{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T01:02:24Z","timestamp":1768006944683,"version":"3.49.0"},"reference-count":43,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2021,5,10]],"date-time":"2021-05-10T00:00:00Z","timestamp":1620604800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","award":["UID\/GES\/00315\/2019"],"award-info":[{"award-number":["UID\/GES\/00315\/2019"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior CAPES","award":["88881.172259\/2018-01"],"award-info":[{"award-number":["88881.172259\/2018-01"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Purpose. This study aimed to assess whether self-reported productivity despite presenteeism may be affected by biomarkers and hormones and how these physiological indicators can interact with each other to explain the presenteeism dimensions. Methods. This pilot study included 180 healthy participants with a mean age of 41.22 years (SD = 13.58), 76.11% of whom were female. The dependent variable included a self-reported measure of productivity loss due to presenteeism: the Stanford Presenteeism Scale 6. This study also includes physiological indicators such as biomarkers (C-reactive protein (CRP) and blood glucose) and hormones (cortisol and TSH thyroid hormone). Results. Multiple linear regression analyses revealed that CRP moderated the relationship between cortisol levels and productivity despite presenteeism. Moreover, the increase of TSH moderated the relationship between cortisol, glycemia, and employees\u2019 capacity to complete work tasks while sick. Conclusions. The results highlight TSH\u2019s moderating role in decreasing employees\u2019 capacity to fulfill tasks when these individuals have high levels of glycemia and cortisol in their blood. These findings have practical and theoretical implications based on a fuller understanding of how biomarkers and hormones explain productivity despite presenteeism.<\/jats:p>","DOI":"10.3390\/ijerph18095014","type":"journal-article","created":{"date-parts":[[2021,5,10]],"date-time":"2021-05-10T02:54:58Z","timestamp":1620615298000},"page":"5014","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Presenteeism and Productivity: The Role of Biomarkers and Hormones"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8280-1623","authenticated-orcid":false,"given":"Aristides I.","family":"Ferreira","sequence":"first","affiliation":[{"name":"ISCTE\u2014Instituto Universit\u00e1rio de Lisboa (ISCTE-IUL), Avenida das For\u00e7as Armadas, 1649-026 Lisboa, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8386-1233","authenticated-orcid":false,"given":"Amalia R.","family":"P\u00e9rez-Nebra","sequence":"additional","affiliation":[{"name":"UnB\u2014Universidade de Bras\u00edlia, Campus Universit\u00e1rio Darcy Ribeiro, Bras\u00edlia, DF 70910-900, Brazil"},{"name":"Department of Psychology, Universidad Internacional de Valencia, Calle Pintor Sorolla, 21, 46002 Valencia, Spain"}]},{"given":"Eva","family":"Ellen Costa","sequence":"additional","affiliation":[{"name":"ISCSP\u2014Instituto Superior de Ci\u00eancias Sociais e Politicas da Universidade de Lisboa, R. Almerindo Lessa, 1300-666 Lisboa, Portugal"}]},{"given":"Maria Luisa A.","family":"Aguiar","sequence":"additional","affiliation":[{"name":"UniCEUB\u2014Centro Universit\u00e1rio de Bras\u00edlia, SEPN 707\/907, Campus do UniCEUB, Bloco 9, Asa Norte, Bras\u00edlia, DF 70910-900, Brazil"}]},{"given":"Adriane","family":"Zambonato","sequence":"additional","affiliation":[{"name":"UniCEUB\u2014Centro Universit\u00e1rio de Bras\u00edlia, SEPN 707\/907, Campus do UniCEUB, Bloco 9, Asa Norte, Bras\u00edlia, DF 70910-900, Brazil"}]},{"given":"Carla G.","family":"Costa","sequence":"additional","affiliation":[{"name":"ISMAT\u2014Instituto Superior Manuel Teixeira Gomes, R. Dr. Estev\u00e3o de Vasconcelos 33 A, 8500-656 Portim\u00e3o, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8957-7233","authenticated-orcid":false,"given":"Jo\u00e3o G.","family":"Modesto","sequence":"additional","affiliation":[{"name":"UniCEUB\u2014Centro Universit\u00e1rio de Bras\u00edlia, SEPN 707\/907, Campus do UniCEUB, Bloco 9, Asa Norte, Bras\u00edlia, DF 70910-900, Brazil"},{"name":"UEG\u2014Universidade Estadual de Goi\u00e1s, Av. Universit\u00e1ria, S\/N\u2014Nordeste, Formosa, GO 73807-250, Brazil"}]},{"given":"Paula da Costa","family":"Ferreira","sequence":"additional","affiliation":[{"name":"CICPSI (UIDB\/04527\/2020; UIDP\/04527\/2020)\u2014Faculty of Psychology, University of Lisbon, Alameda da Universidade, 1649-013 Lisboa, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2021,5,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Silva-Costa, A., Ferreira, P.C.S., Griep, R.H., and Rotenberg, L. (2020). 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