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Transit workers may be under the risk for eating disorders: A cross-sectional study in Turkiye

Year 2024, Volume: 7 Issue: 2, 205 - 213, 30.09.2024
https://doi.org/10.52538/iduhes.1520893

Abstract

This study was planned and conducted to determine eating disorder risk and related factors (such as laxative usage) in transit workers working in Metro Istanbul in Turkiye. Transit drivers (n=249) reported marital status, education, sleep duration, physical activity status and eating disorder questionnaires as SCOFF and Eating Disorder Examination Questionnaire (EDE-Q-TR) scales. Height and body weight were measured for each participant. Nonparametric tests and Spearman’s correlation were used to examine associations between scales, laxative usage and sleep, exercise durations. Participants were mostly male, with a total mean age of 38.31±6.15 years. Positive statistically significant correlations were found between SCOFF and EDE-Q-TR scores (restriction, eating concern, body concern, weight concern). When total scores of SCOFF and EDE-Q-TR were compared by gender, females had higher scores (p<0.001, mostly), but again, males had higher scores than the cut-off. Participants that exercised for more than 150 minutes a week were found to be having higher risk of eating disorders than the other groups. Transit workers’ were at risk of eating disorders. Because transit workers carrying lives, they need to be healthier than passengers. Dietitian interventions about healthy nutrition recommendations and practices from companies are recommended.

