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Dannemiller M, Shadiack A, Sineath M, Baird A, Poirier M, Thomas K, Flynn MG. Exercise Is a Vital Sign. HCA HEALTHCARE JOURNAL OF MEDICINE 2024; 5:225-236. [PMID: 39015584 PMCID: PMC11249174 DOI: 10.36518/2689-0216.1829] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/18/2024]
Abstract
Description In this review, we argue that exercise (physical activity) be monitored as a vital sign since no other basic sign or symptom provides as much information about a patient's health status. The influence of regular exercise on patient health is indisputable, with strong evidence to show the power of exercise to mitigate chronic disease and improve overall health. Several simple tools, such as Physical Activity as a Vital Sign and Exercise as a Vital Sign are available to assess patient physical activity. When properly applied, there is evidence to support the efficacy of these tools, but there are barriers that prevent broad inclusion in primary care, among which are time and provider knowledge. In our review, we also discussed the value of physician-led lifestyle discussions with patients and found they view these discussions favorably. There is also evidence that physicians who exercise are more likely to have these lifestyle discussions with their patients, but the proportion of physicians who exercise regularly is fairly low. We believe physicians' awareness of their patients' sedentary lifestyles should prompt a prescription to increase physical activity, but additional in-clinic support and community resources need to be in place for patients to get a regular dose.
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Affiliation(s)
| | | | | | | | - Marc Poirier
- Memorial Health University Medical Center, Savannah, GA
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2
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Paez DC, Cortés-Corrales S, Jimenez-Mora MA, Gutiérrez A, Arango-Paternina CM, Duperly J. Health-related fitness in medical students: a curricular intervention in Bogota, Colombia. BMC Public Health 2024; 24:320. [PMID: 38287350 PMCID: PMC10826255 DOI: 10.1186/s12889-024-17748-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2023] [Accepted: 01/11/2024] [Indexed: 01/31/2024] Open
Abstract
OBJECTIVE To evaluate the impact of a curricular intervention to promote health-related fitness (HRF) among medical students in Bogota, Colombia. METHOD The study was conducted between May 2014 and December 2015 as part of the medical physiology course, in which 208 medical students were enrolled.The curricular intervention included two lectures on physical activity (PA) and student-led group presentations on the physiological effects of exercise on human physiology. An academic incentive (10% of final grade) was given to students who reported and documented regular PA practice during the semester. This study assessed students' HRF variables, perceptions of the curriculum intervention, and PA practices using quantitative and qualitative approaches. RESULTS 55% of the students were female, with a mean age of 19.5 years. Body fat, estimated maximum oxygen consumption (VO2max), handgrip, and sit-up strength showed statistically significant improvements at the end of the intervention. Students reported that PA practice was positively influenced by the curriculum intervention, particularly the academic incentive and the HRF tests. Students reported a wide variety of PA practices, which were mainly done with friends, classmates, or family members. Lack of time was the main reported barrier to PA practice. CONCLUSION The curricular intervention was effective in improving HRF and promoting PA. It remains to be investigated whether these gains are sustained over time.
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Affiliation(s)
- Diana C Paez
- School of Medicine, Universidad de los Andes, Bogotá, Colombia.
| | | | | | - Agustín Gutiérrez
- Department of Social Medicine, Universidad de los Andes, Bogotá, Colombia
| | - Carlos M Arango-Paternina
- Instituto Universitario de Educación Física y Deportes, Universidad de Antioquia, Medellín, Colombia
| | - John Duperly
- School of Medicine, Universidad de los Andes, Bogotá, Colombia
- Institute of Exercise Medicine and Rehabilitation, Fundación Santa Fe de Bogotá, Bogotá, Colombia
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Tušek Bunc K, Uplaznik J, Selič-Zupančič P. A Cross-Sectional Study on Physical Activity and Burnout among Family Physicians in Slovenia during the First Year of the COVID-19 Pandemic: Are the Results Alarming Enough to Convince Decision-Makers to Support Family Medicine? Healthcare (Basel) 2023; 12:28. [PMID: 38200935 PMCID: PMC10778739 DOI: 10.3390/healthcare12010028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2023] [Revised: 12/16/2023] [Accepted: 12/20/2023] [Indexed: 01/12/2024] Open
Abstract
Physical activity has a positive effect on general health, but its influence on burnout remains unclear. The aim of this study was to determine the association between physical activity and the incidence of burnout in Slovenian family physicians (FPs) and family medicine trainees (FMTs) during the COVID-19 pandemic, which exacerbated the already-existing problem of burnout. We conducted a cross-sectional observational study among Slovenian family physicians and FMTs in which sociodemographic variables, the type and duration of physical activity, and an assessment of burnout were collected using the Maslach Burnout Inventory. Comparisons between groups were made using the independent-samples t-test, Fisher's exact test, and the Wilcoxon sign-rank test. A value of p < 0.05 determined the limit of statistical significance. Of 1230 FPs and FMTs invited to participate, 282 completed the survey (22.9% response rate); there were 243 (86.2%) FPs and 39 (13.8%) FMTs. The overall rating for burnout during the pandemic was high, at 48.6% of FPs and FMTs; 62.8% of respondents reported a high rating for emotional exhaustion and 40.1% for depersonalization. Compared to FMTs, emotional exhaustion and total burnout scores were higher for FPs (p < 0.001 and p = 0.010, respectively), but work status was not related to personal acomplishment, which 53.5% of all participants rated as low. Physical activity did not appear to be a statistically significant factor in the occurrence of burnout during the pandemic. Therefore, work status or occupational role (FP vs. FMT) should be thoroughly investigated in the future along with some other factors and a better response rate.
