Licciardone J C, Hagan R D
Department of Public Health and Preventive Medicine, Texas College of Osteopathic Medicine, Fort Worth 76107-2690.
J Am Osteopath Assoc. 1992 Mar;92(3):327-33.
The authors studied the physical fitness of first-year students attending an osteopathic medical college between 1981 and 1986. Overall, 319 (49.2%) of all students entering during this period participated in a comprehensive health and fitness assessment. The mean treadmill performance times for men and women were 20.4 minutes and 15.5 minutes, respectively, using a modified Balke protocol. Men and women were at the 72nd and 79th percentiles, respectively, for physical fitness. In multivariate regression models that adjusted for confounding variables, body fat percentage was a highly significant negative predictor of fitness in both men and women. Forced vital capacity was also a highly significant predictor in women. The results of the study suggest that the fitness of medical students can be improved by implementing health promotion measures that encourage regular physical activity and dietary modification. A greater emphasis on health promotion in the medical curriculum may help students to adopt more healthy behaviors and, in addition, encourage them to provide preventive medical counseling to their patients.
作者研究了1981年至1986年间就读于一所整骨医学院的一年级学生的身体素质。总体而言，在此期间入学的所有学生中有319人（49.2%）参加了全面的健康与体能评估。采用改良的巴尔克方案，男性和女性的平均跑步机运动时间分别为20.4分钟和15.5分钟。男性和女性的身体素质分别处于第72百分位和第79百分位。在针对混杂变量进行调整的多变量回归模型中，体脂百分比是男性和女性体能的一个高度显著的负向预测指标。用力肺活量在女性中也是一个高度显著的预测指标。该研究结果表明，通过实施鼓励定期体育活动和饮食调整的健康促进措施，可以提高医学生的身体素质。在医学课程中更加强调健康促进可能有助于学生采取更健康的行为，此外，还能鼓励他们为患者提供预防性医疗咨询。
