RESEARCH PAPER
Associations between overweight and obesity and health enhancing behaviours among female nurses in Poland
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1
Public Health Division, Faculty of Health Science, Medical University of Warsaw, Warsaw, Poland
2
Department of Teaching and Outcomes of Education, Faculty of Health Science, Medical University of Warsaw, Warsaw, Poland
3
Department of Nursing and Emergency Medicine, Institute of Health, Faculty of Natural Science, University of Natural Sciences and Humanities, Siedlce, Poland
4
Department of Health Biohazards and Parasitology, Institute of Rural Health, Lublin, Poland
5
Institute of Rural Health, Lublin, Poland
Corresponding author
Mariusz Panczyk
Department of Teaching and Outcomes of Education, Faculty of Health Science, Medical University of Warsaw, Zwirki i Wigry 81, 02-091 Warszawa, Poland
Ann Agric Environ Med. 2018;25(4):714-719
KEYWORDS
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ABSTRACT
Introduction and objective:
The nursing profession entails many negative factors and high risk of chronic diseases, including overweight and obesity. The aim of the study is to investigate the prevalence of overweight and obesity and health enhancing behaviours in Polish female nurses, and associations between overweight and 4 groups of such behaviours, age and shift work.
Material and methods:
The analysis covered data obtained through cross-sectional survey carried out in a group of 994 nurses with an average age of 43. The analysis covered answers about 29 health-enhancing behaviours divided into 4 categories (subscales): 1) nutrition, 2) physical activity, 3) sleep, rest and behaviours related to mental health, 4) preventive behaviours. They were analysed through the validated Positive Health Behaviours Scale for adults. The analysis also covered answers about avoiding drinking large amounts of alcohol in one go, not smoking, avoiding passive smoking, not abusing unprescribed drugs.
Results:
The prevalence of overweight and obesity was 44%. Of 29 health behaviours concerned with nutrition, physical activity, sleep, rest, and mental health, preventive behaviours, 3 were exhibited always or almost always by over a half of the nurses. Health behaviours were more common in nurses whose BMI was normal than in nurses with BMI ≥ 25.0. Age and low physical activity levels were related to overweight and obesity in nurses.
Conclusions:
The study revealed a high prevalence of overweight and obesity and many deficits in health behaviours. Obesity and health behaviour deficits pose risks to the health of nurses, limit their involvement in prevention and treatment of patient obesity and impact as health educators. It is essential to engage in actions for health promotion among nurses.
REFERENCES (33)
2.
Adriaenssens J, De Gucht V, Maes S. Determinants and prevalence of burnout in emergency nurses: a systematic review of 25 years of research. Int J Nurs Stud. 2015; 52: 649–661.
3.
Fronteira I, Ferrinho P. Do nurses have a different physical health profile? A systematic review of experimental and observational studies on nurses’ physical health. J Clin Nurs. 2011; 20: 2404–2424.
4.
Buss J. Associations between obesity and stress and shift work among nurses. Workplace Health Saf. 2012; 60: 453–458.
5.
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: e0133761.
6.
Lee G-J, Kim K, Kim S-y, Kim J-H, Suh C, Son B-C, Lee C-K, Choi J. Effects of shift work on abdominal obesity among 20–39-year-old female nurses: a 5-year retrospective longitudinal study. Ann Occup Environ Med. 2016; 28: 69.
7.
Heath G, Roach GD, Dorrian J, Ferguson SA, Darwent D, Sargent C. The effect of sleep restriction on snacking behaviour during a week of simulated shiftwork. Accid Anal Prev. 2012; 45 Suppl: 62–67.
8.
Lowden A, Moreno C, Holmback U, Lennernas M, Tucker P. Eating and shift work – effects on habits, metabolism and performance. Scand J Work Environ Health 2010; 36: 150–162.
9.
Wong H, Wong MC, Wong SY, Lee A. The association between shift duty and abnormal eating behavior among nurses working in a major hospital: a cross-sectional study. Int J Nurs Stud. 2010; 47: 1021–1027.
10.
Geiger-Brown J, Rogers VE, Han K, Trinkoff A, Bausell RB, Scharf SM: Occupational screening for sleep disorders in 12-h shift nurses using the Berlin Questionnaire. Sleep Breath 2013; 17: 381–388.
11.
Jordan G, Nowrouzi-Kia B, Gohar B, Nowrouzi B. Obesity as a Possible Risk Factor for Lost-time Injury in Registered Nurses: A Literature Review. Saf Health Work 2015; 6: 1–8.
