{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T05:34:54Z","timestamp":1791092094175,"version":"4.1.0"},"reference-count":52,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2009,4,8]],"date-time":"2009-04-08T00:00:00Z","timestamp":1239148800000},"content-version":"vor","delay-in-days":38,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Occupational Health"],"published-print":{"date-parts":[[2009,3]]},"abstract":"<jats:sec><jats:label\/><jats:p><jats:bold>Burnout and Risk Factors for Arteriosclerotic Disease: Follow\u2010up Study: Kazuyo K<jats:sc>itaoka<\/jats:sc>\u2010H<jats:sc>igashiguchi<\/jats:sc>, <jats:italic>et al<\/jats:italic>. Department of Public Health, Kanazawa Medical University<\/jats:bold><\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The purpose of this longitudinal study was to investigate the effects of burnout on risk factors for arteriosclerotic disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Baseline data were collected from 442 male middle managers working for a manufacturing company in Japan. All participants had a physical health check\u2010up and completed the Japanese Maslach Burnout Inventory\u2010General Survey. We calculated the Japanese\u2010specific cut\u2010off points of the MBI\u2010GS and applied \u201cexhaustion +1\u201d criterion to define subjects as healthy or burnout at baseline. Follow\u2010up measures were collected 4\u20135 yr later for 383 middle managers. Changes in the subjects' waist circumference, body weight, body mass index (BMI), blood pressure, total cholesterol, triglycerides, HDL cholesterol, LDL cholesterol, fasting blood sugar, fasting insulin, HOMA\u2010R, and HbA1c over a time period of 4 to 5 yr were compared between the healthy and burnout groups. New cases of large waist circumference, high BMI, metabolic syndrome, hypertension, hypercholesterolemia, high triglycerides, low HDL cholesterol, high LDL cholesterol, and impaired fasting glucose were detected at follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Changes in waist circumference, body weight, and BMI were significantly greater in burned\u2010out managers than in healthy managers. Furthermore, compared to other variables (age and health behaviors such as smoking), burnout was a significant explanatory variable. The odds ratio of the burnout group was 2.80 for hypercholesterolemia with statistical significance after adjusting for age. After adjusting for age, health behaviors, and baseline total cholesterol, the results were similar.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Burnout, which results from prolonged exposure to chronic work stress, may be associated with risk factors for arteriosclerotic disease.<\/jats:p><\/jats:sec>","DOI":"10.1539\/joh.l8104","type":"journal-article","created":{"date-parts":[[2009,4,8]],"date-time":"2009-04-08T05:58:36Z","timestamp":1239170316000},"page":"123-131","source":"Crossref","is-referenced-by-count":68,"title":["Burnout and Risk Factors for Arteriosclerotic Disease: Follow\u2010up Study"],"prefix":"10.1093","volume":"51","author":[{"given":"Kazuyo","family":"Kitaoka\u2010Higashiguchi","sequence":"first","affiliation":[{"name":"Department of Public Health Kanazawa Medical University Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuko","family":"Morikawa","sequence":"additional","affiliation":[{"name":"Department of Public Health Kanazawa Medical University Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katsuyuki","family":"Miura","sequence":"additional","affiliation":[{"name":"Department of Health Science Shiga University of Medical Science Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaru","family":"Sakurai","sequence":"additional","affiliation":[{"name":"Department of Public Health Kanazawa Medical University Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masao","family":"Ishizaki","sequence":"additional","affiliation":[{"name":"Department of Social and Environmental Medicine Kanazawa Medical University Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teruhiko","family":"Kido","sequence":"additional","affiliation":[{"name":"School of Health Sciences, Kanazawa University Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuchi","family":"Naruse","sequence":"additional","affiliation":[{"name":"School of Nursing, Toyama University Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideaki","family":"Nakagawa","sequence":"additional","affiliation":[{"name":"Department of Public Health Kanazawa Medical University Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2009,4,8]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.psych.52.1.397"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psyneuen.2006.03.003"},{"key":"e_1_2_1_4_1","first-page":"383","volume-title":"The handbook of work and health psychology","author":"Schaufeli W","year":"2003"},{"key":"e_1_2_1_5_1","first-page":"19","volume-title":"The burnout companion to study and research\u2014A critical analysis\u2014","author":"Schaufeli WB","year":"1998"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/1076-8998.10.4.344"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/job.4030020205"},{"key":"e_1_2_1_8_1","volume-title":"Maslach Burnout Inventory Research Edition Manual","author":"Maslach C","year":"1981"},{"key":"e_1_2_1_9_1","first-page":"1","volume-title":"Professional burnout","author":"Maslach C","year":"1993"},{"key":"e_1_2_1_10_1","volume-title":"Maslach Burnout Inventory Manual","author":"Maslach