PDF(Pubmed)
Abstract：
This study aimed to investigate the change in diet quality in addition to dietary adherence to the planetary health diet during night shifts in healthcare workers. This observational follow-up study involved 450 healthcare workers working night shifts (327 females, 123 males). A survey form requesting sociodemographic information (gender, age, marital status), job title, sleeping duration during the night shift, 24 h dietary records for pre-night-shift, during night shift, and post-night-shift, and anthropometric measurements (body weight and height) was applied. The scores of the Planetary Health Diet Index (PHDI) and the Healthy Eating Index 2020 (HEI-2020) were calculated according to the dietary records. The total HEI-2020 and PHDI scores decreased significantly (p < 0.05) during the night shift (44.0 ± 8.8 and 48.3 ± 13.2, respectively) compared to pre-night-shift (46.1 ± 9.2 and 51.9 ± 13.4, respectively) and increased post-night-shift (44.7 ± 9.9 and 50.6 ± 14.9, respectively), with no statistically significant difference between pre- and post-night-shift. There was a significant main effect of night shift working on total PHDI (F(896, 2) = 8.208, p < 0.001, ηp2 = 0.018) and HEI-2020 scores (F(894, 2) = 6.277, p = 0.002, ηp2 = 0.014). Despite healthcare workers\' knowledge of health factors, night shifts lead to poor dietary choices. To improve diet quality and sustainability, it is crucial to enhance access to healthy food options in their work environment.
摘要：
这项研究旨在调查饮食质量的变化，以及医护人员在夜班期间对行星健康饮食的饮食依从性。这项观察性随访研究涉及450名夜班医护人员(327名女性，123男性）。一份要求提供社会人口统计信息的调查表格(性别，年龄,婚姻状况)，职称,夜班期间的睡眠时间，夜班前的24小时饮食记录，在夜班期间，夜班后，并进行人体测量（体重和身高）。根据饮食记录计算了行星健康饮食指数（PHDI）和健康饮食指数2020（HEI-2020）的得分。与夜班前(分别为46.1±9.2和51.9±13.4)相比,夜班期间HEI-2020和PHDI总分显著下降(p<0.05)(分别为44.0±8.8和48.3±13.2),夜班后增加(分别为44.7±9.9和50.6±14.9),夜班前后无统计学差异。夜班工作对总PHDI（F（896，2）=8.208，p<0.001，ηp2=0.018）和HEI-2020评分（F（894，2）=6.277，p=0.002，ηp2=0.014）有显着的主要影响。尽管医护人员了解健康因素，夜班导致不良的饮食选择。为了提高饮食质量和可持续性，在他们的工作环境中增加获得健康食物的机会至关重要。
