İSTANBUL’DA BİR ŞEHİR HASTANESİNDE GÖREV YAPAN SAĞLIK ÇALIŞANLARININ SİRKADİYEN RİTİM VE YORGUNLUK DURUMLARININ HEDONİK YEMEYE ETKİSİ

Yıl 2024, , 991 - 1015, 21.10.2024

Melek Nergis Karagöz , Ülkü Demirci

https://doi.org/10.33715/inonusaglik.1446848

Öz

Araştırmanın amacı vardiyalı çalışan sağlık personellerinin sirkadiyen ritim ve yorgunluk durumlarının hedonik yemeye etkisini belirlemektir. Araştırma nicel araştırma yöntemleri kullanılarak gerçekleştirilmiş tanımlayıcı ve kesitsel tipte bir çalışmadır. Araştırmanın evrenini İstanbul’ da bulunan bir şehir hastanesinin tüm blok kliniklerinde çalışan 366 sağlık çalışanı oluşturmakta olup, örneklemini ise basit tesadüfi örnekleme metoduyla belirlenen 18-55 yaş aralığındaki kadın ve erkek toplamda 175 vardiyalı sağlık personeli oluşturmaktadır. Araştırmada veri toplama aracı olarak; sosyo demografik bilgilerin ve antropometrik değerlerin sorgulandığı anket formu, Pittsburgh Uyku Kalite İndeksi (PUKİ), Duygusal İştah Ölçeği (DİA) ile Mesleki Yorgunluk, Tükenmişlik ve Toparlanma Ölçeği (OFER) kullanılmıştır. Verilerin analizinde; Bağımsız Örneklemler t Testi, ANOVA ve Perason Korelasyon analizi yapılmıştır. Kadın sağlık çalışanlarının uyku bozukluk ortalaması erkeklere oranla daha yüksek bulunmuştur. Vardiyalı çalışanlarda ara öğün tüketim durumuna göre uyku süresi ve gündüz işlev bozukluğu arasında anlamlı bir farklılık tespit edilmiştir. Vardiyalı çalışanların uyku kalitelerinin olumsuz etkilendiği, yanlış beslenme alışkanlıklarına bağlı olarak kronik hastalık görülme riskinin arttığı görülmüştür.

Anahtar Kelimeler

Beslenme, Sirkadiyen ritim, Uyku, Vardiyalı çalışma, Yorgunluk

The Effect of Circadian Rhythm and Fatigue on the Hedonic Eating Behavior of Healthcare Workers in a City Hospital in Istanbul

Öz

The aim of the research is to determine the effect of circadian rhythm and fatigue status on hedonic eating of healthcare personnel working in shifts. The research is a descriptive and cross-sectional study conducted using quantitative research methods. The population of the research consists of 366 healthcare professionals working in all block clinics of a city hospital in Istanbul, and the sample consists of a total of 175 shift healthcare personnel, male and female, between the ages of 18-55, determined by simple random sampling method. As a data collection tool in the research; A survey form questioning socio-demographic information and anthropometric values, Pittsburgh Sleep Quality Index (PSQI), Emotional Appetite Scale (DIA) and Occupational Fatigue, Burnout and Recovery Scale (OFER) were used. In the analysis of data; Independent Samples t Test, ANOVA and Perason Correlation analysis were performed. The average sleep disorder rate of female health workers was found to be higher than that of men. A significant difference was detected between sleep duration and daytime dysfunction in shift workers according to snack consumption status. It has been observed that the sleep quality of shift workers is negatively affected and the risk of chronic diseases increases due to wrong eating habits.

