Indian Journal of Public Health Research DOI& Development, Number: 10.37506/v11/i1/2020/ijphrd/194111 January 2020, Vol. 11, No. 01 1797 Obesity and Job Performance among Teachers in

Mohd Hakiki Md Tohid1, Zulkifli Khair2

1Master of Human Resource Development, 2Senior Lecturer, Faculty of Social Sciences and Humanities, University Technology Malaysia

Abstract Despite the growing interest of teacher performance in relation to factors such as leadership, work and/ or family conflict or stress, studies which linked teacher with overweight or obesity with job performance and productivity are insignificant. Moreover, Malaysia is ’s “most obese” nation with an obesity incidence of 17.7% and an overweight of 30%. Data is a review of newspapers and official reports as well as academic journal articles and theses from established databases such as Wiley Online Library, Taylor and Francis, ScienceDirect and ProQuest. The scope is obesity or overweight experiences which may affect performance or productivity at workplace taken from 2010 onwards including the level of non- communicable disease, productivity assessments and annual reports. Study about obesity and its impact towards teacher’s performance or productivity is almost none. The impact of obesity on job performance can be seen from its impact on individual, social and economy. The impact towards economy and individuals are discussed with focusing more on Malaysian context. Evidence used in this study come solely from the mentioned resources. Conclusions reached are thus qualified by that limitation. Further studies should be conducted on the exact obesity trends among teachers and the impacts on performance or productivity. More in-depth studies are needed specifically on the definite and diversified factors and the effective ways to tackle this issue among adult especially teachers.

Keywords: Obesity, overweight, job performance, productivity, teacher.

Introduction National Health and Morbidity Surveys (NHMS) findings from 1996-2015 in Malaysia show noticeable Study which relate obesity and job performance increases of average BMI and WC among Malaysian among teachers are still new especially in Malaysia. adults and children3. All ethnic groups displayed an Overweight and obesity, usually measured using upward trends of obesity with obese Indians (43.5 %), Body Mass Index (BMI) are defined by World married adults (33.8 %) and those with only secondary Health Organisation (WHO) as unusual or excessive education (32.1 %). The most significant increases in accumulation of fat posing a health threat1. Another average BMI and AO were observed in women and indicator used is abdominal obesity (AO) measured in people in the rural population3. The highest gain in the waist circumference (WC) which appears to be more overweight incidence was also seen in males and the closely related to a high morbidity and death, as well elderly4,5. as an increase in the risk of cardiovascular (CVD) and diabetes mellitus compared to BMI2. For job performance, there are studies about the level and its association with some determining factors Corresponding Author: like leadership style, motivation, job stress, emotional Mohd Hakiki Md Tohid intelligence, workforce diversity, work environment, Master of Human Resource Development, Faculty of teacher characteristics, personality traits and work 6,7,8,9,10,11 Social Sciences and Humanities, University Technology passion . Teacher plays a major role as the Malaysia, 81310 Skudai, , Malaysia people who cultivate and educate the future generation of a nation by their great influence. Beside mothers, e-mail: [email protected] 1798 Indian Journal of Public Health Research & Development, January 2020, Vol. 11, No. 01 teacher’s BMI, education level as well as teacher’s and nearly one third work in the education services satisfaction with children’s weight have significant alone20. The total wage deployment for public service impact on children weight and health12. A study also people is around 11.4 % of the overall salary spending shows that teacher’s body image has influence the in Malaysia20. Although Malaysia’s Competitiveness children13. Thus, the performance of teachers is linked Ranking is getting lower, the number of teachers in to the growth of students14,15. This scenario is quite Malaysia’s education sector is increasing every year. It alarming as recent research shows 19.9% or one in five brings negative impact towards the education system and children ages 7-12 in Malaysia suffer from overweight some correction measures are needed to tackle the issue. and obesity16. Table 2 shows the total number of teachers in Malaysia from year 2014 until 2018. Level And Condition: The Malaysian job performance rating has declined considerably from Table 2: Total Number of Teacher in Malaysia 2015 to 2017, according to the Global Competitiveness Report (GCR) 2015-201817,18,19. As below, Table 1 Year Total Number of Teacher in Malaysia shows that Malaysia is currently placed at 25th position 2014 420854 out of 140 countries 19. In 2016, however, it was listed 2015 421379 18th 17. It shows that employee efficiency in Malaysia, 2016 421828 including teachers, has decreased. 2017 422505 2018 423566 Table 1: Malaysia’s Competitiveness Rankings The findings from NHMS 2015 indicate that the Year Performance Score Ranking government’s administrative officials had a 35-37% 2015 5.23 20th likelihood of overweight while obesity stood at 43%21. 2016 5.16 18th If by taking the same percentage of 43% for obesity 2017 5.17 26th rates, the prevalence of teachers who might be fallen 74.4 (new format: Global 2018 25th into the overweight and obese group are estimated Competitiveness Index 4.0) around 181000. The findings put the administration in a disgraceful state, since the number of Malaysia Malaysia currently has about 32 million people overweight and obese people were not reduced22. This and around 1,7 million are in public service which scenario is a clear signal that obesity crisis, which has made them the largest public service number in South already overwhelmed our health care services, will also East Asia. Of the groups, 39 % work in the General cripple our economy and the growth of the younger Federal Public Service, 14 % work in the health sector generations if no decisive action taken23.

