Cuthill Jennifer A, Shaw Martin
Intensive Care Unit, Glasgow Royal Infirmary, Glasgow, UK.
Clinical Physics, Glasgow Royal Infirmary, Glasgow, UK.
BMJ Open Sport Exerc Med. 2019 Apr 24;5(1):e000534. doi: 10.1136/bmjsem-2019-000534. eCollection 2019.
The UK Government Physical Activity Recommendations suggest that adults should aim for 150 min of physical activity each week to maintain health. We assessed the total volume, frequency, intensity and type of exercise taken by hospital doctors in association with their specialty, age and knowledge of the specific components of the recommendations.
An anonymous paper-based questionnaire was distributed to doctors working in the two largest teaching hospitals in Glasgow. 332 questionnaires were analysed with a response rate of 60.3%.
239 (72%) doctors felt they exercised regularly with 212 (63.9%) meeting the recommended volume of cardiovascular activity, similar to an age and sex-matched cohort of the general Scottish population. Only 78 (23.5%) doctors achieved the recommended muscle-strengthening activities. 108 (35.5%) doctors were aware recommendations for activity existed but only 45 (13.6%) were able to state the recommended duration of activity per week. Doctors who were aware of the recommendations were more likely to personally achieve them (OR 1.802, 95% CI 1.104 to 2.941) although other additional factors may contribute.
Although this was a small study in two hospitals, our results suggest that hospital doctors are as active as the general public in the UK of a similar age. Eight years after implementation, knowledge of specific components of the current physical activity recommendations remains poor. Efforts to improve this prior to graduation, combined with improving confidence and competence in counselling practices and enhancing the opportunities for doctors to exercise, could translate into improved healthcare promotion.
英国政府的身体活动建议指出,成年人每周应进行150分钟的身体活动以保持健康。我们评估了医院医生的运动总量、频率、强度和类型,并将其与他们的专业、年龄以及对该建议具体内容的了解情况进行关联分析。
向格拉斯哥两所最大的教学医院的医生发放了一份匿名纸质问卷。共分析了332份问卷,回复率为60.3%。
239名(72%)医生认为他们有规律地进行锻炼,其中212名(63.9%)达到了推荐的心血管活动量,这与苏格兰普通人群中年龄和性别匹配的队列情况相似。只有78名(23.5%)医生进行了推荐的肌肉强化活动。108名(35.5%)医生知道存在关于身体活动的建议,但只有45名(13.6%)能够说出每周推荐的活动时长。了解这些建议的医生更有可能亲自达到这些标准(比值比1.802,95%置信区间1.104至2.941),不过可能还有其他因素起作用。
尽管这只是在两家医院进行的一项小型研究,但我们的结果表明,医院医生的身体活动水平与英国同龄普通公众相当。在该建议实施八年后,医生对当前身体活动建议具体内容的了解仍然很差。在毕业前努力改善这种情况,同时提高咨询实践中的信心和能力,并增加医生锻炼的机会,可能会促进医疗保健的改善。