Abstract
Objectives
Night shift work has been linked to some chronic diseases. Modification of lifestyle by night work may partially contribute to the development of these diseases, nevertheless, so far epidemiological evidence is limited. The aim of the study was to explore association between night shift work and lifestyle factors using data from a cross-sectional study among blue-collar workers employed in industrial plants in Łódź, Poland.
Material and Methods
The anonymous questionnaire was self-administered among 605 employees (236 women and 369 men, aged 35 or more) — 434 individuals currently working night shifts. Distribution of the selected lifestyle related factors such as smoking, alcohol drinking, physical activity, body mass index (BMI), number of main meals and the hour of the last meal was compared between current, former, and never night shift workers. Adjusted ORs or predicted means were calculated, as a measure of the associations between night shift work and lifestyle factors, with age, marital status and education included in the models as covariates.
Results
Recreational inactivity (defined here as less than one hour per week of recreational physical activity) was associated with current night shift work when compared to never night shift workers (OR = 2.43, 95% CI: 1.13–5.22) among men. Alcohol abstinence and later time of the last meal was associated with night shift work among women. Statistically significant positive relationship between night shift work duration and BMI was observed among men (p = 0.029).
Conclusions
This study confirms previous studies reporting lower exercising among night shift workers and tendency to increase body weight. This finding provides important public health implication for the prevention of chronic diseases among night shift workers. Initiatives promoting physical activity addressed in particular to the night shift workers are recommended.
This is a preview of subscription content, access via your institution.
References
Wang XS, Armstrong ME, Cairns BJ, Key TJ, Travis RC. Shift work and chronic disease: The epidemiological evidence. Occup Med (Lond). 2011;61(2):78–89, http://dx.doi.org/10.1093/occmed/kqr001.
International Agency for Research on Cancer. IARC Monographs on the Evaluation of Carcinogenic Risks to Humans. Volume 98 Painting, firefighting, and shiftwork. Lyon: IARC; 2010.
Brudnowska J, PepŁońska B. [Night shift work and cancer risk: A literature review]. Med Pr. 2011;62(3):323–338. Polish.
Smith MR, Eastman CI. Shift work: Health, performance and safety problems, traditional countermeasures, and innovative management strategies to reduce circadian misalignment. Nat Sci Sleep. 2012;27(4):111–132.
Ezzati M, Riboli E. Can noncommunicable diseases be prevented? Lessons from studies of populations and individuals. Science. 2012;337(6101):1482–1487, http://dx.doi.org/10.1126/science.1227001.
Sattelmair J, Pertman J, Ding EL, Kohl HW III, Haskell W, Lee IM. Dose response between physical activity and risk of coronary heart disease: A meta-analysis. Circulation. 2011;124(7):789–795, http://dx.doi.org/10.1161/CIRCULATIONAHA.110.010710.
Bassuk SS, Manson JE. Epidemiological evidence for the role of physical activity in reducing risk of type 2 diabetes and cardiovascular disease. J Appl Physiol. 2005;99(3): 1193–1204, http://dx.doi.org/10.1152/japplphysiol.00160.2005.
Wolin KY, Yan Y, Colditz GA, Lee IM. Physical activity and colon cancer prevention: A meta-analysis. Br J Cancer. 2009;100(4):611–616, http://dx.doi.org/10.1038/sj.bjc.6604917.
Friedenreich CM. Physical activity and breast cancer: Review of the epidemiologic evidence and biologic mechanisms. Recent Results Cancer Res. 2011;188:125–139, http://dx.doi.org/10.1007/978-3-642-10858-7_11.
Liu Y, Hu F, Li D, Wang F, Zhu L, Chen W, et al. Does physical activity reduce the risk of prostate cancer? A systematic review and meta-analysis. Eur Urol. 2011;60(5): 1029–1044, http://dx.doi.org/10.1016/j.eururo.2011.07.007.
Guh DP, Zhang W, Bansback N, Amarsi Z, Birmingham CL, Anis AH. The incidence of co-morbidities related to obesity and overweight: A systematic review and meta-analysis. BMC Public Health. 2009;9:88, http://dx.doi.org/10.1186/1471-2458-9-88.
Rutenfranz J, Colquhoun WP, Knauth P, Ghata JN. Biomedical and psychosocial aspects of shift work. A review. Scand J Work Environ Health. 1977;3(4):165–182, http://dx.doi.org/10.5271/sjweh.2777.