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Affiliation(s)
- Ksenija Tušek Bunc
- Dr. Adolf Drolc Health Center Maribor, 2000 Maribor, Slovenia
- Department of Family Medicine, Faculty of Medicine, University of Maribor, 2000 Maribor, Slovenia
| | - Janja Uplaznik
- Department of Family Medicine, Faculty of Medicine, University of Ljubljana, 1000 Ljubljana, Slovenia
| | - Polona Selič-Zupančič
- Department of Family Medicine, Faculty of Medicine, University of Ljubljana, 1000 Ljubljana, Slovenia
- Department of Psychology, Faculty of Medicine, University of Maribor, 2000 Maribor, Slovenia
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Amoore BY, Gaa PK, Amalba A, Mogre V. Nutrition education intervention improves medical students' dietary habits and their competency and self-efficacy in providing nutrition care: A pre, post and follow-up quasi-experimental study. Front Nutr 2023; 10:1063316. [PMID: 36937356 PMCID: PMC10019772 DOI: 10.3389/fnut.2023.1063316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2022] [Accepted: 02/13/2023] [Indexed: 03/06/2023] Open
Abstract
Objective Most doctors and medical students report inadequate competencies in nutrition care. We evaluated the impact of a nutrition education intervention on medical students' lifestyle habits, dietary diversity, nutrition care knowledge, attitude toward nutrition care, and their level of self-efficacy in the provision of nutrition care. Methods All 2nd-year medical students were enrolled into a 5 week, 24-h nutrition education intervention that involved both deductive and practical sessions. Pre-, post and 4 weeks follow-up assessments were conducted. Results At post- and 4-weeks post-intervention the number of days participants consumed vegetables and engaged in moderate-to-vigorous physical activity significantly (p = 0.003 and 0.002) improved respectively from baseline. Mean nutrition care knowledge scores of participants increased by 3.27 points (95% Cl: 1.98-4.56, p < 0.001) from 19.49 at baseline through to 24.78 post- and 22.76 4 weeks follow-up. No significant [X ( 2 ) 2 = 1.568, p = 0.457] change in mean attitude toward nutrition care score was recorded. Mean level of self-efficacy in the provision of nutrition care improved significantly by 1.73 (95% Cl: 1.17-2.28, p < 0.001) at post-intervention and 4 weeks follow-up compared to the baseline scores. Conclusion The intervention improved the nutrition care knowledge, self-efficacy in the provision of nutrition care as well as medical students' own consumption of vegetables, dietary diversity and their engagement in moderate-to-vigorous physical activity. However, continuous implementation of nutrition education interventions is needed to sustain these outcomes and further improve the nutrition education experience of medical students.
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Affiliation(s)
- Bright Yammaha Amoore
- Department of Health Professions Education and Innovative Learning, School of Medicine, University for Development Studies, Tamale, Ghana
| | - Patience Kanyiri Gaa
- Department of Nutritional Sciences, School of Allied Health Sciences, University for Development Studies, Tamale, Ghana
| | - Anthony Amalba
- Department of Health Professions Education and Innovative Learning, School of Medicine, University for Development Studies, Tamale, Ghana
| | - Victor Mogre
- Department of Health Professions Education and Innovative Learning, School of Medicine, University for Development Studies, Tamale, Ghana
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5
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Bhandari S, Watkinson E, Fawkner S. Are doctors and nurses engaging in physical activity and its promotion? BRITISH JOURNAL OF NURSING (MARK ALLEN PUBLISHING) 2023; 32:144-149. [PMID: 36763484 DOI: 10.12968/bjon.2023.32.3.144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
BACKGROUND Physical activity counselling in health care is inadequate but the reasons for this are not well understood. AIMS To evaluate physical activity participation and counselling perceptions and practices among doctors and nurses in the UK. METHODS This study used two anonymised online questionnaires distributed at different times to doctors and nurses throughout the UK. FINDINGS 629 responses were obtained; 78.3% of doctors and 73.4% of nurses met the UK guideline for aerobic physical activity. Perceived importance of counselling on physical activity was high but less than 50% of participants were actually providing counselling. Counselling was more likely in primary care and doctors were marginally more likely than nurses to counsel. CONCLUSION Doctors and nurses are an active cohort and view counselling on physical activity as important. Despite this, counselling levels are low especially in secondary care. Efforts should be made to improve knowledge and opportunity for physical activity counselling.
