Association of eating behaviours with diurnal preference and rotating shift work in Japanese female nurses: a cross-sectional study

Yoshizaki, Takahiro; Kawano, Yukari; Noguchi, Osamu; Onishi, Junko; Teramoto, Reiko; Sunami, Ayaka; Yokoyama, Yuri; Tada, Yuki; Hida, Azumi; Togo, Fumiharu

doi:10.1136/bmjopen-2016-011987

Cited by 47 publications

(57 citation statements)

References 34 publications

(34 reference statements)

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“…Disruption to dietary choices and eating patterns have also been linked to obesity in shiftworking nurses (Zhao et al, 2012). These outcomes of temporal changes to diet and abnormal eating patterns during shifts extends recent nursing research (Yoshizaki et al, 2016) by suggesting a time frame of three to six months eliciting negative impacts on dietary choices and habits in shiftworking nurses.…”

Section: Discussionsupporting

confidence: 59%

The impact of shift work on eating patterns and self-care strategies utilised by experienced and inexperienced nurses

Gifkins

Johnston

Loudoun

2018

Chronobiology International

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For nurses, shift work is a necessity, required to provide 24-h continuous care for patients. Research posits that fatigue amongst shift-working nurses is associated with inadequate and poorly timed sleep and also strongly influenced by the timing, quality and quantity of food consumed. The aim of this investigation was to examine differences and similarities in the food choices and eating patterns of nurses exposed to different lengths of time in shift work, as a means of understanding how nurses can adapt their eating patterns to better manage fatigue and sleep loss. Qualitative methodology was utilised to study and capture in-depth information about nurses' daily working lives. A case study approach allowed for the investigation of nurses with limited and extensive experience of shift work. Increased food craving, caffeine consumption and snacking behaviours during night shifts were described by both groups of nurses, as was the inability to drink enough fluids at work. Meal skipping at work, associated with high workload, was detailed more by experienced nurses. Experienced nurses described shopping and preparing home cooked meals in advance to manage food intake and associated fatigue, contrasting with patterns from inexperienced nurses. Experienced nurses recounted drinking alcohol as a way to rest and recover from shift work, unlike their less inexperienced colleagues. These findings indicate organisational and work place issues such as shift work and rostering influence the food choices and eating patterns of shift-working nurses. Experienced nurses, however, draw on a greater range of strategies around diet and eating patterns to minimise these impacts.

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Section: Discussionsupporting

confidence: 59%

The impact of shift work on eating patterns and self-care strategies utilised by experienced and inexperienced nurses

Gifkins

Johnston

Loudoun

2018

Chronobiology International

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“…Shift workers should be encouraged to eat at similar times each day and to eat 3 meals or more per day to decrease the risk for metabolic syndrome. 36,47 In addition, shift workers should be encouraged to eat more calories in the beginning of their wake cycle. Shift workers should be counseled on dealing with nighttime cravings of high-fat snacks by choosing protein-rich options.…”

Section: Nutritionmentioning

confidence: 99%

“…Shift workers should be counseled on dealing with nighttime cravings of high-fat snacks by choosing protein-rich options. 47 They should also be counseled to limit alcohol intake. 40 To assist with establishing regular eating patterns, employers can cater meals and offer midnight snacks.…”

