Does higher energy intake explain weight gain and increased metabolic risks among shift
                    workers?

Lindström, Jaana

doi:10.5271/sjweh.3599

Cited by 4 publications

(6 citation statements)

References 13 publications

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“…The benefit of prospective measurement methods such as diet diaries, compared to food frequency questionnaires is that they do not measure against a predefined food list and allow more detailed dietary intake to be captured within occupational cohorts [42]. Additionally, food diaries do not rely on participant memory and recall ability.…”

Section: Discussionmentioning

confidence: 99%

“…The strengths of the present study are the large-scale collection of 7-day estimated weighted diet records from a young single occupational group who are potentially at higher risk of cardiometabolic disease compared to the general population [ 24 , 25 ]. The benefit of prospective measurement methods such as diet diaries, compared to food frequency questionnaires is that they do not measure against a predefined food list and allow more detailed dietary intake to be captured within occupational cohorts [ 42 ]. Additionally, food diaries do not rely on participant memory and recall ability.…”

Section: Discussionmentioning

confidence: 99%

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A cross-sectional investigation into the occupational and socio-demographic characteristics of British police force employees reporting a dietary pattern associated with cardiometabolic risk: findings from the Airwave Health Monitoring Study

et al. 2017

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PurposeThe aims of this study were to (1) determine the association between diet quality using the Dietary Approaches to Stop Hypertension (DASH) score and cardiometabolic risk in a British working population and (2) identify employee characteristics associated with reporting a poorer quality dietary pattern.MethodsBritish police employees enrolled (2007–2012) into the Airwave Health Monitoring Study (n = 5527) were included for sex-specific cross-sectional analyses. Dietary intakes were measured using 7-day food records. DASH score was calculated to determine diet quality. Logistic regression evaluated associations between (1) diet quality and increased cardiometabolic risk (defined as ≥ 3 risk markers: dyslipidaemia, elevated blood pressure, waist circumference, CRP or HbA1c), and (2) poor diet quality (lowest fifth of DASH score distribution) and employee characteristics.ResultsEmployees recording a poor diet quality had greater odds (OR) of increased cardiometabolic risk independent of established risk factors (demographic, lifestyle and occupational) and BMI: men OR 1.50 (95% CI 1.12–2.00), women: OR 1.84 (95% CI 1.19–2.97) compared to the healthiest diet group. Characteristics associated with reporting a poor quality diet were employment in Scotland vs. England: men OR 1.88 (95% CI 1.53–2.32), women: OR 1.49 (95% CI 1.11–2.00), longer working hours (≥ 49 vs. ≤40 h) men: OR 1.53 (95% CI 1.21–1.92) women: OR 1.53 (95% CI 1.12–2.09). For men, job strain (high vs. low) was associated with reporting a poor diet quality OR 1.66 (95% CI 1.30–2.12).ConclusionsThe general population disparities in diet quality between England and Scotland were reflected in British police employees. The association of longer working hours and job strain with diet quality supports the targeting of workplace nutritional interventions.Electronic supplementary materialThe online version of this article (doi:10.1007/s00394-017-1562-4) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A cross-sectional investigation into the occupational and socio-demographic characteristics of British police force employees reporting a dietary pattern associated with cardiometabolic risk: findings from the Airwave Health Monitoring Study

et al. 2017

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“…Recent reports highlight the ongoing discussion as to whether shift work should be classified as an occupational hazard (33). Shift work has been shown to be a risk factor for many chronic diseases (33–38), and links between shift work and weight gain, type-2 diabetes, coronary heart disease, stroke and cancer have been demonstrated (35). Shift work has also been associated with physical inactivity and poor diet (39).…”

Section: Shift Work and Health Risksmentioning

confidence: 99%

Group-based healthy lifestyle workplace interventions for shift workers: a systematic review

Demou

MacLean²,

Cheripelli³

et al. 2018

Scand J Work Environ Health

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Objective Shift work is a risk factor for many chronic diseases and has been associated with unhealthy lifestyle behaviors. Workplaces have great potential for promoting and supporting behavior change. We conducted a systematic review of group-based lifestyle workplace interventions for shift workers to (i) identify adaptations and intervention components that accommodate shift working and (ii) assess their impact on weight, physical activity, sedentary behavior and healthy eating. Methods A systematic search was conducted in Scopus, Web of Knowledge, EBSCO and Ovid databases. Using pre-established criteria, independent pairs of researchers conducted the study selection, quality appraisal and data extraction. Results In total, 22 studies on group-based workplace interventions for shift workers were included. Many demonstrated organizational level adaptations, such as flexible delivery times and paying employees' time for their involvement. Delivery locations near the workplace and management support were other key features. Common intervention components included competitive group activities, individualized goal setting, self-monitoring and feedback, staff involvement in intervention delivery, and incentives. There was moderate evidence for effectiveness on weight and physical activity outcomes, but insufficient evidence for healthy eating outcomes. No interventions focusing on sedentary behavior among shift workers were found. Conclusion Current evidence demonstrates that group-based workplace interventions can be effective for supporting shift workers to lose weight and increase physical activity, while further research is needed to change healthy eating and sedentary behaviors. Our findings offer decision support on organizational-level adaptations and intervention components that are important to make interventions that promote healthy lifestyles more accessible to shift workers.

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“…While these methods can provide an indication of overall diet quality, the data cannot show how dietary intake or eating patterns differ across different shifts. Food diaries may provide the most reliable and appropriate method of measuring dietary behaviour in relation to working hours (Lindstrom ). However, traditionally, food diaries have been segmented into predefined occasions ( e.g .…”

Section: The Methodological Challenges Of Investigating Diet and Workmentioning

confidence: 99%

Working hours and cardiometabolic health – an emerging area of nutritional research

Gibson

2018

Nutrition Bulletin

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Multifactorial work‐related diseases are diseases that occur in the general population, but may be exacerbated or partially caused by occupational exposures. There is increasing evidence to suggest that type 2 diabetes and cardiovascular diseases are associated with duration and time of working hours. Despite the role of diet in the aetiology of cardiometabolic disease being well established, gaps remain in understanding the relationship between working hours and diet. Studies that have compared the diets of shift to non‐shift workers have reported inconsistent results, likely due to the heterogeneity of study design, including variations in the industry studied and dietary measurement methods used. There is a paucity of research investigating dietary intakes across different shift types, both inside and outside of working hours and in relation to duration of working hours. From the published research that exists, there appears to be growing consensus that night working is associated with a change in the temporal distribution of energy intake and poorer food choices. Epidemiological studies have shown that consuming a higher percentage of energy during the evening is positively associated with metabolic syndrome, while controlled studies have demonstrated an altered metabolic response to eating at night compared to during daytime hours. In the UK, 15% of the working population are employed in jobs that require shift work and 13% of employees work more than 48 hours per week. Understanding the complex relationship between working hours, diet and cardiometabolic health will provide an opportunity to improve the health of a significant proportion of the population.

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Does higher energy intake explain weight gain and increased metabolic risks among shift workers?

Cited by 4 publications

References 13 publications

A cross-sectional investigation into the occupational and socio-demographic characteristics of British police force employees reporting a dietary pattern associated with cardiometabolic risk: findings from the Airwave Health Monitoring Study

A cross-sectional investigation into the occupational and socio-demographic characteristics of British police force employees reporting a dietary pattern associated with cardiometabolic risk: findings from the Airwave Health Monitoring Study

Group-based healthy lifestyle workplace interventions for shift workers: a systematic review

Working hours and cardiometabolic health – an emerging area of nutritional research

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