| Literature DB >> 35523493 |
Laura Helena Oostenbach1, Karen Elaine Lamb2, David Crawford3, Lukar Thornton3,4.
Abstract
OBJECTIVES: Work hours and commute time are key contributors to time scarcity, with potential detrimental implications for healthy eating. This study examined (1) associations between work and commute hours with food practices and (2) within-individual associations between changes in work and commute hours with changes in food practices.Entities:
Keywords: EPIDEMIOLOGY; NUTRITION & DIETETICS; PUBLIC HEALTH
Mesh:
Year: 2022 PMID: 35523493 PMCID: PMC9083384 DOI: 10.1136/bmjopen-2021-056212
Source DB: PubMed Journal: BMJ Open ISSN: 2044-6055 Impact factor: 3.006
Figure 1Flowchart of HILDA participants included in the study. HILDA, Household, Income and Labour Dynamics in Australia.
Descriptive characteristics of participants across all four waves
| Variables | Wave 2007 | Wave 2009 | Wave 2013 | Wave 2017 |
| Median (p25, p75)* (n) | Median (p25, p75)* (n) | Median (p25, p75)* (n) | Median (p25, p75)* (n) | |
| Weekly frequency of oohf purchasing for breakfast | 0.00 (0.00, 0.00) (n=7701) | 0.00 (0.00, 0.00) (n=8083) | 0.00 (0.00, 0.00) (n=10 779) | 0.00 (0.00, 0.00) (n=11 456) |
| Weekly frequency of oohf purchasing for lunch | 1.00 (0.00, 3.00) (n=7701) | 1.00 (0.00, 2.00) (n=8081) | 1.00 (0.00, 2.00) (n=10 777) | 1.00 (0.00, 2.00) (n=11 452) |
| Weekly frequency of oohf purchasing for dinner | 1.00 (0.00, 2.00) (n=7701) | 1.00 (0.00, 1.00) (n=8080) | 1.00 (0.00, 1.00) (n=10 777) | 1.00 (0.00, 1.00) (n=11 452) |
| Total weekly frequency of oohf purchasing (breakfast, lunch and dinner) | 2.00 (1.00, 4.00) (n=7701) | 2.00 (1.00, 4.00) (n=8077) | 2.00 (1.00, 4.00) (n=10 774) | 2.00 (1.00, 4.00) (n=11 451) |
| Average daily fruit servings | 1.00 (0.43, 2.00) (n=7701) | 1.00 (0.43, 2.00) (n=8081) | 1.00 (0.43, 2.00) (n=10 777) | 1.00 (0.43, 2.00) (n=11 451) |
| Average daily vegetable servings | 2.00 (1.43, 3.00) (n=7700) | 2.00 (1.29, 3.00) (n=8080) | 2.00 (1.29, 3.00) (n=10 776) | 2.00 (1.29, 3.00) (n=11 452) |
| Weekly work hours | 38.00 (19.00, 44.00) (n=7582) | 38.00 (15.00, 42.00) (n=7905) | 37.00 (15.00, 40.00) (n=10 601) | 37.00 (15.00, 40.00) (n=11 236) |
| Weekly commute hours | 2.00 (0.50, 5.00) (n=7393) | 2.00 (0.50, 5.00) (n=7770) | 2.00 (0.50, 5.00) (n=10 445) | 2.00 (0.50, 5.00) (n=11 061) |
| Combined weekly work and commute hours | 40.50 (20.50, 50.00) (n=7379) | 40.00 (18.00, 48.00) (n=7747) | 40.00 (16.00, 48.00) (n=10 439) | 40.00 (17.00, 48.00) (n=11 040) |
| Age (years) | 39.00 (26.00, 49.00) (n=7701) | 39.00 (26.00, 50.00) (n=8083) | 40.00 (27.00, 53.00) (n=10 779) | 42.00 (29.00, 55.00) (n=11 456) |
*25th percentile, 75th percentile.
†Single person: one person aged >15 years, no children <15 years.
‡Single parent: one person aged >15 years, at least one child <15 years.
§Multi-person without children: two or more people aged >15 years, no children <15 years.
¶Multi-person with children: two or more people aged >15 years, at least one child <15 years.
**Other: evening shift, night shift, rotating shift, split shift, on call, irregular schedule or other.
oohf, out-of-home food; SES, socioeconomic status.