Section: Nutritionmentioning

confidence: 99%

Shift Workers at Risk for Metabolic Syndrome

Kulkarni¹,

Schow²,

Shubrook³

2020

Journal of Osteopathic Medicine

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In this highly digitalized era, sleep disorders are becoming more common and are associated with an increased burden of chronic disease. Shift workers are at an increased risk for both sleep disorders and metabolic syndrome. In this article, the authors outline the connection between circadian discordance, hormonal imbalance, and the development of metabolic syndrome in shift workers. Based on a literature review of animal model studies, observational studies, and clinical trials conducted between August and October of 2018, the authors offer several clinical interventions, including work schedules, light therapy, medications, and dietary habits to improve the circadian synchronicity of shift workers and reduce their risk of morbidity and mortality. It is important for physicians to be familiar with the consequences of shift work and ways to mitigate the risks for this patient population. M any of the human body's neurohormonal cascades, including key metabolic cascades and the sleep-wake cycle, follow 24-hour rhythms. These circadian rhythms evolve in response to a light-dark cycle established by sunrise and sunset along with the daily rhythm of other external factors, such as temperature and noise.Today, people are exposed to synthetic light, heat, and other stimulating cues that do not follow a 24-hour cyclic pattern. These synthetic factors interfere with the carefully coordinated interplay between external regulators and the endogenous maintenance of circadian rhythms. 1 Shift workers are increasingly affected by this phenomenon. 2 This discordance among shift workers has been linked to disruption in the sleep-wake cycle and metabolic pathways, leading to sleep deprivation and an increased risk of metabolic syndrome. 3In this review, we discuss the relationship between metabolic syndrome and shift work. We completed PubMed searches in August and October 2018 using the following keywords: "shift worker demographics," "metabolic syndrome and shift workers," "risk factors associated with metabolic syndrome in shift work," "circadian rhythm and shift work," "cortisol release and shift work," "shift work and exercise habits," "shift work and nutrition habits," "circadian rhythm discordance and metabolic syndrome," "sleep hygiene and shift work disorder," "nutrition and sleep hygiene," "exercise and cortisol release," "sleep disorders and shift work," "sleep disorders and metabolic syndrome," "osteopathic manipulation and sleep latency," "shift work and heart rate variability," and "osteopathic manipulation and heart rate variability." Of the literature reviewed, 38 articles were experimental studies (animal model or clinical trials), 35 were review articles, and 17 were observational studies. Based on this literature

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“…Irregular shift workers are exposed to a higher risk of adverse health effects such as depression, unhealthy diets, diabetes, coronary heart disease and breast cancer than day workers (Lee, Kim, Kim, Lee, & Kim, ; Vetter et al, ; Wegrzyn et al, ; Yoshizaki et al, ). One of the possible mechanisms that causes such adverse effects is altered circadian rhythm, induced sleep deprivation, digestive problems and cardio‐metabolic disorders (Anothaisintawee, Reutrakul, Cauter, & Thakkinstian, ; Lajoie, Aronson, Day, & Tranmer, ).…”

Section: Introductionmentioning

confidence: 99%

The effects of amplitude and stability of circadian rhythm and occupational stress on burnout syndrome and job dissatisfaction among irregular shift working nurses

Hosseinabadi

Ebrahimi

Khanjani

et al. 2019

Journal of Clinical Nursing

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Aim To investigate the relation between the circadian rhythm amplitude and stability, and occupational stress with burnout syndrome and job dissatisfaction among shift working nurses. Background Irregular shift working nurses are prone to burnout syndrome (BS) and job dissatisfaction (JD). circadian rhythm difference and occupational stress might be effective in causing burnout syndrome and dissatisfaction. Design In total, 684 nurses who worked in four teaching hospitals were selected by stratified random sampling in a cross‐sectional design based on STROBE guidelines. Methods The data were collected by the Circadian Type Inventory, Job Content Questionnaire, Minnesota Satisfaction Questionnaire and the Maslach Burnout Inventory. Multiple linear regression, one‐way ANOVA and independent t test were used for statistical analysis by SPSS v24. Results About 15% of the nurses suffered from high levels of burnout syndrome. Psychological demand (β = 0.022, CI 95% = 0.003‒0.047 and β = 0.016, CI 95% = 0.001‒0.032) and workplace support (β = −0.043, CI 95% = −0.097–0.003 and β = −0.025, CI 95% = −0.046–0.006) were significant predictors of BS and JD. Male nurses reported lower BS and higher JD compared to female nurses. Irregular shift working schedule was also related to a significantly higher odd of BS (p = 0.009) and JD (p = 0.011). Nurses classified as languid experienced significantly more BS and JD than vigorous nurses. Conclusion This study shows that BS and JD were strongly associated with psychological demand and workplace support; and vigorous nurses were less prone to BS and JD, and were more suitable for irregular shift work. Relevance to clinical practice In order to reduce burnout syndrome and job dissatisfaction among irregular shift working nurses, we need to identify the effect of risk factors such as individual differences on the circadian rhythm and job demand which can affect nurses who work in irregular schedules.

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Association of eating behaviours with diurnal preference and rotating shift work in Japanese female nurses: a cross-sectional study

Cited by 47 publications

References 34 publications

The impact of shift work on eating patterns and self-care strategies utilised by experienced and inexperienced nurses

The impact of shift work on eating patterns and self-care strategies utilised by experienced and inexperienced nurses

Shift Workers at Risk for Metabolic Syndrome

The effects of amplitude and stability of circadian rhythm and occupational stress on burnout syndrome and job dissatisfaction among irregular shift working nurses

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