Anahtar Kelimeler

Circadian rhythm, Fatigue, Nutrition, Shift work, Sleep

Kaynakça

• Abbott, S. M., Reid, K. J. ve Zee , P. C. (2015). Circadian rhythm sleep-wake disorders. The Psychiatric Clinics of North America, 38(4), 805-823.
• Abdulla, N. K., Obaid, R. R., Qureshi, M. N., Asraiti, A. A., Janahi, M. A., Qiyas, S. J. ve Faris, M. E. (2023). Relationship between hedonic hunger and subjectively assessed sleep quality and perceived stress among university students: A cross-sectional study. Heliyon, 9(4), e14987.
• Açık, M., Bozdağ, A. N. S. ve Çakıroğlu, F. P. (2021). The quality and duration of sleep are related to hedonic hunger: a cross-sectional study in university students. Sleep and Biological Rhythms, 19, 163-172.
• Agargun, M. Y. (1996). Pittsburgh uyku kalitesi indeksinin gecerligi ve guvenirligi. Turk Psikiyatri Dergisi, 7, 107-115.
• Boini, S., Bourgkard, E., Ferrières, J. ve Esquirol, Y. (2022). What do we know about the effect of night-shift work on cardiovascular risk factors? An umbrella review. Frontiers in Public Health, 10, 1034195.
• Buysse, D. J., Reynolds III, C. F., Monk, T. H., Berman, S. R. ve Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry research, 28(2), 193-213.
• Catalano, F., De Vito, F., Cassano, V., Fiorentino, T. V., Sciacqua, A. ve Hribal, M. L. (2022). Circadian Clock Desynchronization and Insulin Resistance. International Journal of Environmental Research and Public Health, 20(1), 29.
• Dashti, H. S., Scheer, F. A., Jacques, P. F., Lamon-Fava, S. ve Ordovás, J. M. (2015). Short sleep duration and dietary intake: epidemiologic evidence, mechanisms, and health implications. Advances in nutrition, 6(6), 648-659.
• Demirel, B., Yavuz, K. F., Karadere, M. E., Şafak, Y. ve Türkçarpar, M. H. (2014). Duygusal iştah anketi’nin Türkçe geçerlik ve güvenilirliği, beden kitle indeksi ve duygusal şemalarla ilişkisi. Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi, 3(3), 171-181.
• Doğan, S. D., Arslan, S., Aydıngülü, N., Koparan, H. ve Gülşen, M. (2019). Vardiya sistemiyle çalışan hemşirelerin uyku kaliteleri. Cukurova Medical Journal, 44(4), 1196-1202.
• Espel-Huynh, H. M., Muratore, A. F. ve Lowe, M. R. (2018, Şubat). A narrative review of the construct of hedonic hunger and its measurement by the Power of Food Scale. Obesity science ve practice, 4(3), 238-249. doi:10.1002/osp4.161
• Franzago, M., Alessandrelli, E., Notarangelo, S., Stuppia, L. ve Vitacolonna, E. (2023). Chrono-Nutrition: Circadian Rhythm and Personalized Nutrition. International journal of molecular sciences, 24(3), 2571. doi: 10.3390/ijms24032571
• Garaulet, M. ve Gómez-Abellán, P. (2014). Timing of food intake and obesity: a novel association. Physiology ve behavior, 134, 44- 50. https://doi.org/10.1016/j.physbeh.2014.01.001.
• Gentry, N. W., Ashbrook, L. H., Fu, Y. H. ve Ptáček, L. J. (2021). Human circadian variations. The Journal of clinical investigation, 131(16), e148282.
• Gifkins, J., Johnston, A. ve 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. doi:10.1080/07420528.2018.1466790
• Goldstone, A. P., Prechtl, C. G., Scholtz, S., Miras, A. D., Chhina, N., Durighel, G., . . . Bell, J. D. (2011). Ghrelin mimics fasting to enhance human hedonic, orbitofrontal cortex, and hippocampal responses to food. The American journal of clinical nutrition, 99(6). 1319–1330. doi: 10.3945/ajcn.113.075291
• Gupta, C. C., Centofanti, S., Dorrian, J., Coates, A. M., Stepien, J. M., Kennaway, D., . . . Banks, S. (2019). Subjective Hunger, Gastric Upset, and Sleepiness in Response to Altered Meal Timing during Simulated Shiftwork. Nutrients, 11(6), 1352. doi: 10.3390/nu11061352
• Havlioglu, S., Ortabag, T. ve Winwood, P. C. (2019). Turkish validity and reliability of the occupational fatigue exhaustion / recovery scale. Medicine Science, 8(4), 916-922.
• Heyde, I., Kiehn, J. T. ve Oster, H. (2018). Mutual influence of sleep and circadian clocks on physiology and cognition. Free Radical Biology and Medicine, 119, 8-16. https://doi.org/10.1016/j.freeradbiomed.2017.11.003.
• Hirshkowitz, M., Whiton, K., Albert, S. M., Alessi, C., Bruni, O., DonCarlos, L., ... ve Hillard, P. J. A. (2015). National Sleep Foundation’s sleep time duration recommendations: methodology and results summary. Sleep health, 1(1), 40-43.
• Ibar, C., Fortuna, F., Gonzalez, D., Jamardo, J., Jacobsen, D., Pugliese, L., ... ve Fabre, B. (2021). Evaluation of stress, burnout and hair cortisol levels in health workers at a University Hospital during COVID-19 pandemic. Psychoneuroendocrinology, 128, 105213.
• Julius, A. A., Yin, J. ve Wen, J. T. (2019). Time optimal entrainment control for circadian rhythm. PloS one, 14(12), e0225988.
• Karakaş, S. A., Gönültaş, N. ve Okanli, A. (2017). Vardiyali çalişan hemşirelerde uyku kalitesi. ERÜ Sağlık Bilimleri Fakültesi Dergisi, 4(1), 17-26.