12.
Miller SK, Alpert PT, Cross CL. Overweight and obesity in nurses, advanced practice nurses, and nurse educators. J Am Acad Nurse Pract. 2008; 20: 259–265.
13.
Woynarowska-Sołdan M, Węziak-Białowolska D. Psychometric analysis of Positive Health Behaviours Scale for adults. Probl Hig Epidemiol. 2012; 93: 369–376.
14.
World Health Organization. The International Classification of adult underweight, overweight and obesity according to BMI, [Online]. 2006 [cited 2017 Feb 10]; Available from: URL:
http://apps.who.int/bmi/index.....
15.
Connor Gorber S, Tremblay MS. The bias in self-reported obesity from 1976 to 2005: a Canada-US comparison. Obesity (Silver Spring, Md) 2010; 18: 354–361.
16.
Central Statistical Office of Poland: Health status of population in Poland in 2014, [Online]. 2016 [cited 2017 Feb 10]; Available from:
http://stat.gov.pl/obszary-tem....
17.
Zhao I, Bogossian F, Turner C. A cross-sectional analysis of the association between night-only or rotating shift work and overweight/obesity among female nurses and midwives. J Occup Environ Med. 2012; 54: 834–840.
18.
Kyle RG, Neall RA, Atherton IM. Prevalence of overweight and obesity among nurses in Scotland: A cross-sectional study using the Scottish Health Survey. Int J Nurs Stud. 2016; 53: 126–133.
19.
Chin DL, Nam S, Lee SJ. Occupational factors associated with obesity and leisure-time physical activity among nurses: A cross sectional study. Int J Nurs Stud. 2016; 57: 60–69.
20.
Zapka JM, Lemon SC, Magner RP, Hale J. Lifestyle behaviours and weight among hospital-based nurses. J Nurs Manag. 2009; 17: 853–860.
21.
Tucker SJ, Harris MR, Pipe TB, Stevens SR. Nurses’ ratings of their health and professional work environments. AAOHN J 2010; 58: 253–267.
22.
Perry L, Gallagher R, Duffield C: The health and health behaviours of Australian metropolitan nurses: an exploratory study. BMC Nurs. 2015; 14: 45.
23.
Witkoski A, Dickson VV. Hospital staff nurses’ work hours, meal periods, and rest breaks. A review from an occupational health nurse perspective. AAOHN J 2010; 58: 489–497.
24.
Phiri LP, Draper CE, Lambert EV, Kolbe-Alexander TL. Nurses’ lifestyle behaviours, health priorities and barriers to living a healthy lifestyle: a qualitative descriptive study. BMC Nurs. 2014; 13: 38.
25.
Han K, Trinkoff AM, Storr CL, Geiger-Brown J, Johnson KL, Park S. Comparison of job stress and obesity in nurses with favorable and unfavorable work schedules. J Occup Environ Med. 2012; 54: 928–932.
26.
Marquezea EC, Lemosa LC, Soaresa N, Lorenzi-Filhob G, Morenoa CR. Weight gain in relation to night work among nurses. Work 2012; 41: 2043–2048.
27.
Bakhshi S, Sun F, Murrells T, While A. Nurses’ health behaviours and physical activity-related health-promotion practices. Br J Community Nurs. 2015; 20: 289–296.
28.
Kim MJ, Son KH, Park HY, Choi DJ, Yoon CH, Lee HY, Cho EY, Cho MC. Association between shift work and obesity among female nurses: Korean Nurses’ Survey. BMC Public Health 2013; 13: 1204.
29.
Centre for Healthcare Information Systems. Statistical Bulletin of Ministry of Health, [Online]. Warsaw (Poland): Ministry of Health Republic of Poland; 2016 [cited 2016 Nov 5]; Available from: URL
https://www.csioz.gov.pl/filea....
30.
Main Chamber of Nurses and Midwives: Securing the Services of Nurses and Midwives within the Polish society. A Report of the Main Chamber of Nurses and Midwives, [Online]. 2015 [cited 2016 Nov 5]; Available from:
http://arch.nipip.pl/attachmen....
31.
Organisation for Economic Co-operation and Development. Nurses (indicator) 2014, [Online]. 2017 [cited 2017 March 30]; Available from: URL:
https://data.oecd.org/healthre....
32.
National Trade Union of Nurses and Midwives. Employment and working conditions of nurses and midwives in Poland, [Online]. 2015 [cited 2016 Nov 10]; Available from: URL:
http://ozzpip.pl/wp-content/up....