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Effect of shift work on stress and eating behaviour (the NeuroFAST study)

Published online by Cambridge University Press:  03 June 2015

A. M. Johnstone
Affiliation:
Rowett Institute of Nutrition and Health, University of Aberdeen, Bucksburn, Aberdeen, AB21 9SB
K. Giles
Affiliation:
Rowett Institute of Nutrition and Health, University of Aberdeen, Bucksburn, Aberdeen, AB21 9SB
N. G. Maloney
Affiliation:
Rowett Institute of Nutrition and Health, University of Aberdeen, Bucksburn, Aberdeen, AB21 9SB
C. L. Fyfe
Affiliation:
Rowett Institute of Nutrition and Health, University of Aberdeen, Bucksburn, Aberdeen, AB21 9SB
C. Cooper
Affiliation:
Health Science Building, University of Aberdeen, Foresterhill, Aberdeen, AB25 2ZD
A. Lorenzo-Arribas
Affiliation:
Biomathematics and Statistics Scotland, University of Aberdeen, Aberdeen, AB21 9SB
D. B. O'Connor
Affiliation:
Institute of Psychological Sciences, University of Leeds, Leeds, LS2 9JT
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Abstract

Type
Abstract
Copyright
Copyright © The Authors 2015 

The workplace could be the origin of various health inequalities since working conditions have been found to be associated with employees' health behaviour and health. Shift work in particular has been linked with adverse health and unhealthy behaviours including obesity,( Reference Atkinson, Fullick and Grindey 1 ) cardiovascular disease,( Reference Harrington 2 , Reference Lowden, Moreno and Holmback 3 ) increased snacking,( Reference Atkinson, Fullick and Grindey 1 ) fatigue, sleep and digestive problems, depression, anxiety, disruptions in circadian rhythm and perceived stress.( Reference Challet 4 ) One in five workers in Europe are employed on shift work involving night work and over one in 20 work extended hours.( Reference Scott and Johnstone 5 ) The present workplace study is part of the NeuroFAST project, which examines the link between stress and eating behaviour in shift workers. We recruited emergency responders (fire service & ambulance) and prison staff, all working variable shifts (n = 117); 93 male and 24 female shift workers with a mean age of 38·7 (0·72) years and mean BMI of 26·8 (0·32) kg/m2. We analysed data from this cohort using subjects as their own control, to examine variables as ‘on shift’ v's ‘off shift’. Perceived stress levels were measured using hourly visual analogue scales, which are a subjective means of assessment to record temporal changes throughout the day, over 7-day period. The shift workers reported significantly elevated stress when on shift compared to off shift (15·7 and 19·6 mm, p < 0·001). Energy intake (EI) was measured by 7-d weighed intake food diary record and energy expenditure was assessed objectively using an accelerometer. The shift workers report eating significantly less calories at a meal eating episode when on shift, in comparison to off shift days (462 and 412 kcal, p < 0·001). This is reflected in the significantly higher protein (g), fat (g), carbohydrate (g) and alcohol (g) intake when off shift (p < 0·001). Not surprisingly, these subjects were in physically demanding jobs, and thus, physical activity and number of steps were significantly higher when on shift, in comparison when off shift (p < 0·001). As we often eat two or more meals a day at work, these data support the ethos that shift workers require access to healthy food to support adequate nutrition and hydration during working hours. Some shift work professions do not have protected break time, which can lead to unhealthy eating styles of snacking or grazing on smaller meals. Although these shift workers consumed less and expended more calories on shift, they will have compensated calories when off shift, as they did not lose weight over the diary week reporting. The workforce of Britain is becoming obese with 65% of our firefighters are overweight, 30% of office workers and 47% of offshore shift workers overweight and there is need for evidence based advice for workplace health initiatives.( Reference Parkes 6 )

The work is funded by the European Union Seventh Framework Programme (FP7/2007–2013) under grant agreement n° 245009 for the ‘NeuroFAST’ grant.

References

1. Atkinson, G, Fullick, S, Grindey, C et al. (2008) Sports Med 38 (8), 671685.CrossRefGoogle Scholar
2. Harrington, JM (2001) Occup Environ Med 58, 6872.Google Scholar
3. Lowden, A, Moreno, C, Holmback, U et al. (2010) Scand J Work Environ Health 36 (2), 150162.Google Scholar
4. Challet, E. (2013) Prog Mol Biol Transl Sci, 119, 105–35.Google Scholar
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6. Parkes, KR (2003) Occup Med (Lond) 53(3), 213–21.Google Scholar