Physical Activity, Energy Expenditure, Nutritional Habits, Quality of Sleep and Stress Levels in Shift-Working Health Care Personnel
Among health care personnel working regular hours or rotating shifts can affect parameters of general health and nutrition. We have investigated physical activity, sleep quality, metabolic activity and stress levels in health care workers from both groups. We prospectively recruited 46 volunteer par...
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| creator | Roskoden, Frederick Charles Krüger, Janine Vogt, Lena Johanna Gärtner, Simone Hannich, Hans Joachim Steveling, Antje Lerch, Markus M Aghdassi, Ali A |
| description | Among health care personnel working regular hours or rotating shifts can affect parameters of general health and nutrition. We have investigated physical activity, sleep quality, metabolic activity and stress levels in health care workers from both groups.
We prospectively recruited 46 volunteer participants from the workforce of a University Medical Department of which 23 worked in rotating shifts (all nursing) and 21 non-shift regular hours (10 nursing, 13 clerical staff). All were investigated over 7 days by multisensory accelerometer (SenseWear Bodymedia® armband) and kept a detailed food diary. Physical activity and resting energy expenditure (REE) were measured in metabolic equivalents of task (METs). Quality of sleep was assessed as Pittsburgh Sleeping Quality Index and stress load using the Trier Inventory for Chronic Stress questionnaire (TICS).
No significant differences were found for overall physical activity, steps per minute, time of exceeding the 3 METs level or sleep quality. A significant difference for physical activity during working hours was found between shift-workers vs. non-shift-workers (p |
| doi_str_mv | 10.1371/journal.pone.0169983 |
| format | Article |
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We prospectively recruited 46 volunteer participants from the workforce of a University Medical Department of which 23 worked in rotating shifts (all nursing) and 21 non-shift regular hours (10 nursing, 13 clerical staff). All were investigated over 7 days by multisensory accelerometer (SenseWear Bodymedia® armband) and kept a detailed food diary. Physical activity and resting energy expenditure (REE) were measured in metabolic equivalents of task (METs). Quality of sleep was assessed as Pittsburgh Sleeping Quality Index and stress load using the Trier Inventory for Chronic Stress questionnaire (TICS).
No significant differences were found for overall physical activity, steps per minute, time of exceeding the 3 METs level or sleep quality. A significant difference for physical activity during working hours was found between shift-workers vs. non-shift-workers (p<0.01) and for shift-working nurses (median = 2.1 METs SE = 0.1) vs. non-shift-working clerical personnel (median = 1.5 METs SE = 0.07, p<0.05). Non-shift-working nurses had a significantly lower REE than the other groups (p<0.05). The proportion of fat in the diet was significantly higher (p<0.05) in the office worker group (median = 42% SE = 1.2) whereas shift-working nurses consumed significantly more carbohydrates (median = 46% SE = 1.4) than clerical staff (median = 41% SE = 1.7). Stress assessment by TICS confirmed a significantly higher level of social overload in the shift working group (p<0.05).
