• The mediating role of lifestyle in the relationship between shift work, obesity and diabetes.

      Hulsegge, Gerben; Proper, Karin I; Loef, Bette; Paagman, Heleen; Anema, Johannes R; van Mechelen, Willem (2021-03-11)
      In this cross-sectional study, 3188 shift workers and 6395 non-shift workers participated between 2013 and 2018 in periodical occupational health checks. Weight and height were objectively measured to calculate obesity (BMI ≥ 30 kg/m2). Diabetes status, physical activity, diet, smoking, and sleep quality were assessed using standardized questionnaires. Structural equation models adjusted for relevant confounders were used to analyze the mediating role of lifestyle in the relationships between shift work, and obesity and diabetes.
    • The moderating role of lifestyle, age, and years working in shifts in the relationship between shift work and being overweight.

      Hulsegge, Gerben; van Mechelen, Willem; Paagman, Heleen; Proper, Karin I; Anema, Johannes R (2020-02-10)
      Cross-sectional data were used of 2569 shift and 4848 non-shift production workers who participated between 2013 and 2018 in an occupational health check. Overweight (BMI ≥ 25 kg/m2) was calculated using measured weight and height; lifestyle was assessed by questionnaires. Multiple-adjusted logistic regression with interaction terms between shift work and potential moderators assessed multiplicative interaction; the relative excess risk due to interaction assessed additive interaction (synergism).
    • Shift work, and burnout and distress among 7798 blue-collar workers.

      Hulsegge, Gerben; van Mechelen, Willem; Proper, Karin I; Paagman, Heleen; Anema, Johannes R (2020-04-30)