My little sister – who happens to be the cutest nurse in the world and is the cover girl pictured above – is slated to start the dreaded thing that most, if not all, nurses must do at some point in their career: night shift. Working nights has been linked to increased risk for obesity, diabetes, heart disease, breast cancer in women, and prostate cancer in men. The big sister in me wants to write a letter to my sister’s hospital detailing all these risks and asking that they keep her only on days for the duration of her career, but like most people who work nights, what she’s doing is important enough that it can’t wait until morning (she helps to deliver babies). So, for those of you who work nights because you are doing important stuff that can’t be done during the day or – like my own mom – work nights for the noble purpose of being home during the day with your families…which means basically not sleeping for about 18 years…here are some tips that may help you:
- The main hormone affected with working night shift is melatonin, the hormone produced by the brain that helps to regulate sleep-wake cycles. Melatonin also has anti-cancer and anti-aging effects, so it’s really important to support your body’s production of this hormone. Melatonin can be taken as a supplement, which I think is okay in the short-term (a few days to a few weeks) for people who are traveling across time zones or who have insomnia severe enough to warrant medication, but I don’t recommend it as a long-term fix (more than a few weeks at a time) because it affects the reproductive system and taking it long-term can reduce the amount that your body produces naturally.
- To support melatonin production, try to set a regular bed time so that your brain can adjust to the new sleeping pattern. This may be nearly impossible if your work shifts alternate between night and day, but even then you can try to set a schedule so that you are in bed 3 hours after your shift ends (or whatever makes sense for you) regardless of the time your shift actually ends.
- Melatonin is produced in response to darkness, so even if the sun is blazing outside try to recreate gradual darkness as you wind down to bedtime. For example, if you get off of work at 7 AM then once you get home do something that relaxes you such as taking a warm bath with the lights dimmed or reading a book with the curtains drawn. Then go to sleep in a completely dark room (use black-out curtains or a sleep mask if you need to).
- Foods that may help to increase melatonin production because they contain small amounts of melatonin include olive oil, tomatoes, grape skins, walnuts, oats, and rice. Tryptophan and Vitamin B6 are also needed to produce melatonin. Foods rich in tryptophan include chicken, tuna, fatty fish such as salmon or halibut, and of course turkey! Foods rich in vitamin B6 include chickpeas, tuna, beef, and turkey.
- Another major reason that night shift may be hard on your health is that it’s unnatural for the body to produce significant amounts of insulin during the night hours, when the body is normally focused on growth and repair. Insulin is a hormone secreted by the pancreas in response to carbohydrates. In small amounts, complex carbohydrates (vegetables, fruits, whole grains) actually help to make tryptophan available to the brain, but eating large amounts of simple carbohydrates (basically everything in the snack machine) causes surges of insulin to be released which encourages fat gain, accelerates aging, and can further disrupt sleep patterns.
- To keep insulin levels in a healthy range while working nights, it’s absolutely vital to plan ahead and take snacks with you to work! Try to eat a small amount of food every 2-3 hours (skipping meals causes insulin levels to become unbalanced also) and focus on foods containing protein along with healthy fats and/or complex carbohydrates.
- To save you the time of figuring out snack ideas for work, here are some ideas that you can prep on your day off and have ready to grab when you leave for work:
- Celery sticks with tuna salad (look for skipjack or chunk light, which are lower in mercury).
- Salmon salad (same as tuna salad but made with canned wild salmon) and raw veggie sticks or crackers.
- Baby carrots and garbanzo bean hummus.
- Apple slices and almond butter.
- Caprese salad made with diced fresh tomatoes, diced fresh mozzarella (buy at any grocery store), diced red or sweet onion, and torn fresh basil, drizzled with olive oil and balsamic vinegar.
- Sprouts rolled up inside turkey slices. Or turkey slices straight out of the package if you’re busy! Just look for nitrate-free turkey, since nitrates are linked to stomach cancer and erectile dysfunction in men (how’s that for a motivator to eat healthier?). I usually buy freshly sliced turkey from the deli counter at the local health food store. They have lots of different nitrate-free options and it’s cheaper and fresher than buying the pre-packaged kind.
- Smoked salmon, cream cheese, and capers rolled up in a sheet of nori sushi paper (or a whole grain tortilla if you don’t like nori)
- Cook an extra portion of chicken, steak, wild salmon, or halibut with dinner during the week, slice it and serve it cold over a green salad or a small bed of wild rice while you’re at work.
- Chickpea salad made with 1 can rinsed canned chickpeas, 1 diced red bell pepper, 1/2 diced red onion, a handful of chopped fresh parsley or dill (whichever flavor you prefer), a handful of crumbled feta, Italian salad dressing (if you use the bottled kind then pour the oil portion off and replace with olive oil) and salt and black pepper to season.
- Spinach salad with red grapes, chopped walnuts, crumbled feta, diced chicken or wild salmon, and balsamic vinegar and olive oil for dressing.
- Chicken and rice soup made with chicken broth, diced chicken (make extra at dinner), diced carrots, diced celery, chopped onion and garlic, and brown or wild rice.
- Sliced pears and fancy cheese (whatever kind you like as long as it’s real cheese…American cheese does not count as fancy cheese!) or a handful of raw walnuts or almonds
- Fresh sauerkraut (in the refrigerated section of health food stores, will say “live active cultures” on the label or if you are truly amazing you can make your own sauerkraut) rolled up in roast beef deli slices with spicy mustard – or served on a slice of whole grain sourdough bread if a roll-up is too messy. If your coworkers complain about the smell of the sauerkraut you can let them know that it’s balancing your hormones while replenishing levels of healthy bacteria in your gut so stop whining.
