{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T21:08:37Z","timestamp":1788815317072,"version":"build-2803163510"},"reference-count":40,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T00:00:00Z","timestamp":1781049600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002327","name":"Social Insurance Institution of Finland","doi-asserted-by":"publisher","award":["29\/26\/2020"],"award-info":[{"award-number":["29\/26\/2020"]}],"id":[{"id":"10.13039\/501100002327","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004037","name":"Juho Vainio Foundation","doi-asserted-by":"publisher","award":["202500550"],"award-info":[{"award-number":["202500550"]}],"id":[{"id":"10.13039\/501100004037","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Overweight\/obesity and psychological distress often co-exist and are associated with sickness absence (SA). The objective of this study was to examine joint contribution of overweight\/obesity and psychological distress on short and long SA periods, and to explore potential synergistic interactions between these factors. The Helsinki Health Study survey collected in 2017 among 19\u201339-year-old Finnish municipal employees was linked to employer\u2019s SA registers (1\u20137\u2009days for short and 8+ days for long SA periods), including participants consenting to linkage (n\u2009=\u20093966, 80% women). The mean follow-up time was 2.1\u2009years. We calculated body mass index (BMI) from weight and height and evaluated psychological distress using the emotional wellbeing subscale of RAND-36 health-related quality of life survey. Rate ratios (RRs) and their 95% confidence intervals (CIs) were calculated for SA periods using negative binomial regression models. Interaction between overweight\/obesity and psychological distress was examined using the Synergy Index (S). Most participants (85%) had at least one short and over one-fourth (29%) one long SA period. Overweight\/obesity (42%) and psychological distress (23%) jointly contributed to short (RR, 1.62; 95% CI, 1.44\u20131.82) and long (RR, 2.48; 95% CI, 2.09\u20132.95) SA periods, compared to those with healthy weight and no psychological distress. The interaction between overweight\/obesity and psychological distress was additive for short (S\u2009=\u20091.11), and synergistic for long SA periods (S\u2009=\u20091.40). Sociodemographic factors, working conditions, and health behaviors only slightly attenuated these associations. It is important to consider co-occurrence of overweight\/obesity and psychological distress in prevention of SA.<\/jats:p>","DOI":"10.1093\/eurpub\/ckag092","type":"journal-article","created":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T11:36:15Z","timestamp":1779190575000},"source":"Crossref","is-referenced-by-count":0,"title":["Joint contribution of body mass index and psychological distress to short and long sickness absence among young and early midlife public sector employees: a register-linked follow-up study"],"prefix":"10.1093","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-8988-0135","authenticated-orcid":false,"given":"Mari-Liis","family":"Kalima","sequence":"first","affiliation":[{"name":"Department of Public Health, Faculty of Medicine, University of Helsinki , Helsinki,","place":["Finland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3841-3129","authenticated-orcid":false,"given":"Tea","family":"Lallukka","sequence":"additional","affiliation":[{"name":"Department of Public Health, Faculty of Medicine, University of Helsinki , Helsinki,","place":["Finland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eira","family":"Roos","sequence":"additional","affiliation":[{"name":"Department of Public Health, Faculty of Medicine, University of Helsinki , Helsinki,","place":["Finland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7880-834X","authenticated-orcid":false,"given":"Jatta","family":"Valkonen","sequence":"additional","affiliation":[{"name":"Department of Public Health, Faculty of Medicine, University of Helsinki , Helsinki,","place":["Finland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-9150-9871","authenticated-orcid":false,"given":"Anna C","family":"Sv\u00e4rd","sequence":"additional","affiliation":[{"name":"Department of Public Health, Faculty of Medicine, University of Helsinki , Helsinki,","place":["Finland"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,10]]},"reference":[{"key":"2026090716325748000_ckag092-B1","volume-title":"World Health Statistics 2023: Monitoring Health for the SDGs, Sustainable Development Goals","author":"World Health Organization","year":"2023"},{"key":"2026090716325748000_ckag092-B2","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1016\/S2215-0366(21)00395-3","article-title":"Global, regional, and national burden of 12 mental disorders in 204 countries and territories, 1990\u20132019: a systematic analysis for the global burden of disease 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