Whipps Jonathon, Mort Sophia C, Beverly Elizabeth A, Guseman Emily Hill
J Am Osteopath Assoc. 2019 Aug 1;119(8):488-498. doi: 10.7556/jaoa.2019.090.
Research has shown that physicians with positive health and lifestyle behaviors have more positive attitudes toward effective counseling, but little is known about how personal health behaviors of medical students influence their attitudes regarding pediatric obesity counseling before entering practice.
To determine whether the personal health status and habits of osteopathic medical students influence their attitudes toward counseling obese pediatric patients regarding lifestyle behaviors.
A cross-sectional survey was distributed electronically to first- through fourth-year osteopathic medical students. The survey assessed students' personal lifestyle habits and their top anticipated barriers to providing pediatric weight counseling.
A total of 200 participants completed the survey. National physical activity recommendations were met by 81 participants (40.5%). These 81 participants had significantly more positive attitudes toward pediatric physical activity counseling than participants who did not meet the recommendations (H=-35.06, P=.001) or those who only met resistance training recommendations (H=40.63, P=.021). Participants with obesity had significantly lower pediatric weight management counseling scores than overweight participants (H=40.77, P=.028). Thirty-one participants (15.5%) consumed a healthy amount of both vegetables and fruit. These 31 participants had significantly higher dietary mean item counseling scores than those who did not (H=-30.40, P=.048). Participants identified the barriers "Time" (137 [68.5%]) and "Difficult for patients to change behavior" (99 [49.5%]) most frequently. Clinical participants identified "Poor or lacking reimbursement" (21 [28.0%]) more frequently than preclinical participants (12 [9.6]).
Medical students who exhibited healthier lifestyle habits were more likely to positively view pediatric obesity management counseling.
研究表明，拥有积极健康和生活方式行为的医生对有效的咨询有更积极的态度，但对于医学生的个人健康行为如何在进入临床实习前影响他们对儿科肥胖咨询的态度知之甚少。
确定整骨医学学生的个人健康状况和习惯是否会影响他们对为肥胖儿科患者提供生活方式行为咨询的态度。
通过电子方式向整骨医学专业一至四年级的学生发放横断面调查问卷。该调查评估了学生的个人生活习惯以及他们在提供儿科体重咨询方面最预期的障碍。
共有200名参与者完成了调查。81名参与者（40.5%）达到了国家体育活动建议。与未达到建议的参与者（H=-35.06，P=.001）或仅达到抗阻训练建议的参与者（H=40.63，P=.021）相比，这81名参与者对儿科体育活动咨询的态度明显更积极。肥胖参与者的儿科体重管理咨询得分明显低于超重参与者（H=40.77，P=.028）。31名参与者（15.5%）摄入了健康量的蔬菜和水果。与未摄入健康量蔬菜和水果的参与者相比，这31名参与者的饮食平均项目咨询得分明显更高（H=-30.40，P=.048）。参与者最常提到的障碍是“时间”（137人[68.5%]）和“患者行为难以改变”（99人[49.5%]）。临床参与者比临床前参与者更频繁地提到“报销不佳或缺乏报销”（21人[28.0%]对12人[9.6%]）。
表现出更健康生活习惯的医学生更有可能对儿科肥胖管理咨询持积极态度。
