A comparison of occupational physical activity and sedentary behavior patterns of nurses working 12-h day and night shifts
Background: Past studies have reported nurses working day shifts engage in high amounts of light and moderate-intensity occupational physical activity. However, little is known regarding how occupational physical activity and sedentary behavior is accumulated within shifts and/or over consecutive sh...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-11-01
|
| Series: | International Journal of Nursing Studies Advances |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666142X21000102 |
| _version_ | 1819177431564550144 |
|---|---|
| author | R.M. Benzo A. Farag K.M. Whitaker Q. Xiao L.J. Carr |
| author_facet | R.M. Benzo A. Farag K.M. Whitaker Q. Xiao L.J. Carr |
| author_sort | R.M. Benzo |
| collection | DOAJ |
| description | Background: Past studies have reported nurses working day shifts engage in high amounts of light and moderate-intensity occupational physical activity. However, little is known regarding how occupational physical activity and sedentary behavior is accumulated within shifts and/or over consecutive shifts. Objective: This study compared occupational physical activity and sedentary behavior patterns of nurses working 12-h. day vs. 12 -h. night shifts. We hypothesized nurses working day shifts would be more active and less sedentary while at work compared to nurses working night shifts and that within shift and between shift differences would emerge. Design: Prospective-cohort study design Setting(s): Midwestern trauma one academic medical center medical units (medical surgical, critical care, pediatrics, mother and baby, and other) Participants: A total of 56 registered nurses working 12-h. day and night shifts participated in this study. Methods: Occupational physical activity and sedentary behaviors (e.g., step count, time spent sitting, standing, and walking) were measured for 14 continuous days using the ActivPAL 3 micro activity monitor. Repeated measures mixed-effects regression models were used to examine the effects of shift type, consecutive shifts, and time within a shift on occupational physical activity and sedentary behaviors. Results: Nurses spent more time standing and walking, and less time sitting overall during day shifts compared to night shifts. Nurses walked less during the third consecutive night shift and stood less and sat more during the second and third consecutive night shifts, compared to day shifts. Nurses tended to walk less and sit more during the middle portion of each night shift compared to day shifts. Conclusions: Our findings suggest nurses spend more than half of each shift either standing or walking and that differential patterns of occupational physical activity and sedentary behavior exist between day and night shifts. These findings should be used to inform future interventions designed to advance the health and work performance of nurses. |
| first_indexed | 2024-12-22T21:26:33Z |
| format | Article |
| id | doaj.art-c4877e82e7b64777b79d0c0dd565833d |
| institution | Directory Open Access Journal |
| issn | 2666-142X |
| language | English |
| last_indexed | 2024-12-22T21:26:33Z |
| publishDate | 2021-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Nursing Studies Advances |
| spelling | doaj.art-c4877e82e7b64777b79d0c0dd565833d2022-12-21T18:12:02ZengElsevierInternational Journal of Nursing Studies Advances2666-142X2021-11-013100028A comparison of occupational physical activity and sedentary behavior patterns of nurses working 12-h day and night shiftsR.M. Benzo0A. Farag1K.M. Whitaker2Q. Xiao3L.J. Carr4Department of Health & Human Physiology, University of Iowa, E102 Field House, Iowa City, IA 52242, United States; Correspondence to: 1120 NW 14th St, Miami, FL 33136, United States.College of Nursing, University of Iowa, 444 College of nursing building, 50 Newton Rd, Iowa City IA 52242, United StatesDepartment of Health & Human Physiology, University of Iowa, E102 Field House, Iowa City, IA 52242, United States; Department of Epidemiology, University of Minnesota, United StatesDepartment of Epidemiology, Human Genetics and Environmental Sciences, School of Public Health, University of Texas Health Science Center at Houston, Houston, TX, United StatesDepartment of Health & Human Physiology, University of Iowa, E102 Field House, Iowa City, IA 52242, United StatesBackground: Past studies have reported nurses working day shifts engage in high amounts of light and moderate-intensity occupational physical activity. However, little is known regarding how occupational