In this prospective cohort study shift-working had no influence on overall physical activity. Lower physical activity during working hours appears to be compensated for during off-hours. Differences in nutritional habits and stress load warrant larger scale trials to determine the effect on implicit health-associated conditions.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0169983</identifier><identifier>PMID: 28081231</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Accelerometers ; Accelerometry ; Adult ; Biology and Life Sciences ; Carbohydrates ; Cardiovascular disease ; Cohort Studies ; Confidence intervals ; Disease susceptibility ; Energy ; Energy expenditure ; Energy measurement ; Energy Metabolism ; Exercise ; Expenditures ; Female ; Habits ; Health aspects ; Health care ; Health Personnel - psychology ; Health Personnel - statistics & numerical data ; Humans ; Male ; Medical personnel ; Medical research ; Medicine ; Medicine and Health Sciences ; Melatonin ; Metabolic syndrome ; Nurses ; Nursing ; Nutrient deficiency ; Nutrition ; Nutritional Status ; Obesity ; Occupational health ; People and Places ; Personnel ; Personnel Staffing and Scheduling ; Physical activity ; Prospective Studies ; Psychological aspects ; Public health ; Quality assessment ; Quality of life ; Shift work ; Sleep ; Sleep - physiology ; Stress ; Stress, Psychological ; Stresses ; Studies ; Surveys and Questionnaires ; Work Schedule Tolerance ; Workers ; Working conditions ; Working hours</subject><ispartof>PloS one, 2017-01, Vol.12 (1), p.e0169983-e0169983</ispartof><rights>COPYRIGHT 2017 Public Library of Science</rights><rights>2017 Roskoden et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2017 Roskoden et al 2017 Roskoden et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c791t-b21d65e6dcd3a74e8a6141c9f9e6178933b46462ed077f040a89983b28306fc63</citedby><cites>FETCH-LOGICAL-c791t-b21d65e6dcd3a74e8a6141c9f9e6178933b46462ed077f040a89983b28306fc63</cites><orcidid>0000-0002-6002-400X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5231338/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5231338/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79342,79343</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28081231$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Roskoden, Frederick Charles</creatorcontrib><creatorcontrib>Krüger, Janine</creatorcontrib><creatorcontrib>Vogt, Lena Johanna</creatorcontrib><creatorcontrib>Gärtner, Simone</creatorcontrib><creatorcontrib>Hannich, Hans Joachim</creatorcontrib><creatorcontrib>Steveling, Antje</creatorcontrib><creatorcontrib>Lerch, Markus M</creatorcontrib><creatorcontrib>Aghdassi, Ali A</creatorcontrib><title>Physical Activity, Energy Expenditure, Nutritional Habits, Quality of Sleep and Stress Levels in Shift-Working Health Care Personnel</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Among health care personnel working regular hours or rotating shifts can affect parameters of general health and nutrition. We have investigated physical activity, sleep quality, metabolic activity and stress levels in health care workers from both groups.
We prospectively recruited 46 volunteer participants from the workforce of a University Medical Department of which 23 worked in rotating shifts (all nursing) and 21 non-shift regular hours (10 nursing, 13 clerical staff). All were investigated over 7 days by multisensory accelerometer (SenseWear Bodymedia® armband) and kept a detailed food diary. Physical activity and resting energy expenditure (REE) were measured in metabolic equivalents of task (METs). Quality of sleep was assessed as Pittsburgh Sleeping Quality Index and stress load using the Trier Inventory for Chronic Stress questionnaire (TICS).
No significant differences were found for overall physical activity, steps per minute, time of exceeding the 3 METs level or sleep quality. A significant difference for physical activity during working hours was found between shift-workers vs. non-shift-workers (p<0.01) and for shift-working nurses (median = 2.1 METs SE = 0.1) vs. non-shift-working clerical personnel (median = 1.5 METs SE = 0.07, p<0.05). Non-shift-working nurses had a significantly lower REE than the other groups (p<0.05). The proportion of fat in the diet was significantly higher (p<0.05) in the office worker group (median = 42% SE = 1.2) whereas shift-working nurses consumed significantly more carbohydrates (median = 46% SE = 1.4) than clerical staff (median = 41% SE = 1.7). Stress assessment by TICS confirmed a significantly higher level of social overload in the shift working group (p<0.05).
