IMPACT OF SHIFT WORK ON DIETARY HABITS AND HEALTH OF MEDICAL WORKERS. LITERATURE REVIEW.
Introduction. Medical workers who work on a shift schedule belong to the group with one of the highest psycho-emotional burdens. They are at high risk of developing professional burnout: professional responsibility related to patients' lives, physical stress related to unnatural working conditions, highly intellectual stress related to new technologies in medicine. Numbers of studies have been carried out on both the psychological and physiological state of this group of medics, while in Kazakhstan the correlation of shift work mode and eating habits have not been studied.
Aim of this literature review is to search for and analyze studies on the relationship between eating disorders and work patterns in medical workers.
Search strategy: A literature search was performed in the PubMed, Cochrain, The Lancet databases. 323 published papers were found. The search strategy consisted of searching the databases using keywords: medical workers "eating disorders", "endogenous circadian system", "anxiety", "shift work disorders", "burnout", "dietary, eating habits, behavior", "Metabolic syndrome", "Sleep patterns of shiftworkers", "stress", "physicians". Duplicates and articles not related to the topic of the literature review were excluded. Of the remaining 122 articles, the following were excluded: Clinical trials, Meta-analysis, Randomized Controlled Trial (RCT), and Systematic review. Seventy-one articles were selected for the final review.
Inclusion criteria: studied published articles on the dietary habits of medical workers working on a shift schedule, experiencing physical and psycho-emotional stress. Study type: Clinical trials, Meta-analysis, RCTs (Randomized controlled trials), Systematic review, articles published in 1st and 2nd quartile journals. Exclusion criteria: articles published in journals in the 3rd quartile and below.
Results and Conclusions. The analysis of the available studies has allowed to reveal, that the doctors working on the shift schedule in the night shift have manifestations of shift work disorders (SWD), manifested by eating disorders, sleep disorders and circadian rhythms, risk of insulin resistance and metabolic syndrome development, hypertension, vigilance and fatigue disorders, burnout and chronic fatigue syndromes, suicides, changes in immune status and subsequent changes in gut microbiota, bad habits such as smoking, drinking alcohol, seizing problems.Summarizing the findings of the analyzed studies, the relationship between eating disorders and shift work regime in physicians is shown, consequently, the development of effective recommendations on nutrition and work organization is essential.
Karlygash K. Ydyrysheva1,2,
Raushan Z. Magzumova3,
Vitaliy Sazonov1,4
1 Department of Anesthesiology and Intensive Care of«University Medical Center»,
Nur-Sultan city, Republic of Kazakhstan;
2 NpJSC «Astana Medical University» Nur-Sultan city, Republic of Kazakhstan;
3 The Department of Public Health and Management of NpJSC «Astana Medical University»,
Nur-Sultan city, Republic of Kazakhstan;
4 Nazarbayev University School of Medicine, Nur-Sultan city, Republic of Kazakhstan.
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Ydyrysheva K.K., Magzumova R.Z., Sazonov V.G. Impact of shift work on dietary habits and health of medical workers. Literature review // Nauka i Zdravookhranenie [Science & Healthcare]. 2022, (Vol.24) 2, pp. 140-148. doi: 10.34689/SH.2022.24.2.017Похожие публикации:
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