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Healthcare Shift Workers’ Temporal Habits for Eating, Sleeping, and Light Exposure: A Multi-Instrument Pilot Study Cover

Healthcare Shift Workers’ Temporal Habits for Eating, Sleeping, and Light Exposure: A Multi-Instrument Pilot Study

Open Access
|Oct 2020

Figures & Tables

Table 1

Characteristics of the Participants.

TotalDay ShiftNight ShiftRotate Shiftp Value
N14554
Age44.21 [22, 67]47.4 [30, 64]36.8 [22, 67]49.5 [42, 63]0.398
BMI27.6 ± 6.7127.2 ± 7.3328 ± 8.6527.6 ± 4.810.984
Female sex – no. (%)12 (85.7%)5 (100%)5 (100%)2 (50%)
Race – no. (%)0.352
      White11 (78.6%)3 (60%)5 (100%)3 (75%)
      Black3 (21.4%)2 (40%)0 (0%)1 (25%)
Hispanic ethnicity0000
Education0.599
      High School1 (7.1%)0 (0%)1 (20%)0 (0%)
      College 2yrs7 (50%)2 (40%)2 (40%)3 (75%)
      College 4yrs6 (42.9%)3 (60%)2 (40%)1 (25%)
Household Income0.866
      30–50k3 (21.4%)1 (20%)1 (20%)1 (25%)
      50–100k7 (50%)3 (60%)3 (60%)1 (25%)
      >100k4 (28.6%)1 (20%)1 (20%)2 (50%)
Comorbidity
      Hypertension2 (14.3%)1 (20%)0 (0%)1 (25%)
      Diabetes1 (7.1%)0 (0%)0 (0%)1 (25%)
      Metabolic syndrome2 (14.3%)0 (0%)0 (0%)2 (50%)
      Asthma1 (7.1%)0 (0%)1 (20%)0 (0%)
Sleep History
      Sleep disorder2 (14.3%)1 (20%)0 (0%)1 (25%)
      Restless leg syndrome1 (7.1%)1 (20%)0 (0%)0 (0%)
      OSA2 (14.3%)1 (20%)0 (0%)1 (25%)
      Problem with sleep6 (42.9%)2 (40%)2 (40%)2 (50%)
      Snore5 (35.7%)3 (60%)1 (20%)1 (25%)
Medication
      Benzodiazepine2 (14.3)1 (20%)1 (20%)0 (0%)
Table 2

Correlation between daily totals of eating factors of different subjects. Strong correlations (highlighted) between calorie intake and fat/carbs/sugar are shown. As expected, BMI is moderately negatively correlated with daily activity. The number of bites is only moderately correlated with calories and other nutrients, with protein and fiber being slightly higher (as expected since meat/vegetables require more bites).

BMIDaily average number of bitesDaily average calorie intakeDaily average fat intakeDaily average carboh ydrate intakeDaily average protein intakeDaily average fiber intakeDaily average sugar intakeDaily average sodium intake
Daily activity–0.5392–0.1122–0.2569–0.2516–0.2022–0.4257–0.28350.2194–0.0135
BMI0.20730.19630.27810.02370.43640.1309–0.12900.2619
Daily average number of bites0.44510.38760.40370.49670.48120.44560.2673
Daily average calorie intake0.92470.90950.75770.74990.80970.5273
Daily average fat intake0.73030.73420.83520.78700.7440
Daily average carbohydrate intake0.52910.49970.67860.1910
Daily average protein intake0.78310.60850.5452
Daily average fiber intake0.72360.7409
Daily average sugar intake0.6918
jcr-18-199-g1.png
Figure 1

Violin plot of daily total bite-counter data for different groups. Dashed green lines represent mean. Solid yellow lines represent median. There are significant differences between bites for shift workers.

jcr-18-199-g2.png
Figure 2

Violin plots of daily-average bite-counter data between working and non-working day for all groups (top) and for different groups (bottom sub-figures). Dashed green lines represent mean. Solid yellow lines represent median.

jcr-18-199-g3.png
Figure 3

Violin plot of Fat Secret App daily calorie totals for different groups.

jcr-18-199-g4.png
Figure 4

Violin plots of Fat Secret App calorie daily totals between working and non-working day for different groups.

jcr-18-199-g5.png
Figure 5

Violin plot of snack calorie totals for different groups.

jcr-18-199-g6.png
Figure 6

Violin plots of the snack calorie totals between working and non-working day for different groups.

jcr-18-199-g7.png
Figure 7

Violin plot of activity data for different groups.

jcr-18-199-g8.png
Figure 8

Violin plots of activity data between working and non-working day for different groups.

jcr-18-199-g9.png
Figure 9

Violin plot of daily sleep hours for different groups.

jcr-18-199-g10.png
Figure 10

Violin plots of daily sleep hours between working and non-working day for different groups.

jcr-18-199-g11.png
Figure 11

Box plots of combined activity and sleep hours for different groups. Color red indicates working day, and color blue indicates non-working day. The saturated bars on the right are activity data (scale mentioned on the right) and washy bars on the left are sleep data (scale mentioned on the left).

jcr-18-199-g12.png
Figure 12

P-Value after filtering out days with NaN density more than different threshold. Each x mark is the P-Value of KW test when days with NaN density larger than a certain threshold are filtered out. Orange line is the first order regression. The rightmost x mark corresponds to threshold = 1, which means that nothing is filtered out and even days with 100% NaNs are present in the analysis. As it can be seen, when these days are present, P-Value becomes small (p = 0.02).

Table 3

Missing data density and period of dominant frequency for each subject.

SubjectsLabelsMissing Data DensityPeriod of dominant frequency of missing data (in hour)
Subject 1Night-Shift0.0301630.54394
Subject 2Day-Shift0.117265111.9972
Subject 4Night-Shift0.02186923.925
Subject 7Rotating-Shift0.10975335.9917
Subject 8Day-Shift0.0212413.418793
Subject 15Night-Shift0.057566111.9972
Subject 17Rotating-Shift0.284729167.9958
Subject 18Day-Shift0.04270223.9756
Subject 20Night-Shift0.136834335.9917
Subject 22Day-Shift0.31092823.94524
Subject 23Day-Shift0.805476111.9972
Subject 24Rotating-Shift0.04775623.98095
Subject 25Night-Shift0.05107718.63565
Subject 26Rotating-Shift0.4276924.00641
DOI: https://doi.org/10.5334/jcr.199 | Journal eISSN: 1740-3391
Language: English
Submitted on: Jun 12, 2020
Accepted on: Sep 8, 2020
Published on: Oct 21, 2020
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2020 Chiahui Chen, Taha ValizadehAslani, Gail L. Rosen, Carla R. Jungquist, Laura M. Anderson, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.