C","year":"1996"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2005.10.002"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3999(02)00517-2"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38693.435301.80"},{"key":"e_1_2_1_14_1","first-page":"141","article-title":"Development of a stress\u2010related health promotion model\u2014Antecedents and organizational effectiveness outcomes\u2014","volume":"6","author":"Hendrix WH","year":"1991","journal-title":"J Soc Behav Personal"},{"key":"e_1_2_1_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/1097-4679(199509)51:5<703::AID-JCLP2270510516>3.0.CO;2-P"},{"key":"e_1_2_1_16_1","first-page":"93","volume-title":"Occupational stress\u2014A handbook\u2014","author":"Bhagat RS","year":"1995"},{"key":"e_1_2_1_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/job.4030090303"},{"key":"e_1_2_1_18_1","doi-asserted-by":"publisher","DOI":"10.1037\/1076-8998.2.4.275"},{"key":"e_1_2_1_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mej.0000194404.61076.88"},{"key":"e_1_2_1_20_1","first-page":"31","volume-title":"Topics in health psychology","author":"Appels A","year":"1988"},{"key":"e_1_2_1_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/08964289.1991.9935158"},{"key":"e_1_2_1_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/13591053030084003"},{"key":"e_1_2_1_23_1","doi-asserted-by":"publisher","DOI":"10.1080\/08964289.1992.9935172"},{"key":"e_1_2_1_24_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.ATV.16.3.363"},{"key":"e_1_2_1_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/smi.1030"},{"key":"e_1_2_1_26_1","doi-asserted-by":"publisher","DOI":"10.4992\/jjpsy.75.415"},{"key":"e_1_2_1_27_1","doi-asserted-by":"publisher","DOI":"10.5271\/sjweh.756"},{"key":"e_1_2_1_28_1","volume-title":"Diagnosing burn\u2010out\u2014An anthropological study of a social concept in Sweden\u2014, Ph D thesis","author":"Friberg T","year":"2006"},{"key":"e_1_2_1_29_1","doi-asserted-by":"publisher","DOI":"10.1080\/10615809608249404"},{"key":"e_1_2_1_30_1","doi-asserted-by":"publisher","DOI":"10.1002\/job.4030140703"},{"key":"e_1_2_1_31_1","doi-asserted-by":"publisher","DOI":"10.2466\/pr0.1995.76.3c.1083"},{"key":"e_1_2_1_32_1","doi-asserted-by":"publisher","DOI":"10.5630\/jans1981.25.3_31"},{"key":"e_1_2_1_33_1","first-page":"7","article-title":"Burnout and job stressor among psychiatric nurses","volume":"1","author":"Kitaoka\u2010Higashiguchi K","year":"2004","journal-title":"Ishikawa J Nur"},{"key":"e_1_2_1_34_1","first-page":"82","article-title":"Post arrangement of hospital nurses\u2014Comparison of stress between the expected group and unexpected group\u2014","volume":"32","author":"Maeno K","year":"2006","journal-title":"Hokuriku J Public Health"},{"key":"e_1_2_1_35_1","first-page":"1326","article-title":"Burnout of school teachers","volume":"70","author":"Ogino K","year":"2006","journal-title":"A Psychol Odyssey of JPA"},{"key":"e_1_2_1_36_1","first-page":"3","article-title":"Relationship between mental health of Japanese residents and the quality of medical service","volume":"17","author":"Yoshino S","year":"2007","journal-title":"JPFNI"},{"key":"e_1_2_1_37_1","doi-asserted-by":"publisher","DOI":"10.1136\/oem.60.suppl_1.i16"},{"key":"e_1_2_1_38_1","doi-asserted-by":"publisher","DOI":"10.2169\/naika.94.794"},{"key":"e_1_2_1_39_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/26.3.575"},{"key":"e_1_2_1_40_1","doi-asserted-by":"publisher","DOI":"10.1006\/pmed.1997.0199"},{"key":"e_1_2_1_41_1","doi-asserted-by":"publisher","DOI":"10.1097\/00043764-200001000-00011"},{"key":"e_1_2_1_42_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a115160"},{"key":"e_1_2_1_43_1","doi-asserted-by":"publisher","DOI":"10.1177\/204748739900600604"},{"key":"e_1_2_1_44_1","doi-asserted-by":"publisher","DOI":"10.4278\/0890-1171-12.4.237"},{"key":"e_1_2_1_45_1","doi-asserted-by":"publisher","DOI":"10.5271\/sjweh.1469"},{"key":"e_1_2_1_46_1","doi-asserted-by":"publisher","DOI":"10.5271\/sjweh.278"},{"key":"e_1_2_1_47_1","doi-asserted-by":"publisher","DOI":"10.1093\/occmed\/kqg135"},{"key":"e_1_2_1_48_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-6-53"},{"key":"e_1_2_1_49_1","doi-asserted-by":"publisher","DOI":"10.1196\/annals.1314.022"},{"key":"e_1_2_1_50_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijo.0803229"},{"key":"e_1_2_1_51_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwk058"},{"key":"e_1_2_1_52_1","doi-asserted-by":"publisher","DOI":"10.1037\/1076-8998.13.1.43"},{"key":"e_1_2_1_53_1","first-page":"6","volume-title":"Social determinants of health","author":"Brunner E","year":"2006"}],"container-title":["Journal of Occupational Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1539%2Fjoh.L8104","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1539\/joh.L8104","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1539\/joh.L8104","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T18:18:10Z","timestamp":1705083490000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/joh\/article\/51\/2\/123-131\/7270127"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,3]]},"references-count":52,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2009,3]]}},"alternative-id":["10.1539\/joh.L8104"],"URL":"https:\/\/doi.org\/10.1539\/joh.l8104","archive":["Portico"],"relation":{},"ISSN":["1341-9145","1348-9585"],"issn-type":[{"value":"1341-9145","type":"print"},{"value":"1348-9585","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,3]]}}}