References

  • Apostolopoulos, Y., Sönmez, S., Shattell, M., Haldeman, L., Strack, R., Jones, V. (2011). Barriers to truck drivers' healthy eating: environmental influences and health promotion strategies. Journal of Workplace Behavioral Health, 26(2), 122-143.
  • Aydemir, Ö., Köksal, B., Sapmaz, S. Y., Yüceyar, H. (2015). Kadin üniversite ögrencilerinde REZZY Yeme Bozukluklari Ölçegi Türkçe formunun güvenilirlik ve geçerliligi/Reliability and validity of Turkish form of SCOFF Eating Disorders Scale. Anadolu Psikiyatri Dergisi, 16, 31.
  • Escoto, K. H., French, S. A., Harnack, L. J., Toomey, T. L., Hannan, P. J., Mitchell, N. R. (2010). Work hours, weight status, and weight-related behaviors: a study of metro transit workers. International Journal of Behavioral Nutrition and Physical Activity, 7, 1-10.
  • Fairburn, C. G., Beglin, S. J. (1994). Assessment of eating disorders: Interview or self‐report questionnaire?. International journal of eating disorders, 16(4), 363-370.
  • Finkelstein, E. A., Fiebelkorn, I. C., Wang, G. (2004). State‐level estimates of annual medical expenditures attributable to obesity. Obesity research, 12(1), 18-24.
  • French, S. A., Harnack, L. J., Toomey, T. L., Hannan, P. J. (2007). Association between body weight, physical activity and food choices among metropolitan transit workers. International Journal of Behavioral Nutrition and Physical Activity, 4, 1-12.
  • French, S. A., Story, M., Jeffery, R. W. (2001). Environmental influences on eating and physical activity. Annual review of public health, 22(1), 309-335.
  • Galmiche, M., Déchelotte, P., Lambert, G., Tavolacci, M. P. (2019). Prevalence of eating disorders over the 2000–2018 period: a systematic literature review. The American journal of clinical nutrition, 109(5), 1402-1413.
  • Hill, L. S., Reid, F., Morgan, J. F., Lacey, J. H. (2010). SCOFF, the development of an eating disorder screening questionnaire. International journal of eating disorders, 43(4), 344-351.
  • Igamberdyeva, G. O., Abramova, N. S., Voronina, N. V. (1994). Rationale for energy requirements in adolescents training in tractor-driver and machinist specialties in Uzbekistan. Gigiena i Sanitariia, (4), 54-55.
  • Mathisen, T. F., Rosenvinge, J. H., Friborg, O., Pettersen, G., Stensrud, T., Hansen, B. H., Sundgot‐Borgen, J. (2018). Body composition and physical fitness in women with bulimia nervosa or binge‐eating disorder. International Journal of Eating Disorders, 51(4), 331-342.
  • Mond, J. M., Hay, P. J., Rodgers, B., Owen, C., Beumont, P. J. (2004). Validity of the Eating Disorder Examination Questionnaire (EDE-Q) in screening for eating disorders in community samples. Behaviour research and therapy, 42(5), 551-567.
  • Morris, J. N., Heady, J. A., Raffle, P. A. B., Roberts, C. G., Parks, J. W. (1953). Coronary heart-disease and physical activity of work. The lancet, 262(6796), 1111-1120.
  • Netterstrøm, B., Laursen, P. (1981). Incidence and prevalence of ischaemic heart disease among urban busdrivers in Copenhagen. Scandinavian Journal of Social Medicine, 9(2), 75-79.
  • Ogden, C. L., Carroll, M. D., Curtin, L. R., McDowell, M. A., Tabak, C. J., Flegal, K. M. (2006). Prevalence of overweight and obesity in the United States, 1999-2004. Jama, 295(13), 1549-1555.
  • Oğuz, E. G., Karlıdere, T. (2022). The prevalence and related factors of eating disorders and eating attitudes among Balikesir university students. Clinical and Experimental Health Sciences, 12(3), 636-641.
  • Onninen, J., Hakola, T., Puttonen, S., Tolvanen, A., Virkkala, J., Sallinen, M. (2020). Sleep and sleepiness in shift-working tram drivers. Applied ergonomics, 88, 103153.
  • Pollard, T. M. (2001). Changes in mental well-being, blood pressure and total cholesterol levels during workplace reorganization: the impact of uncertainty. Work stress, 15(1), 14-28.
  • Pourabdian, S., Lotfi, S., Yazdanirad, S., Golshiri, P., Hassanzadeh, A. (2020). Evaluation of the effect of fatigue on the coping behavior of international truck drivers. BMC psychology, 8, 1-10.
  • Ragland, D. R., Winkleby, M. A., Schwalbe, J., Holman, B. L., Morse, L., Syme, S. L., Fisher, J. M. (1987). Prevalence of hypertension in bus drivers. International Journal of Epidemiology, 16(2), 208-214.
  • Richter, F., Strauss, B., Braehler, E., Adametz, L., Berger, U. (2017). Screening disordered eating in a representative sample of the German population: Usefulness and psychometric properties of the German SCOFF questionnaire. Eating behaviors, 25, 81-88.
  • Rütten, A., Ziemainz, H., Schena, F., Stahl, T., Stiggelbout, M., Auweele, Y. V., Vuillemin, A., Welshman, J. (2003). Using different physical activity measurements in eight European countries. Results of the European Physical Activity Surveillance System (EUPASS) time series survey. Public health nutrition, 6(4), 371-376.
  • Yucel, B., Polat, A., Ikiz, T., Dusgor, B. P., Elif Yavuz, A., Sertel Berk, O. (2011). The Turkish version of the eating disorder examination questionnaire: reliability and validity in adolescents. European Eating Disorders Review, 19(6), 509-511.

Transit sürücüler yeme bozuklukları açısından risk altında olabilir: Türkiye'de yapılan kesitsel bir çalışma

Year 2024, Volume: 7 Issue: 2, 205 - 213, 30.09.2024
https://doi.org/10.52538/iduhes.1520893

