Job strain and chronic obstructive pulmonary disease exacerbations: an individual-participant meta-analysis
Katriina Heikkilä, Ida E.H. Madsen, Solja T. Nyberg, Eleonor I. Fransson, Kirsi Ahola, Lars Alfredsson, Jakob B. Bjorner, Marianne Borritz, Hermann Burr, Anders Knutsson, Markku Koskenvuo, Aki Koskinen, Martin L. Nielsen, Maria Nordin, Krista Pahkin, Jaana Pentti, Reiner Rugulies, Paula Salo, Martin J. Shipley, Sakari B. Suominen, Töres Theorell, Ari Väänänen, Jussi Vahtera, Marianna Virtanen, Peter J.M. Westerholm, G. David Batty, Archana Singh-Manoux, Mika Kivimäki, for the IPD-Work Consortium
European Respiratory Journal 2014; DOI: 10.1183/09031936.00205113
Katriina Heikkilä
1Finnish Institute of Occupational Health, Helsinki,
Ida E.H. Madsen
2National Research Centre for the Working Environment, Copenhagen,
Solja T. Nyberg
1Finnish Institute of Occupational Health, Helsinki,
Eleonor I. Fransson
3Institute of Environmental Medicine, Karolinska Institutet, Stockholm,
4School of Health Sciences, Jönköping University, Jönköping,
5Stress Research Institute, Stockholm University, Stockholm,
Kirsi Ahola
1Finnish Institute of Occupational Health, Helsinki,
Lars Alfredsson
3Institute of Environmental Medicine, Karolinska Institutet, Stockholm,
6Centre for Occupational and Environmental Medicine, Stockhom County Council, Stockhom,
Jakob B. Bjorner
2National Research Centre for the Working Environment, Copenhagen,
Marianne Borritz
7Dept of Occupational and Environmental Medicine, Bispebjerg University Hospital, Copenhagen,
Hermann Burr
8Federal Institute for Occupational Safety and Health (BAuA), Berlin, Germany
Anders Knutsson
9Dept of Health Sciences, Mid Sweden University, Sundsvall,
Markku Koskenvuo
10Dept of Public Health, University of Helsinki, Helsinki,
Aki Koskinen
1Finnish Institute of Occupational Health, Helsinki,
Martin L. Nielsen
7Dept of Occupational and Environmental Medicine, Bispebjerg University Hospital, Copenhagen,
Maria Nordin
11Dept of Psychology, Umeå University, Umeå,
Krista Pahkin
1Finnish Institute of Occupational Health, Helsinki,
Jaana Pentti
12Finnish Institute of Occupational Health, Turku,
Reiner Rugulies
2National Research Centre for the Working Environment, Copenhagen,
13Dept of Public Health and Dept of Psychology, University of Copenhagen, Copenhagen, Denmark
Paula Salo
12Finnish Institute of Occupational Health, Turku,
14Dept of Psychology, University of Turku, Turku,
Martin J. Shipley
15Dept of Epidemiology and Public Health, University College London, London,
Sakari B. Suominen
16Folkhälsan Research Center, Helsinki,
17Dept of Public Health, University of Turku, Turku, Finland,
18Nordic School of Public Health, Gothenburg,
Töres Theorell
5Stress Research Institute, Stockholm University, Stockholm,
Ari Väänänen
1Finnish Institute of Occupational Health, Helsinki,
Jussi Vahtera
12Finnish Institute of Occupational Health, Turku,
17Dept of Public Health, University of Turku, Turku, Finland,
Marianna Virtanen
1Finnish Institute of Occupational Health, Helsinki,
Peter J.M. Westerholm
19Occupational and Environmental Medicine, Uppsala University, Uppsala, Sweden
G. David Batty
15Dept of Epidemiology and Public Health, University College London, London,
20Centre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh, Edinburgh, UK
Archana Singh-Manoux
15Dept of Epidemiology and Public Health, University College London, London,
21Inserm U1018, Centre for Research in Epidemiology and Population Health, Villejuif, France
Mika Kivimäki
1Finnish Institute of Occupational Health, Helsinki,
15Dept of Epidemiology and Public Health, University College London, London,

Abstract
Multiple cohort studies do not support job strain being a major independent risk factor for severe COPD exacerbations http://ow.ly/tAyq2
- Received September 10, 2013.
- Accepted February 3, 2014.
- © ERS
ERJ Open articles are open access and distributed under the terms of the Creative Commons Attribution Non-Commercial Licence 3.0.
Vol 62 Issue 5
Table of Contents
Job strain and chronic obstructive pulmonary disease exacerbations: an individual-participant meta-analysis
Katriina Heikkilä, Ida E.H. Madsen, Solja T. Nyberg, Eleonor I. Fransson, Kirsi Ahola, Lars Alfredsson, Jakob B. Bjorner, Marianne Borritz, Hermann Burr, Anders Knutsson, Markku Koskenvuo, Aki Koskinen, Martin L. Nielsen, Maria Nordin, Krista Pahkin, Jaana Pentti, Reiner Rugulies, Paula Salo, Martin J. Shipley, Sakari B. Suominen, Töres Theorell, Ari Väänänen, Jussi Vahtera, Marianna Virtanen, Peter J.M. Westerholm, G. David Batty, Archana Singh-Manoux, Mika Kivimäki, for the IPD-Work Consortium
European Respiratory Journal Jan 2014, erj02051-2013; DOI: 10.1183/09031936.00205113
Job strain and chronic obstructive pulmonary disease exacerbations: an individual-participant meta-analysis
Katriina Heikkilä, Ida E.H. Madsen, Solja T. Nyberg, Eleonor I. Fransson, Kirsi Ahola, Lars Alfredsson, Jakob B. Bjorner, Marianne Borritz, Hermann Burr, Anders Knutsson, Markku Koskenvuo, Aki Koskinen, Martin L. Nielsen, Maria Nordin, Krista Pahkin, Jaana Pentti, Reiner Rugulies, Paula Salo, Martin J. Shipley, Sakari B. Suominen, Töres Theorell, Ari Väänänen, Jussi Vahtera, Marianna Virtanen, Peter J.M. Westerholm, G. David Batty, Archana Singh-Manoux, Mika Kivimäki, for the IPD-Work Consortium
European Respiratory Journal Jan 2014, erj02051-2013; DOI: 10.1183/09031936.00205113