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Effects of Shift Work in a Sample of Italian Nurses: Analysis of Rest-Activity Circadian Rhythm

Author

Listed:
  • Letizia Galasso

    (Department of Biomedical Sciences for Health, University of Milan, Via G. Colombo 71, 20133 Milan, Italy
    Authors with equal contribution as the first author.)

  • Antonino Mulè

    (Department of Biomedical Sciences for Health, University of Milan, Via G. Colombo 71, 20133 Milan, Italy
    Authors with equal contribution as the first author.)

  • Lucia Castelli

    (Department of Biomedical Sciences for Health, University of Milan, Via G. Colombo 71, 20133 Milan, Italy)

  • Emiliano Cè

    (Department of Biomedical Sciences for Health, University of Milan, Via G. Colombo 71, 20133 Milan, Italy
    IRCCS Istituto Ortopedico Galeazzi, Via R. Galeazzi 4, 20161 Milan, Italy)

  • Vincenzo Condemi

    (Department of Biomedical Sciences for Health, University of Milan, Via G. Colombo 71, 20133 Milan, Italy)

  • Giuseppe Banfi

    (IRCCS Istituto Ortopedico Galeazzi, Via R. Galeazzi 4, 20161 Milan, Italy)

  • Eliana Roveda

    (Department of Biomedical Sciences for Health, University of Milan, Via G. Colombo 71, 20133 Milan, Italy
    IRCCS Istituto Ortopedico Galeazzi, Via R. Galeazzi 4, 20161 Milan, Italy)

  • Angela Montaruli

    (Department of Biomedical Sciences for Health, University of Milan, Via G. Colombo 71, 20133 Milan, Italy
    IRCCS Istituto Ortopedico Galeazzi, Via R. Galeazzi 4, 20161 Milan, Italy)

  • Fabio Esposito

    (Department of Biomedical Sciences for Health, University of Milan, Via G. Colombo 71, 20133 Milan, Italy
    IRCCS Istituto Ortopedico Galeazzi, Via R. Galeazzi 4, 20161 Milan, Italy)

Abstract

Shift work can lead to circadian desynchronization due to temporary misalignment between working hours and physiological and behavioral functioning, resulting in compromised health, insomnia, worsening of sleep quality, reduced ability to work during waking hours, and increased cardiovascular risk. We evaluated the effects of shift work on the rest-activity circadian rhythm (RAR) and health status of Italian orthopaedic nurses. The study population was 59 nurses: 44 worked the night shift and 15 worked the day shift. All carried out continuous 5-day actigraphic monitoring to assess RAR, including both the working and the rest period. The rhythmometric analysis showed that, during the working period, the night shift nurses had a significantly lower amplitude than the day shift nurses ( p < 0.001), and the acrophase was significantly different between the two groups ( p < 0.01). When we stratified the two groups by median body mass index (<25 kg/m 2 normal weight and ≥25 kg/m 2 overweight), during the working period, we noted a significantly lower amplitude for both the normal weight and the overweight nurses who worked the night shift ( p < 0.01 and p < 0.001, normal weight and overweight respectively). The current findings suggest the need for further study of the relationship between activity levels and shift work.

Suggested Citation

  • Letizia Galasso & Antonino Mulè & Lucia Castelli & Emiliano Cè & Vincenzo Condemi & Giuseppe Banfi & Eliana Roveda & Angela Montaruli & Fabio Esposito, 2021. "Effects of Shift Work in a Sample of Italian Nurses: Analysis of Rest-Activity Circadian Rhythm," IJERPH, MDPI, vol. 18(16), pages 1-13, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:16:p:8378-:d:610431
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    References listed on IDEAS

    as
    1. Majid Bagheri Hosseinabadi & Mohammad Hossein Ebrahimi & Narges Khanjani & Jamal Biganeh & Somaye Mohammadi & Mazaher Abdolahfard, 2019. "The effects of amplitude and stability of circadian rhythm and occupational stress on burnout syndrome and job dissatisfaction among irregular shift working nurses," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(9-10), pages 1868-1878, May.
    2. A. Khaleque, 1999. "Sleep Deficiency and Quality of Life of Shift Workers," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 46(2), pages 181-189, February.
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    Cited by:

    1. Yunmi Kim & Hyun-Young Kim, 2021. "Retention Rates and the Associated Risk Factors of Turnover among Newly Hired Nurses at South Korean Hospitals: A Retrospective Cohort Study," IJERPH, MDPI, vol. 18(19), pages 1-14, September.

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