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

Ting-Ti Lin, Yue Leon Guo, Christopher Gordon, Elizabeth Cayanan, Yi-Chuan Chen, Chung-Mei Ouyang and Judith Shu-Chu Shiao
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Ting-Ti Lin: School of Nursing, National Defense Medical Center, 161, Sec. 6, Minquan E Road., Neihu Dist., Taipei 11490, Taiwan
Yue Leon Guo: Environmental and Occupational Medicine, National Taiwan University (NTU) College of Medicine and NTU Hospital, 1, Sec. 1, Jen-Ai Road, Taipei 10051, Taiwan
Christopher Gordon: Susan Wakil School of Nursing and Midwifery, The Faculty of Medicine and Health, University of Sydney, 88 Mallett St., Camperdown, NSW 2050, Australia
Elizabeth Cayanan: Susan Wakil School of Nursing and Midwifery, The Faculty of Medicine and Health, University of Sydney, 88 Mallett St., Camperdown, NSW 2050, Australia
Yi-Chuan Chen: School of Nursing, College of Medicine, National Taiwan University, 1, Sec. 1, Jen-Ai Rd., Taipei 10051, Taiwan
Chung-Mei Ouyang: Department of Nutrition, National Taiwan University Hospital Hsin-Chu Branch, 25., Ln. 422, Sec. 1, Jingguo Rd., HsinChu City 33059, Taiwan
Judith Shu-Chu Shiao: School of Nursing, College of Medicine, National Taiwan University, 1, Sec. 1, Jen-Ai Rd., Taipei 10051, Taiwan

IJERPH, 2019, vol. 16, issue 24, 1-9

Abstract: 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.

Keywords: eating behaviors; empty calorie beverage; nurse; occupational stress; weight gain (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
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