Published: 2019-08-27

A study on physical activity in shift workers in an urban city of India

Shubhabrata Das, Munmee Das, Shomik Ray


Background: Physical inactivity has been identified as one of the leading risk factors for non-communicable diseases. Several studies have established the fact that shift working is associated with various non communicable diseases. Studies assessing the knowledge, attitude and practice towards physical activity amongst shift workers is almost non-existence even though it has been established that mediators like knowledge and attitude affect healthy behaviour and adoption of health improving behaviour. Thus this study aims to assess the knowledge-attitude-practice of physical activity among shift workers in Gurugram city which is the centre of various BPO/KPO companies in India.

Methods: The present study is an organization based cross sectional study. Interviewer administered questionnaire were used to capture information on physical activity. Information on knowledge and attitude was collected using a piloted and pretested questionnaire. Practice of physical activity was collected using global physical activity questionnaire (GPAQ). Descriptive and linear regression analyses were performed using Ms-Excel and STATA (13).

Results: Our study found that nearly fifty percent of the study participants were physically inactive and only 18% of the study participants knew recommended minimum weekly intensity of physical activity. Physical activity was found to be significantly associated with overall knowledge score (p<0.01).

Conclusions: Knowledge regarding physical activity among the study participants was not adequate as reflected in their physical activity practice, hence knowledge and awareness towards physical activity should be enhanced to prevent non communicable diseases amongst the shift workers.


Physical activity, Shift work, Knowledge, Attitude, Practice

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World Economic Forum and Harvard School of Public Health (2011). Methodological Appendix: The Global Economic Burden of Non-Communicable Diseases. World Economic Forum; September 2011; Available at: http://www.weforum. org/docs/WEF_Harvard 2011 pdf. Accessed on 12 October 2017.

World Health Organization, Geneva.2014. Global status report on non-communicable diseases.2014 Available at: 65/148114/1//789241564854_eng.pdf. Accessed on 1 December 2017.

World Health Organization-India, 2013. Action plan for the prevention and control of non-communicable diseases in South-East Asia, 2013-2020. Available at ncd_ncd_89. Accessed on 20 October 2017.

Jalayondeja C, Jalayondeja W, Mekhora K, Bhuanantanondh P, Dusadi-Isariyavong A, Upiriyasakul R. Break in sedentary behavior reduces the risk of noncommunicable diseases and cardiometabolic risk factors among workers in a petroleum company. Int J Environ Res Public Health. 2017;14(5):1-9.

Beaglehole R, Bonita R, Horton R, Adams C, Alleyne G, Asaria P, et al. Priority actions for the non-communicable disease crisis. Lancet. 2011;377(9775):1438-47.

Jain S, Gupta SK, Gupta S, Jain V, Jain S. Knowledge of modifiable risk factors of non- communicable diseases (NCDS): a cross sectional study from urban slum Bhopal. Natl J Community Med. 2018;9(6):443-7.

Pati AK, Chandrawanshi A, Reinberg A. Shift work: consequences and management. Curr Sci. 2001;81(1):32-52.

Mohebbi I, Shateri K, Seyedmohammadzad M. The relationship between working schedule patterns and the markers of the metabolic syndrome: Comparison of shift workers with day workers. Int J Occupat Med Environ Health. 2012;25(4):383-91.

Atkinson G, Fullick S, Grindey C, Maclaren D, Waterhouse J. Exercise, energy, balance and the shift worker. Sports Med. 2009;38(8):671-85.

Pimenta AM, Kac G, Souza RR, Ferreiera LM, Silqueira SM. Night-shift work and cardiovascular risk among employees of a public university. Rev Assoc Med Bras. 2012;58(2):168-77.

Vyas M, Garg V, Iansavichus AX, Costella AV, Donner J, Laugsand A, et al. Shift work and vascular events: systematic review and meta-analysis. Br Med J. 2012;345:e4800.

Vetter C, Devore EE, WegrzynL R, Massa J, Speizer FE, Kawachi I, et al. Association between rotating night shiftwork and risk of coronary heart disease among women. J Am Med Assoc. 2016;315(16):1726-34.

