Clinically significant weight gain 1 year after occupational back injury.
Keeney-BJ; Fulton-Kehoe-D; Wickizer-TM; Turner-JA; Chan-KCG; Franklin-GM
J Occup Environ Med 2013 Mar; 55(3):318-324
OBJECTIVE: To examine the incidence of clinically significant weight gain 1 year after occupational back injury, and risk factors for that gain. METHODS: A cohort of Washington State workers with wage-replacement benefits for back injuries completed baseline and 1-year follow-up telephone interviews. We obtained additional measures from claims and medical records. RESULTS: Among 1263 workers, 174 (13.8%) reported clinically significant weight gain (> / =7%) 1 year after occupational back injury. Women and workers who had more than 180 days on wage replacement at 1 year were twice as likely (adjusted odds ratio = 2.17, 95% confidence interval = 1.54 to 3.07; adjusted odds ratio = 2.40, 95% confidence interval = 1.63 to 3.53, respectively; both P < 0.001) to have clinically significant weight gain. CONCLUSIONS: Women and workers on wage replacement for more than 180 days may be susceptible to clinically significant weight gain after occupational back injury.
Injuries; Back-injuries; Work-environment; Weight-factors; Weight-measurement; Clinical-diagnosis; Risk-analysis; Risk-factors; Women; Lost-work-days; Body-weight
Benjamin J. Keeney, PhD, Department of Orthopaedics, Geisel School of Medicine at Dartmouth College, Box 7541, Dartmouth-Hitchcock Medical Center, One Medical Center Dr, Lebanon, NH 03756
Journal of Occupational and Environmental Medicine
University of Washington