Fritschi L, Glass DC, Heyworth JS, Aronson K, Girschik J, Boyle T, et al. Hypotheses for mechanisms linking shiftwork and cancer. Med Hypotheses. 2011;77(3):430–436, http://dx.doi.org/10.1016/j.mehy.2011.06.002.
Wang XS, Travis RC, Reeves G, Green J, Allen NE, Key TJ, et al. Characteristics of the Million Women Study participants who have and have not worked at night. Scand J Work Environ Health. 2012;38(6):590–599, http://dx.doi.org/10.5271/sjweh.3313.
Saksvik-Lehouillier I, Bjorvatn B, Hetland H, Sandal GM, Moen BE, Mageroy N, et al. Individual, situational and lifestyle factors related to shift work tolerance among nurses who are new to and experienced in night work. J Adv Nurs. 2013;69(5): 1136–1146, http://dx.doi.org/10.1111/j.1365-2648.2012.06105.x.
Zhao I, Bogossian F, Turner C. Does maintaining or changing shift types affect BMI? A longitudinal study. J Occup Environ Med. 2012;54(5):525–531, http://dx.doi.org/10.1097/JOM.0b013e31824e1073.
Zhao I, Bogossian F, Turner C. A cross-sectional analysis of the association between night-only or rotating shift work and overweight/obesity among female nurses and midwives. J Occup Environ Med. 2012;54(7):834–840, http://dx.doi.org/10.1097/JOM.0b013e31824e1058.
Trinkoff AM, Storr CL. Work schedule characteristics and substance use in nurses. Am J Ind Med. 1998;34(3): 266–271, http://dx.doi.org/10.1002/(SICI)1097-0274(199809)34:3%3C266::AID-AJIM9%3E3.0.CO;2-T.
van Amelsvoort LG, Schouten EG, Kok FJ. Duration of shiftwork related to body mass index and waist to hip ratio. Int J Obes Relat Metab Disord. 1999;23(9):973–98, http://dx.doi.org/10.1038/sj.ijo.0801028.
Kivimaki M, Kuisma P, Virtanen M, Elovainio M. Does shift work lead to poorer health habits? A comparison between women who had always done shift work with those who had never done shift work. Work Stress. 2001;15(1):3–13, http://dx.doi.org/10.1080/02678370118685.
Geliebter A, Gluck ME, Tanowitz M, Aronoff NJ, Zammit GK. Work-shift period and weight change. Nutrition. 2000;16(1):27–29, http://dx.doi.org/10.1016/S0899-9007(99)00228-2.
Knutsson A, Nilsson T. Tobacco use and exposure to environmental tobacco smoke in relation to certain work characteristics. Scand J Soc Med. 1998;26(3):183–189.
de Bacquer BD, van Risseghem RM, Clays E, Kittel F, de Backer G, Braeckman L. Rotating shift work and themetabolic syndrome: A prospective study. Int J Epidemiol. 2009;38(3):848–854, http://dx.doi.org/10.1093/ije/dyn360.
Kawachi I, Colditz GA, Stampfer MJ, Willett WC, Manson JE, Speizer FE, et al. Prospective study of shift work and risk of coronary heart disease in women. Circulation. 1995; 92(11):3178–3182, http://dx.doi.org/10.1161/01.CIR.92.11.3178.
Hansen J, Stevens RG. Case-control study of shift-work and breast cancer risk in Danish nurses: Impact of shift systems. Eur J Cancer. 2012;48(11):1722–179, http://dx.doi.org/10.1016/j.ejca.2011.07.005.
Schernhammer ES, Kroenke CH, Laden F, Hankinson SE. Night work and risk of breast cancer. Epidemiology. 2006;17(1):108–111, http://dx.doi.org/10.1097/01.ede.0000190539.03500.c1.
Bushnell PT, Colombi A, Caruso CC, Tak S. Work schedules and health behavior outcomes at a large manufacturer. Ind Health. 2010;48(4):395–405, http://dx.doi.org/10.2486/indhealth.MSSW-03.
