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Current Nutrition & Food Science

Editor-in-Chief

ISSN (Print): 1573-4013
ISSN (Online): 2212-3881

Research Article

Knowledge, Attitude, and Practices for Occurrence of Weight Gain Among the Night Shift Working Professionals in Maharashtra, India: A Cross-Sectional Survey

Author(s): Srujana Medithi, Prarthana Shapariya and Arti Muley*

Volume 21, Issue 4, 2025

Published on: 24 September, 2024

Page: [486 - 493] Pages: 8

DOI: 10.2174/0115734013311065240911111659

Price: $65

Abstract

Introduction: The biological clock or circadian rhythm of an organism is a set of regular oscillations. Working at night or on night shifts disrupts the circadian rhythm. When the circadian rhythm is disrupted, concentrations of adiponectin and leptin (satiety hormones) rise at night, leading to overeating and fat gain, while lack of sleep elevates ghrelin levels of the hunger hormone. Thus, the current study sought to explore the knowledge, attitudes, and practices about the dietary and lifestyle factors amongst night-shift working professionals and to assess the influence of knowledge and attitudes on their practices.

Methods: A cross-sectional survey was conducted among individuals working night shifts in Maharashtra. A pre-tested questionnaire consisting of questions related to their knowledge, diet, and lifestyle was recorded and scored.

Results: Among the 206 participants, a maximum of them were male (57.1%). Approximately 72.8% of respondents were quite young (25-30 years) and had been working the night shift for a period of 9-12 months. The majority (76.6%) of respondents had no medical conditions. Many (42.7%) of the night-shift working professionals were found to be obese. Significance was observed between knowledge and attitude among the overweight BMI category.

Conclusion: The participants had good knowledge in terms of dietary habits and lifestyle-related factors. However, this was not reflected in their attitudes and practices. Therefore, interventional research targeting attitudes and behaviors is required to improve behavioral patterns among overweight/ obese people.

Keywords: Circadian rhythm, lifestyle, shift work schedule, overweight, obesity, knowledge and attitude.