In this prospective cohort study shift-working had no influence on overall physical activity. Lower physical activity during working hours appears to be compensated for during off-hours. Differences in nutritional habits and stress load warrant larger scale trials to determine the effect on implicit health-associated conditions.</description><subject>Accelerometers</subject><subject>Accelerometry</subject><subject>Adult</subject><subject>Biology and Life Sciences</subject><subject>Carbohydrates</subject><subject>Cardiovascular disease</subject><subject>Cohort Studies</subject><subject>Confidence intervals</subject><subject>Disease susceptibility</subject><subject>Energy</subject><subject>Energy expenditure</subject><subject>Energy measurement</subject><subject>Energy Metabolism</subject><subject>Exercise</subject><subject>Expenditures</subject><subject>Female</subject><subject>Habits</subject><subject>Health aspects</subject><subject>Health care</subject><subject>Health Personnel - psychology</subject><subject>Health Personnel - statistics & numerical data</subject><subject>Humans</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Melatonin</subject><subject>Metabolic syndrome</subject><subject>Nurses</subject><subject>Nursing</subject><subject>Nutrient deficiency</subject><subject>Nutrition</subject><subject>Nutritional Status</subject><subject>Obesity</subject><subject>Occupational health</subject><subject>People and Places</subject><subject>Personnel</subject><subject>Personnel Staffing and Scheduling</subject><subject>Physical activity</subject><subject>Prospective Studies</subject><subject>Psychological aspects</subject><subject>Public health</subject><subject>Quality assessment</subject><subject>Quality of life</subject><subject>Shift work</subject><subject>Sleep</subject><subject>Sleep - physiology</subject><subject>Stress</subject><subject>Stress, Psychological</subject><subject>Stresses</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>Work Schedule Tolerance</subject><subject>Workers</subject><subject>Working conditions</subject><subject>Working hours</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNk99v0zAQxyMEYmPwHyCwhIRAWosdp479gjRNg02a2KD8eLQc59J6uHaxnWl95w_HWbtpRXuY8pDI-dz3zt-7K4qXBI8JrcmHC98Hp-x46R2MMWFCcPqo2CWCliNWYvr4zvdO8SzGC4wnlDP2tNgpOeakpGS3-Hs-X0WjlUUHOplLk1b76MhBmK3Q0dUSXGtSH2AffelTMMn4nBEdq8akuI--9srmAOQ7NLUAS6Rci6YpQIzoFC7BRmQcms5Nl0a_fPht3Awdg7Jpjg5VAHQOIXrnwD4vnnTKRnixee8VPz4dfT88Hp2efT45PDgd6VqQNGpK0rIJsFa3VNUVcMVIRbToBDBSc0FpU7GKldDiuu5whRUfTGlKTjHrNKN7xeu17tL6KDcGRkn4JPshKBOZOFkTrVcXchnMQoWV9MrI6wMfZlKFZLQFyUlVCUYmUPO6EiILQJOrAN1WvBF40Pq4ydY3C2g1uBSU3RLd_uPMXM78pZzkzlDKs8C7jUDwf3qISS5M1GCtcuD7oW6WbzbhtXgISirGOMYZffMfer8RG2qm8l2N63wuUQ-i8qCq61LQnDVT43uo_LSwMDoPZmfy-VbA-62AzCS4SjPVxyhPpt8ezp793Gbf3mHn10MWve2HiY3bYLUGdfAxBuhu-0GwHPbqxg057JXc7FUOe3W3l7dBN4tE_wEGAxwe</recordid><startdate>20170112</startdate><enddate>20170112</enddate><creator>Roskoden, Frederick Charles</creator><creator>Krüger, Janine</creator><creator>Vogt, Lena Johanna</creator><creator>Gärtner, Simone</creator><creator>Hannich, Hans Joachim</creator><creator>Steveling, Antje</creator><creator>Lerch, Markus M</creator><creator>Aghdassi, Ali A</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-6002-400X</orcidid></search><sort><creationdate>20170112</creationdate><title>Physical Activity, Energy Expenditure, Nutritional Habits, Quality of Sleep and Stress Levels in Shift-Working Health Care Personnel</title><author>Roskoden, Frederick Charles ; Krüger, Janine ; Vogt, Lena Johanna ; Gärtner, Simone ; Hannich, Hans Joachim ; Steveling, Antje ; Lerch, Markus M ; Aghdassi, Ali A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c791t-b21d65e6dcd3a74e8a6141c9f9e6178933b46462ed077f040a89983b28306fc63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Accelerometers</topic><topic>Accelerometry</topic><topic>Adult</topic><topic>Biology and Life Sciences</topic><topic>Carbohydrates</topic><topic>Cardiovascular disease</topic><topic>Cohort Studies</topic><topic>Confidence intervals</topic><topic>Disease susceptibility</topic><topic>Energy</topic><topic>Energy expenditure</topic><topic>Energy measurement</topic><topic>Energy Metabolism</topic><topic>Exercise</topic><topic>Expenditures</topic><topic>Female</topic><topic>Habits</topic><topic>Health aspects</topic><topic>Health care</topic><topic>Health Personnel - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Roskoden, Frederick Charles</au><au>Krüger, Janine</au><au>Vogt, Lena Johanna</au><au>Gärtner, Simone</au><au>Hannich, Hans Joachim</au><au>Steveling, Antje</au><au>Lerch, Markus M</au><au>Aghdassi, Ali A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Physical Activity, Energy Expenditure, Nutritional Habits, Quality of Sleep and Stress Levels in Shift-Working Health Care Personnel</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2017-01-12</date><risdate>2017</risdate><volume>12</volume><issue>1</issue><spage>e0169983</spage><epage>e0169983</epage><pages>e0169983-e0169983</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Among health care personnel working regular hours or rotating shifts can affect parameters of general health and nutrition. We have investigated physical activity, sleep quality, metabolic activity and stress levels in health care workers from both groups.
