Power M L, Holzman G B, Schulkin J
American College of Obstetricians and Gynecologists, Washington, DC 20024, USA.
Obstet Gynecol. 1999 Sep;94(3):421-6. doi: 10.1016/s0029-7844(99)00331-2.
To survey the knowledge of and attitude toward nutrition among practicing obstetrician-gynecologists, using calcium as a specific example.
Our survey on calcium nutrition consisted of 29 questions divided into four categories: demographic information, professional interest and clinical practice, knowledge and opinions, and education. We mailed this survey to the 244 ACOG Fellows who are members of the Collaborative Ambulatory Research Network and to a random sample of 756 Fellows who are not members of the Collaborative Ambulatory Research Network.
Most (75.4%) respondents considered making dietary recommendations an important part of their practice. Interest in nutrition was correlated significantly with its perceived importance in clinical practice and was associated with a greater self-reported likelihood of making dietary recommendations to patients and referring patients to nutritional counseling. Nutrition was of greater importance to women and to older respondents. Women were more likely to make dietary recommendations to patients. Men were more likely to recommend nonfoods and higher fat foods as sources of dietary calcium. The daily calcium intake that obstetrician-gynecologists recommended for different types of patients varied widely but did not differ between male and female respondents. The responses to the knowledge questions concerning calcium metabolism were predominantly "don't know."
Although specific knowledge of calcium metabolism and regulation was incomplete, obstetrician-gynecologists generally recognized the importance of nutrition in their clinical practice. Being older and female independently increased the perceived importance of nutrition.
以钙为例，调查执业妇产科医生对营养的知识掌握情况和态度。
我们关于钙营养的调查包括29个问题，分为四类：人口统计学信息、专业兴趣和临床实践、知识与观点以及教育。我们将这份调查问卷邮寄给了244名作为门诊协作研究网络成员的美国妇产科医师学会会员，以及756名非门诊协作研究网络成员的随机抽取样本。
大多数（75.4%）受访者认为进行饮食建议是其临床实践的重要组成部分。对营养的兴趣与它在临床实践中被感知到的重要性显著相关，并且与向患者进行饮食建议和推荐患者接受营养咨询的更高自我报告可能性相关。营养对女性和年长受访者更为重要。女性更有可能向患者进行饮食建议。男性更有可能推荐非食物和高脂肪食物作为膳食钙的来源。妇产科医生为不同类型患者推荐的每日钙摄入量差异很大，但男女受访者之间没有差异。关于钙代谢的知识问题的回答主要是“不知道”。
尽管钙代谢和调节的具体知识不完整，但妇产科医生普遍认识到营养在其临床实践中的重要性。年龄较大和女性身份独立增加了对营养的感知重要性。
