Relationship between sleep quality, eating habits and nutritional state of health workers working night shifts at na urgent care center
Abstract
Introduction: Sleep deprivation due to long night shifts and exhausting work routines negatively affect human nutrition and health, leading to weight gain and influencing workers' nutrition. Objective: To evaluate the relationship between sleep quality, eating habits and nutritional status of health professionals working night shifts in an Emergency Care Unit. Materials and Methods: Cross-sectional exploratory study, with a sample of 30 professionals of both sexes. Data collection consisted of measuring weight and height to classify nutritional status, in addition to a structured questionnaire, the Dutch Questionnaire on Eating Behavior and the Reduced Eating Frequency Questionnaire - Elsa-Brasil. Data were considered significant at a maximum significance level of 5%. Results and Discussion: Most professionals 66.6% (n=20) were overweight and 60% (n=18) had external feeding as the most frequently practiced eating style. The weekly intake of fruits and vegetables was insufficient, occurring 5.3 and 4.8 days a week, respectively, while consuming foods characterized as ultra-processed, on average 7.3 times a week. A higher weekly consumption of pizzas or baked snacks was observed among individuals classified as grade I obesity (p=0.047). Conclusion: The professionals working at night are mostly overweight, eating style more often practiced external intake and do not have adequate eating habits. The weekly consumption of pizzas or baked snacks was significantly higher among individuals classified as grade I obesity.
References
-ANVISA. Agência Nacional de Vigilância Sanitária. Justificativas para os limites mínimos e máximos de nutrientes, substâncias bioativas e enzimas da proposta regulatória de suplementos alimentares. 2018. Disponível em:
-Brasil. Ministério da Saúde. Guia Alimentar Para a População Brasileira. 2014.
-Brasil. Ministério da Saúde. Orientações para a coleta e análise de dados antropométricos em serviços de saúde. 2011. Brasília-DF. Disponível
em: https://bvsms.saude.gov.br/bvs/publicacoes/orientacoes_coleta_analise_dados_antropometricos.pdf.
-Brasil. Ministério da Saúde. Excesso de peso e obesidade. 2023. Brasília-DF. Disponível em: https://aps.saude.gov.br/ape/promocaosaude/excesso.
-Campos, I. Táticas de enfrentamento a fatores estressores no cotidiano de trabalho de profissionais de saúde de uma unidade de pronto atendimento. Tese de Doutorado. UFMG. Minas Gerais. 2022.
-CDC. Centers for Disease Control and Prevention et al. Only 1 in 10 adults get enough fruits or vegetables. CDC Newsroom: Atlanta, GA, USA, 2017. Disponível em: https://www.cdc.gov/nccdphp/dnpao/division-information/media-tools/adults-fruits-vegetables.html.
-Erden, S.; Yilmaz, B.; Kozaci, N.; Uygur, A.; Yigit, Y.; Karakus, K.; Aydin, I.; Ersahin, T.; Ersahin, D. The Relationship Between Depression, Anxiety, and Stress Levels and Eating Behavior in Emergency Service Workers. Cureus. 2023. DOI: 10.7759/cureus.35504.
-Greer, S.; Goldstein, A.; Walker, M. The impact of sleep deprivation on food desire in the human brain. Nature Communnication. Vol. 4. Num. 2259. 2013. p. 1-19. DOI: https://doi.org/10.1038/ncomms3259.
-Hemio, K.; Puttonen, S.; Viitasalo, K.; Harma, M.; Peltonen, M.; Lindstrom, J. Food and nutrient intake among workers with different shift systems. Occupational and Environmental Medicine. Vol. 72, Num. 7. 2015. p. 513-520. DOI: https://doi.org/10.1136/oemed-2014-102624.
-Hur, S.; Oh, B.; Kim, H.; Kwon, O. Associations of Diet Quality and Sleep Quality with Obesity. Nutrients. Vol. 9. 2021. p. 3181. DOI: 10.3390/nu13093181.
-Jike, M.; Itani, O.; Watanabe, N.; Buysse, D.; Kaneita, Y. Long sleep duration and health outcomes: a systematic review, meta-analysis and meta-regression. Sleep Medicine Reviews. Vol. 39. 2018. p. 25 - 36. DOI: https://doi.org/10.1016/j.smrv.2017.06.011.
-Lavareda, C.; Araújo, R.; Gonçalves, A.; Machado, L. Caracterização do comportamento alimentar de estudantes do curso de nutrição de uma instituição de ensino superior em Belém-PA. Anais do VI Congresso de Educação em Saúde da Amazônia. 2017.
-Lee, A.; Myung, S.K.; Cho, J.; Jung, Yu-Jin.; Yoon, J.; Kim, M. Night shift work and risk of depression: meta-analysis of observational studies. Journal of Korean Medical Science. Vol. 32. Num. 7. 2017. p. 1091-1096. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5461311/pdf/jkms-32-1091.pdf.
