在轮班制中进食时间:一个案例研究。

IF 3.4 4区 医学 Q2 NUTRITION & DIETETICS Journal of the American College of Nutrition Pub Date : 2021-09-01 Epub Date: 2020-09-24 DOI:10.1080/07315724.2020.1814899
Luisa Pereira Marot, Dayane Eusenia Rosa, Tássia do Vale Cardoso Lopes, Claudia Roberta de Castro Moreno, Cibele Aparecida Crispim
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引用次数: 8

摘要

目的:在短时间内不同班次和自由日之间的轮换对食品消费的影响在文献中得到了很好的解决。我们的目的是表征顺时针旋转超过10天的进食时间(ED),并将其与能量和宏量营养素的摄入联系起来。方法:对某矿业公司30名男性轮班工人进行了连续10天的完整轮换制评估(2天早班,2天下午班,24小时自由日,2天夜班,3天自由日)。ED被定义为醒来后的第一餐和入睡前的最后一餐之间的间隔。分别通过活动记录仪和24小时回忆来评估睡眠/清醒时间和食物摄入量。使用广义模型来分析ED的变化及其与轮班计划中营养摄入的关系。结果:ED周期在轮班轮换中表现出显著的变化,并与能量摄入有关。第5天(下午班和夜班之间的一天)和第6天的一部分(夜班)的能量摄入最高(3410±235 kcal), ED最长(20.7±1.2 h),即最长的清醒时间和最短的睡眠时间(4.7±0.3 h) (p p)。结论:总的来说,越长的清醒时间摄入的能量越多,说明工人在轮班期间有全天候进食的倾向。尽管能量摄入发生了变化,但在ED期间,宏量营养素的平衡保持不变。尽管需要在未来的研究中得到证实,但这些结果表明,在轮班工人的营养方法中可以考虑ED期的管理。
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Eating Duration throughout a Rotating Shift Schedule: A Case Study.

Objective: The impact of the rotation between different shifts and free days within a short period of time on the food consumption is poorly addressed in the literature. Our objective was to characterize the eating duration (ED) over 10 d of clockwise rotating and to associate it with the intake of energy and macronutrients.

Methods: Thirty male shift-workers from a mining company were evaluated over a complete rotation shift schedule of 10 consecutive days (2 d of morning shifts, 2 d of afternoon shifts, 24 h free-day, 2 d of night shifts, and three free days). ED was defined as the interval between the first meal after awaking and last meal before sleep onset. Sleep/wake periods and food intake were evaluated by actigraphy and 24 h recalls, respectively. Generalized models were used to analyze the variation in ED and its association with nutrient intake over the shift schedule.

Results: ED periods showed significant variations throughout shift rotation and were associated with energy intake. The highest energy intake (3410 ± 235 kcal) and longest ED (20.7 ± 1.2 h) were found on Day 5, the day between afternoon and night shifts, and a part of Day 6 (night shift), i.e., in the longest period of wakefulness and the shortest sleep duration (4.7 ± 0.3 h) (p < 0.05 for all). The lowest energy intake (1284 ± 125 kcal) and shortest ED (4.96 ± 0.7 h) (p < 0.05) occurred after the last night shift (Day 7). The balance between the percentage of macronutrients did not differ statistically between the ED periods.

Conclusions: In general, longer periods of wakefulness showed greater energy intake, demonstrating the tendency of workers to eat around the clock during their shift. Even with the energy intake variation, the balance of macronutrients remained the same over the ED periods. Despite the need of confirmation in future studies, these results suggest that the management of ED period could be considered in the nutritional approach of shift workers.

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期刊介绍: The Journal of the American College of Nutrition accepts the following types of submissions: Original and innovative research in nutrition science with useful application for researchers, physicians, nutritionists, and other healthcare professionals with emphasis on discoveries which help to individualize or "personalize" nutrition science; Critical reviews on pertinent nutrition topics that highlight key teaching points and relevance to nutrition; Letters to the editors and commentaries on important issues in the field of nutrition; Abstract clusters on nutritional topics with editorial comments; Book reviews; Abstracts from the annual meeting of the American College of Nutrition in the October issue.
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