Appleton Institute, CQUniversity, 44 Greenhill Road, Wayville, SA, 5034, Australia.
Appleton Institute, CQUniversity, 44 Greenhill Road, Wayville, SA, 5034, Australia.
Sleep Med Rev. 2022 Jun;63:101612. doi: 10.1016/j.smrv.2022.101612. Epub 2022 Feb 17.
Shift work is known to be associated with poor health outcomes, however our understanding of health behaviours (sleep, physical activity and nutritional intake) longitudinally in shift workers is currently limited. Systematic searches of four data bases were conducted. Using PRISMA-ScR guidelines we report a scoping review of 15 eligible studies. Of the included studies, 11 studies examined sleep outcomes, three examined physical activity and two examined nutritional intake. The number of follow ups conducted in each study varied from one to six, with the majority of studies reporting one follow up. Study length varied from six months to 16 years. Findings suggest that shift workers have stable but largely insufficient sleep longitudinally. Many shift workers, particularly inexperienced shift workers, are additionally experiencing poor sleep quality. There is limited data longitudinally on physical inactivity and nutrition intake, but included studies indicate that shift workers may also be physical inactive and with some poor nutritional intake (i.e., high levels of saturated fat intake). Longitudinal studies of shift work with multiple follow-ups are needed to address the current gaps in literature. The evidence that shift workers may be susceptible to poor health behaviours longitudinally is important as it provides a means by which strategies and interventions can be targeted, at both individual and organisational levels, to assist in better long term health outcomes.
轮班工作已知与健康状况不佳有关，但我们对轮班工人的健康行为（睡眠、身体活动和营养摄入）的纵向理解目前还很有限。系统地对四个数据库进行了搜索。我们按照 PRISMA-ScR 指南报告了对 15 项合格研究的综述。在所纳入的研究中，11 项研究检查了睡眠结果，3 项研究检查了身体活动，2 项研究检查了营养摄入。每项研究进行的随访次数从一次到六次不等，大多数研究报告了一次随访。研究长度从六个月到 16 年不等。研究结果表明，轮班工人的睡眠质量在纵向研究中相对稳定，但总体上仍不充足。许多轮班工人，特别是没有经验的轮班工人，还存在睡眠质量差的问题。关于身体活动和营养摄入的纵向数据有限，但纳入的研究表明，轮班工人可能也缺乏身体活动，并且营养摄入不佳（即饱和脂肪摄入量高）。需要进行具有多次随访的轮班工作纵向研究，以解决当前文献中的空白。轮班工人可能容易受到长期不良健康行为影响的证据很重要，因为它为在个人和组织层面上制定策略和干预措施提供了一种手段，以帮助改善长期健康结果。
