Influence of Occupational Stress on the Body Mass Index of Hospital Workers: A Systematic Review.

Carlos Rodrigo Nascimento de Lira, Rita de Cássia Akutsu, Lorene Gonçalves Coelho, Karine Brito Beck da Silva, Jacqueline Costa Dias Pitangueira, Renata Puppin Zandonadi, Priscila Ribas de Farias Costa
Author Information
  1. Carlos Rodrigo Nascimento de Lira: School of Nutrition, Federal University of Bahia, Avenida Araújo Pinho, n°32, Canela, Salvador 40110-150, Brazil.
  2. Rita de Cássia Akutsu: Department of Nutrition, Campus Darcy Ribeiro, University of Brasilia, Asa Norte, Distrito Federal, Brasília 70910-900, Brazil. ORCID
  3. Lorene Gonçalves Coelho: Health Science Centre, Federal University of Recôncavo of Bahia, Avenida Carlos Amaral, n°1015, Cajueiro, Santo Antônio de Jesus 44430-622, Brazil.
  4. Karine Brito Beck da Silva: School of Nutrition, Federal University of Bahia, Avenida Araújo Pinho, n°32, Canela, Salvador 40110-150, Brazil. ORCID
  5. Jacqueline Costa Dias Pitangueira: Health Science Centre, Federal University of Recôncavo of Bahia, Avenida Carlos Amaral, n°1015, Cajueiro, Santo Antônio de Jesus 44430-622, Brazil.
  6. Renata Puppin Zandonadi: Department of Nutrition, Campus Darcy Ribeiro, University of Brasilia, Asa Norte, Distrito Federal, Brasília 70910-900, Brazil. ORCID
  7. Priscila Ribas de Farias Costa: School of Nutrition, Federal University of Bahia, Avenida Araújo Pinho, n°32, Canela, Salvador 40110-150, Brazil.

Abstract

This systematic review aimed to identify the influence of occupational stress on the body mass index of hospital workers. After registering the protocol at PROSPERO (CRD42022331846), we started this systematic review following a search in seven databases, gray literature, as well as manual search and contact with specialists. The selection of studies was performed independently by two evaluators following the inclusion criteria: observational studies evaluating adult hospital workers, in which occupational stress was considered exposure and body composition as a result. The risk of bias in the included studies was assessed using the Joanna Briggs Institute Critical Appraisal checklist. We used the Grading of Recommendations Assessment, Development and Evaluation to grade the certainty of the evidence. Qualitative results were presented and synthesized through a qualitative approach, with simplified information in a narrative form. A total of 12 studies met the eligibility criteria and were included. This review comprised 10,885 workers (2312 men; 1582 women; and 6991 workers whose gender was not identified). Ten studies were carried out only with health workers, and two included workers from other sectors besides health workers. This review showed a relationship between occupational stress and changes in body mass index in hospital workers. However, most studies presented a moderate or high risk of bias and low quality of the evidence. These findings can be useful for clinical practice, administrators and leaders and provide insights for future research in the field of worker health in the hospital setting.

Keywords

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