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AJPH First Look, published online ahead of print Jan 31, 2007
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AJPH.2006.086900v1
97/3/428    most recent
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March 2007, Vol 97, No. 3 | American Journal of Public Health 428-436
© 2007 American Public Health Association
DOI: 10.2105/AJPH.2006.086900


FRAMING HEALTH MATTERS

Work, Obesity, and Occupational Safety and Health

Paul A. Schulte, PhD, Gregory R. Wagner, MD, Aleck Ostry, PhD, Laura A. Blanciforti, PhD, Robert G. Cutlip, PhD, Kristine M. Krajnak, PhD, Michael Luster, PhD, Albert E. Munson, PhD, James P. O’Callaghan, PhD, Christine G. Parks, PhD, Petia P. Simeonova, MD, PhD and Diane B. Miller, PhD

Paul A. Schulte, Gregory R. Wagner, Laura A. Blanciforti, Robert G. Cutlip, Kristine M. Krajnak, Michael Luster, Albert E. Munson, James P. O’Callaghan, Christine G. Parks, Petia P. Simeonova, and Diane B. Miller are with the National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Cincinnati, Ohio. Aleck Ostry is with the University of British Columbia, Vancouver.

Correspondence: Requests for reprints should be sent to Paul A. Schulte, Education and Information Division, National Institute for Occupational Safety and Health, 4676 Columbia Parkway, Cincinnati, OH 45226 (e-mail: pas4{at}cdc.gov).

There is increasing evidence that obesity and overweight may be related, in part, to adverse work conditions. In particular, the risk of obesity may increase in high-demand, low-control work environments, and for those who work long hours. In addition, obesity may modify the risk for vibration-induced injury and certain occupational musculoskeletal disorders.

We hypothesized that obesity may also be a co–risk factor for the development of occupational asthma and cardiovascular disease that and it may modify the worker’s response to occupational stress, immune response to chemical exposures, and risk of disease from occupational neurotoxins. We developed 5 conceptual models of the interrelationship of work, obesity, and occupational safety and health and highlighted the ethical, legal, and social issues related to fuller consideration of obesity’s role in occupational health and safety.




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