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不同昼夜节律类型护士的睡眠质量与营养状况评估

An evaluation of sleep quality and nutritional status in nurses with different chronotypes.

作者信息

Gülseven Senanur, Akder Rana Nagihan, Küçükerdönmez Özge

机构信息

Institute of Health Sciences, Ege University, Izmir, Turkey.

Department of Nutrition and Dietetics, Faculty of Health Sciences, Ege University, Izmir, Turkey.

出版信息

Heliyon. 2024 Oct 18;10(20):e39509. doi: 10.1016/j.heliyon.2024.e39509. eCollection 2024 Oct 30.

DOI:10.1016/j.heliyon.2024.e39509
PMID:39497984
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11532856/
Abstract

This study was conducted to investigate the effect of shift work on the sleep quality and nutritional status of nurses with different chronotypes. The study was designed to include 21 people from each chronotype and was completed with 60 participants. The participants were asked to record their food consumption during three different types of shifts they worked over a period of three days. We found that the Pittsburgh Sleep Quality Index (PSQI) score of the evening types was higher than that of the morning types (p < 0.05). The evening types had significantly higher weight, BMI, waist circumference, hip circumference, waist-to-height ratio and neck circumference measurements than the morning types (p < 0.05). The daily energy, fat and SFA intakes of the morning types were significantly higher for those working 16:00-08:00 and 08:00-08:00 compared to those working 08:00-16:00 (p < 0.05). The highest carbohydrate intake was between 08:00-08:00. The amount of carbohydrate, energy and SFA consumed by the intermediate types between 08:00 and 08:00 was significantly higher than that consumed between 08:00 and 16:00. Chronotype and shift hours should also be taken into account when developing nutrition plans for participants who work shifts.

摘要

本研究旨在调查轮班工作对不同昼夜节律类型护士睡眠质量和营养状况的影响。该研究计划从每种昼夜节律类型中纳入21人,最终有60名参与者完成研究。参与者被要求记录他们在三天内所经历的三种不同类型轮班期间的食物摄入量。我们发现,晚睡型的匹兹堡睡眠质量指数(PSQI)得分高于早睡型(p<0.05)。晚睡型的体重、BMI、腰围、臀围、腰高比和颈围测量值显著高于早睡型(p<0.05)。与08:00 - 16:00轮班的人员相比,16:00 - 08:00和08:00 - 08:00轮班的早睡型人员每日能量、脂肪和饱和脂肪酸摄入量显著更高(p<0.05)。碳水化合物摄入量最高的时段是08:00 - 08:00。中间型在08:00至08:00期间消耗的碳水化合物、能量和饱和脂肪酸量显著高于08:00至16:00期间。在为轮班工作的参与者制定营养计划时,还应考虑昼夜节律类型和轮班时长。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6f8/11532856/abfa4c109599/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6f8/11532856/abfa4c109599/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6f8/11532856/abfa4c109599/gr1.jpg

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本文引用的文献

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Influence of Shift Work on The Health of Nursing Professionals.轮班工作对护理专业人员健康的影响。
J Pers Med. 2023 Apr 2;13(4):627. doi: 10.3390/jpm13040627.
2
Chronotype Differences in Body Composition, Dietary Intake and Eating Behavior Outcomes: A Scoping Systematic Review.昼夜时相差异对身体成分、饮食摄入和饮食行为结果的影响:系统综述概述。
Adv Nutr. 2022 Dec 22;13(6):2357-2405. doi: 10.1093/advances/nmac093.
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Int J Food Sci Nutr. 2022 Nov;73(7):981-988. doi: 10.1080/09637486.2022.2105826. Epub 2022 Aug 1.
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Morning chronotype is associated with higher adherence to the Mediterranean diet in a sample of Italian adults.早晨型的人在意大利成年人样本中更倾向于坚持地中海饮食。
Nutr Metab Cardiovasc Dis. 2022 Sep;32(9):2086-2092. doi: 10.1016/j.numecd.2022.05.023. Epub 2022 Jun 5.
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Chronotype Differences in Energy Intake, Cardiometabolic Risk Parameters, Cancer, and Depression: A Systematic Review with Meta-Analysis of Observational Studies.昼夜时相差异对能量摄入、心血管代谢风险参数、癌症和抑郁的影响:一项基于观察性研究的系统评价和荟萃分析。
Adv Nutr. 2022 Feb 1;13(1):269-281. doi: 10.1093/advances/nmab115.
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Poor Sleep Quality in Nurses Working or Having Worked Night Shifts: A Cross-Sectional Study.在职或曾值夜班护士的睡眠质量差:一项横断面研究
Front Neurosci. 2021 Aug 3;15:638973. doi: 10.3389/fnins.2021.638973. eCollection 2021.
7
Human circadian variations.人类的昼夜节律变化。
J Clin Invest. 2021 Aug 16;131(16). doi: 10.1172/JCI148282.
8
Do Rotating Night Shifts Change Nurses' Nutritional Status? A Cross-Sectional Study.轮班制夜班是否会改变护士的营养状况?一项横断面研究。
J Am Nutr Assoc. 2022 Aug;41(6):608-616. doi: 10.1080/07315724.2021.1947413. Epub 2021 Aug 10.
9
A scoping review of chronotype and temporal patterns of eating of adults: tools used, findings, and future directions.一项关于成年人的睡眠类型和饮食时间模式的范围综述:使用的工具、研究结果和未来方向。
Nutr Res Rev. 2022 Jun;35(1):112-135. doi: 10.1017/S0954422421000123. Epub 2021 May 14.
10
Biological Rhythm and Chronotype: New Perspectives in Health.生物节律与睡眠类型:健康新视角。
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