Impacts on Economy:

Figure 1: Economic cost of obesity framework Indian Journal of Public Health Research & Development, January 2020, Vol. 11, No. 01 1799 Figure 1 above shows the cost of obesity from In Malaysia, Non-Communicable Diseases (NCDs) an economic point of view. It can be divided into are estimated to account for 73 percent of total deaths two categories; direct and indirect. The Economist with 35 percent of these deaths occurring in those Intelligence Unit24 reports that direct costs are associated people under 60 years39. Premature mortality occurs in with medical expenditure from diagnosis, therapy and 4 major groups of NCDs such as cardiovascular disease, also from prevention on obesity associated illnesses. In cancers, diabetes, and chronic respiratory diseases. The Malaysia, Total Expenditure on Health (TEH) in year probability of dying between ages 30 and 70 years from 2013 has been recorded as RM 44.748 million, which is these 4 main NCDs is 20 percent39. equal to 4.53% of Gross Domestic Product (GDP)25. The TEH is increasing each year, with RM 53.110 million Impacts on Individuals: registered in 2015 and RM 57.361 million registered in 201725. Despite health expenditure is being highly subsidized, the spending remained largely expended on government and public needs26.

Absenteeism is defined as time off from work because of obesity and overweight. Due to the ease of estimation, absenteeism was likely the most frequent indirect cost measurement. In Malaysia, the Malaysian Employers Federation (MEF) Medical Benefits & Man- Figure 2: Cost of obesity on individuals Days Loss (Including Absenteeism) Survey 2015 has projected that for 6.6 million workforce, companies Individuals have greater likelihood of unemployment need to pay out RM1.18billion in medical costs for and are likely to receive lower salaries as a result of 40 hospitalized employees and RM46.3million in non- obesity . Loss of productivity due to work injury and hospitalization medical costs27. longer recovery time will make them unpreferable worker. In addition, demand for support services and Presenteeism at workplace or showing up for disability management is likely to increase because of work during sickness, now appears more common than obese conditions that limit their basic physical abilities41. absenteeism. It may constitute physical and mental When gender is taken into account, the impact of obesity absence28. Presenteeism is present in most fields, but on salary varies between man and woman, whereas the is particularly high in education29. Presenteeism is obese woman receives lower earnings than the non- frequently associated with severe losses in productivity obese counterparts42. On the contrary, their non-obese and has a number of symptoms such as migraines, counterparts are getting high pay customer related jobs allergies, sinus problems, asthma, acid reflux disease, which require attractive personalities like representatives dermatitis, anxiety and depression29. Many studies have of sales and customer relationships43. shown that presenteeism contributes to depersonalisation 44 and fatigue30. Study in Malaysia found that about 30% of the students agreed out of 93 obese participants that In terms of disability, the decreased executive the body weight limits their ability in every type of role was linked to obesity but not overweight in some work. Approximately 50% said their work was linked researches31,32. Further, it is shown that some facial to sedentary behavior and poor mobility. 63% of emotional decoding problems occur in overweight respondents believed they were treated differently and obese kids in comparison to normal weight kids33. because of their weight. Moreover, 73 of them felt that Low conscientiousness have also been associated with their supervisors should take account of their weight in higher BMI34. Three cross-sectional studies confirmed delegating jobs. Altogether, most participants accept that favourable obesity connection with falls and older the body weight impacts and reduces their performance. adults35,36,37. Furthermore, a study suggest that obesity, 45 even if metabolically healthy, accelerates age-related In contrast, study indicates that employee declines in functional ability and poses a threat to recruitment does not consider the appearance and gender independence in older