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Affiliation(s)
- Sara Bhandari
- Time of writing was medical student, University of Edinburgh
| | - Emma Watkinson
- Time of writing was medical student, University of Edinburgh
| | - Samantha Fawkner
- Senior Lecturer, Physical Activity for Health Research Centre, University of Edinburgh
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Piscoya-Tenorio JL, Heredia-Rioja WV, Morocho-Alburqueque N, Zeña-Ñañez S, Hernández-Yépez PJ, Díaz-Vélez C, Failoc-Rojas VE, Valladares-Garrido MJ. Prevalence and Factors Associated with Anxiety and Depression in Peruvian Medical Students. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2907. [PMID: 36833604 PMCID: PMC9956895 DOI: 10.3390/ijerph20042907] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/22/2022] [Revised: 01/01/2023] [Accepted: 01/13/2023] [Indexed: 06/18/2023]
Abstract
During medical training, students are exposed to stressors that deteriorate mental health. This study determined depression and anxiety prevalence and their associated factors in students from four medical schools in northern Peru. A cross-sectional study was conducted among medical students from Lambayeque, Peru. The Goldberg Anxiety and Zung Depression tests were applied. The dependent variables were depression and anxiety, and their association with covariates (age, sex, type of university, socioeconomic level, experience, family problem, and physical activity) was evaluated. Prevalence ratios were calculated using generalized linear models. Of 482 students, the prevalence of anxiety was 61.8% and depression was 22.0%. A severe level of anxiety was observed in 6.2% in the group between 16 and 20 years old. It was observed that private university students had higher frequencies of having depression (PR = 2.01) and anxiety (PR = 1.35); males had a lower risk of anxiety (PR = 0.82), but higher risk of depression compared to females (PR = 1.45). Performing physical activity decreased the prevalence of depression (PR = 0.53); however, it increased the frequency of anxiety (PR = 1.26). Having family problems increased the prevalence of anxiety (PR = 1.26). Medical students from private universities experienced higher rates of depression and anxiety. Depression and anxiety were associated with gender and physical activity. These findings highlight the importance of mental health promotion due to its link with quality of life and academic performance.
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Affiliation(s)
| | | | - Noelia Morocho-Alburqueque
- Sociedad Científica de Estudiantes de Medicina de la Universidad Nacional de Piura (SOCIEMUNP), Piura 20007, Peru
| | | | - Palmer J. Hernández-Yépez
- South American Center for Education and Research in Public Health, Universidad Norbert Wiener, Lima 15046, Peru
| | - Cristian Díaz-Vélez
- School of Medicine, Universidad Privada Antenor Orrego, Trujillo 13008, Peru
- Hospital Nacional Almanzor Aguinaga Asenjo, EsSalud, Chiclayo 14001, Peru
| | - Virgilo E. Failoc-Rojas
- Unidad de Investigación para Generación y Síntesis de Evidencia en Salud, Universidad San Ignacio de Loyola, Lima 15024, Peru
| | - Mario J. Valladares-Garrido
- South American Center for Education and Research in Public Health, Universidad Norbert Wiener, Lima 15046, Peru
- Oficina de Epidemiología, Hospital Regional Lambayeque, Chiclayo 14012, Peru
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Mendes TB, Souza KCD, França CN, Rossi FE, Santos RPG, Duailibi K, Tuleta I, Armond JDE, Stubbs B, Neves LM. PHYSICAL ACTIVITY AND SYMPTOMS OF ANXIETY AND DEPRESSION AMONG MEDICAL STUDENTS DURING A PANDEMIC. REV BRAS MED ESPORTE 2021. [DOI: 10.1590/1517-8692202127062021_0059] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
ABSTRACT Introduction: Decreased physical activity has been associated with poorer mental health and is a cause for concern during the COVID-19 pandemic. Objective: To compare groups of medical students (MS) who practiced different levels of moderate and vigorous physical activity (MVPA) during the COVID-19 pandemic, in relation to symptoms of anxiety and depression (BAI-BDI), sleep quality (PSQI), and physical activity (PA) - light, moderate, vigorous (LPA-MPA and VPA), and sedentary behavior (SB). Methods: This research is a cross-sectional study involving 218 MS. Data on the characteristics of the MS were collected through online forms: PA, SB, BAI, BDI, and PSQI. The Cohen's D (Effect Size - ES) and confidence interval (95% CI), Mann-Whitney test: Lower MVPA (Median=0 minute) and Higher MVPA (Median=390 minutes) were recorded. For the statistical analyses, we used: the Odds ratio (OR) for the presence of symptoms of high levels of anxiety and depression and poor sleep quality in the MS and MVPA. Results: We found a small ES for symptoms of depression (ES 0.26 95% CI 0.00 0.53 p=0.029), and significant differences (p<0.05) for symptoms of anxiety (ES 0.17 95% CI −0.09 0.44 p=0.037). There was also a significant tendency for sedentary behavior on weekdays (ES 0.27 95% CI 0.00 0.53 p = 0.051). The OR for MVPA and the presence of symptoms of high levels of anxiety was 0.407 (95% CI = 0.228 to 0.724). Conclusions: the MS who practiced higher MVPA presented less symptoms of anxiety and depression during the COVID-19 pandemic. Level of evidence III; Case-control study.
