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首页> 外文期刊>American journal of health promotion: AJHP >Impact of obesity on work productivity and role disability in individuals with and at risk for diabetes mellitus.
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Impact of obesity on work productivity and role disability in individuals with and at risk for diabetes mellitus.

机译：肥胖对患有糖尿病和有糖尿病风险的个体的工作效率和角色残疾的影响。

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PURPOSE: Evaluate work absence, work productivity, and disruption of work, social, and family life among individuals of varying body mass index (BMI) with or at risk for diabetes mellitus. DESIGN: Cross-sectional analysis of survey data. SETTING: Community-based U.S. population. SUBJECTS: Respondents (n = 15,132; n = 7338 working adults) participating in the U.S. Study to Help Improve Early evaluation and management of risk factors Leading to Diabetes (SHIELD) study were stratified by combinations of BMI (i.e., > or = 30 kg/m2 [obese], 25 to 29.9 kg/ m2 [overweight], and < 25 kg/m2 [normal weight]) and diabetes (i.e., type 2 diabetes mellitus [T2DM], type 1 diabetes mellitus [T1DM], and high risk [HR] or low risk [LR] of T2DM). MEASURES: Work impairment was measured using the Work Productivity and Activity Impairment Questionnaire: General Health. Disruption in life was measured using the Sheehan Disability Scale. HR was defined as 3 to 5 of the following factors: abdominal obesity, BMI > or = 28 kg/m2, reported diagnosis of "cholesterol problems,"reported diagnosis of hypertension, < or = 2 of these factors. RESULTS: Percentage of work impairment and proportion with severe disruption of work, family, and social life increased systematically from normal weight to obese (p < .001). Obese individuals had the greatest impairment at work (11%-15% of work time), greatest impairment of daily activities (20 %-34% of time), and greatest overall impairment (11%-15% of time) in the LR, HR, and T2DM groups. Obesity and T2DM were independent predictors of overall work impairment and life disruption (p < .001). Between 5% and 7% of total variance was explained in the regression models with BMI category, diabetes/risk group, age, gender, race, income, and household size as variables. CONCLUSION; Greatest impairment of work and daily activities was evident among obese individuals for all groups.
机译：目的：评估患有或有糖尿病风险的不同体重指数（BMI）的个体的工作缺勤，工作效率以及工作，社交和家庭生活的中断。设计：调查数据的横断面分析。地点：以社区为基础的美国人口。受试者：参与美国研究以帮助改善对风险因素的早期评估和管理的受访者（n = 15132; n = 7338成年人）导致糖尿病（SHIELD）的研究通过BMI组合（即>或= 30 kg）进行分层/ m2 [肥胖]，25至29.9 kg / m2 [超重]和<25 kg / m2 [正常体重]）和糖尿病（即2型糖尿病[T2DM]，1型糖尿病[T1DM]）和高风险[HR]或低风险[LR]）。措施：使用“工作生产率和活动障碍调查表：一般健康”来测量工作障碍。使用希恩残疾量表测量生活中断。 HR被定义为以下因素中的3-5个：腹部肥胖，BMI>或= 28 kg / m2，报告诊断为“胆固醇问题”，报告为高血压诊断，<或=这些因素中的2个。结果：工作障碍的百分比和严重破坏工作，家庭和社会生活的比例从正常体重逐渐增加到肥胖（p <.001）。肥胖个体在LR中的工作损伤最大（占工作时​​间的11％-15％），日常活动的损伤最大（占时间的20％-34％），而LR的总体损伤最大（占时间的11％-15％） ，HR和T2DM组。肥胖和2型糖尿病是整体工作障碍和生活中断的独立预测因子（p <.001）。在BMI类别，糖尿病/高危人群，年龄，性别，种族，收入和家庭规模作为变量的回归模型中，解释了总差异的5％至7％。结论;在所有群体的肥胖个体中，工作和日常活动的最大损害是显而易见的。

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