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全科医生久坐行为的探索:一项横断面研究。

Exploration of sedentary behaviour among GPs: a cross-sectional study.

作者信息

Mayne Richard S, Hart Nigel D, Tully Mark A, Wilson Jason J, Brønd Jan C, Heron Neil

机构信息

School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast, UK

School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast, UK.

出版信息

BJGP Open. 2022 Aug 30;6(2). doi: 10.3399/BJGPO.2021.0196. Print 2022 Jun.

Abstract

BACKGROUND

Sedentary behaviour, which may have increased among GPs due to increasing use of telemedicine, is associated with many illnesses and increased all-cause mortality.

AIM

To explore levels of sedentary behaviour among GPs and General Practice Specialty Trainees (GPSTs).

DESIGN & SETTING: Sequential, cross-sectional design (initial online sedentary behaviour questionnaire and subsequent thigh-worn accelerometer substudy) of GPs and GPSTs in Northern Ireland.

METHOD

Self-reported questionnaire data were aggregated and compared with device-measured accelerometry data.

RESULTS

Data from 353 participants (17.7% of GPs and GPSTs in Northern Ireland) revealed doctors in general practice self-reported higher workday sedentary time (10.33 hours, SD 2.97) than those in secondary care (7.9 hours, SD 3.43 [mean difference {MD} 2.43 hours; <0.001]). An active workstation (for example, sit-stand desk), was used by 5.6% of participants in general practice, while 86.0% of those without one would consider using one in future. Active workstation users self-reported lower workday sedentary time (7.88 hours, SD 3.2) than non-users (10.47 hours, SD 2.88 [MD -2.58 hours, = 0.001]). Accelerometer substudy participants underestimated their workday sedentary time by 0.17 hours (95% confidence interval [CI] = -1.86 to 2.20; = 0.865), and non-workday sedentary time by 2.67 hours (95% CI = 0.99 to 4.35; = 0.003). Most GPs (80.7%) reported increased workday sitting time compared to prior to the COVID-19 pandemic, while 87.0% would prefer less workday sitting time.

CONCLUSION

GPs have high levels of workday sedentary time, which may be detrimental to their health. It is imperative to develop methods to address sedentary behaviour among GPs on workdays, both for their own health and the health of their patients.

摘要

背景

由于远程医疗使用的增加,全科医生的久坐行为可能有所增加,而久坐行为与多种疾病及全因死亡率上升相关。

目的

探讨全科医生和全科医学专科培训生(GPSTs)的久坐行为水平。

设计与设置

北爱尔兰全科医生和GPSTs的序贯横断面设计(初始在线久坐行为问卷及后续大腿佩戴式加速度计子研究)。

方法

汇总自我报告的问卷数据,并与设备测量的加速度计数据进行比较。

结果

353名参与者(占北爱尔兰全科医生和GPSTs的17.7%)的数据显示,全科医生自我报告的工作日久坐时间(10.33小时,标准差2.97)高于二级医疗人员(7.9小时,标准差3.43[平均差异{MD}2.43小时;<0.001])。5.6%的全科医生使用了主动式工作站(如升降桌),而未使用的人中86.0%表示未来会考虑使用。使用主动式工作站的人自我报告的工作日久坐时间(7.88小时,标准差3.2)低于未使用者(10.47小时,标准差2.88[MD -2.58小时,=0.001])。加速度计子研究的参与者将其工作日久坐时间低估了0.17小时(95%置信区间[CI]=-1.86至2.20;=0.865),非工作日久坐时间低估了2.67小时(95%CI=0.99至4.35;=0.003)。大多数全科医生(80.7%)报告称,与新冠疫情之前相比,工作日的坐姿时间增加了,而87.0%的人希望减少工作日的坐姿时间。

结论

全科医生工作日久坐时间较长,这可能对他们的健康有害。为了全科医生自身及其患者的健康,必须制定方法来解决全科医生工作日的久坐行为问题。

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