We prospectively recruited 46 volunteer participants from the workforce of a University Medical Department of which 23 worked in rotating shifts (all nursing) and 21 non-shift regular hours (10 nursing, 13 clerical staff). All were investigated over 7 days by multisensory accelerometer (SenseWear Bodymedia® armband) and kept a detailed food diary. Physical activity and resting energy expenditure (REE) were measured in metabolic equivalents of task (METs). Quality of sleep was assessed as Pittsburgh Sleeping Quality Index and stress load using the Trier Inventory for Chronic Stress questionnaire (TICS).
No significant differences were found for overall physical activity, steps per minute, time of exceeding the 3 METs level or sleep quality. A significant difference for physical activity during working hours was found between shift-workers vs. non-shift-workers (p<0.01) and for shift-working nurses (median = 2.1 METs SE = 0.1) vs. non-shift-working clerical personnel (median = 1.5 METs SE = 0.07, p<0.05). Non-shift-working nurses had a significantly lower REE than the other groups (p<0.05). The proportion of fat in the diet was significantly higher (p<0.05) in the office worker group (median = 42% SE = 1.2) whereas shift-working nurses consumed significantly more carbohydrates (median = 46% SE = 1.4) than clerical staff (median = 41% SE = 1.7). Stress assessment by TICS confirmed a significantly higher level of social overload in the shift working group (p<0.05).
In this prospective cohort study shift-working had no influence on overall physical activity. Lower physical activity during working hours appears to be compensated for during off-hours. Differences in nutritional habits and stress load warrant larger scale trials to determine the effect on implicit health-associated conditions.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>28081231</pmid><doi>10.1371/journal.pone.0169983</doi><tpages>e0169983</tpages><orcidid>https://orcid.org/0000-0002-6002-400X</orcidid><oa>free_for_read</oa></addata></record> |
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| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_1858089369 |
| source | Public Library of Science (PLoS) Journals Open Access; MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Accelerometers Accelerometry Adult Biology and Life Sciences Carbohydrates Cardiovascular disease Cohort Studies Confidence intervals Disease susceptibility Energy Energy expenditure Energy measurement Energy Metabolism Exercise Expenditures Female Habits Health aspects Health care Health Personnel - psychology Health Personnel - statistics & numerical data Humans Male Medical personnel Medical research Medicine Medicine and Health Sciences Melatonin Metabolic syndrome Nurses Nursing Nutrient deficiency Nutrition Nutritional Status Obesity Occupational health People and Places Personnel Personnel Staffing and Scheduling Physical activity Prospective Studies Psychological aspects Public health Quality assessment Quality of life Shift work Sleep Sleep - physiology Stress Stress, Psychological Stresses Studies Surveys and Questionnaires Work Schedule Tolerance Workers Working conditions Working hours |
| title | Physical Activity, Energy Expenditure, Nutritional Habits, Quality of Sleep and Stress Levels in Shift-Working Health Care Personnel |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-05T11%3A27%3A48IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Physical%20Activity,%20Energy%20Expenditure,%20Nutritional%20Habits,%20Quality%20of%20Sleep%20and%20Stress%20Levels%20in%20Shift-Working%20Health%20Care%20Personnel&rft.jtitle=PloS%20one&rft.au=Roskoden,%20Frederick%20Charles&rft.date=2017-01-12&rft.volume=12&rft.issue=1&rft.spage=e0169983&rft.epage=e0169983&rft.pages=e0169983-e0169983&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0169983&rft_dat=%3Cgale_plos_%3EA477293793%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1858089369&rft_id=info:pmid/28081231&rft_galeid=A477293793&rft_doaj_id=oai_doaj_org_article_81449615e787499089eb178ecd48b909&rfr_iscdi=true |