Abstract

Bu çalışma, Türkiye'de Metro İstanbul'da çalışan transit sürücülerde yeme bozukluğu riskini ve ilişkili faktörleri (aşırı yeme, laksatif kullanımı gibi) belirlemek amacıyla planlanmış ve yürütülmüştür. Transit sürücüler (n=249) medeni durum, eğitim, uyku süresi, fiziksel aktivite durumu ve SCOFF ve Yeme Bozukluğu Değerlendirme Ölçeği (EDE-Q-TR) ölçekleri olarak yeme bozukluğu formları ile değerlendirilmiştir. Her katılımcı için boy uzunluğu ve vücut ağırlığı ölçülmüştür. Ölçekler, laksatif kullanımı ve uyku, egzersiz süreleri arasındaki ilişkileri incelemek için parametrik olmayan testler ve Spearman korelasyonu kullanılmıştır. Katılımcıların çoğu erkek olup, yaş ortalamaları 38.31±6.15 yıl olarak saptanmıştır. SCOFF ve EDE-Q-TR puanları (kısıtlama, yeme endişesi, vücut endişesi, ağırlık endişesi) arasında pozitif istatistiksel olarak anlamlı korelasyonlar bulunmuştur. SCOFF ve EDE-Q-TR toplam puanları cinsiyete göre karşılaştırıldığında, kadınların daha yüksek puanlara sahip olduğu (p<0.001, çoğunlukla), ancak yine erkeklerin kesme sınırından daha yüksek puanlara sahip olduğu görülmüştür. Haftada 150 dakikadan fazla egzersiz yapan katılımcıların yeme bozukluğu riski diğer gruplara göre daha yüksek bulunmuştur. Transit çalışanlarının yeme bozukluğu riski altında olduğu görülmüştür. Transit çalışanları yolcuları taşıdığı için daha sağlıklı olmaları gerekmektedir. Şirketlerin sağlıklı beslenme önerileri ve uygulamaları konusunda diyetisyen görüşmelerini göz önünde bulundurmaları önerilmektedir.

Ethical Statement

Study procedures was carried out in accordance with the Declaration of Helsinki and approved by the Ethics Committee Approval from Istanbul Okan University Clinical Research Ethics Committee dated 17.02.2021 (ref 022021/133).

Supporting Institution

-

Thanks

We would like to thank the participants and Metro A.Ş. for their support.

