Cited by 157Sleep and Work-Related FatigueNutrition, Health and Food BehaviorCircadian rhythm and melatonin

Food intake and circadian rhythms in shift workers with a high workload

de Assis, Maria Alice Altenburg, Kupek, Emil, Nahas, Markus Vinı́cius, Bellisle, France·2003·Appetite

Abstract

Shift work is associated with nutritional and health problems. In the present study, the food intake of garbage collectors of the city of Florianopolis (Brazil) was investigated using a dietary survey method based on meal recording during 24 h and adapted for the Brazilian food context. Three different shifts (morning, afternoon, and night) were compared (n=22 per shift). Age, body weight and body mass index (BMI) were similar for all groups. Daily energy expenditure was high in all three shifts, especially in morning shift workers. No difference in daily energy intake was found, in spite of differences in food choices and circadian ingestion rhythms. Energy intake was high and close to levels previously reported in athletes. Several factors not associated with shifts had significant impact on ingestion: hour of the day, time since the last meal, age, and BMI. Ingested foods were analyzed in groups based on nutrient content. Shifts significantly influenced intake of starches, alcoholic drinks, and sweets. In different periods of the day, food and nutrient intake were considerably affected by shifts. The analysis of circadian distribution of food choices and nutrient intake is important in shift workers, because total daily intake may not reveal shift-associated differences.

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Crossref · 10.1016/s0195-6663(02)00133-2

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  • When investigating the components of the metabolic syndrome, the strongest associations were found for central obesity (based on waist circumference) and obesity (based on BMI).

    “When investigating the components of the metabolic syndrome, the strongest associations were found for central obesity (based on waist circumference) and obesity (based on BMI).”
  • An increased risk of the metabolic syndrome was associated with more irregular energy intake at breakfast (OR 1•34 (95 % CI 0•99, 1•81) comparing the highest tertile of irregularity score with the lowest tertile; P trend = 0•04) and between meals (OR 1•36 (95 % CI 1•01, 1•85); P trend = 0•04).

    “An increased risk of the metabolic syndrome was associated with more irregular energy intake at breakfast (OR 1•34 (95 % CI 0•99, 1•81) comparing the highest tertile of irregularity score with the lowest tertile; P trend = 0•04) and between meals (OR 1•36 (95 % CI 1•01, 1•85); P trend = 0•04).”
  • For the other components of the metabolic syndrome, including HDL-cholesterol, TAG and systolic and diastolic blood pressure, no statistical significant associations were found with meal irregularity.

    “For the other components of the metabolic syndrome, including HDL-cholesterol, TAG and systolic and diastolic blood pressure, no statistical significant associations were found with meal irregularity.”
  • The associations between meal irregularity and metabolic syndrome remained when those who underreported their total energy intake were excluded.

    “However, these associations remained when those who underreported their total energy intake were excluded.”
  • Individuals with a more irregular intake, especially at breakfast, lunch and between meals, had an increased risk of the metabolic syndrome.

    “Thus, by using this score for meal irregularity based on detailed dietary information, we found that individuals with a more irregular intake, especially at breakfast, lunch and between meals, had an increased risk of the metabolic syndrome.”

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Authors
de Assis, M. A. A., Kupek, E., Nahas, M. V., & Bellisle, F.
Affiliations
  • Universidade Federal de Santa Catarina (BR)
  • Inserm (FR)
Venue
Appetite
Publisher
Elsevier BV
Published
2003-02
Volume
40
Issue
2
Pages
175-183
ISSN
0195-6663 (ISSN-L)
OpenAlex
W2045190287
Cited by
157
References
29
Citations by year
2026: 4 · 2025: 2 · 2024: 3 · 2023: 6 · 2022: 8 · 2021: 7 · 2020: 10 · 2019: 13 · 2018: 12 · 2017: 8 · 2016: 12 · 2015: 16 · 2014: 8 · 2013: 8 · 2012: 10
FWCI
2.87
Type
journal article
Language
en
Open access
closed
Locations
  • Appetite (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
  • Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
Keywords
shift work, circadian rhythm, dietary intake, energy intake, garbage collectors, night shift work, meal timing, dietary habits, nutrient intake, alcohol consumption, sweets consumption, starch intake, daily energy expenditure, occupational health
MeSH terms
Adult, Circadian Rhythm, Diet, Eating, Food Preferences, Humans, Male, Nutrition Surveys, Personnel Staffing and Scheduling, Workload

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