age38. of employees since performance, background and age are more concerned. Nevertheless, physical fitness and 1800 Indian Journal of Public Health Research & Development, January 2020, Vol. 11, No. 01 health in the public sector are one of the requirements Experienced Teachers in Malaysia. Aust J Teach used during the new recruitment staff’s interview and Educ. 2013; 46 selection . Obesity are perhaps overlooked in the 7. Ilyas M, Abdullah T. The Effect of Leadership, workforce due to the physical and wellness lack of Organizational Culture, Emotional Intellegence, evaluation. On top of that, salaries and performance and Job Satisfaction on Performance. Int J Eval Res are not a consideration because the wage system for Educ. 2016; civil workers is rather sticky to seniority and education 8. Binti Rusbadrol N, Mahmud N, Suriani L, Arif M. background47. Association between Personality Traits and Job Performance among Secondary School Teachers. Conclusion Int Acad Res J Soc Sci. 2015;1(2):1–6. In summary, obesity has grave implications for 9. Wangui MF, Omboi K, Irabo M. Effects of Work- economic growth and individuals productivity because Related Stress on Teachers’ Performance in Public it ties with many NCDs. This study aims to propose Secondary Schools in Kikuyu Sub County, Kenya. additional research for a group with great influence Int J Sci Res. 2016;5(5):1645–52. over future generations such as teachers, so that they 10. Chin Z Den, Lim CY, Mok YJ, Saw QS, Tey Y can give more insight and support the development Le. Study Of In-Service Training, Job Promotion, of multidisciplinary teams, equipped to address the Working Environment And Work Passion On problems associated with various types of interventions. Job Performance Among The Primary Schools‟ Conflict of Interest: Nil. English Teacher In Malaysia. Universiti Tunku Abdul Rahman; 2017. Source of Funding: Self-source. 11. Liang CC, Loon CJ, Jun LJ, Keat TJ, Chin WS. Ethical Clearance: Done research committee. A Study on Job Stress, Emotional Intelligence, and Extrinsic Motivation on Job Performance References of Teachers in Government Primary Schools in Malaysia. Universiti Tunku Abdul Rahman; 2017. 1. World Health Organization (WHO). Obesity and overweight: Fact sheet. WHO Media Centre. 2016. 12. Wong Y, Chang YJ, Lin CJ. The influence of p. 1–6. primary caregivers on body size and self-body image of preschool children in Taiwan. Asia Pac J 2. Casanueva FF, Moreno B, Rodríguez- Clin Nutr. 2013;22(2):283–91. Azeredo R, Massien C, Conthe P, Formiguera X, et al. Relationship of abdominal obesity 13. Ra JS, Yun HJ, Cho YH. Teachers’ Influence on with cardiovascular disease, diabetes and Weight Perceptions in Preschool Children. Appl hyperlipidaemia in Spain. Clin Endocrinol (Oxf). Nurs Res. 2016;31:111–6. 2010; 14. Nik Hashim NMH, Alam SS, Yusoff NM. 3. Institute for Public Health. National Prevalence of Relationship between teacher’s personality, Noncommunicable Diseases/Risk Factors From monitoring, learning environment, and students’ National Health and Morbidity Survey (NHMS) EFL performance. GEMA Online J Lang Stud. 1996 to 2015. 2017. 2014; 4. Khambalia AZ, Seen LS. Trends in overweight and 15. Md. Yunus M, Osman WSW, Ishak NM. Teacher- obese adults in Malaysia (1996-2009): A systematic student relationship factor affecting motivation review. Obes Rev. 2010;11(6):403–12. and academic achievement in ESL classroom. In: Procedia - Social and Behavioral Sciences. 2011. 5. Azian N, Zaki M, Omar A, Salleh R, Baharuddin A. Trends in Obesity and Abdominal Obesity 16. Naidu BM, Mahmud SZ, Ambak R, Sallehuddin Among Malaysian Adults : Findings From the SM, Mutalip HA, Saari R, et al. Overweight among National Health and Morbidity Surveys of. primary school-age children in Malaysia. Asia Pac 2015;49(6):50590. J Clin Nutr. 2013;22(3):408–15. 6. Abd Hamid SR, Syed Hassan S, Ismail NA. 17. Malaysia Competitive Corporation. Malaysian in Teaching Quality and Performance Among the Global Competitive Report 2016-2017. 2016. Indian Journal of Public Health Research & Development, January 2020, Vol. 11, No. 01 1801 18. Malaysia Competitive Corporation. Malaysian in Biobehav Rev. 2018;84:225–44. the Global Competitive Report 2017-2018. 2017. 32. Olivo G, Gour S, Schiöth HB. Low neuroticism 19. Malaysia Competitive Corporation. Malaysian in and cognitive performance are differently the Global Competitive Report 2018. 