The vicious circle between physical, psychological, and physiological characteristics of shift work in nurses: a multidimensional approach

Vlahoyiannis, Angelos; Karali, Eirini; Giannaki, Christoforos D.; Karioti, Aggeliki; Pappas, Aggelos; Lavdas, Eleftherios; Karatzaferi, Christina; Sakkas, Giorgos K.

doi:10.1007/s11325-021-02381-5

Cited by 4 publications

(5 citation statements)

References 26 publications

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“…In nonshift workers, no significant relationship was found between any parameter of the PSQI and the severity of fatigue. Vlahoyiannis et al [38] found a positive relationship between sleep quality score and fatigue severity of shift participants in their study with 20 day workers and 20 shift workers. There was no relationship between sleep quality score and fatigue severity in daytime workers.…”

Section: Discussionmentioning

confidence: 73%

Evaluating the effect of daytime sleepiness and sleep quality on balance, fatigue and life quality of shift workers

Doğan,

Bayram

2024

WOR

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BACKGROUND: Changes in the sleep-wake cycle in shift workers can cause many health problems. OBJECTIVE: The aim of this study was to investigate the relationship between daytime sleepiness and sleep quality on balance, physical activity level, fatigue and quality of life in shift and non-shift workers. METHOD: A total of 58 employees, 29 shifts and 29 non-shifts, were included in the study. Data were collected using the Epworth Sleepiness Scale, the Pittsburgh Sleep Quality Index, the Tandem Posture Test, the One-Foot Stand Test, the Ten-Step Tandem Walking Test, the International Physical Activity Questionnaire-Short Form, the Fatigue Severity Scale, and the Nottingham Health Profile. RESULTS: Individuals working in shifts had higher fatigue severity and daytime sleepiness levels (p < 0.05), while physical activity levels and sleep quality were lower than those working without shifts (p < 0.05). It was determined that as the daytime sleepiness of individuals working in shifts and non-shifts increased, their quality of life decreased (p < 0.05). CONCLUSION: According to the data obtained from the study, individuals working in shifts compared to individuals working without shifts experienced higher levels of daytime sleepiness and fatigue severity level while sleep quality and physical activity level were lower.

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Section: Discussionmentioning

confidence: 73%

Evaluating the effect of daytime sleepiness and sleep quality on balance, fatigue and life quality of shift workers

Doğan,

Bayram

2024

WOR

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“…At the same time, routine interventions aiming to mitigate the onset of such negative out-comes might have a reduced efficacy not focusing on critical mental health predictors and, above all, being usually offered after the exposure to traumatic events [53]. Not surprisingly, fourteen of the twenty-three papers included in our review investigate the conditions of active-duty military personnel and veterans [27][28][29][30], community health agents [31], sworn officers and patrol police officers [36,38], health care professionals [35,[39][40][41]43,49] and caregivers [48]. A further critical issue involving these professionals is the presence of shift work, which has a significant impact on workers' health, QOL, and well-being [49].…”

Section: Discussionmentioning

confidence: 99%

“…Not surprisingly, fourteen of the twenty-three papers included in our review investigate the conditions of active-duty military personnel and veterans [27][28][29][30], community health agents [31], sworn officers and patrol police officers [36,38], health care professionals [35,[39][40][41]43,49] and caregivers [48]. A further critical issue involving these professionals is the presence of shift work, which has a significant impact on workers' health, QOL, and well-being [49]. Indeed, working asocial hours can result in a misalignment in the circadian system and in the sleep-wake cycle, with a consequent increase in the risk for chronic health conditions [40].…”

Section: Discussionmentioning

confidence: 99%

“…Vlahoyiannis et al [49] investigated the role of work schedule in a sample of nurses, comparing those with a fixed morning shift (07:00 AM-03:00 PM) with those working rotating shifts. Nurses in this last group reported QOL scores (SF-36) significantly lower than their colleagues with a fixed morning shift (p = 0.010), specifically in the physical functioning and general health domains (p = 0.006 and p = 0.010, respectively).…”

Section: Circadian Cycle-melatoninmentioning

confidence: 99%

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The Quality of Life and the Bio-Molecular Profile in Working Environment: A Systematic Review

et al. 2022

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Working life is characterised by various requirements and degrees of control in meeting these demands. The imbalance of these elements with workers’ resources can result in work-related stress involving the repeated activation of stress response systems. Modifications in the bio-molecular profile may represent a biological signature of individuals’ life experiences and provide evidence on pathways through which such stressors can result in health outcomes. The aim of our systematic review is to characterize the quality of life (QOL) and the bio-molecular profile in the working population, to highlight if the alteration observed might be related to the working conditions. The article query was performed on PubMed, Embase, and Cochrane CENTRAL and results have been presented according to three molecular pathways involved in the stress response: oxidative stress, inflammation, and neuroendocrine activation. The epidemiological sample has been sub-grouped into “clinical” and “non-clinical” populations according to the presence of a diagnosis of psychological disorders. Besides some critical issues, the review highlights the importance of developing a valid array of biological indicators, measurable in non-invasive matrices, sensitive to both derangements from physiological conditions and stress reduction, useful for identifying those groups at higher risk of health outcomes and, eventually, promoting workers’ wellbeing.

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“…Some studies show that working at night may be associated with weight and central adiposity. In a study of 40 nurses it was found that shift working women were 3.7 times and 2.9 times more likely to have excessive weight and adiposity, respectively [20]. A cross-sectional study conducted among 724 female nurses and midwives demonstrated that cumulative night shift work showed a significant associations with body mass index [21].…”

Section: Discussionmentioning

confidence: 99%

Shift work, body mass index and associated breast cancer risks in postmenopausal women

Świątkowska¹,

Szkiela²,

Zajdel³

et al. 2023

Ann Agric Environ Med.

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Introduction and Objective. Shift work increases the risk of breast cancer, but the mechanisms is still under discussion. This study evaluates the relationship between breast cancer and shift work on the basis of overweight and obesity among postmenopausal women. Materials and method. We examined this association using data from a case-control study carried between 2015 and 2019. The study involved 111 postmenopausal women with breast cancer and the same number of control participants. A self-reporting questionnaire was used for data collection. Multivariate logistic regression was conducted to find correlations between variables and determine the strength of relationships. Results. A 2.65-fold risk of breast cancer (OR=2.65; 95% CI: 1.34-5.22) was found among shift work women, compared with postmenopausal women not performing shift work. The association was modified by body mass index, showing a risk rate 9.84 times higher (OR=9.84; 95% CI: 2.14-45.19) among shift work and overweight women, compared to non-overweight women who had never been shift workers. Conclusions. About 49% of controls and 72% of cases had ever worked in a job that required shift work. The risk of breast cancer in postmenopausal women is associated with shift work, especially among overweight women. Some preventive measures to reduce the risk of breast cancer, in particular regarding a healthy lifestyle and weight control in this group of working women, should be implemented.

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The vicious circle between physical, psychological, and physiological characteristics of shift work in nurses: a multidimensional approach

Cited by 4 publications

References 26 publications

Evaluating the effect of daytime sleepiness and sleep quality on balance, fatigue and life quality of shift workers

Evaluating the effect of daytime sleepiness and sleep quality on balance, fatigue and life quality of shift workers

The Quality of Life and the Bio-Molecular Profile in Working Environment: A Systematic Review

Shift work, body mass index and associated breast cancer risks in postmenopausal women

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