ArticlePloS one2017
Physical Activity, Energy Expenditure, Nutritional Habits, Quality of Sleep and Stress Levels in Shift-Working Health Care Personnel.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
38 citing papers in PubMed, 100 citations in OpenAlex.
- The swift study: dietary profiles of night shift workers characterised by overweight and obesity.European journal of nutrition · 2026Trial
- Moderate-intensity continuous exercise preserves sleep quality, while high-intensity intermittent exercise disrupts it in female night-shift healthcare workers.Scientific reports · 2025Trial
- A prospective observational study of lifestyle behaviors and biomarkers to promote cardiometabolic health in healthcare workers during the COVID-19 pandemic.Frontiers in molecular biosciences · 2026Article
- Craving under pressure: the interplay between hedonic hunger, mental health, and ultra-processed food consumption in shift-workers.Frontiers in public health · 2026Observational
- Psychophysical well-being and physical activity of Polish doctors.Frontiers in public health · 2025Article
- Dietary Differences by Job Type and Industry Among Workers in Japan During the COVID-19 Pandemic: A Cross-Sectional Study.American journal of lifestyle medicine · 2024Article
- Article
- The Impact of Sleep on Haematological Parameters in Firefighters.Clocks & sleep · 2024Article
- The Effect of Shift Working on Dietary Patterns of Healthcare Practitioners during the COVID-19 Pandemic: A Cross-Sectional Study.Medicina (Kaunas, Lithuania) · 2024Article
- Enhancing feedback by health coaching: the effectiveness of mixed methods approach to long-term physical activity changes in nurses. An intervention study.BMC nursing · 2024Article
- Rotating shift work time is directly associated with excess body adiposity.Sleep & breathing = Schlaf & Atmung · 2024Article
- Supporting health and wellbeing in health care employees: a documentary review of organizational policies, strategies and frameworks.Frontiers in sports and active living · 2024Article
- Measuring nurses' on-shift physical activity and sedentary time by accelerometry or heart rate monitoring: a descriptive case study illustrating the importance of context.Journal of activity, sedentary and sleep behaviors · 2023Article
- A multifaceted assessment of the nutritional status, diet and eating habits of midwives working on a shift schedule in Wrocław, Poland: evaluation of macronutrients, vitamins and minerals in the diets of midwives participating in the study.International journal of occupational medicine and environmental health · 2023Article
- The Importance of Physical Activity in Preventing Fatigue and Burnout in Healthcare Workers.Healthcare (Basel, Switzerland) · 2023Article
- Reduction of Excessive Dietary Sodium Consumption: Effectiveness of a Prevention Intervention among Health Workers in a Large Italian Hospital.International journal of environmental research and public health · 2023Article
- "Mars Bar and a Tin of Red Bull Kept Me and My Patients Alive": Exploring Barriers to Healthy Eating through Facebook Comments of Shiftworkers.Nutrients · 2023Article
- "suMus," a novel digital system for arm movement metrics and muscle energy expenditure.Frontiers in physiology · 2023Article
- An investigation of the psychological stress of medical staff in Shanghai shelter hospital during COVID-19.Frontiers in psychology · 2023Article
- Effect of night shift work on the reduction of glomerular filtration rate using data from Korea Medical Institute (2016-2020).Annals of occupational and environmental medicine · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAmong health care personnel working regular hours or rotating shifts can affect parameters of general health and nutrition. We have investigated physical activity, sleep quality, metabolic activity and stress levels in health care workers from both groups.
methodsWe prospectively recruited 46 volunteer participants from the workforce of a University Medical Department of which 23 worked in rotating shifts (all nursing) and 21 non-shift regular hours (10 nursing, 13 clerical staff). All were investigated over 7 days by multisensory accelerometer (SenseWear Bodymedia® armband) and kept a detailed food diary. Physical activity and resting energy expenditure (REE) were measured in metabolic equivalents of task (METs). Quality of sleep was assessed as Pittsburgh Sleeping Quality Index and stress load using the Trier Inventory for Chronic Stress questionnaire (TICS).
resultsNo significant differences were found for overall physical activity, steps per minute, time of exceeding the 3 METs level or sleep quality. A significant difference for physical activity during working hours was found between shift-workers vs. non-shift-workers (p<0.01) and for shift-working nurses (median = 2.1 METs SE = 0.1) vs. non-shift-working clerical personnel (median = 1.5 METs SE = 0.07, p<0.05). Non-shift-working nurses had a significantly lower REE than the other groups (p<0.05). The proportion of fat in the diet was significantly higher (p<0.05) in the office worker group (median = 42% SE = 1.2) whereas shift-working nurses consumed significantly more carbohydrates (median = 46% SE = 1.4) than clerical staff (median = 41% SE = 1.7). Stress assessment by TICS confirmed a significantly higher level of social overload in the shift working group (p<0.05).
conclusionIn this prospective cohort study shift-working had no influence on overall physical activity. Lower physical activity during working hours appears to be compensated for during off-hours. Differences in nutritional habits and stress load warrant larger scale trials to determine the effect on implicit health-associated conditions.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.