Abstract
We examined the association between shift work and sleep duration with body image dissatisfaction (BID) among shift-working women in southern Brazil. In this cross-sectional study, data of 505 women shift workers, between 18 and 60 years old, were collected between January and April 2011. BID was assessed using the Stunkard Figure Rating Scale. Information on shift work, sleep duration, and other explanatory variables was collected through a questionnaire. An aggregated exposure variable was created and termed “sleep deprivation,” with the exposure category being night-shift workers who slept < 7 h/day. The respective prevalence ratio values were estimated using a Poisson regression. The prevalence of BID among shift-working women was 42.4 (95% CIs = 38.0 to 46.7%), and 199 (93.0%) of these women wished they had a smaller body size. Shift work (PR = 1.40; p = 0.006) and sleep duration (PR = 1.32; p = 0.010) were independently associated with BID. Additionally, workers with sleep deprivation exhibited a higher probability of BID than those without sleep deprivation (PR = 1.31; p = 0.012). These results reveal a situation of vulnerability and the need for strategies and actions directed at shift-working women with the aim of reducing the effects of sleep deprivation on mental health, particularly with regard to body image disorders.
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References
Banfield SS, McCabe MP (2002) An evaluation of the construct of body image. Adolescence 37:373–393
Berg P, Thompson JK, Obremski-Brandon K, Coovert M (2002) The tripartite influence model of body image and eating disturbance: a covariance structure modeling investigation testing the mediational role of appearance comparison. J Psychosom Res 53:1007–1020. https://doi.org/10.1016/S0022-3999(02)00499-3
Bergstrom RL, Neighbors C (2006) Body image disturbance and the social norms approach: an integrative review of the literature. J Soc Clin Psychol 25:975–1000. https://doi.org/10.1521/jscp.2006.25.9.975
Canuto R, Pattussi MP, Macagnan JB, Henn RL, Olinto MT (2014) Sleep deprivation and obesity in shift workers in southern Brazil. Public Health Nutr 17:2619–2623. https://doi.org/10.1017/s1368980013002838
Canuto R, Pattussi MP, Macagnan JB, Henn RL, Olinto MT (2015) Metabolic syndrome in fixed-shift workers. Rev Saude Publica 49:30. https://doi.org/10.1590/S0034-8910.2015049005524
Chaput JP, Despres JP, Bouchard C, Tremblay A (2007) Short sleep duration is associated with reduced leptin levels and increased adiposity: results from the Quebec family study. Obesity 15:253–261. https://doi.org/10.1038/oby.2007.512
Cucchi A, Ryan D, Konstantakopoulos G, Stroumpa S, Kaçar AŞ, Renshaw S, Landau S, Kravariti E (2016) Lifetime prevalence of non-suicidal self-injury in patients with eating disorders: a systematic review and meta-analysis. Psychol Med 46:1345–1358. https://doi.org/10.1017/s0033291716000027
Dweck JS, Jenkins SM, Nolan LJ (2014) The role of emotional eating and stress in the influence of short sleep on food consumption. Appetite 72:106–113. https://doi.org/10.1016/j.appet.2013.10.001
Fallon AE, Rozin P (1985) Sex differences in perceptions of desirable body shape. J Abnorm Psychol 94:102–105. https://doi.org/10.1037/0021-843X.94.1.102
Fortes LS, Cipriani FM, Coelho FD, Paes ST, Ferreira ME (2014) Does self-esteem affect body dissatisfaction levels in female adolescents? Rev Paul Pediatr 32:236–240. https://doi.org/10.1590/0103-0582201432314
França GVA, Gigante DP, Olinto MTA (2014) Binge eating in adults: prevalence and association with obesity, poor self-rated health status and body dissatisfaction. Public Health Nutr 17:932–938. https://doi.org/10.1017/S1368980013000591
Garcez AS, Olinto MT, Canuto R, Olinto BA, Pattussi MP, Paniz VM (2015) Physical activity in adolescence and abdominal obesity in adulthood: a case-control study among women shift workers. Women Health 55:419–431. https://doi.org/10.1080/03630242.2015.1022686
Gardner RM, Brown DL (2010) Body image assessment: a review of figural drawing scales. Pers Individ Differ 48:107–111. https://doi.org/10.1016/j.paid.2009.08.017
Garrusi B, Baneshi MR (2017) Body dissatisfaction among Iranian youth and adults. Cad Saude Publica 33:e00024516. https://doi.org/10.1590/0102-311x00024516