References

  • Apostolopoulos, Y., Sönmez, S., Shattell, M., Haldeman, L., Strack, R., Jones, V. (2011). Barriers to truck drivers' healthy eating: environmental influences and health promotion strategies. Journal of Workplace Behavioral Health, 26(2), 122-143.
  • Aydemir, Ö., Köksal, B., Sapmaz, S. Y., Yüceyar, H. (2015). Kadin üniversite ögrencilerinde REZZY Yeme Bozukluklari Ölçegi Türkçe formunun güvenilirlik ve geçerliligi/Reliability and validity of Turkish form of SCOFF Eating Disorders Scale. Anadolu Psikiyatri Dergisi, 16, 31.
  • Escoto, K. H., French, S. A., Harnack, L. J., Toomey, T. L., Hannan, P. J., Mitchell, N. R. (2010). Work hours, weight status, and weight-related behaviors: a study of metro transit workers. International Journal of Behavioral Nutrition and Physical Activity, 7, 1-10.
  • Fairburn, C. G., Beglin, S. J. (1994). Assessment of eating disorders: Interview or self‐report questionnaire?. International journal of eating disorders, 16(4), 363-370.
  • Finkelstein, E. A., Fiebelkorn, I. C., Wang, G. (2004). State‐level estimates of annual medical expenditures attributable to obesity. Obesity research, 12(1), 18-24.
  • French, S. A., Harnack, L. J., Toomey, T. L., Hannan, P. J. (2007). Association between body weight, physical activity and food choices among metropolitan transit workers. International Journal of Behavioral Nutrition and Physical Activity, 4, 1-12.
  • French, S. A., Story, M., Jeffery, R. W. (2001). Environmental influences on eating and physical activity. Annual review of public health, 22(1), 309-335.
  • Galmiche, M., Déchelotte, P., Lambert, G., Tavolacci, M. P. (2019). Prevalence of eating disorders over the 2000–2018 period: a systematic literature review. The American journal of clinical nutrition, 109(5), 1402-1413.
  • Hill, L. S., Reid, F., Morgan, J. F., Lacey, J. H. (2010). SCOFF, the development of an eating disorder screening questionnaire. International journal of eating disorders, 43(4), 344-351.
  • Igamberdyeva, G. O., Abramova, N. S., Voronina, N. V. (1994). Rationale for energy requirements in adolescents training in tractor-driver and machinist specialties in Uzbekistan. Gigiena i Sanitariia, (4), 54-55.
  • Mathisen, T. F., Rosenvinge, J. H., Friborg, O., Pettersen, G., Stensrud, T., Hansen, B. H., Sundgot‐Borgen, J. (2018). Body composition and physical fitness in women with bulimia nervosa or binge‐eating disorder. International Journal of Eating Disorders, 51(4), 331-342.
  • Mond, J. M., Hay, P. J., Rodgers, B., Owen, C., Beumont, P. J. (2004). Validity of the Eating Disorder Examination Questionnaire (EDE-Q) in screening for eating disorders in community samples. Behaviour research and therapy, 42(5), 551-567.
  • Morris, J. N., Heady, J. A., Raffle, P. A. B., Roberts, C. G., Parks, J. W. (1953). Coronary heart-disease and physical activity of work. The lancet, 262(6796), 1111-1120.
  • Netterstrøm, B., Laursen, P. (1981). Incidence and prevalence of ischaemic heart disease among urban busdrivers in Copenhagen. Scandinavian Journal of Social Medicine, 9(2), 75-79.
  • Ogden, C. L., Carroll, M. D., Curtin, L. R., McDowell, M. A., Tabak, C. J., Flegal, K. M. (2006). Prevalence of overweight and obesity in the United States, 1999-2004. Jama, 295(13), 1549-1555.
  • Oğuz, E. G., Karlıdere, T. (2022). The prevalence and related factors of eating disorders and eating attitudes among Balikesir university students. Clinical and Experimental Health Sciences, 12(3), 636-641.
  • Onninen, J., Hakola, T., Puttonen, S., Tolvanen, A., Virkkala, J., Sallinen, M. (2020). Sleep and sleepiness in shift-working tram drivers. Applied ergonomics, 88, 103153.
  • Pollard, T. M. (2001). Changes in mental well-being, blood pressure and total cholesterol levels during workplace reorganization: the impact of uncertainty. Work stress, 15(1), 14-28.
  • Pourabdian, S., Lotfi, S., Yazdanirad, S., Golshiri, P., Hassanzadeh, A. (2020). Evaluation of the effect of fatigue on the coping behavior of international truck drivers. BMC psychology, 8, 1-10.
  • Ragland, D. R., Winkleby, M. A., Schwalbe, J., Holman, B. L., Morse, L., Syme, S. L., Fisher, J. M. (1987). Prevalence of hypertension in bus drivers. International Journal of Epidemiology, 16(2), 208-214.
  • Richter, F., Strauss, B., Braehler, E., Adametz, L., Berger, U. (2017). Screening disordered eating in a representative sample of the German population: Usefulness and psychometric properties of the German SCOFF questionnaire. Eating behaviors, 25, 81-88.
  • Rütten, A., Ziemainz, H., Schena, F., Stahl, T., Stiggelbout, M., Auweele, Y. V., Vuillemin, A., Welshman, J. (2003). Using different physical activity measurements in eight European countries. Results of the European Physical Activity Surveillance System (EUPASS) time series survey. Public health nutrition, 6(4), 371-376.
  • Yucel, B., Polat, A., Ikiz, T., Dusgor, B. P., Elif Yavuz, A., Sertel Berk, O. (2011). The Turkish version of the eating disorder examination questionnaire: reliability and validity in adolescents. European Eating Disorders Review, 19(6), 509-511.
There are 23 citations in total.

Details

Primary Language English
Subjects Health Services and Systems (Other)
Journal Section Articles
Authors

Özge Ofluoğlu 0000-0002-0660-0379

Gizem Köse 0000-0001-6612-6253

Early Pub Date September 16, 2024
Publication Date September 30, 2024
Submission Date July 23, 2024
Acceptance Date September 5, 2024
Published in Issue Year 2024 Volume: 7 Issue: 2

Cite

APA Ofluoğlu, Ö., & Köse, G. (2024). Transit workers may be under the risk for eating disorders: A cross-sectional study in Turkiye. Izmir Democracy University Health Sciences Journal, 7(2), 205-213. https://doi.org/10.52538/iduhes.1520893

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