Dietary Patterns of Nurses on Rotational Shifts Are Marked by Redistribution of Energy into the Nightshift
Dietary Patterns of Nurses on Rotational Shifts Are Marked by Redistribution of Energy into the Nightshift
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DOI：
10.3390/nu12041053
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发表时间：
2020-04-01
期刊：
影响因子：
5.9
通讯作者：
Skene, Debra J.
中科院分区：
文献类型：
--
作者：
Flanagan, Alan;Lowson, Elizabeth;Skene, Debra J.
夜班工作与不良的健康结果有关，这可能与生物学夜晚的饮食有关，此时昼夜节律和食物摄入量不一致。护士经常进行夜班工作，我们的目的是调查模式的能量分布和饮食摄入量在14天内在20个英国国家卫生服务（NHS）护士轮班工作。我们假设夜班期间消耗的每日能量比例会随着连续的夜晚而增加。主要和次要结局指标包括能量和常量营养素的摄入。我们的研究结果表明，护士在夜班和非夜班消耗相同的每日总能量，但将能量重新分配到夜班期间的比例增加，夜间1和2之间的每日总能量消耗比例存在显著差异（26.0 +/- 15.7% vs. 33.5 +/-20.2%，平均值+/- SD; p < 0.01）。这一发现表明，而不是增加总的能量摄入量，护士重新分配能源消耗在夜班连续夜班的行为反应。这一发现告诉我们，在生物夜间摄入能量如何影响夜班工作的不良健康结果。
Nightshift work is associated with adverse health outcomes, which may be related to eating during the biological night, when circadian rhythms and food intake are misaligned. Nurses often undertake nightshift work, and we aimed to investigate patterns of energy distribution and dietary intake across 14 days in 20 UK National Health Service (NHS) nurses working rotational shifts. We hypothesised that the proportion of daily energy consumed during the nightshift would increase over consecutive nights. Primary and secondary outcome measures included intakes of energy and macronutrients. Our results show that nurses consumed the same total daily energy on nightshifts and non-nightshifts, but redistributed energy to the nightshift period in increasing proportions with a significant difference between Night 1 and 2 in the proportion of total daily energy consumed (26.0 +/- 15.7% vs. 33.5 +/- 20.2%, mean +/- SD; p < 0.01). This finding indicates that, rather than increasing total energy intake, nurses redistribute energy consumed during nightshifts as a behavioural response to consecutive nightshifts. This finding informs our understanding of how the intake of energy during the biological night can influence adverse health outcomes of nightshift work.