Functional bowel disorders in rotating shift nurses may be related to sleep disturbances

Lu, Wei; Gwee, Kok‐Ann; Ho, Khek Yu

doi:10.1097/00042737-200606000-00008

Cited by 66 publications

(38 citation statements)

References 16 publications

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“…Nojkov et al (2010) found similar results in nurses in the USA, in which the prevalence of IBS was 48% in rotating-shift nurses and 31% in day-shift nurses. A study from Singapore found the prevalence of functional bowel disorders to be 38% in nurses working rotating shifts and 20% in those working day shifts (Zhen et al, 2006). Using Rome III criteria and only nurses being included may explain this higher prevalence.…”

Section: Discussionmentioning

confidence: 99%

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A cross-sectional study of irritable bowel syndrome in nurses in China: prevalence and associated psychological and lifestyle factors

Liu

Xiao

Yao

2014

J. Zhejiang Univ. Sci. B

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Abstract:The prevalence of irritable bowel syndrome (IBS) and associated factors, especially psychological and lifestyle factors, in nurses in China have not been investigated previously. The aims of this study were to assess the prevalence of IBS in nurses, to evaluate whether factors, such as psychological disorders, are associated with IBS, and to determine whether psychological disorders can influence the severity of symptoms of IBS and quality of life (QOL). A cross-sectional study was conducted for Chinese nurses from November 2012 to February 2013. Participants were asked to complete questionnaires. The prevalence of IBS was 17.4%. The revised symptom checklist 90 (SCL-90-R) scores were significantly higher for nurses with IBS than for those without IBS (P<0.001), and no difference in scores between IBS subtypes was found (F=1.893, P=0.142). The scores of QOL for nurses with and without IBS were 77.18±21.93 and 88.44±11.89 (P<0.001), respectively. Psychological disorders did not show statistically significant correlations with severity of symptoms of IBS or QOL. Alcohol consumption, low level of exercise, and psychological disorders were risk factors for IBS. In summary, nurses in China show a high prevalence of IBS. Psychological disorders and some related lifestyle factors are probably responsible for the development of IBS in nurses.

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Section: Discussionmentioning

confidence: 99%

“…One study in the USA found that nurses, especially those working on rotating shifts, were at a high risk for developing IBS (Nojkov et al, 2010). Zhen et al (2006) also demonstrated that IBS was common and severe among nurses working on rotating shifts, and sleep disturbance might be associated with IBS symptoms.…”

Section: Introductionmentioning

confidence: 99%

A cross-sectional study of irritable bowel syndrome in nurses in China: prevalence and associated psychological and lifestyle factors

Liu

Xiao

Yao

2014

J. Zhejiang Univ. Sci. B

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“…27 A group of female nurses on rotating shifts were observed to have significantly ( p < 0.0001) greater sleep disturbance based on subjective reports compared with day nurses. 28 The cited studies suggest that rotating shifts can impact sleep, but more gender-based research is needed to substantiate if this is the case and if certain shift schedules lead to greater sleep difficulties in female workers. Shift work sleep disorder is recognized by the American Academy of Sleep Medicine, but controversy exists as to (1) whether it is prudent to provide a medical treatment for sleep that is disturbed as a consequence of behavior, that is, shift work, rather than pathology, and (2) how long pharmacological treatments can safely be administered.…”

Section: Discussionmentioning

confidence: 99%

Sleep and Health Consequences of Shift Work in Women

Chung

Wolf

Shapiro

2009

Journal of Women's Health

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Women constitute about half the work force, and women shift workers warrant special attention given the different physiological needs of women, their reproductive status, and the added burden of family responsibilities. There is increasing evidence that women have greater difficulty adjusting to shift work compared to their male counterparts and that sleep problems may in large part account for this difficulty. The purpose of this article is to review the existing literature to highlight the differential negative impact of shift work on sleep and other health issues in women and as part of a needs assessment to promote research in female shift workers by developing and prioritizing research questions in this field. The literature suggests that women shift workers report poor sleep quality and experience reproductive disturbances, an increased risk of breast cancer, and a greater risk of metabolic and cardiovascular disorders.

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“…In the pathogenesis of IBS, psychological factors have been found to be of major importance, and poor sleep quality had been reported to adversely affect psychological factors in rotating shift workers [23] . However, sleep disturbances alone will not completely explain the association between shift work and IBS.…”

Section: Discussionmentioning

confidence: 99%

Association Between Irritable Bowel Syndrome and Shift Work: Prevalence and Associated Factors Among Nurses

Akere

Akande

2014

Journal of Gastroenterology and Hepatology Research

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AIM: Irritable Bowel Syndrome (IBS) is commonly seen in the general population. Mechanisms proposed as the underlying pathogenesis include visceral hypersensitivity, alteration in bowel motility, psychological status and abnormal intestinal barrier. It has been observed that circadian rhythms and sleep are altered by shift work, which may ultimately increase stress and worsen health problems. The aim was to determine the prevalence of IBS among nurses and evaluate the relationship between shift work and IBS. METHOD: One hundred and twenty four nurses at different cadres volunteered to take part in the study. Questionnaires were administered to collect demographic data and all the subjects also completed the IBS module from Rome III diagnostic questionnaire. RESULTS: A total of 124 female nurses participated in the study. The mean age was 38.5±7.7 years with a range between 21 and 57 years. Using Rome III criteria, irritable bowel syndrome was observed in 56 (45.2%) of the subjects. According to subtypes, diarrhoea predominant IBS (IBS-D) was observed in 30.4%, constipation predominant (IBS-C) was observed in 8.9%, while mixed subtype (IBS-M) was seen in 60.7% of the subjects. Using logistic regression analysis; age group 20-29 years, length of practice

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Functional bowel disorders in rotating shift nurses may be related to sleep disturbances

Abstract: FBD were more common and severe among rotating shift nurses. The FBD symptom score was positively and independently correlated with the sleep disturbance score, suggesting that poor sleep might be associated with increased FBD symptoms in rotating shift nurses.

Cited by 66 publications

References 16 publications

A cross-sectional study of irritable bowel syndrome in nurses in China: prevalence and associated psychological and lifestyle factors

A cross-sectional study of irritable bowel syndrome in nurses in China: prevalence and associated psychological and lifestyle factors

Sleep and Health Consequences of Shift Work in Women

Association Between Irritable Bowel Syndrome and Shift Work: Prevalence and Associated Factors Among Nurses

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