Investıgatıon Of Relatıonshıp Between Nutrıtıon And Sleep Qualıty In Shıft Workıng Drıvers

Yıl 2021, Cilt: 4 Sayı: 3, 145 - 153, 20.08.2021

Merve Kayalı Sevim , Hilal Hızlı , Sebiha Özge Duman

https://doi.org/10.53493/avrasyasbd.852546

Cited By: 1

Öz

Introduction and Aim: This study was conducted to determine the relationship between dietary habits and sleep quality in shift workers.
Materials and Methods: The study was carried out with 150 male drivers working in Istanbul with an age range of 21-57. The data were collected with a questionnaire form applied by face to face interview method. In addition to demographic information, anthropometric measurements, physical activity levels and eating habits were questioned in the questionnaire. Body mass index (BMI) of the individuals was calculated, and sleep quality was evaluated with the Pittsburg Sleep Quality Index (PSQI).
Results: The average body weight of the individuals is 90.6 ± kg, and the BMI of 51.1% is over 30 kg / m2. It was found that the rate of skipping meals was high (73.3%) and the sleep quality of 68.0% was poor. According to the PSQI evaluation, 34% of the individuals were found to have poor sleep quality. There was no significant difference between PSQI and BMI scores of individuals working in shifts (p> 0.05). It was found that drivers who consume high-calorie food during the shift to cope with sleep have lower sleep quality (p <0.05).
Conclusion: Due to shift work, drivers skip meals at a high rate and turn to unhealthy snacks to cope with sleep. Approximately one in three drivers has poor sleep quality. It is necessary to increase the sleep quality of these individuals, who play the most important role in the public transportation system in the largest city of our country, and to offer solutions for the nutritional problems they encounter.

Anahtar Kelimeler

nutrition, shift work, BMI, sleep quality

Vardiyalı Çalışan Şoförlerde Beslenme Alışkanlığı ile Uyku Kalitesi Arasındaki İlişkinin Araştırılması

Öz

Giriş ve Amaç: Bu çalışma, vardiyalı çalışan şoförlerde beslenme alışkanlıkları ile uyku kalitesi arasındaki ilişkinin belirlenmesi amacıyla yapılmıştır.
Gereç ve Yöntem: Çalışma, İstanbul’da çalışan yaş aralığı 21-57 olan 150 erkek şoför ile gerçekleştirilmiştir. Veriler, yüz yüze görüşme yöntemiyle uygulanan bir anket formu ile toplanmıştır. Ankette demografik bilgilerin yanı sıra antropometrik ölçümler, fiziksel aktivite düzeyleri ve beslenme alışkanlıkları sorgulanmıştır. Bireylerin beden kütle indeksi (BKİ) hesaplanmış, uyku kalitesi ise Pittsburg Uyku Kalitesi İndeksi (PUKİ) ile değerlendirilmiştir.
Bulgular: Bireylerin ortalama vücut ağırlığı 90,6± kg olup, %51,1’nin BKİ’si 30 kg/m2’nin üzerindedir. Öğün atlama oranının yüksek (%73,3) ve %68,0’inin uyku kalitesinin kötü olduğu saptanmıştır. PUKİ değerlendirmesine göre bireylerin %34’ünün kötü uyku kalitesine sahip olduğu bulunmuştur. Vardiyalı çalışan bireylerin PUKİ ve BKİ puanları arasında anlamlı bir fark bulunmamıştır (p>0,05). Uyku ile baş etmek için vardiya sırasında kalorisi yüksek besin tüketimi olan şoförlerin uyku kalitesinin daha düşük olduğu saptanmıştır (p<0,05).
Sonuç: Şoförler vardiyalı çalışmaya bağlı olarak yüksek oranda öğün atlamakta, uyku ile baş etmek için sağlıksız atıştırmalıklara yönelmektedir. Yaklaşık her üç şoförden biri kötü uyku kalitesine sahiptir. Ülkemizin en büyük kentindeki toplu taşıma sisteminde en önemli rolü üstlenen bu bireylerin uyku kalitesinin artırılması ve karşılaştıkları beslenme sorunları için çözüm önerileri sunulması gereklidir.

