title: [Promote better nutritional behaviours among shift workers with night shift].
abstract: OBJECTIVE
  Shift work, especially including a night shift, is associated with degradation of physical, social and psychosocial health as well as poor well-being. Food imbalance and low physical activity contributed to the negative effects on health. Our objective was to promote a healthier nutritional behaviour according to the French national nutrition and health program recommendations (PNNS).
  
  
  METHODS
  A one-year nutritional intervention with personalised dietetic counselling was proposed to 235 shift workers with night shift who came for a health prevention exam in one of the centres of the Institut Inter-Régional pour la Santé between 2009 and 2011. The intervention was three dietary interviews: at baseline with definition of goal setting, at 3 months for advice and support and at one-year for the evaluation. At 6 months, a personalised reminder letter was send. Compliance with the PNNS recommendations and level of physical activity were evaluated at baseline and at one-year by a self-administered questionnaire. Changes between baseline and follow-up were compared by paired t-tests or McNemar-tests.
  
  
  RESULTS
  The rate of follow-up was 57.4%. At the end of the study, subjects improved their compliance with PNNS guidelines concerning sweetened products (P<0.001), water (P=0.02) and salt (P=0.05), increased their leisure physical activity (P=0.001) and decreased their daily energy intakes (P<0.001).
  
  
  CONCLUSIONS
  A structured intervention can improve nutritional behaviours of shift workers. This intervention enabled to inform and alert on the risk related to this work schedule and promote better nutritional behaviours.
authors.affiliation: Institut interrégional pour la santé, 37521 La Riche cedex, France. Electronic address: gaelle.gusto@irsa.asso.fr.
authors.forename: Gaëlle
authors.initials: G
authors.lastname: Gusto
authors.affiliation: Institut interrégional pour la santé, 37521 La Riche cedex, France.
authors.forename: Sylviane
authors.initials: S
authors.lastname: Vol
authors.affiliation: Agence nationale de sécurité sanitaire et de l'alimentation, de l'environnement et du travail, 94701 Maisons-Alfort cedex, France; CHRU, université François-Rabelais, 37132 Tours cedex 01, France.
authors.forename: Gérard
authors.initials: G
authors.lastname: Lasfargues
authors.affiliation: Institut interrégional pour la santé, 37521 La Riche cedex, France.
authors.forename: Violaine
authors.initials: V
authors.lastname: Voisin
authors.affiliation: Institut interrégional pour la santé, 37521 La Riche cedex, France.
authors.forename: Martine
authors.initials: M
authors.lastname: Bedouet
authors.affiliation: Institut interrégional pour la santé, 37521 La Riche cedex, France.
authors.forename: Caroline
authors.initials: C
authors.lastname: Leglu
authors.affiliation: Institut interrégional pour la santé, 37521 La Riche cedex, France.
authors.forename: Bénédicte
authors.initials: B
authors.lastname: Grenier
authors.affiliation: Institut interrégional pour la santé, 37521 La Riche cedex, France.
authors.forename: Nane
authors.initials: N
authors.lastname: Copin
authors.affiliation: Institut interrégional pour la santé, 37521 La Riche cedex, France.
authors.forename: Olivier
authors.initials: O
authors.lastname: Lantieri
authors.affiliation: Institut interrégional pour la santé, 37521 La Riche cedex, France.
authors.forename: Jean
authors.initials: J
authors.lastname: Tichet
mesh_terms: D000328:Adult; D002940:Circadian Rhythm; D003376:Counseling; D004032:Diet; D005247:Feeding Behavior / Q000502:physiology*; D005260:Female; D005500:Follow-Up Studies; D015438:Health Behavior; D006293:Health Promotion; D006801:Humans; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D011795:Surveys and Questionnaires; D014937:Work / Q000502:physiology*; D014940:Work Schedule Tolerance; D055815:Young Adult