Figure 2The estimated incidence rate ratio (IRR) for the weekly frequency of out-of-home food purchasing (breakfast, lunch, dinner, total) and the estimated number of daily servings of fruit and vegetables by weekly work and commute hours from adjusted mixed models. The estimate of each exposure represents the average difference in outcome (i.e., IRR for frequency of out-of-home food purchasing, and number of servings for fruit and vegetables intake) given a one-unit (i.e., 1 hour) difference in the exposure between individuals.
Sensitivity analysis: Poisson and linear mixed effects models* of weekly out-of-home food purchasing and daily fruit and vegetables consumption, comparing those not working (0 hours) to those working up to full-time (1–38 hours/week) and those working overtime (>38 hours/week)
| Reference group: | IRR | 95% CI | P value | |
| Breakfast | Up to full-time | 1.351 | (0.994 to 1.835) | 0.055 |
| Overtime | 1.853 | (1.365 to 2.515) | <0.001 | |
| Lunch | Up to full-time | 1.282 | (1.132 to 1.451) | <0.001 |
| Overtime | 1.473 | (1.301 to 1.668) | <0.001 | |
| Dinner | Up to full-time | 1.160 | (1.051 to 1.281) | 0.003 |
| Overtime | 1.338 | (1.211 to 1.478) | <0.001 | |
| Total food out | Up to full-time | 1.239 | (1.128 to 1.362) | <0.001 |
| Overtime | 1.437 | (1.307 to 1.579) | <0.001 | |
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| Fruit | Up to full-time | 0.022 | (−0.068 to 0.113) | 0.630 |
| Overtime | 1×10–4 | (−0.091 to 0.091) | 0.998 | |
| Vegetables | Up to full-time | −0.083 | (−0.194 to 0.028) | 0.144 |
| Overtime | −0.084 | (−0.196 to 0.029) | 0.144 |
The estimate for each work hours group represents the average difference in outcome (i.e., incidence rate ratio (IRR) for frequency of out-of-home food purchasing, and number of servings for fruit and vegetables intake) compared with the reference group, that is, those not working.
*Models adjusted for age, sex, education, household composition, remoteness, neighbourhood socioeconomic status and work schedule.
Coef., coefficient; IRR, incidence rate ratio.
Figure 3Predicted weekly frequency of out-of-home food purchasing (breakfast, lunch, dinner, total) and predicted number of daily servings of fruit and vegetables by weekly work and commute hours from adjusted mixed models.
Poisson and linear fixed effects models* of weekly out-of-home food purchasing and daily fruit and vegetables consumption
| Work hours | Commute hours | Combined work and commute hours | |||||||
| IRR | 95% CI | P value | IRR | 95% CI | P value | IRR | 95% CI | P value | |
| Breakfast | 1.010 | (1.007 to 1.013) | <0.001 | 1.026 | (1.017 to 1.036) | <0.001 | 1.010 | (1.007 to 1.013) | <0.001 |
| Lunch | 1.005 | (1.004 to 1.007) | <0.001 | 1.014 | (1.010 to 1.018) | <0.001 | 1.006 | (1.004 to 1.007) | <0.001 |
| Dinner | 1.006 | (1.005 to 1.007) | <0.001 | 1.009 | (1.005 to 1.013) | <0.001 | 1.006 | (1.004 to 1.007) | <0.001 |
| Total food out | 1.006 | (1.005 to 1.007) | <0.001 | 1.014 | (1.011 to 1.017) | <0.001 | 1.006 | (1.005 to 1.007) | <0.001 |
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| Fruit | 1×10–5 | (−0.001 to 0.001) | 0.977 | −0.001 | (−0.004 to 0.003) | 0.784 | −7×10–5 | (−0.001 to 0.001) | 0.899 |
| Vegetables | −3×10–4 | (−0.002 to 0.001) | 0.675 | −0.003 | (−0.008 to 0.002) | 0.186 | −1×10–4 | (−0.002 to 0.001) | 0.802 |
Sample size for each analysis is presented in online supplemental file 2. The estimate of each exposure represents the average change in outcome (i.e., IRR for frequency of out-of-home food purchasing, and number of servings for fruit and vegetables intake) for a one-unit (i.e., 1 hour) within-individual change in exposure.
*Models adjusted for age, education, household composition, remoteness, neighbourhood socioeconomic status and work schedule.
Coef., coefficient; IRR, incidence rate ratio.