Centre for Medical Education, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast, UK.
Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast, UK.
BMC Fam Pract. 2021 Jan 4;22(1):6. doi: 10.1186/s12875-020-01359-8.
Sedentary behaviour is when someone is awake, in a sitting, lying or reclining posture and is an independent risk factor for multiple causes of morbidity and mortality. A dose-response relationship has been demonstrated, whereby increasing sedentary time corresponds with increasing mortality rate. This study aimed to identify current levels of sedentary behaviour among General Practitioners (GPs), by examining and synthesising how sedentary behaviour has been measured in the primary care literature.
A systematic review was conducted to identify studies relating to levels of sedentary behaviour among GPs. Searches were performed using Medline®, Embase®, PscycINFO, Web of Science and the Cochrane Library, from inception of databases until January 2020, with a subsequent search of grey literature. Articles were assessed for quality and bias, with extraction of relevant data.
The search criteria returned 1707 studies. Thirty four full texts were reviewed and 2 studies included in the final review. Both were cross-sectional surveys using self-reported estimation of sedentary time within the International Physical Activity Questionnaire (IPAQ). Keohane et al. examined GP trainees and GP trainers in Ireland. 60% reported spending in excess of 7 h sitting each day, 24% between 4 and 7 h, and 16% less than or equal to 4 h. Suija et al. examined female GPs in Estonia. The mean reported daily sitting time was 6 h and 36 min, with 56% sitting for over 6 h per day. Both studies were of satisfactory methodological quality but had a high risk of bias.
There is a paucity of research examining current levels of sedentary behaviour among GPs. Objective data is needed to determine GPs' current levels of sedentary behaviour, particularly in light of the increase in remote consulting as a result of the COVID-19 pandemic.
久坐行为是指当一个人处于清醒状态时，采取坐姿、躺姿或斜倚姿势，这是多种发病和死亡原因的独立危险因素。已经证明了剂量-反应关系，即增加久坐时间对应着增加死亡率。本研究旨在通过检查和综合分析初级保健文献中测量久坐行为的方法，确定全科医生（GP）目前的久坐行为水平。
进行了系统综述，以确定与 GP 久坐行为水平相关的研究。使用 Medline ® 、Embase ® 、PscycINFO 、Web of Science 和 Cochrane 图书馆从数据库创建开始到 2020 年 1 月进行了搜索，随后对灰色文献进行了搜索。对文章进行了质量和偏倚评估，并提取了相关数据。
搜索标准返回了 1707 项研究。对 34 篇全文进行了审查，并纳入了 2 项最终综述的研究。这两项都是使用国际体力活动问卷（IPAQ）中自我报告的久坐时间来测量的横断面调查。Keohane 等人在爱尔兰检查了 GP 培训生和 GP 培训师。60%的人报告每天坐着超过 7 小时，24%的人坐着 4-7 小时，16%的人坐着少于或等于 4 小时。Suija 等人在爱沙尼亚检查了女性全科医生。报告的平均每日坐姿时间为 6 小时 36 分钟，56%的人每天坐着超过 6 小时。这两项研究的方法学质量都令人满意，但存在很高的偏倚风险。
目前缺乏研究来检验 GP 久坐行为的当前水平。需要客观数据来确定 GP 的当前久坐行为水平，特别是考虑到由于 COVID-19 大流行，远程咨询的比例增加。