Drongelen A, Boot CR, Merkus SL, Smid T, Beek AJV. The effects of shift work on body weight change-a systematic review of longitudinal studies. Scand J Work Environ Health. 2011;37(4):263-75.

Amani R, Gill T. Shiftworking, nutrition and obesity: Implications for workforce health-a systematic review. Asia Pac J Clin Nutr. 2013;22(4):505-15.

Smith P, Fritschi L, Reid A, Mustard C. The relationship between shift work and body mass index among Canadian nurses.Appl Nurs Res. 2013;26(1):24-31.

Cappuccio FP, Strazzullo F, D’elia P, Miller MA. Quantity and quality of sleep and incidence of type 2 diabetes a systematic review and meta-analysis. Diabetes Care. 2010;33(2):414-20.

Pan A, Schernhammer ES, SunQ, Hu FB. Rotating night shift work and risk of type 2 diabetes: two prospective cohort studies in women. PLoS Med. 2011;8(12):e1001141.

Mohebbi I, Shateri K, Seyedmohammadzad M. The relationship between working schedule patterns and the markers of the metabolic syndrome: comparison of shift workers with day workers. Int J Occup Med Environ Health. 2012;25(4):383-91.

Peplonska B, Burdelak W, Krysicka J, Burkowski A, Marcinkiewicz A, Sobala W. Night Shift Work and Modifiable. Int J Occup Med Environ Health. 2014;27(5):693-706.

World Health Organization- STEPS surveillance manual. Geneva, 2017. Available at: http://www. Accessed on 29 December 2017.

Demaio AR, Dugee O, Amgalan G, Maximenco E, Munkhtaivan A, Graeser, et al. Night shift working and its impact on development and control of diabetes mellitus in workers of Abo Korkas sugar factory, El Minia. Egypt J Occup Med. 2011;38(2):197.

Green S. How many subjects does it take to do a regressionanalysis. Multivariate Behav Res. 1991;26(3):499-510.

Hosseinzadeh K, Mahmoud AH, Ashghar K, Jalil A, Atefeh A. Knowledge , attitude and practice regarding physical activity in nursing and midwifery students. Biotechnol Health Sci. 2017 4(1):e35842.

Thorp AA, Healy GN, Winkler E, Elisabeth W, Clark BK, Gardiner PA, et al. Prolonged sedentary time and physical activity in workplace and non-work contexts: a cross- sectional study of office , customer service and call centre employees. Int J Behav Nutr Phys Activity. 2012;9(1):128.

World Health Organization-GPAQ-Global Physical Activity Questionnaire Analysis Guide. Geneva. Available at: ncds/surveillance/steps/ resources/GPAQ_Analysis_Guide.pdf. Accessed on 22 October 2017.

Alsulami ANJ, Alghamdi EA, Alshehri AA. Assessment of knowledge and attitude and practice of family towards physical activity in Makkah City. Egypt J Hospital Med. 2017;70(7):1093-6.

Ramezankhani A, Motalebi M, Tavassoli E, Gharli Z, Heydarabadi AB, Barekati H. The study of knowledge, attitude and practice towards physical activity and its related factors of college students living on campus in Shahid Beheshti University of medical science. J Paramed Sci. 2013;4(3):62-7.

Bauman AE, Reis RS, Sallis JF, Wells JC, Loos RJF, Martin BW. Correlates of physical activity: why are some people physically active and others not? Lancet. 2012;380(9838):258.

Murad MA, Rahman AMA, Rahman NAA, Haque NAM. Knowledge, attitude and practice regarding exercise among people exercising in gymnasium and recreational parks around Kuantan, Malaysia. J Appl Pharma Sci. 2016;6(6):47-54.

Parmar P, Rathod GB, Rathod S, Goyal R, Aggarwal S, Parikh A. Study of knowledge, attitude and practice of general population of Gandhinagar towards hypertension. Int J Curr Microbiol App Sci. 2014;3(8):680-5.