Ginsberg RL, Tinker L, Liu J, Gray J, Sangi-Haghpeykar H, Manson JE, Margolis KL (2016) Prevalence and correlates of body image dissatisfaction in postmenopausal women. Women Health 56:23–47. https://doi.org/10.1080/03630242.2015.1074636
Hirshkowitz M, Whiton K, Albert SM, Alessi C, Bruni O, DonCarlos L, Hazen N, Herman J, Katz ES, Kheirandish-Gozal L, Neubauer DN, O’Donnell AE, Ohayon M, Peever J, Rawding R, Sachdeva RC, Setters B, Vitiello MV, Ware JC, Adams Hillard PJ (2015) National Sleep Foundation’s sleep time duration recommendations: methodology and results summary. Sleep Health 1:40–43. https://doi.org/10.1016/j.sleh.2014.12.010
Jackson KL, Janssen I, Appelhans BM, Kazlauskaite R, Karavolos K, Dugan SA, Avery EA, Shipp-Johnson KJ, Powell LH, Kravitz HM (2014a) Body image satisfaction and depression in midlife women: the study of Women’s Health Across the Nation (SWAN). Arch Womens Ment Health 17:177–187. https://doi.org/10.1007/s00737-014-0416-9
Jackson ML, Sztendur EM, Diamond NT, Byles JE, Bruck D (2014b) Sleep difficulties and the development of depression and anxiety: a longitudinal study of young Australian women. Arch Womens Ment Health 17:189–198. https://doi.org/10.1007/s00737-014-0417-8
Kakeshita IS, Silva AIP, Zanatta DP, Almeida SS (2009) A figure rating scales for Brazilian adults and children: development and test-retest reliability. Psic: Teor e Pesq 25:263–270. https://doi.org/10.1590/S0102-37722009000200015
Kilpela LS, Becker CB, Wesley N, Stewart T (2015) Body image in adult women: moving beyond the younger years. Adv Eat Disord 3:144–164. https://doi.org/10.1080/21662630.2015.1012728
Kleinbaum DG, Klein M (2010) Modeling strategy for assessing interaction and confounding. In: Logistic regression. A self-learning text, Third edn. Springer-Verlag, New York, pp 203–241
Kronenfeld LW, Reba-Harrelson L, Von Holle A, Reyes ML, Bulik CM (2010) Ethnic and racial differences in body size perception and satisfaction. Body Image 7:131–136. https://doi.org/10.1016/j.bodyim.2009.11.002
Krug I, Fuller-Tyszkiewicz M, Anderluh M, Bellodi L, Bagnoli S, Collier D, Fernandez-Aranda F, Karwautz A, Mitchell S, Nacmias B, Ricca V, Sorbi S, Tchanuria K, Wagner G, Treasure J, Micali N (2015) A new social-family model for eating disorders: a European multicentre project using a case-control design. Appetite 95:544–553. https://doi.org/10.1016/j.appet.2015.08.014
Kruger J, Lee CD, Ainsworth BE, Macera CA (2008) Body size satisfaction and physical activity levels among men and women. Obesity 16:1976–1979. https://doi.org/10.1038/oby.2008.311
Lemola S, Raikkonen K, Gomez V, Allemand M (2013) Optimism and self-esteem are related to sleep. Results from a large community-based sample. Int J Behav Med 20:567–571. https://doi.org/10.1007/s12529-012-9272-z
Lev-Ari L, Baumgarten-Katz I, Zohar AH (2014) Mirror, mirror on the wall: how women learn body dissatisfaction. Eat Behav 15:397–402. https://doi.org/10.1016/j.eatbeh.2014.04.015
Macagnan J, Pattussi MP, Canuto R, Henn RL, Fassa AG, Olinto MT (2012) Impact of nightshift work on overweight and abdominal obesity among workers of a poultry processing plant in southern Brazil. Chronobiol Int 29:336–343. https://doi.org/10.3109/07420528.2011.653851
Mintem GC, Horta BL, Domingues MR, Gigante DP (2015) Body size dissatisfaction among young adults from the 1982 Pelotas birth cohort. Eur J Clin Nutr 69:55–61. https://doi.org/10.1038/ejcn.2014.146
Mouchacca J, Abbott GR, Ball K (2013) Associations between psychological stress, eating, physical activity, sedentary behaviours and body weight among women: a longitudinal study. BMC Public Health 13:828. https://doi.org/10.1186/1471-2458-13-828
Nikniaz Z, Mahdavi R, Amiri S, Ostadrahimi A, Nikniaz L (2016) Factors associated with body image dissatisfaction and distortion among Iranian women. Eat Behav 22:5–9. https://doi.org/10.1016/j.eatbeh.2016.03.018
Nunes MA, Olinto MTA, Barros FC, Camey S (2001) Influence of body mass index and body weight perception on eating disorders symptoms. Rev Bras Psiquiatr 23:21–27. https://doi.org/10.1590/S1516-44462001000100006
Polivy J, Pliner P (2015) “She got more than me”. Social comparison and the social context of eating. Appetite 86:88–95. https://doi.org/10.1016/j.appet.2014.08.007
Pruessner JC, Baldwin MW, Dedovic K, Renwick R, Mahani NK, Lord C, Meaney M, Lupien S (2005) Self-esteem, locus of control, hippocampal volume, and cortisol regulation in young and old adulthood. Neuroimage 28:815–826. https://doi.org/10.1016/j.neuroimage.2005.06.014