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Affiliation(s)
| | | | | | | | | | | | | | | | | | - Lucas Melo Neves
- Universidade de Santo Amaro, Brazil; Universidade de São Paulo, Brazil
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de Souza KC, Mendes TB, Gomes THS, da Silva AA, Nali LHDS, Bachi ALL, Rossi FE, Gil S, França CN, Neves LM. Medical Students Show Lower Physical Activity Levels and Higher Anxiety Than Physical Education Students: A Cross-Sectional Study During the COVID-19 Pandemic. Front Psychiatry 2021; 12:804967. [PMID: 34975598 PMCID: PMC8716913 DOI: 10.3389/fpsyt.2021.804967] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/29/2021] [Accepted: 11/26/2021] [Indexed: 12/11/2022] Open
Abstract
Objective: This study aimed to compare the time in physical activity (PA) [light (LPA), moderate and vigorous (MVPA)] and sedentary behavior (SB) (weekdays, weekends, or both) between Medical (MED) and Physical Education (PE) students who underwent remote classes imposed by the COVID-19. In addition, we compared symptoms of depression and anxiety and sleep quality. Methods: A cross-sectional study (272 MED and 95 PE students). The International Physical Activity Questionnaire (IPAQ), Beck Inventory (Anxiety, Depression), and Pittsburgh Sleep Quality were used to assess PA and SB, anxiety and depression symptoms, and quality of sleep, respectively. The data are presented as median and interquartile intervals 25-75. Results: We observed statistically significant differences between MED and PE students for MVPA [MED: 165 min per week (0-360) vs. PE: 420 min per week (180-670), p < 0.001], SB Total [MED: 10 h per day (8-12) vs. PE: 7 h per day (5-10), p < 0.001)], and anxiety symptoms [MED: 13 points (5-23) vs. PE: six points (2-16), p < 0.001)]. Conclusion: Together, our findings indicate that MED students spent less time in MVPA and more time in SB than PE students. MED students also presented worse mental health in the pandemic situation imposed by the COVID-19.
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Affiliation(s)
| | | | | | | | | | | | - Fabricio Eduardo Rossi
- Immunometabolism of Skeletal Muscle and Exercise Research Group, Department of Physical Education and Professor at Graduate Program in Science and Health, Federal University of Piauí (UFPI), Teresina-PI, Brazil
| | - Saulo Gil
- Santo Amaro University, São Paulo, Brazil
| | - Carolina Nunes França
- Post-Graduation Program in Health Sciences, Santo Amaro University, São Paulo, Brazil
| | - Lucas Melo Neves
- Post-Graduation Program in Health Sciences, Santo Amaro University, São Paulo, Brazil.,Bipolar Disorder Program (PROMAN), Department of Psychiatry, University of São Paulo Medical School, São Paulo, Brazil
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9
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Ghassab-Abdollahi N, Shakouri SK, Aghdam AT, Farshbaf-Khalili A, Abdolalipour S, Farshbaf-Khalili A. Association of quality of life with physical activity, depression, and demographic characteristics and its predictors among medical students. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2020; 9:147. [PMID: 32766332 DOI: 10.4103/jehp.jehp] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 02/04/2020] [Accepted: 02/22/2020] [Indexed: 05/28/2023]
Abstract
BACKGROUND Medical students face a variety of challenges during their years of medical education that can affect their quality of life (QOL). This study aimed to investigate the association of QOL with physical activity (PA), depression, and demographic characteristics, as well as to determine its predictors among medical students in different stages of education. METHODS A cross-sectional descriptive-correlational study was conducted on 186 medical students of Tabriz University of Medical Sciences in different educational stages including basic sciences, physiopathology, externship, and internship using stratified random sampling method. Data were collected using demographic questionnaire, International PA Questionnaire, World Health Organization QOL Questionnaire, and Beck depression inventory-2. Data analysis was performed using SPSS/Ver 23 through descriptive and analytic statistics including one-way analysis of variance, independent t-test, Pearson and Spearman correlation coefficient, and multivariate linear regression model. RESULTS There were significant differences in total score of QOL among students in different stages (P < 0.05). There were indirect significant correlations between total score of QOL (β [confidence interval 95%]:-0.85 [-1.11--0.59]) and its all subdomains with Beck depression score but direct significant correlations with total PA (P < 0.05) except for social relationship. Educational stage, employment status, family income, inhabitant, moderate PA, and depression were the predictors of QOL and altogether explained 63% of its variance. CONCLUSIONS To pay attention to the predictors of QOL, life among medical students seems necessary for increasing their QOL to provide high-quality care for people with disabilities as well as for the whole community.