Peplonska B, Bukowska A, Gromadzinska J, Sobala W, Reszka E, Lie JA, et al. Night shift work characteristics and 6-sulfatoxymelatonin (MT6s) in rotating night shift nurses and midwives. Occup Environ Med. 2012;69(5): 339–346, http://dx.doi.org/10.1136/oemed-2011-100273.
van Amelsvoort LG, Schouten EG, Kok FJ. Impact of one year of shift work on cardiovascular disease risk factors. J Occup Environ Med. 2004;46(7):699–706, http://dx.doi.org/10.1097/01.jom.0000131794.83723.45.
de Assis MA, Kupek E, Nahas MV, Bellisle F. Food intake and circadian rhythms in shift workers with a high workload. Appetite. 2003;40(2):175–183, http://dx.doi.org/10.1016/S0195-6663(02)00133-2.
Morikawa Y, Nakagawa H, Miura K, Soyama Y, Ishizaki M, Kido T, et al. Effect of shift work on body mass index and metabolic parameters. Scand J Work Environ Health. 2007; 33(1):45–50, http://dx.doi.org/10.5271/sjweh.1063.
Pietroiusti A, Neri A, Somma G, Coppeta L, Iavicoli I, Bergamaschi A, et al. Incidence of metabolic syndrome among night-shift healthcare workers. Occup Environ Med. 2010;67(1):54–57, http://dx.doi.org/10.1136/oem.2009.046797.
Nakamura K, Shimai S, Kikuchi S, Tominaga K, Takahashi H, Tanaka M, et al. Shift work and risk factors for coronary heart disease in Japanese blue-collar workers: Serum lipids and anthropometric characteristics. Occup Med (Lond). 1997;47(3):142–146, http://dx.doi.org/10.1093/occmed/47.3.142.
Amani R, Gill T. Shiftworking, nutrition and obesity: Implications for workforce health — A systematic review. Asia Pac J Clin Nutr. 2013;22(4):505–515.
[Regulation of the Council of Ministers of 24 December 2007 on the Polish Classification of Activities (PKD). J Laws 2007 no. 251, item 1889, J Laws 2009 no. 489]. Polish.
Pan A, Schernhammer ES, Sun Q, Hu FB. Rotating night shift work and risk of type 2 diabetes: Two prospective cohort studies in women. PLoS Med. 2011;8(12):e1001141, http://dx.doi.org/10.1371/journal.pmed.1001141.
Kroenke CH, Spiegelman D, Manson J, Schernhammer ES, Colditz GA, Kawachi I. Work characteristics and incidence of type 2 diabetes in women. Am J Epidemiol. 2007;165(2):175–183, http://dx.doi.org/10.1093/aje/kwj355.
Jia Y, Lu Y, Wu K, Lin Q, Shen W, Zhu M, et al. Does night work increase the risk of breast cancer? A systematic review and meta-analysis of epidemiological studies. Cancer Epidemiol. 2013;37(3):197–206, http://dx.doi.org/10.1016/j.canep.2013.01.005.
Kubo T, Ozasa K, Mikami K, Wakai K, Fujino Y, Watanabe Y, et al. Prospective cohort study of the risk of prostate cancer among rotating-shift workers: Findings from the Japan collaborative cohort study. Am J Epidemiol. 2006; 164(6):549–555, http://dx.doi.org/10.1093/aje/kwj232.
Schernhammer ES, Laden F, Speizer FE, Willett WC, Hunter DJ, Kawachi I, et al. Night-shift work and risk of colorectal cancer in the nurses’ health study. J Natl Cancer Inst. 2003;95(11):825–828, http://dx.doi.org/10.1093/jnci/95.11.825.
Central Statistical Office (GUS). [Health status of Polish population in 2009]. Warszawa: GUS; 2011. Polish.
Burdelak W, Bukowska A, Krysicka J, Pepłońska B. Night work and health status of nurses and midwives. Cross-sectional study. Med Pr. 2012;63(5):517–529.
Hansen J, Lassen CF. Nested case-control study of night shift work and breast cancer risk among women in the Danish military. Occup Environ Med. 2012;69(8):551–556, http://dx.doi.org/10.1136/oemed-2011-100240.
Zhao I, Bogossian F, Turner C. The effects of shift work and interaction between shift work and overweight/obesity on low back pain in nurses: Results from a longitudinal study. J Occup Environ Med. 2012;54(7):820–825, http://dx.doi.org/10.1097/JOM.0b013e3182572e6a.