-Lowden, A.; Moreno, C.; Holmback, U.; Lennernas, M.; Tucker, P. Eating and shift work - effects on habits, metabolism and performance. Scand J Work Environ Health. Vol. 36. Num. 2. 2010. p. 150-162. DOI: http://doi.org/10.5271/sjweh.2898.
-Mannato, L.W. Questionário de frequência alimentar ELSA-Brasil: proposta de redução e validação da versão reduzida. Dissertação de Mestrado em Saúde Coletiva. Universidade Federal do Espírito Santo. Vitória. 2013.
-Medic, G.; Wille, M.; Hemels, M.E.H. Short and long-term health consequences of sleep disruption. Nature and Science of Sleep. Vol. 9. Num.1. 2017. p. 151-161. DOI: https://doi.org/10.2147/NSS.S134864.
-Mohammedbeigi, A.; Asgarian, A.; Moshir, E.; Heidari, H.; Afrashteh, S.; Khazaei, S.; Ansari, H. Fast food consumption and overweight/obesity prevalence in students and its association with general and abdominal obesity. Journal of preventive medicine and hygiene. Vol. 59. Num. 3. 2018. p. 236-240. DOI: 10.15167/2421-4248/jpmh2018.59.3.830.
-Papaconstantinou, E.; Quick, V.; Vogel, E.; Coffey, S.; Miller, A.; Zitzelsberger. Exploring Relationships of Sleep Duration with Eating and Physical Activity Behaviors among Canadian University Students. Clocks Sleep. Vol. 26. Num. 2. 2020. p. 194-207. DOI: 10.3390/clockssleep2020016..
-Pretto, A.; Pastore, C.; Assunção, M.C. Comportamentos relacionados à saúde entre profissionais de ambulatórios do Sistema Único de Saúde no município de Pelotas-RS. Epidemiologia e Serviços de Saúde. Vol. 23. Num. 4. 2014. p. 635-644. DOI: http:// doi.org/10.5123/S1679-49742014000400005.
-Rolls, A.; Borg, J.S.; Lecca, L. Sleep and metabolism: Role of hypothalamic neuronal circuitry. Best Practice & Research Clinical Endocrinology & Metabolism. Vol. 24. Num.5. 2010. p. 817-828. DOI: https://doi.org/10.1016/j.beem.2010.08.002.
-Ross, A.; Touchton-Leonard, K.; Perez, A.; Wehrlen, L.; Kazmi, N.; Gibbons, N. Factors that influence health-promoting self-care in registered nurses: Barriers and facilitators. ANS. Advances in nursing Science. Vol. 42. Num. 4. 2019. p. 358-373. DOI:10.1097/ANS.0000000000000274.
-Rotella, F.; Fioravanti, G.; Godini, L.; Mannucci, E.; Faravelli, C.; Ricca, V. Temperament and emotional eating: a crucial relationship in eating disorders. Psychiatry Res. Vol. 225. Num. 3. 2015. p. 452-257. DOI: 10.1016/j.psychres.2014.11.068.
-St-Onge, M.P.; Mcreynolds, A.; Trivedi, Z.; Roberts, A.; Sy, M.; Hirsch, J. Sleep restriction leads to increased activation of brain regions sensitive to food stimuli. The American journal of clinical nutrition. Vol. 95. Num. 4. 2012. p. 818-824. DOI: 10.3945/ajcn.111.027383.
-Ugurlu, Y.; Degirmenci, D.; Durgun, H.; Ugur, H. The examination of the relationship between nursing students' depression, anxiety and stress levels and restrictive, emotional, and external eating behaviors in COVID‐19 social isolation process. Perspectives in psychiatric care. Vol. 57. Num. 2. 2021. p. 507-516. DOI: 10.1111/ppc.12703.
-Universidade Federal de Santa Maria. Trabalho noturno: Influência do sono na saúde dos profissionais da Enfermagem. Revista Arco. 2022.
-Viana, V.; Sinde, S. Estilo Alimentar: Adaptação e validação do Questionário Holandês do Comportamento Alimentar. Psicologia, Teoria, Investigação e Prática. Vol. 8. 2003. p. 59-71.
-Watson, N.; Badr, S.; Belenky, G.; Bliwise, D.; Buxton, O.; Buysse, D.; Dinges, D.; Gangwisch, J.; Grandner, M.; Kushid, C.; Malhotra, R.; Martin, J.; Patel, S.; Quan, S.; Tasali, E. Recommended amount of sleep for a healthy adult: a joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society. Sleep. Vol. 38. Num. 6. 2015. p.843-844.
-WHO. World Health Organization. Body mass index - BMI. 2022. Disponível em: https://www.euro.who.int/en/health-topics/disease-prevention/nutrition/a-healthy-lifestyle/body-mass-index-bmi.
-World Health Organization. WHO Guidelines on physical activity and sedentary behaviour. 2023. Disponível em: https://www.who.int/publications/i/item/9789240015128.
-Yau, Y.H.C.; Potenza, M.N. Stress and eating behaviors. Minerva Endocrinol. Vol. 38. Num. 3. 2013. p. 255-267. Disponível em: https://pubmed.ncbi.nlm.nih.gov/24126546/.
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