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Affiliation(s)
- Nafiseh Ghassab-Abdollahi
- Nutrition Research Center, Department of Public Health and Management, School of Public Health, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Seyed Kazem Shakouri
- Physical Medicine and Rehabilitation Research Center, Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
| | | | | | - Somayeh Abdolalipour
- Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Azizeh Farshbaf-Khalili
- Physical Medicine and Rehabilitation Research Center, Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
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10
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Chia KSW, Wong PKK, Gonzalez S, Kotlyar E, Faux SG, Shiner CT. Attitudes towards exercise among medical specialists who manage patients with pulmonary hypertension. Pulm Circ 2020; 10:2045894020922806. [PMID: 32489642 PMCID: PMC7238796 DOI: 10.1177/2045894020922806] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/07/2020] [Accepted: 04/07/2020] [Indexed: 11/16/2022] Open
Abstract
Exercise training was not traditionally recommended for patients with pulmonary hypertension. However, recent work has demonstrated that exercise improves endurance and quality-of-life in patients with pulmonary hypertension. Unfortunately, patients with pulmonary hypertension are often sedentary. While some studies have examined patient attitudes to exercise, none have investigated physician perspectives on exercise in patients with pulmonary hypertension. This multinational survey of physicians involved in treating patients with pulmonary hypertension sought to ascertain physician attitudes to exercise and physician-identified barriers and enablers of exercise in this patient population. We collected cross-sectional survey data from a cohort of 280 physicians, including rehabilitation physicians, cardiologists, respiratory physicians and rheumatologists. We found that overall, 86% physicians recommended exercise, in line with current guidelines, although there were differences in the rationale for prescribing exercise and in the type of exercise prescription. Barriers to exercise included patient-related factors, such as patient ill health preventing exercise; poor patient motivation and lack of understanding regarding the benefits of exercise. Systemic barriers included cost/funding issues and limited availability of appropriate services. Perceived enablers of exercise included access to appropriate programmes, provision of education and supportive treating clinicians. Further research is required to identify and implement interventions to promote physical activity in patients with pulmonary hypertension.
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Affiliation(s)
- Karen S W Chia
- Department of Rehabilitation Medicine, St Vincent's Hospital Sydney, Australia.,St Vincent's Clinical School, University of New South Wales, Sydney, Australia
| | - Peter K K Wong
- Department of Rheumatology, Westmead Hospital, Sydney, Australia.,Rural Clinical School, Coffs Harbour, University of New South Wales, Sydney, Australia
| | - Senen Gonzalez
- Royal Talbot Rehabilitation Centre, Melbourne, Australia
| | - Eugene Kotlyar
- Department of Rehabilitation Medicine, St Vincent's Hospital Sydney, Australia.,St Vincent's Clinical School, University of New South Wales, Sydney, Australia.,Department of Cardiology, St Vincent's Hospital, Sydney, Australia
| | - Steven G Faux
- Department of Rehabilitation Medicine, St Vincent's Hospital Sydney, Australia.,St Vincent's Clinical School, University of New South Wales, Sydney, Australia
| | - Christine T Shiner
- Department of Rehabilitation Medicine, St Vincent's Hospital Sydney, Australia.,St Vincent's Clinical School, University of New South Wales, Sydney, Australia
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11
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Ghassab-Abdollahi N, Shakouri SK, Aghdam AT, Farshbaf-Khalili A, Abdolalipour S, Farshbaf-Khalili A. Association of quality of life with physical activity, depression, and demographic characteristics and its predictors among medical students. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2020; 9:147. [PMID: 32766332 PMCID: PMC7377133 DOI: 10.4103/jehp.jehp_91_20] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/04/2020] [Accepted: 02/22/2020] [Indexed: 05/06/2023]
Abstract
BACKGROUND Medical students face a variety of challenges during their years of medical education that can affect their quality of life (QOL). This study aimed to investigate the association of QOL with physical activity (PA), depression, and demographic characteristics, as well as to determine its predictors among medical students in different stages of education. METHODS A cross-sectional descriptive-correlational study was conducted on 186 medical students of Tabriz University of Medical Sciences in different educational stages including basic sciences, physiopathology, externship, and internship using stratified random sampling method. Data were collected using demographic questionnaire, International PA Questionnaire, World Health Organization QOL Questionnaire, and Beck depression inventory-2. Data analysis was performed using SPSS/Ver 23 through descriptive and analytic statistics including one-way analysis of variance, independent t-test, Pearson and Spearman correlation coefficient, and multivariate linear regression model. RESULTS There were significant differences in total score of QOL among students in different stages (P < 0.05). There were indirect significant correlations between total score of QOL (β [confidence interval 95%]:-0.85 [-1.11--0.59]) and its all subdomains with Beck depression score but direct significant correlations with total PA (P < 0.05) except for social relationship. Educational stage, employment status, family income, inhabitant, moderate PA, and depression were the predictors of QOL and altogether explained 63% of its variance. CONCLUSIONS To pay attention to the predictors of QOL, life among medical students seems necessary for increasing their QOL to provide high-quality care for people with disabilities as well as for the whole community.
