Determination of Protocol of Nocturnal Food Intake of Shift Workers.

Study Overview
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Brief Summary
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This study evaluates the effect of different dietary conducts in the nocturnal period on the postprandial metabolism and food perceptions of night workers of the Hospital of Clinics of Uberlândia, Federal University of Uberlândia.

Detailed Description
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Due to imbalances in the circadian rhythm, shift workers may present inadequate eating habits, which provoke metabolic and nutritional disorders. In this crossover study the participants consumed, at different times and separated by 6 days interval, two meals pre-established at the time of night work: a control and a higher-protein. On the day of each intervention, the participants were evaluated for response of blood and subjective markers after meal (glucose, insulin, triglycerides and subjective perceptions related to ingestion after each meal). It is expected that the standardization of a glycemic reduction diet will improve the metabolic response of the workers, demonstrated in the results of the biochemical parameters. If this scenario is confirmed, it is still expected that the data and results obtained in this study may serve as subsidies for the elaboration of nutritional interventions consistent with the work routine at night.

Official Title
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Determination of Protocol of Nocturnal Food Intake of Shift Workers: a Crossover Randomized and Controlled Study.

Conditions
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Shift Work Type Circadian Rhythm Sleep Disorder

Intervention / Treatment
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* Other: Normal protein diet
* Other: High-protein diet


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Male workers; Age between 20 and 60 years; Have been working night shift for at least six months; Sedentary. Exclusion Criteria: Failure to provide the information or material necessary for the development of the study; Carriers of diseases previously diagnosed and under treatment, such as type 2 diabetes mellitus, hypertension, cardiovascular diseases and related mood disorders such as depression.

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Shift workers<br>Night workers of the Hospital of Clinics of Uberlândia, Federal University of Uberlândia, received the normal protein diet. | Other: Normal protein diet<br>* The intervention with the control diet was composed of 65% of carbohydrates, 15% of proteins and 20% of lipids.<br>|
| Experimental: Night workers<br>Night workers of the Hospital of Clinics of Uberlândia, Federal University of Uberlândia, received the high-protein diet. | Other: High-protein diet<br>* The intervention with the higher-protein diet was composed of 45% of carbohydrates, 35% of proteins and 20% of lipids.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change of metabolic parameters | Blood samples were collected before and after (30, 60, 90 and 120 minutes) the consumption of each of the meals at nighttime (work schedule). In the first meal of the following day (standard breakfast) were determined the serum concentrations of glucose (mg/dL). | 7 months | 
| Change of metabolic parameters | Blood samples were collected before and after (30, 60, 90 and 120 minutes) the consumption of each of the meals at nighttime (work schedule). In the first meal of the following day (standard breakfast) were determined the serum concentrations of insulin (mU/mL). | 7 months | 
| Change of metabolic parameters | Blood samples were collected before and after (30, 60, 90 and 120 minutes) the consumption of each of the meals at nighttime (work schedule). In the first meal of the following day (standard breakfast) were determined the serum concentrations of triglycerides (mg/dL). | 7 months | 
| Change of food perceptions | To evaluate appetite, satiety and postprandial satisfaction, a visual analogue scale called hunger and satiety scale was applied before and after consumption of the proposed meal, with the questions, How much hunger did you have before the meal?; After the meal, how did you feel?; How much did you like the meal?, signaling all responses on a 0 to 10 cm scale. There is no classification of the values obtained. The answers are subjective and used in a comparative way. | 7 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Food intake, Sleep, Shift work, Postprandial metabolic response