-Stress,Work,Obesity,Overweight

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