Anahtar Kelimeler

beslenme, vardiyalı çalışma, uyku kalitesi, BKİ

Kaynakça

• Kosmadopoulos A, Kervezee L, Boudreau P.(2020). Effects of Shift Work on the Eating Behavior of Police Officers on Patrol. Nutrients, 12(4): 999. Booker LA, Magee M, Rajaratnam SM., Sletten TL, & Howard, ME. (2018). Individual vulnerability to insomnia, excessive sleepiness and shift work disorder amongst healthcare shift workers. A systematic review. Sleep medicine reviews, 41: 220-233.
• Chellappa SL. (2020). Circadian misalignment: A biological basis for mood vulnerability in shift work. European Journal of Neuroscience, 52(8): 3846-3850.
• Resuehr D, Wu G, Johnson Jr RL, Young ME, Hogenesch JB, & Gamble KL. (2019). Shift work disrupts circadian regulation of the transcriptome in hospital nurses. Journal of biological rhythms, 34(2):167-177.
• Faulkner SM, Bee PE, Meyer N, Dijk DJ, & Drake RJ. (2019). Light therapies to improve sleep in intrinsic circadian rhythm sleep disorders and neuro-psychiatric illness: A systematic review and meta-analysis. Sleep medicine reviews, 46: 108-123.
• Foster RG. (2020). Sleep, circadian rhythms and health. Interface Focus, 10(3):20190098.
• Li Y, Ma J, Yao K, Su W, Tan B, Wu X,& Yin J. (2020). Circadian rhythms and obesity: Timekeeping governs lipid metabolism. Journal of Pineal Research, 69(3): e12682.
• Mason IC, Qian J, Adler GK, Scheer FAJL. (2020), Impact of circadian disruption on glucose metabolism: Implications for type 2 diabetes. Diabetologia, 63: 462–472.
• Ihlström J, Kecklund G, & Anund A. (2017). Split-shift work in relation to stress, health and psychosocial work factors among bus drivers. Work, 56(4): 531-538.
• Langenberg D, Vlaanderen JJ, Dollé MET, Rookus MA, van Kerkhof LWM and Vermeulen RCH. (2019), Diet, physical activity, and daylight exposure patterns in night-shift workers and day workers. Annals of Work Exposures and Health, 63(1): 9– 21.
• Kervezee L, Shechter A, and Boivin DB. (2018), Impact of shift work on the circadian timing system and health in women. Sleep Medicine Clinics, 13: 295–306.
• Sun M, Feng W, Wang F. Et al(2018), Meta-analysis on shift work and risks of specific obesity types. Obes. Rev, 19: 28–40.
• Hawes NJ, Wiggins AT, Reed DB,& Hardin‐Fanning F. (2019). Poor sleep quality is associated with obesity and depression in farmers. Public Health Nursing, 36(3): 270-275.
• Chen Y, Lauren S, Chang BP, Shecther A. (2019), Objective food intake in night and day shift workers: a laboratory study. Clocks & sleep, 1(1): 42-49.
• Tse JLM, Flin R, Mearns K. (2006), Bus Driver Well- Being Review: 50 Years of Research. Transportation Research, 9: 89–114.
• Buysse, Daniel J. (1989), The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry res, 28(2): 193-213.
• Agargun MY. (1996), Pittsburgh uyku kalitesi indeksinin gecerligi ve guvenirligi. Turk Psikiyatri Dergisi, 107-115.
• Tahara Y, Takatsu Y, Shiraishi T, Kikuchi Y, Yamazaki M, Motohashi H, & Nakamura T J. (2017). Age-related circadian disorganization caused by sympathetic dysfunction in peripheral clock regulation. npj Aging and Mechanisms of Disease, 3(1): 1-11.
• Gadie A, Shafto M, Leng Y, & Kievit RA. (2017). How are age-related differences in sleep quality associated with health outcomes? An epidemiological investigation in a UK cohort of 2406 adults. BMJ open, 7(7): e014920.
• Lahlouh A, & Mustafa M. (2020). Sleep quality and health related problems of shift work among resident physicians: a cross-sectional study. Sleep Medicine, 66: 201-206.
• Lemke MK, Apostolopoulos Y, Hege A, Sönmez S, & Wideman L. (2016). Understanding the role of sleep quality and sleep duration in commercial driving safety. Accident Analysis & Prevention, 97: 79-86.
• Kalmbach DA, Fang Y, Arnedt JT, Cochran AL, Deldin PJ, Kaplin AI, & Sen S. (2018). Effects of sleep, physical activity, and shift work on daily mood: a prospective mobile monitoring study of medical interns. Journal of general internal medicine, 33(6): 914-920.
• Gifkins J, Johnston A, and Loudoun R. (2018), The impact of shift work on eating patterns and self-care strategies utilised by experienced and inexperienced nurses. Chronobiology International, 35(6): 811-820.
• Souza RV, Sarmento RA, de Almeida JC and Canuto R. (2019), The effect of shift work on eating habits: a systematic review. Scandinavian Journal of Work Environmental Health, 45(1): 7-21.
• Nakamura M, Miura A, Nagahata T. et al. (2018), Dietary intake and dinner timing among shift workers in Japan. Journal of Occupational Health, 60: 467-474.
• Sutanto CN, Wang M. X., Tan, D., & Kim, J. E. (2020). Association of Sleep Quality and Macronutrient Distribution: A Systematic Review and Meta-Regression. Nutrients, 12(1): 126.
• Beebe D, Chang JJ, Kress K, and Mattfeldt-Beman M. (2017), Diet quality and sleep quality among day and night shift nurses. Journal of Nursing Management, 25: 549– 557.
• Maddahi NS, Yarizadeh H, Setayesh L, Nasir Y, Alizadeh S, & Mirzaei K. (2020). Association between dietary energy density with mental health and sleep quality in women with overweight/obesity. BMC Research Notes, 13: 1-6.
• Tada Y, Kawano Y, Maeda I, et al. (2014), Association of body mass index with lifestyle and rotating shift work in Japanese female nurses. Obesity, 22(12): 2489- 2493.
• Bonnell EK, Huggins CE, Huggins CT, McCaffrey TA, Palermo C, Bonham MP. (2017), İnfluences on Dieatary Choices During Day Versus Night Shift in Shift Workers: A Mixed Methods Study. Nutrients, 9(3): 193.