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Affiliation(s)
- Nafiseh Ghassab-Abdollahi
- Nutrition Research Center, Department of Public Health and Management, School of Public Health, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Seyed Kazem Shakouri
- Physical Medicine and Rehabilitation Research Center, Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
| | | | | | - Somayeh Abdolalipour
- Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Azizeh Farshbaf-Khalili
- Physical Medicine and Rehabilitation Research Center, Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
- Address for correspondence: Dr. Azizeh Farshbaf-Khalili, Physical Medicine and Rehabilitation Research Center, Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran. E-mail:
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12
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Gottschlich EA, Larson K, Sisk B, Pat Frintner M. Sleep, Physical Activity, and General Health Status: US Pediatricians and the General US Adult Population. Acad Pediatr 2019; 19:269-277. [PMID: 30103049 DOI: 10.1016/j.acap.2018.08.002] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/13/2018] [Revised: 07/24/2018] [Accepted: 08/05/2018] [Indexed: 11/27/2022]
Abstract
OBJECTIVE To examine US pediatricians and US adults on 3 self-reported health measures (sleep, physical activity, and general health status) and to assess factors related to these measures for each group. METHODS Pediatrician data were collected through a 2012 American Academy of Pediatrics Periodic Survey (response rate = 64.0%). US population data originated from the 2012 National Health Interview Survey (response rate = 61.2%). Analytic samples included those currently working and ≥30 years old and were restricted to post-trainees (pediatricians; n = 854) and US adults with at least a bachelor's degree (n = 5447). Accounting for sample demographic differences, predicted probabilities compared the proportions reporting ≥7 hours of sleep, meeting physical activity recommendations, and reporting very good or excellent health. Multivariable logistic regression examined characteristics associated with health measures for pediatricians and US adults separately. RESULTS When the US population demographic profile was adjusted to resemble the pediatrician sample, 7 in 10 pediatricians (71.2%; confidence interval [CI], 68.0-74.5) and US adults (69.9%; CI, 67.8-72.0) reported ≥7 hours of sleep. Pediatricians were more likely than US adults to meet physical activity recommendations (71.4%; CI, 68.0-74.8 vs. 62.9%; CI, 60.6-65.2) and less likely to report very good or excellent health (74.3%; CI, 71.2-77.3 vs. 80.2%; CI, 78.3-82.1). In pediatrician and US population multivariable models, self-identified Asians and those working ≥50 hours were less likely to get ≥7 hours of sleep (P < .05). CONCLUSIONS Most US pediatricians and US adults reported getting the recommended amounts of sleep and physical activity and rated their health as very good or excellent. Those working fewer hours reported more sleep. Organization-directed approaches may be needed to help physicians maintain and improve their health.
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Affiliation(s)
| | - Kandyce Larson
- Department of Research, American Academy of Pediatrics, Itasca, Ill
| | - Blake Sisk
- Department of Research, American Academy of Pediatrics, Itasca, Ill
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Wattanapisit A, Vijitpongjinda S, Saengow U, Amaek W, Thanamee S, Petchuay P. Results from the Medical School Physical Activity Report Card (MSPARC) for a Thai Medical School: a mixed methods study. BMC MEDICAL EDUCATION 2018; 18:288. [PMID: 30514276 PMCID: PMC6278075 DOI: 10.1186/s12909-018-1408-7] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/23/2018] [Accepted: 11/26/2018] [Indexed: 06/09/2023]
Abstract
BACKGROUND Data systems for surveillance and monitoring are essential to develop understanding of the levels of physical activity (PA) occurring at the population levels. To comprehensively understand PA in medical schools, a suitable surveillance tool might be useful to present and monitor key PA-related metrics. This study investigated PA-related metrics in a Thai medical school and summarised the findings using a newly developed tool-the Medical School Physical Activity Report Card (MSPARC). METHODS A mixed methods study was carried out at three campuses of a medical school in Southern Thailand. Data analysis included descriptive statistics and qualitative reviews. All 285 medical students from a medical school were the target population. The prevalence of PA (≥ 150 min/week of moderate- to vigorous-intensity PA) and sedentary behaviours (SB) (≥ 8 h/day of sedentary time) among medical students were analysed using data from a self-administered questionnaire. Usage patterns, quality, and accessibility of walkable neighbourhoods; bicycle facilities; and recreational areas were assessed. PA promotion programmes, education, and investment related to PA promotion were reviewed from the school documents. RESULTS Of 279 participants, 138 (49.5%) met PA recommendation, but 71.7% met criteria for SB. Male students were more active (61.8 vs. 42.4%) and less sedentary (65.7 vs. 75.1%) than female students. Bicycle facilities were rated as having the lowest quality and accessibility among PA-related facilities. Most PA promotion programmes were sports clubs and sport competitions. A total of 25 h of PA education was taught throughout the entire curriculum, which provided minimal PA counselling training. The school invested 2136.14 Baht/student/year (US $64.34) in PA promotion, or 2.4% of the annual tuition. The MSPARC presented the summary of the findings by using simple symbols, infographics, and short texts. CONCLUSIONS To increase PA and decrease SB among medical students, there is a need to improve the quality and accessibility of the built environment as well as the natural environment, so as to establish health promoting policies. PA counselling training is required to develop the medical students' essential skills and awareness for future practices. Monitoring and subsequent surveillance of PA in medical school are needed.
