Brumboiu Maria Irina, Cazacu Irina, Zunquin Gautier, Manole Flavia, Mogosan Cristina Ionela, Porrovecchio Alessandro, Peze Thierry, Tavolacci Marie-Pierre, Ladner Joel
Epidemiology Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Pharmacy Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Clujul Med. 2018 Oct;91(4):414-421. doi: 10.15386/cjmed-1018. Epub 2018 Oct 30.
The nutritional disorders are modifiable predisposing factors of the current leading causes of morbidity and premature mortality, such as cardiovascular diseases, diabetes and cancers. An early recognition of appropriate interventions could decrease the burden of medical costs and increase the healthy life expectancy. The aims of our study were the description of nutritional status, its associated factors, and the detection of eating disorders among Romanian medical students of the "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca.
A cross-sectional study was conducted during the 2015-2016 academic year, including medical students from all study years, by an online questionnaire. The statistics, both descriptive and inferential, were calculated using EpiInfo.
A total of 222 students from the University Romanian section were included, with a sex-ratio (men:women) of 0.22. The average body mass index of the medical students included was 21.3±3.3 kg/m2, for females it was 20.7±3 kg/m2 and for males 23.9±3.1 kg/m2. For the nutritional disorders such as overweight, the prevalence among males (30%) had a net predominance (p<0.001) over females (4.4%), while for underweight, it was prevalent only for female students (20.3%). Overweight was associated with low academic performance (odds ratio (OR)=7.2; 95% confidence interval (95% CI): 1-53.94), smoking (OR=2.4; 95% CI: 1-5.76) and binge drinking (OR=3; 95% CI: 1.26-7.25). Eating disorders were reported by 25.7% of the students and were significantly more prevalent in students in the second academic study cycle (47.4%; 95% CI: 34.7-60.3%) and in students with jobs (7%; 95% CI: 2.3-16.1%).
In this survey, two different distribution models of nutritional disorders for both genders were identified, with the predominance of overweight among men. Eating disorders were more prevalent among students in the second study cycle and those with jobs at the same time.
营养失调是当前导致发病和过早死亡的主要原因（如心血管疾病、糖尿病和癌症）的可改变的诱发因素。早期识别适当的干预措施可以减轻医疗成本负担并延长健康预期寿命。我们研究的目的是描述罗马尼亚克卢日 - 纳波卡“尤利乌·哈蒂根努”医科药科大学的医学生的营养状况、相关因素以及饮食失调情况。
在2015 - 2016学年进行了一项横断面研究，通过在线问卷对所有学年的医学生进行调查。使用EpiInfo软件进行描述性和推断性统计计算。
罗马尼亚校区共有222名学生参与，男女比例为0.22。纳入的医学生平均体重指数为21.3±3.3kg/m²，女性为20.7±3kg/m²，男性为23.9±3.1kg/m²。对于超重等营养失调情况，男性患病率（30%）显著高于女性（4.4%）（p<0.001），而对于体重过轻，仅在女学生中普遍存在（20.3%）。超重与学业成绩低（优势比（OR）=7.2；95%置信区间（95%CI）：1 - 53.94）、吸烟（OR=2.4；95%CI：1 - 5.76）和暴饮（OR=3；95%CI：1.26 - 7.25）有关。25.7%的学生报告有饮食失调情况，在第二学年学习周期的学生中（47.4%；95%CI：34.7 - 60.3%）以及有工作的学生中（7%；95%CI：2.3 - 16.1%）明显更为普遍。
在本次调查中，确定了两种不同的男女营养失调分布模式，男性中超重占主导。饮食失调在第二学习周期的学生以及同时有工作的学生中更为普遍。
