The Journal of the New York State Nurses Association, Vol. 46, Number 2

Page 47

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Activity: Night Shift Work and Weight Gain Among Female Filipino Nurses

Thank you for your participation in Night Shift Work and Weight Gain Among Fem ale Filipino Nurses,” a new 0.5 contact hour continuing education (CE) activity offered by NYSNA. NYSNA members and nonmembers are invited to take part in this activity; you do not need to be a resident of New York State.

answer next to the question number. Each question has only one correct answer. The 0.5 contact hours for this program will be offered until July 30, 2022.

INSTRUCTIONS In order to receive contact hours for this educational activity, participants are to read the article presented in this issue of The Journal, complete and return the post-test, evaluation form, and earn 80% or better on the post-test. This activity is free to NYSNA members and $10 for non-members. Participants can pay by check (made out to NYSNA & please include “CE D6F880” on your check) or credit card. The completed answer sheet and evaluation form may be mailed or faxed back to NYSNA; see the evaluation form for more information. The New York State Nurses Association is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. NYSNA wishes to disclose that no commercial support was received for this educational activity. All planners/authors involved with the development of this independent study have declared that they have no vested interest. NYSNA program planners and authors declare that they have no conflict of interest in this program.

1) Night shift workers experience insufficient sleep, tiredness, and an inability to recover between shifts. a. True b. False 2) It takes at least one week’s worth of insufficient sleep to cause energy expenditure and metabolic imbalance that have been associated with weight gain. a. True b. False 3) Insufficient sleep can increase food consumption by triggering a need to replace sleep loss and energy by consuming more food. a. True

INTRODUCTION Nurses transitioning between day and night shift work can experience adverse health events. Recent studies have found that people who work the night shift are likely burning less energy during a 24-hour period than those on a normal schedule, thus increasing their risk for weight gain and obesity. A recent meta-analysis looking at the data of almost 300,000 individuals found that people who work night shifts are 23% more likely to be obese than those who work standard day shifts. Researchers have known that people who work, and therefore eat, at night when their bodies are biologically prepared to sleep are prone to put on excessive pounds. In large part, the human circadian clock is set by exposure to sunlight. Not getting consistent, uninterrupted sleep or enough sleep (7-9 hours per 24hour period) can increase fatty acids levels, raises cortisol levels (the stress hormone associated with an increase in belly fat), raise blood glucose levels, and promote insulin resistance—significantly increasing the likelihood to develop type 2 diabetes.

b. False 4) Insufficient sleep is associated in the literature with the development of conditions associated with weight gain, such as heart diseases, hypertension, diabetes, stroke, and some forms of cancer. a. True b. False 5) Researchers have found that expected medical costs for overweight people were $1,429 lower annually than the costs of those of normal weight. a. True b. False

OBJECTIVES Upon completion of the article, the reader should be able to: 1. Summarize the research that indicates that night shift work can lead to adverse health events and weight gain. 2. Understand the importance of developing a personal care plan when transitioning from day to night shift work.

6) Having a body mass index (BMI) of 25 or higher constitutes being overweight, and having a BMI of 30 or higher constitutes obesity. a. True b. False

Please answer either True or False to the questions below. Remember to complete the answer sheet by putting the letter of your corresponding Journal of the New York State Nurses Association, Volume 46, Number 2

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