Zhao I, Bogossian F, Song S, Turner C. The association between shift work and unhealthy weight: A cross-sectional analysis from the Nurses and Midwivesł e-cohort Study. J Occup Environ Med. 2011;53(2):153–158, http://dx.doi.org/10.1097/JOM.0b013e318205e1e8.
Karlsson B, Knutsson A, Lindahl B. Is there an association between shift work and having a metabolic syndrome? Results from a population based study of 27 485 people. Occup Environ Med. 2001;58(11):747–752, http://dx.doi.org/10.1136/oem.58.11.747.
Parkes KR. Shift work and age as interactive predictors of body mass index among offshore workers. Scand J Work Environ Health. 2002;28(1):64–71, http://dx.doi.org/10.5271/sjweh.648.
Chee HL, Kandiah M, Khalid M, Shamsuddin K, Jamaluddin J, Nordin NA, et al. Body mass index and factors related to overweight among women workers in electronic factories in Peninsular Malaysia. Asia Pac J Clin Nutr. 2004;13(3):248–254.
di Lorenzo L, de Pergola G, Zocchetti C, L’Abbate N, Basso A, Pannacciulli N, et al. Effect of shift work on body mass index: Results of a study performed in 319 glucose-tolerant men working in a Southern Italian industry. Int J Obes Relat Metab Disord. 2003;27(11):1353–1358, http://dx.doi.org/10.1038/sj.ijo.0802419.
Niedhammer I, Lert F, Marne MJ. Prevalence of overweight and weight gain in relation to night work in a nurses’ cohort. Int J Obes Relat Metab Disord. 1996;20(7):625–633.
Ishizaki M, Morikawa Y, Nakagawa H, Honda R, Kawakami N, Haratani T, et al. The influence of work characteristics on body mass index and waist to hip ratio in Japanese employees. Ind Health. 2004;42(1):41–49, http://dx.doi.org/10.2486/indhealth.42.41.
Ostry AS, Radi S, Louie AM, Lamontagne AD. Psychosocial and other working conditions in relation to body mass index in a representative sample of Australian workers. BMC Public Health. 2006;6:53, http://dx.doi.org/10.1186/1471-2458-6-53.
van Drongelen A, Boot C, Merkus S, Smid T, van der Beek A. The effects of shift work on body weight change — A systematic review of longitudinal studies. Scand J Work Environ Health. 2011;37(4):263–275, http://dx.doi.org/10.5271/sjweh.3143.
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. 2010; 36(2):150–162, http://dx.doi.org/10.5271/sjweh.2898.
de Assis MA, Nahas MV, Bellisle F, Kupek E. Meals, snacks and food choices in Brazilian shift workers with high energy expenditure. J Hum Nutr Diet. 2003;16(4):283–289, http://dx.doi.org/10.1046/j.1365-277X.2003.00448.x.
Esquirol Y, Bongard V, Mabile L, Jonnier B, Soulat JM, Perret B. Shift work and metabolic syndrome: Respective impacts of job strain, physical activity, and dietary rhythms. Chronobiol Int. 2009;26(3):544–559, http://dx.doi.org/10.1080/07420520902821176.
Lennernas MA, Hambraeus L, Akerstedt T. Nutrition and shiftwork: The use of meal classification as a new tool for qualitative/quantitative evaluation of dietary intake in shiftworkers. Ergonomics. 1993;36(1–3):247–254, http://dx.doi.org/10.1080/00140139308967879.
Ekmekcioglu C, Touitou Y. Chronobiological aspects of food intake and metabolism and their relevance on energy balance and weight regulation. Obes Rev. 2011;12(1):14–25, http://dx.doi.org/10.1111/j.1467-789X.2010.00716.x.
Villanueva EV. The validity of self-reported weight in US adults: A population based cross-sectional study. BMC Public Health. 2001;1:11, http://dx.doi.org/10.1186/1471-2458-1-11.
Author information
Authors and Affiliations
Corresponding author
Additional information
This project is supported by a grant “The risk of selected cancers in the night shift workers“ from the National Science Centre, Grant No. PB5169/B/P01/2010/38. Principal Investigator: Beata Pepłońska MD, PhD.
About this article
Cite this article
Pepłońska, B., Burdelak, W., Krysicka, J. et al. Night shift work and modifiable lifestyle factors. IJOMEH 27, 693–706 (2014). https://doi.org/10.2478/s13382-014-0298-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.2478/s13382-014-0298-0