- Fruit salad made with fresh fruit of your choice (whatever is in season in your area), frozen berries, chopped walnuts, and diced unsweetened coconut. One of my great friends in Iowa who used to always get into passionate discussions with me about whether cheese or butter was tastier (guess which side I was on) told me that putting a tiny bit of fresh mint in fruit salad “elevates” the flavors (her dad is a chef and her mom is a Flamenco dancer, so she can’t help saying words like “elevate” while making hand gestures like an Italian pastry chef) of any fruit salad. She was right and to this day I grow mint in the backyard because of her!
- Fresh oatmeal with chopped nuts. Cook it in a tiny crockpot if you have one!
- Smoothies made with coconut or almond milk, frozen fruit, nuts or seeds, and yogurt or your protein powder of choice.
- Eggs in basically any form. Deviled, egg salad, hard boiled, soft boiled, sunny side up, poached…just try to avoid scrambled because frying the yolk at high heat destroys some of the nutrients that are so nourishing to the brain.
- One more really important thing to remember is to stay hydrated! One of worst things you could do while working night shift is to drink caffeinated beverages and neglect to drink enough water. I didn’t find any studies to back it up, but my personal theory is that some of the health problems associated with working night shift are compounded by long-term dehydration because people forget to drink water when their schedules are flipped. Staying hydrated also prevents fatigue which will make it less likely that you will need to depend on caffeine during your shift. Some caffeine is okay – and probably necessary for most of us – just be sure to limit caffeine consumption to the first half of your shift so you will sleep easier once you get home and can rest. I know it’s especially hard for people on night shift to drink enough water because they tend to be in fast-paced jobs such as medicine, security, or factory production and can’t take a lot of bathroom breaks. I have found in my practice that clients who are especially concerned about urinary frequency actually find that they need fewer bathroom breaks when they are more hydrated because their bladder starts to empty more efficiently. To stay hydrated, I suggest bringing a large container of water to work (either a large water bottle, or my favorite: a glass quart-sized Mason jar with a lid and a straw – very classy) and keep if full at your work station so that whenever you are near it you can take a few big gulps that would ideally add up to about 8 ounces for each hour of your shift (or whatever you need to stay hydrated).
If anyone out there has tips for staying healthy while working night shift please share them in the comments section!
July 18, 2012 2 Comments
Last weekend I had the privilege of flying to Iowa to speak at the Iowa City Yoga Festival, which was quite a fabulous occasion. It was my very first overnight trip away from Mr. Milk (boo-hoo) so I made it as short as possible by arriving Friday afternoon and leaving at 6 AM on Monday. Quite a fast trip to get used to a 5 hour time change! In addition to this, I happened to be finishing my first trimester of incubation for baby #2 (that is a whole separate story, but I blame my husband’s Hawaiian ancestry which is biochemically driven to procreate despite all barrier methods of birth control used). Thankfully I have not had any pregnancy symptoms – which is partially why I felt like one of those ladies from the “I Didn’t Know I was Pregnant” show when the ultrasound showed a fully formed little creature doing the Team America “It’s Me” dance (warning – bad word at the 11th second!) and we had just figured out I was pregnant a couple weeks earlier. But I digress.
The point of this blog is to share with you the fact that despite traveling over 5 time zones and lecturing 4 hours a day within the first day of landing AND being pregnant I did not experience any jet lag! Many people take melatonin to help them adjust their sleep-wake cycles while traveling but that was not an option for me since due to the pregnancy (melatonin works with pituitary gland hormones). It actually surprised me how quickly I adjusted to the time difference, so I wanted to share with you what I did.
- I made myself stay awake until a normal bed time on my arrival day. Truthfully this wasn’t hard to do, since 10:00 in Iowa is 5:00 in Hawaii but I had flown all night on the red eye so was a little tired. The way I got around this was to stay busy. I ran a few errands, had a late lunch with my two little nieces who are really hilarious and were giving (loud) social commentary regarding other people at the restaurant (they are 4 and 8 years old), went to a meeting with the other speakers, swam in the hotel pool with my nieces for a long enough time that the chlorine burned my eyeballs (not necessarily recommended), and then ordered in Thai food. Basically, do anything you can to stay happily awake, which means avoiding hanging out in your hotel bed watching TV at all costs!
- I drank a ridiculous amount of water. One of my errands mentioned above was to buy 2 gallons of water at the local store, enough for me to drink a full gallon for each day of lecturing. I didn’t quite make that amount, and drank closer to 3/4 of a gallon each day, but I do think that this made the most significant impact for me in adjusting to the time difference.
- I took 1 or 2 warm baths each day. Maybe this had nothing to do with it, but I feel like it really made a difference because I’ve traveled a lot and tried to drink water and done well but never have I felt this good. And no, it wasn’t a pregnancy hormone high – I was 14 weeks pregnant with the Little Mister (he’s in the late stages of weaning so I have to stop calling him Mr. Milk – maybe Mr. Muscles can be his new name since he’s a meaty little boy) when I left Iowa to move to Hawaii and I was 14 weeks pregnant when flying back to Iowa (the state requires that of me I guess) and this trip was definitely different as far as fatigue. So, you can throw this point out if you want but I really think that there’s something to soaking in a tub of warm water that helps you adjust to the magnetic field of the time zone that you’re in. Either that, or the hydrotherapy of the bath helped me detox and feel great, or the bath was just relaxing and refreshing enough to get rid of any fatigue that would have set in.
So there you have it. Not exactly rocket science but I find that the simple things seem to make the most difference! And in this case it sure made a crazy weekend into an enjoyable experience. Oh, and how did Mr. Muscles do with my absence, you ask? As you can see from the photo below – taken on Friday while I was still traveling – he really had a miserably hard time with it.
October 14, 2011 1 Comment