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Affiliation(s)
- Apichai Wattanapisit
- School of Medicine, Walailak University, Tha Sala, Nakhon Si Thammarat, 80161 Thailand
| | | | - Udomsak Saengow
- School of Medicine, Walailak University, Tha Sala, Nakhon Si Thammarat, 80161 Thailand
- Center of Excellence in Health System and Medical Research, Walailak University, Tha Sala, Nakhon Si Thammarat, 80161 Thailand
| | - Waluka Amaek
- School of Architecture and Design, Walailak University, Tha Sala, Nakhon Si Thammarat, 80161 Thailand
| | | | - Prachyapan Petchuay
- School of Medicine, Walailak University, Tha Sala, Nakhon Si Thammarat, 80161 Thailand
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14
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Smetaniuk T, Johnson D, Creurer J, Block K, Schlegel M, Butcher S, Oosman SN. Physical Activity and Sedentary Behaviour of Master of Physical Therapy Students: An Exploratory Study of Facilitators and Barriers. Physiother Can 2017; 69:260-270. [PMID: 30275642 DOI: 10.3138/ptc.2015-76ep] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Purpose: A full 85% of Canadians fail to meet physical activity (PA) guidelines, and 69% report being sedentary. Physical therapists are uniquely positioned to promote an active lifestyle; thus, we explored the PA and sedentary behaviour (SB) of Master of Physical Therapy (MPT) students as well as the associated facilitators and barriers. Methods: We used a mixed-methods approach, accelerometry and photovoice (a focus group discussion in which participants discussed self-selected photographs). Accelerometer data were used to quantify PA (light, moderate, and vigorous) and SB. Thematic analysis of the focus group discussion was informed by the socio-ecological model. Results: A total of 26% of participants met national PA guidelines, and mean daily sedentary time for participants was 670.7 (SD 34.4) minutes. Photovoice analysis revealed four main themes related to the facilitators of and barriers to PA and SB: (1) priorities and life balance, (2) commitment and accountability, (3) environment, and (4) MPT programming. Conclusions: A full 74% of participants did not meet the recommended PA guidelines; this is concerning given their immanent roles as health care professionals. Physical therapists are well prepared to prescribe PA to clients. Not only do MPT students need competencies in prescribing PA and exercise, but they may also need to be supported in meeting PA guidelines themselves and limiting SB throughout their studies.
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Affiliation(s)
- Tracey Smetaniuk
- School of Physical Therapy, University of Saskatchewan, Saskatoon, Sask
| | - Darren Johnson
- School of Physical Therapy, University of Saskatchewan, Saskatoon, Sask
| | - Jeremy Creurer
- School of Physical Therapy, University of Saskatchewan, Saskatoon, Sask
| | - Kristi Block
- School of Physical Therapy, University of Saskatchewan, Saskatoon, Sask
| | | | - Scotty Butcher
- School of Physical Therapy, University of Saskatchewan, Saskatoon, Sask
| | - Sarah N Oosman
- School of Physical Therapy, University of Saskatchewan, Saskatoon, Sask
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15
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Wattanapisit A, Fungthongcharoen K, Saengow U, Vijitpongjinda S. Physical activity among medical students in Southern Thailand: a mixed methods study. BMJ Open 2016; 6:e013479. [PMID: 27678548 PMCID: PMC5051498 DOI: 10.1136/bmjopen-2016-013479] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/18/2022] Open
Abstract
OBJECTIVES The study aimed to investigate the prevalence of physical activity (PA) and factors influencing PA behaviours among medical students in Southern Thailand. DESIGN The study implemented a mixed methods approach. The sequential design consisted of 2 phases: a survey followed by in-depth interviews. SETTING The study was conducted in the 3 campuses of a medical school in Southern Thailand. The preclinical students (years 1-3) studied general and basic science subjects at Nakhon Si Thammarat campus. The clinical students (years 4-6) received clinical training and hospital attachments at Trang or Phuket campuses. Total number of students was 285, with 46-48 students in each class. The study was conducted from September 2015 to February 2016. PARTICIPANTS Participants were medical students, 18 years old and above, from 3 campuses without disabilities or medical conditions which limited their ability to perform PA. OUTCOME MEASURES The prevalence of the recommended levels of PA was measured using Global Physical Activity Questionnaire (GPAQ). The association between the demographic data and the recommended PA levels were analysed by univariate and multivariate analysis. In-depth interviews and thematic analysis were completed to explore PA behaviours. RESULTS A total of 279 (response rate 97.9%) medical students participated in the study. Approximately half (49.5%) of the participants were physically active. The median total energy use was 540 metabolic equivalent-min/week (range 0-5640). Male and preclinical students were more likely to be physically active (p<0.05). Twenty-four in-depth interviews were conducted. Supportive factors included social support from friends and families. Study-related activities and overtime shift work were barriers. CONCLUSIONS More than half of the medical students have insufficient PA because of study-related activities and overtime shift work. Future studies should focus on finding ways to improve PA in clinical and female students in Thailand.