2018;1–45. associated to overweight and obesity: A cross- 20. World Bank Group. Malaysia Economic Monitor, sectional and longitudinal UK Biobank study. June 2019 : Re-energizing the Public Service. Psychoneuroendocrinology. 2019;101(September ; 2019. 2018):167–74. 21. Nicholas C. Catat Kadar Obes Tertinggi 33. Koch A, Pollatos O. Reduced facial emotion Di Negara Ini. Star Media Group Berhad. 2016 recognition in overweight and obese children. J Apr; Psychosom Res. 2015;79(6):635–9. 22. Utusan Malaysia. 35 Peratus Kakitangan Awam 34. Sutin AR, Terracciano A. Five-Factor Model Obes. Utusan Melayu (Malaysia) Berhad. 2016 Personality Traits and the Objective and May; Subjective Experience of Body Weight. J Pers. 2016;84(1):102‑12. 23. Wang YC, McPherson K, Marsh T, Gortmaker SL, Brown M. Health and economic burden of the 35. Kim SY, Kim MS, Sim S, Park B, Choi HG. projected obesity trends in the USA and the UK. Association between obesity and falls among Lancet. 2011;378(9793):815–25. Korean adults a population-based cross-sectional study. Med (United States). 2016;95(12):1–7. 24. Asia Roundtable on Food Innovation for Improved Nutrition (AROFIIN). Tackling obesity in ASEAN 36. Mitchell RJ, Lord SR, Harvey LA, Close JCT. Prevalence, impact, and guidance on interventions. Associations between obesity and overweight and 2017. fall risk, health status and quality of life in older people. Aust N Z J Public Health. 2014;38(1):13–8. 25. Seksyen Malaysia National Health Accounts (MNHA). MNHA National Health Expenditure 37. Hooker ER, Shrestha S, Lee CG, Cawthon PM, Report 1997-2017. 2017. Abrahamson M, Ensrud K, et al. Obesity and Falls in a Prospective Study of Older Men: The 26. Hong Teck C, Julius Chee Ho C. Financing Osteoporotic Fractures in Men Study. J Aging universal coverage in Malaysia: a case study. BMC Health. 2017;29(7):1235–50. Public Health. 2012;12(1):S7. 38. Bell JA, Sabia S, Singh-Manoux A, Hamer 27. Malaysian Employers Federation. MEF M, Kivimäki M. Healthy obesity and risk of Medical Benefits & Man-Days Loss (Including accelerated functional decline and disability. Int J Absenteeism) Survey 2015. Malaysian Employers Obes. 2017;41(6):866–72. Federation. 2015. 39. Kamaruzzaman SB. Epidemiological Transitions of 28. Karanika-Murray M, Pontes HM, Griffiths MD, Health and Its Impact on Morbidity and Mortality Biron C. Sickness presenteeism determines job in Malaysia. In: Nai Peng T, Siow Li L, Noor Azina satisfaction via affective-motivational states. Soc I, editors. Population Situation Analysis Malaysia Sci Med. 2015;139:100–6. 2018. Kuala Lumpur: Population Studies Unit 29. Ferreira AI, Martinez LF. Presenteeism and burnout (PSU); 2019. p. 200–17. among teachers in public and private Portuguese 40. Han E, Norton EC, Powell LM. Direct and indirect elementary schools. Int J Hum Resour Manag. effects of body weight on adult wages. Econ Hum 2012;23(20):4380–90. Biol. 2011;9(4):381–92. 30. Panari C, Simbula S. Presenteeism “on the desk”: 41. Borak J. Obesity and the workplace. Occup Med The relationships with work responsibilities, work- (Chic Ill). 2011;61(4):220–2. to-family conflict and emotional exhaustion among Italian schoolteachers. Int J Work Heal Manag. 42. Judge TA, Cable DM. When It Comes to Pay, Do 2016;9(1):84–95. the Thin Win? The Effect of Weight on Pay for Men and Women. J Appl Psychol. 2011;96(1):95–112. 31. Yang Y, Shields GS, Guo C, Liu Y. Executive function performance in obesity and overweight 43. Nickson D, Timming AR, Re D, Perrett DI. Subtle individuals: A meta-analysis and review. Neurosci increases in BMI within a healthy weight range still 1802 Indian Journal of Public Health Research & Development, January 2020, Vol. 11, No. 01 reduce womens employment chances in the service Public Sector: Innovations or Political Responses? sector. PLoS One. 2016;11(9):1–14. J Public Aff Educ. 2015;21(2):229–46. 44. Peng FL, Hamzah HZ, Mohamed Nor N, Said 46. Public Service Commission of Malaysia. Physical R. Effects of obesity in labour market outcomes: and Sensory Measurement Requirements. 2019. Evidence from Malaysia. Pertanika J Soc Sci 47. Public Service Commission of Malaysia. Annual Humanit. 2018;26(3):1957–69. Report 2015. Public Service Commission of 45. Woo KH. Recruitment Practices in the Malaysian Malaysia. 2015.