Graphical Abstract
[1]
Ulhôa MA, Marqueze EC, Burgos LGA, Moreno CRC. Shift work and endocrine disorders. Int J Endocrinol 2015; 2015: 1-11.
[http://dx.doi.org/10.1155/2015/826249] [PMID: 25892993]
[2]
Antunes LC, Levandovski R, Dantas G, Caumo W, Hidalgo MP. Obesity and shift work: Chronobiological aspects. Nutr Res Rev 2010; 23(1): 155-68.
[http://dx.doi.org/10.1017/S0954422410000016] [PMID: 20122305]
[3]
Yang Z, Black K, Ohman-Strickland P, et al. Disruption of central and peripheral circadian clocks and circadian controlled estrogen receptor rhythms in night shift nurses in working environments. FASEB J 2024; 38(11): e23719.
[http://dx.doi.org/10.1096/fj.202302261RR] [PMID: 38837828]
[4]
Scheer FAJL, Morris CJ, Shea SA. The internal circadian clock increases hunger and appetite in the evening independent of food intake and other behaviors. Obesity (Silver Spring) 2013; 21(3): 421-3.
[http://dx.doi.org/10.1002/oby.20351] [PMID: 23456944]
[5]
Dalvi M, Medithi S. Modulation of peripheral circadian clocks – impact on metabolic activity: A state of science review. Biol Rhythm Res 2024; 2024: 1-22.
[http://dx.doi.org/10.1080/09291016.2024.2384621]
[6]
Kumar Jha P, Challet E, Kalsbeek A. Circadian rhythms in glucose and lipid metabolism in nocturnal and diurnal mammals. Mol Cell Endocrinol 2015; 418(Pt 1): 74-88.
[http://dx.doi.org/10.1016/j.mce.2015.01.024] [PMID: 25662277]
[7]
Peplonska B, Bukowska A, Sobala W. Association of Rotating Night Shift Work with BMI and Abdominal Obesity among Nurses and Midwives. PLoS One 2015; 10(7): e0133761.
[http://dx.doi.org/10.1371/journal.pone.0133761] [PMID: 26196859]
[8]
De Assis MAA, Nahas MV, Bellisle F, Kupek E. Meals, snacks and food choices in Brazilian shift workers with high energy expenditure. J Hum Nutr Diet 2003; 16(4): 283-9.
[http://dx.doi.org/10.1046/j.1365-277X.2003.00448.x] [PMID: 12859710]
[9]
Gwin JA, Leidy HJ. A review of the evidence surrounding the effects of breakfast consumption on mechanisms of weight management. Adv Nutr 2018; 9(6): 717-25.
[http://dx.doi.org/10.1093/advances/nmy047] [PMID: 30204837]
[10]
McHill AW, Thosar SS, Bowles NP, et al. Obesity alters the circadian profiles of energy metabolism and glucose regulation in humans. Obesity (Silver Spring) 2024; 32(2): 315-23.
[http://dx.doi.org/10.1002/oby.23940] [PMID: 37964700]
[11]
Tepas DI. Do eating and drinking habits interact with work schedule variables? Work Stress 1990; 4(3): 203-11.
[http://dx.doi.org/10.1080/02678379008256983]
[12]
Bonnell E, Huggins C, Huggins C, McCaffrey T, Palermo C, Bonham M. Influences on dietary choices during day versus night shift in shift workers: A mixed methods study. Nutrients 2017; 9(3): 193.
[http://dx.doi.org/10.3390/nu9030193] [PMID: 28245625]
[13]
Macagnan J, Pattussi MP, Canuto R, Henn RL, Fassa AG, Olinto MTA. Impact of nightshift work on overweight and abdominal obesity among workers of a poultry processing plant in southern Brazil. Chronobiol Int 2012; 29(3): 336-43.
[http://dx.doi.org/10.3109/07420528.2011.653851] [PMID: 22390246]
[14]
WHO. Obesity and Overweight. 2020. Available From: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
[15]
Kim MJ, Son KH, Park HY, et al. Association between shift work and obesity among female nurses: Korean Nurses’ Survey. BMC Public Health 2013; 13(1): 1204.
[http://dx.doi.org/10.1186/1471-2458-13-1204] [PMID: 24354395]
[16]
Hemiö K, Puttonen S, Viitasalo K, Härmä M, Peltonen M, Lindström J. Food and nutrient intake among workers with different shift systems. Occup Environ Med 2015; 72(7): 513-20.
[http://dx.doi.org/10.1136/oemed-2014-102624] [PMID: 25896332]
[17]
Regmi PR, Waithaka E, Paudyal A, Simkhada P, Van Teijlingen E. Guide to the design and application of online questionnaire surveys. Nepal J Epidemiol 2017; 6(4): 640-4.
[http://dx.doi.org/10.3126/nje.v6i4.17258] [PMID: 28804676]
[18]
Lim AJR, Huang Z, Chua SE, Kramer MS, Yong EL. Sleep duration, exercise, shift work and polycystic ovarian syndrome-related outcomes in a healthy population: A cross-sectional study. PLoS One 2016; 11(11): e0167048.
[http://dx.doi.org/10.1371/journal.pone.0167048] [PMID: 27870902]
[19]
Dalvi M, Medithi S. Dietary factors in circadian rhythm modulation and their impact on metabolic diseases: A state of the science review. Biol Rhythm Res 2024; 55(3-4): 233-59.
[http://dx.doi.org/10.1080/09291016.2024.2333296]
[20]
Powell-Wiley TM, Poirier P, Burke LE, et al. Obesity and Cardiovascular Disease: A Scientific Statement From the American Heart Association. Circulation 2021; 143(21): e984-e1010.
[http://dx.doi.org/10.1161/CIR.0000000000000973] [PMID: 33882682]
[21]
Hammouh F, Abdullah M, Al-Bakheit A, Al-Awwad NJ, Dabbour I, Al-Jawaldeh A. Nutrition knowledge, attitudes, and practices (KAPs) among Jordanian Elderly—A cross-sectional study. Nutrients 2023; 15(9): 2220.
[http://dx.doi.org/10.3390/nu15092220] [PMID: 37432358]
[22]
Sukhabogi JR, Chandrashekar BR, Kumar GS, Harita N. Assessment of knowledge, attitude, and practices and motivation to quit tobacco habits in relation to age and educational status among male tobacco users visiting a Government Dental College Hospital, India. Ind Psychiatry J 2019; 28(2): 203-10.
[http://dx.doi.org/10.4103/ipj.ipj_54_18] [PMID: 33223712]
[23]
Habib MA, Dey M, Chowdhury AI, Rahman T, Kundu RK. Current knowledge, attitude, and practice (KAP) towards physical activity (PA) and its impact on obesity management in Bangladesh: A cross-sectional study. Health Sci Rep 2022; 5(6): e960.
[http://dx.doi.org/10.1002/hsr2.960] [PMID: 36439043]
[24]
Makris KC, Heibati B, Narui SZ. Chrono-modulated effects of external stressors on oxidative stress and damage in humans: A scoping review on night shift work. Environ Int 2023; 178: 108048.
[http://dx.doi.org/10.1016/j.envint.2023.108048] [PMID: 37463540]
[25]
Vali A, Beaupère C, Loubaresse A, et al. Effects of glucocorticoids on adipose tissue plasticity. Ann Endocrinol (Paris) 2024; 85(3): 259-62.
[http://dx.doi.org/10.1016/j.ando.2024.05.013] [PMID: 38871499]
[26]
van der Valk ES, Savas M, van Rossum EFC. Stress and obesity: Are there more susceptible individuals? Curr Obes Rep 2018; 7(2): 193-203.
[http://dx.doi.org/10.1007/s13679-018-0306-y] [PMID: 29663153]
[27]
Fitzhugh C, Gibson R. Understanding perceptions about the health effects of night working and the barriers and enablers to taking part in nutritional research: A qualitative study among night workers in England. Nutr Bull 2024; 49(3): 360-71.
[http://dx.doi.org/10.1111/nbu.12691] [PMID: 38924319]

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