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Affiliation(s)
| | | | - Udomsak Saengow
- School of Medicine, Walailak University, Thasala, Nakhon Si Thammarat, Thailand
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16
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Banday AH, Want FA, Alris FFA, Alrayes MF, Alenzi MJ. A Cross-sectional Study on the Prevalence of Physical Activity Among Primary Health Care Physicians in Aljouf Region of Saudi Arabia. Mater Sociomed 2015; 27:263-6. [PMID: 26543420 PMCID: PMC4610640 DOI: 10.5455/msm.2015.27.263-266] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2015] [Accepted: 07/23/2015] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND Sedentary life style and consequent obesity prevail in both developed and developing nations; gender- and age-independently. Physical inactivity in a population in a life style transition-like Saudi Arabia-causes metabolic syndrome with its immediate and long-term complications. Healthcare workers are in a better position for role modeling and counseling of appropriate health behaviors. Personal physical activity and body built among physicians influences to some degree their exercise counseling. Realizing such principle necessitates gauging the extent of physical activity among physicians and assessing the likelihood of counseling the patients on physical activities. METHODS A cross-sectional study enrolled primary health care physicians (PHCPs) from primary health care centers and general hospitals of two cities (Sakaka and Dumat Al-Jandal) of Aljouf region, Saudi Arabia. Both genders were included. English version of step-wise questionnaire of World Health Organization was used for data collection. RESULTS The response rate was 64.2%. 65.2% of respondent PHCPs were doing moderate to vigorous physical exercise and 34.8% of them were physically inactive. Majority of physically inactive PHCPs had intention to increase their physical activity. Neither gender, nationality nor city-wise significant differences were recorded. However, physically active PHCPs significantly impart advice and role modeling on physical activity to their patients compared to physically inactive PHCPs (p<0.01). CONCLUSION Most PHCPs in Sakaka and Dumat Al-Jandal cities were physically active and were able to impart the healthy behavior counseling to their patients. A strong intention prevailed to increase physical activity among physically inactive Primary Health care Physicians (PHCPs).
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Affiliation(s)
- Altaf H. Banday
- Community Medicine, College of Medicine, Aljouf, University, Saudi Arabia
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Almajwal AM. Correlations of Physical Activity, Body Mass Index, Shift Duty, and Selected Eating Habits among Nurses in Riyadh, Saudi Arabia. Ecol Food Nutr 2015; 54:397-417. [PMID: 25730440 DOI: 10.1080/03670244.2015.1004400] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Nurses are the largest group of direct health providers and can serve as role models for their patients. In this cross sectional study we assessed the relationship among physical activity and barriers, shift duty, elevated BMI, and selected eating habits among 362 non-Saudi female nurses in Riyadh, Saudi Arabia. Results showed that 46.7% were either overweight or obese. Marital status, shift duty, education level, and BMI were significant predictors of physical activity. Weather was the most frequently reported barrier to physical activity (88.3%), followed by a lack of transportation (82.6%), and a lack of time (81.3%). Nurses who worked shift duty had significantly (p = 0.004) higher BMIs compared with day shift nurses. Nurses who rarely ate breakfast (p = 0.004) and meals (p = 0.001) and often eat fast food (p = 0.001) were more likely to be overweight or obese. Nurses should be encouraged for a better healthy lifestyles.
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Affiliation(s)
- Ali M Almajwal
- a Department of Community Health Sciences , College of Applied Medical Sciences, King Saud University , Riyadh , Saudi Arabia
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Saini A. Work-Life Balance: Keep the Cycle Moving - Find a Purpose, Set Priorities, and Manage Time Well Then Reassess and Reset. Front Pediatr 2015; 3:118. [PMID: 26779467 PMCID: PMC4700273 DOI: 10.3389/fped.2015.00118] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/22/2015] [Accepted: 12/14/2015] [Indexed: 11/13/2022] Open
Affiliation(s)
- Arun Saini
- The University of Tennessee Health Science Center , Memphis, TN , USA
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Stanford FC, Durkin MW, Stallworth JR, Powell CK, Poston MB, Blair SN. Factors that influence physicians' and medical students' confidence in counseling patients about physical activity. J Prim Prev 2014; 35:193-201. [PMID: 24682887 DOI: 10.1007/s10935-014-0345-4] [Citation(s) in RCA: 41] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Less than half of US adults and two-thirds of US high school students do not meet current US guidelines for physical activity. We examined which factors promoted physicians' and medical students' confidence in counseling patients about physical activity. We established an online exercise survey targeting attending physicians, resident and fellow physicians, and medical students to determine their current level of physical activity and confidence in counseling patients about physical activity. We compared their personal level of physical activity with the 2008 Physical Activity Guidelines of the US Department of Health and Human Services (USDHHS). We administered a survey in 2009 and 2010 that used the short form of the International Physical Activity Questionnaire. A total of 1,949 individuals responded to the survey, of whom 1,751 (i.e., 566 attending physicians, 138 fellow physicians, 806 resident physicians, and 215 medical students) were included in this analysis. After adjusting for their BMI, the odds that physicians and medical students who met USDHHS guidelines for vigorous activity would express confidence in their ability to provide exercise counseling were more than twice that of physicians who did not meet these guidelines. Individuals who were overweight were less likely to be confident than those with normal BMI, after adjusting for whether they met the vigorous exercise guidelines. Physicians with obesity were even less likely to express confidence in regards to exercise counseling. We conclude that physicians and medical students who had a normal BMI and met vigorous USDHHS guidelines were more likely to feel confident about counseling their patients about physical activity. Our findings suggest that graduate medical school education should focus on health promotion in their students, as this will likely lead to improved health behaviors in their students' patient populations.
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Affiliation(s)
- Fatima Cody Stanford
- Massachusetts General Hospital, Harvard Medical School, 50 Staniford Street, 4th Floor, Boston, MA, 02114, USA,
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