Rodgers RF, Paxton SJ, McLean SA (2014) A biopsychosocial model of body image concerns and disordered eating in early adolescent girls. J Youth Adolesc 43:814–823. https://doi.org/10.1007/s10964-013-0013-7
Rothman KJ, Gallacher JE, Hatch EE (2013) Why representativeness should be avoided. Int J Epidemiol 42:1012–1014. https://doi.org/10.1093/ije/dys223
Scagliusi FB, Alvarenga M, Polacow VO, Cordás TA, de Oliveira Queiroz GK, Coelho D, Philippi ST, Lancha AH Jr (2006) Concurrent and discriminant validity of the Stunkard’s figure rating scale adapted into Portuguese. Appetite 47:77–82. https://doi.org/10.1016/j.appet.2006.02.010
Shan Z, Ma H, Xie M, Yan P, Guo Y, Bao W, Rong Y, Jackson CL, Hu FB, Liu L (2015) Sleep duration and risk of type 2 diabetes: a meta-analysis of prospective studies. Diabetes Care 38:529–537. https://doi.org/10.2337/dc14-2073
Siegrist J, Rodel A (2006) Work stress and health risk behavior. Scand J Work Environ Health 32:473–481. https://doi.org/10.5271/sjweh.1052
Silva DAS, Nahas MV, de Sousa TF, Del Duca GF, Peres KG (2011) Prevalence and associated factors with body image dissatisfaction among adults in southern Brazil: a population-based study. Body Image 8:427–431. https://doi.org/10.1016/j.bodyim.2011.05.009
Slevec JH, Tiggemann M (2011) Predictors of body dissatisfaction and disordered eating in middle-aged women. Clin Psychol Rev 31:515–524. https://doi.org/10.1016/j.cpr.2010.12.002
Smith AR, Zuromski KL, Dodd DR (2018) Eating disorders and suicidality: what we know, what we don’t know, and suggestions for future research. Curr Opin Psychol 22:63–67. https://doi.org/10.1016/j.copsyc.2017.08.023
Stunkard AJ, Sorensen T, Schulsinger F (1983) Use of the Danish Adoption Register for the study of obesity and thinness. Res Publ Assoc Res Nerv Ment Dis 60:115–120
Swami V (2015) Cultural influences on body size ideals: unpacking the impact of westernization and modernization. Eur Psychol 20:44–51. https://doi.org/10.1027/1016-9040/a000150
Thompson JK, Altabe MN (1991) Psychometric qualities of the figure rating scale. Int J Eat Disord 10:615–619
Trace SE, Thornton LM, Runfola CD, Lichtenstein P, Pedersen NL, Bulik CM (2012) Sleep problems are associated with binge eating in women. Int J Eat Disord 45:695–703. https://doi.org/10.1002/eat.22003
Ulhôa MA, Marqueze EC, Kantermann T, Skene D, Moreno C (2011) When does stress end? Evidence of a prolonged stress reaction in shiftworking truck drivers. Chronobiol Int 28:810–818. https://doi.org/10.3109/07420528.2011.613136
Ulhôa MA, Marqueze EC, Burgos LGA, Moreno CRC (2015) Shift work and endocrine disorders. Int J Endocrinol. https://doi.org/10.1155/2015/826249
Valeyre A, Lorenz E, Cartron D, Csizmadia P, Gollac M, Illéssy M, Makó C (2009) Working conditions in the European Union: work organisation. Eurofound—European Foundation for the Improvement of Living and Working Conditions, Ireland
Victora CG, Huttly SR, Fuchs SC, Olinto MT (1997) The role of conceptual frameworks in epidemiological analysis: a hierarchical approach. Int J Epidemiol 26:224–227. https://doi.org/10.1093/ije/26.1.224
Wilson RE, Latner JD, Hayashi K (2013) More than just body weight: the role of body image in psychological and physical functioning. Body Image 10:644–647. https://doi.org/10.1016/j.bodyim.2013.04.007
Funding
This study was supported by the National Council of Technological and Scientific Development (CNPq, grant numbers 477069/2009-6, 478366/2011-6). The funders had no role in study design, data collection and analysis, decision to publish, and the preparation or approval of the manuscript.
Leite HM and Garcez A received a scholarship from Brazilian Federal Agency for Support and Evaluation of Graduated Education (CAPES). Olinto MT received research productivity grant from the National Council of Technological and Scientific Development (CNPq; grant 307257/2013-4 and 307175/2017-0).
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Leite, H.M., Garcez, A., Nunes, M.A.A. et al. Shift work, sleep duration, and body image dissatisfaction among female workers in southern Brazil. Arch Womens Ment Health 22, 583–592 (2019). https://doi.org/10.1007/s00737-018-0927-x
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DOI: https://doi.org/10.1007/s00737-018-0927-x