physical activity and sedentary behavior is accumulated within shifts and/or over consecutive shifts. Objective: This study compared occupational physical activity and sedentary behavior patterns of nurses working 12-h. day vs. 12 -h. night shifts. We hypothesized nurses working day shifts would be more active and less sedentary while at work compared to nurses working night shifts and that within shift and between shift differences would emerge. Design: Prospective-cohort study design Setting(s): Midwestern trauma one academic medical center medical units (medical surgical, critical care, pediatrics, mother and baby, and other) Participants: A total of 56 registered nurses working 12-h. day and night shifts participated in this study. Methods: Occupational physical activity and sedentary behaviors (e.g., step count, time spent sitting, standing, and walking) were measured for 14 continuous days using the ActivPAL 3 micro activity monitor. Repeated measures mixed-effects regression models were used to examine the effects of shift type, consecutive shifts, and time within a shift on occupational physical activity and sedentary behaviors. Results: Nurses spent more time standing and walking, and less time sitting overall during day shifts compared to night shifts. Nurses walked less during the third consecutive night shift and stood less and sat more during the second and third consecutive night shifts, compared to day shifts. Nurses tended to walk less and sit more during the middle portion of each night shift compared to day shifts. Conclusions: Our findings suggest nurses spend more than half of each shift either standing or walking and that differential patterns of occupational physical activity and sedentary behavior exist between day and night shifts. These findings should be used to inform future interventions designed to advance the health and work performance of nurses.http://www.sciencedirect.com/science/article/pii/S2666142X21000102AccelerometryNursingOccupational health nursingPhysical exertionSedentary behaviorShift work schedule |
| spellingShingle | R.M. Benzo A. Farag K.M. Whitaker Q. Xiao L.J. Carr A comparison of occupational physical activity and sedentary behavior patterns of nurses working 12-h day and night shifts International Journal of Nursing Studies Advances Accelerometry Nursing Occupational health nursing Physical exertion Sedentary behavior Shift work schedule |
| title | A comparison of occupational physical activity and sedentary behavior patterns of nurses working 12-h day and night shifts |
| title_full | A comparison of occupational physical activity and sedentary behavior patterns of nurses working 12-h day and night shifts |
| title_fullStr | A comparison of occupational physical activity and sedentary behavior patterns of nurses working 12-h day and night shifts |
| title_full_unstemmed | A comparison of occupational physical activity and sedentary behavior patterns of nurses working 12-h day and night shifts |
| title_short | A comparison of occupational physical activity and sedentary behavior patterns of nurses working 12-h day and night shifts |
| title_sort | comparison of occupational physical activity and sedentary behavior patterns of nurses working 12 h day and night shifts |
| topic | Accelerometry Nursing Occupational health nursing Physical exertion Sedentary behavior Shift work schedule |
| url | http://www.sciencedirect.com/science/article/pii/S2666142X21000102 |
| work_keys_str_mv | AT rmbenzo acomparisonofoccupationalphysicalactivityandsedentarybehaviorpatternsofnursesworking12hdayandnightshifts AT afarag acomparisonofoccupationalphysicalactivityandsedentarybehaviorpatternsofnursesworking12hdayandnightshifts AT kmwhitaker acomparisonofoccupationalphysicalactivityandsedentarybehaviorpatternsofnursesworking12hdayandnightshifts AT qxiao acomparisonofoccupationalphysicalactivityandsedentarybehaviorpatternsofnursesworking12hdayandnightshifts AT ljcarr acomparisonofoccupationalphysicalactivityandsedentarybehaviorpatternsofnursesworking12hdayandnightshifts AT rmbenzo comparisonofoccupationalphysicalactivityandsedentarybehaviorpatternsofnursesworking12hdayandnightshifts AT afarag comparisonofoccupationalphysicalactivityandsedentarybehaviorpatternsofnursesworking12hdayandnightshifts AT kmwhitaker comparisonofoccupationalphysicalactivityandsedentarybehaviorpatternsofnursesworking12hdayandnightshifts AT qxiao comparisonofoccupationalphysicalactivityandsedentarybehaviorpatternsofnursesworking12hdayandnightshifts AT ljcarr comparisonofoccupationalphysicalactivityandsedentarybehaviorpatternsofnursesworking12hdayandnightshifts |