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Article

Association Between Sugar-Sweetened Beverage Consumption as Meal Substitutes, Workload, and Obesity in Nurses: A Cross-Sectional Study

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School of Nursing, National Defense Medical Center, 161, Sec. 6, Minquan E Road., Neihu Dist., Taipei 11490, Taiwan
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Environmental and Occupational Medicine, National Taiwan University (NTU) College of Medicine and NTU Hospital, 1, Sec. 1, Jen-Ai Road, Taipei 10051, Taiwan
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Susan Wakil School of Nursing and Midwifery, The Faculty of Medicine and Health, University of Sydney, 88 Mallett St., Camperdown, NSW 2050, Australia
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CIRUS Centre for Sleep and Chronobiology, Woolcock Institute of Medical Research, Glebe 2037, Australia
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School of Nursing, College of Medicine, National Taiwan University, 1, Sec. 1, Jen-Ai Rd., Taipei 10051, Taiwan
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Department of Nutrition, National Taiwan University Hospital Hsin-Chu Branch, 25., Ln. 422, Sec. 1, Jingguo Rd., HsinChu City 33059, Taiwan
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Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(24), 4984; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph16244984
Received: 31 October 2019 / Revised: 1 December 2019 / Accepted: 4 December 2019 / Published: 7 December 2019
Background: High occupational stress has been associated with altered eating behaviors and obesity. Occupational stress is reported to be high in Asian countries. Furthermore, many Asian countries are increasingly consuming Western-type foods (e.g., incorporating drinks with meals) which collectively may also be contributing to obesity. Therefore, the aim of this study was to examine (a) associations between sugar-sweetened beverage (SSB) consumption as meal replacement and obesity and (b) associations between workload and substituting meals with SSB in nurses. Methods: A representative sample of 854 hospital-based nurses completed a structured questionnaire about SSB consumption, workload, and body mass index (BMI). Log binomial regression models were employed to test associations between SSBs and obesity rates and associations between workload and SSBs. Results: Most participants (57.6%) consumed SSBs as meal replacements during work. This was related to high workloads during shifts. Substituting SSBs for meals was significantly associated with increased likelihood of obesity (aPRR = 1.4, 95% CI (1.1, 1.7)). Workload was positively associated with SSB intake as meal substitutes (aPRR = 1.4, 95% CI (1.2, 1.6)). Conclusions: Our findings show that SSBs are used as meal substitutes and is due to the workload demands. Sugar-sweetened beverage consumption is also positively associated with the increased likelihood of obesity. Interventions that modify workloads and decrease SSB consumption may improve workers’ eating behaviors and health. View Full-Text
Keywords: eating behaviors; empty calorie beverage; nurse; occupational stress; weight gain eating behaviors; empty calorie beverage; nurse; occupational stress; weight gain
MDPI and ACS Style

Lin, T.-T.; Guo, Y.L.; Gordon, C.; Cayanan, E.; Chen, Y.-C.; Ouyang, C.-M.; Shiao, J.S.-C. Association Between Sugar-Sweetened Beverage Consumption as Meal Substitutes, Workload, and Obesity in Nurses: A Cross-Sectional Study. Int. J. Environ. Res. Public Health 2019, 16, 4984. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph16244984

AMA Style

Lin T-T, Guo YL, Gordon C, Cayanan E, Chen Y-C, Ouyang C-M, Shiao JS-C. Association Between Sugar-Sweetened Beverage Consumption as Meal Substitutes, Workload, and Obesity in Nurses: A Cross-Sectional Study. International Journal of Environmental Research and Public Health. 2019; 16(24):4984. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph16244984

Chicago/Turabian Style

Lin, Ting-Ti, Yue L. Guo, Christopher Gordon, Elizabeth Cayanan, Yi-Chuan Chen, Chung-Mei Ouyang, and Judith S.-C. Shiao 2019. "Association Between Sugar-Sweetened Beverage Consumption as Meal Substitutes, Workload, and Obesity in Nurses: A Cross-Sectional Study" International Journal of Environmental Research and Public Health 16, no. 24: 4984. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph16244984

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