• Konttinen, H. (2020). Emotional eating and obesity in adults: the role of depression, sleep and genes. Proceedings of the Nutrition Society, 79(3), 283-289.
• Kroeger, D. ve Vetrivelan, R. (2023). To sleep or not to sleep–Effects on memory in normal aging and disease. Aging Brain, 3, 100068. doi:10.1016/j.nbas.2023.100068.
• Lewis, P., Oster, H., Korf, H. W., Foster, R. G. ve Erren, T. C. (2020). Food as a circadian time cue—evidence from human studies. Nature Reviews Endocrinology, 16(4), 213-223.
• Lutter, M. ve Nestler, E. J. (2009). Homeostatic and hedonic signals interact in the regulation of food intake. The Journal of nutrition, 139(3), 629-632.
• Montaruli, A., Castelli, L., Mulè, A., Scurati, R., Esposito, F., Galasso, L. ve Roveda, E. (2021). Biological rhythm and chronotype: new perspectives in health. Biomolecules, 11(4), 487.
• Müftüoğlu, S. ve Parlakyiğit, A. (2020). Vardiyalı Çalışan İşçilerin Fiziksel Aktivite, Duygudurumu ve Beslenme Alışkanlıkları Arasındaki İlişkinin Belirlenmesi. Turkiye Klinikleri Journal of Health Sciences, 5(1), 10-21.
• Nolan, L. J., Halperin, L. B. ve Geliebter, A. (2010). Emotional Appetite Questionnaire. Construct validity and relationship with BMI. Appetite, 54(2), 314-319.
• Özdemir, P. G., Ökmen, A. C. ve Yýlmaz, O. (2018). Vardiyalı çalışma bozukluğu ve vardiyalı çalışmanın ruhsal ve bedensel etkileri. Psikiyatride Guncel Yaklasimlar, 10(1), 71-83.
• Pulat Demir, H., Elkin, N., Barut, A. Y., Bayram, H. M. ve Averi, S. (2017). Vardiyalı çalışan sağlık personelinin uyku süresi ve beslenme durumunun değerlendirilmesi. İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi, (2), 89-107.
• Rácz, B., Dušková, M., Stárka, L., Hainer, V. ve Kunešová, M. (2018). Links between the circadian rhythm, obesity and the microbiome. Physiological research, 67. 409-420.
• Rodríguez-Santana, C., Florido, J., Martínez-Ruiz, L., López-Rodríguez, A., Acuña-Castroviejo, D. ve Escames, G. (2023). Role of Melatonin in Cancer: Effect on Clock Genes. International Journal of Molecular Sciences, 24(3), 1919.
• Serin, Y. ve Acar Tek, N. (2019). Effect of circadian rhythm on metabolic processes and the regulation of energy balance. Annals of Nutrition and Metabolism, 74(4), 322-330.
• Skinner , N. J., Rizwan, M. Z., Grattan, D. R. ve Tups, A. (2019). Chronic Light Cycle Disruption Alters Central Insulin and Leptin Signaling as well as Metabolic Markers in Male Mice. Endocrinology, 160(10), 2257–2270. doi:10.1210/en.2018-00935
• Stenvers, D. J., Scheer, F. A., Schrauwen , P., E la Fleur , S. ve Kalsbeek, A. (2019). Circadian clocks and insulin resistance. Nature reviews endocrinology, 15(2), 75-89. doi:10.1038/s41574-018-0122-1
• Şarahman Kahraman, C. ve Akçil Ok, M. (2022, Ekim). Hedonic hunger status and related factors in adults. Perspectives in psychiatric care, 58(4), 2099-2106. doi:10.1111 / ppc.13036
• Şen, G. ve Kabaran, S. (2021). Beslenme Durumunun Duygusal Yeme, Gece Yeme ve Uyku Kalitesi Üzerindeki Etkileri. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi, 7(3), s. 284-295. doi:10.30934/kusbed.952227
• Tack, J., Deloose , E., Ang, D., Scarpellini, E., Vanuytsel , T., Oudenhove, L. V. ve Depoortere, I. (2016). Motilin-induced gastric contractions signal hunger in man. Gut, 65(2), 214-224. doi:10.1136/gutjnl-2014-308472
• Touitou, Y., Reinberg, A. ve Touitou, D. (2017). Association between light at night, melatonin secretion, sleep deprivation, and the internal clock: Health impacts and mechanisms of circadian disruption. Life sciences, 173, 94-106. doi:10.1016/j.lfs.2017.02.008.
• Wahl, S., Engelhardt, M., Schaupp, P., Lappe, C. ve Ivanov , I. V. (2019). The inner clock—Blue light sets the human rhythm. Journal of biophotonics, 12(12). e201900102. doi:10.1002/jbio.201900102
• Watson, N. F., Badr, M. S., Belenky, G., Bliwise, D. L., Buxton, O. M., Buysse, D., . . . Tasali, E. (2015, Haziran). Recommended Amount of Sleep for a Healthy Adult: A Joint Consensus Statement of the American Academy of Sleep Medicine and Sleep Research Society. Sleep, 1(38). 843-844. doi:10.5665/uyku.4716
• Wheatley, S. D. ve Whitaker, M. J. (2019). Why do people overeat? Hunger, psychological eating and type 2 diabetes. Practical Diabetes, 36(4), 136-139. doi: https://doi.org/10.1002/pdi.2232
• Winwood, P. C., Winefield, A. H., Dawson, D. ve Lushington, K. (2005). Development and validation of a scale to measure work-related fatigue and recovery: the Occupational Fatigue Exhaustion/Recovery Scale (OFER). Journal of occupational and environmental medicine, 47(6), 594-606. doi:10.1097/01.jom.0000161740.71049.c4
• Yalçın, T., Ayyıldız, F., Yılmaz, M. V. ve Asıl, E. (2023). Relationship of perceived depression, stress, anxiety levels and hedonic hunger. International journal of obesity, 47(8), 717-723.