Rotating Shift-Work as an Independent Risk Factor for Overweight Italian Workers: A Cross-Sectional Study

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Abstract

Background:A job-related factor is attracting a growing interest as a possible determinant of body weight gain in shift-workers.Objective:The aim of the study was to reinvestigate the issue of overweight between rotating shift workers and daytime workers, taking into consideration possible confounding covariate factors.Methods:This is a cross-sectional study, conducted by reviewing data from subjects participating in an occupational surveillance program in 2008. Participants answered a self-administered questionnaire to retrieve information about socio-demographic factors and working conditions (job schedule type, job-related physical activity, time in job), subjective health status, health care visits during the previous year, and lifestyle factors (dietary habits, leisure time physical activity, alcohol consumption). Participants underwent a medical examination for measurement of BMI, and acquisition of medical history.Results:Compared to daytime workers (N = 229), rotating shift workers (N = 110) displayed higher BMI (mean BMI was 27.6±3.9 and 26.7±3.6 for shift workers, and daytime workers, respectively; p<0.05). Logistic regression analysis allowed to highlight the role of rotating shift-work as an independent risk factor for increased body weight (OR 1.93, 95%CI 1.01-3.71), being aged between 35 and 54 years was a major determinant of increased BMI (OR 2.39, 95%CI 1.14-5.00). In addition, family history of obesity was the strongest determinant of overweight/obesity (OR 9.79, 95%CI 1.28-74.74). Interestingly, no significant association was found between overweight and other potentially relevant factors, such as diet quality and food choices, alcohol consumption, levels of occupational and leisure-time physical activity.Conclusions:Present findings seem to support the notion that rotating shift work is an independent risk factor for overweight, regardless of workers' dietary habits and physical activity levels. © 2013 Barbadoro et al.

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Barbadoro, P., Santarelli, L., Croce, N., Bracci, M., Vincitorio, D., Prospero, E., & Minelli, A. (2013). Rotating Shift-Work as an Independent Risk Factor for Overweight Italian Workers: A Cross-Sectional Study. PLoS ONE, 8(5). https://doi.org/10.1371/journal.pone.0063289

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