医学实习生的虚拟教学厨房课程与心血管疾病预防咨询
Virtual teaching kitchen classes and cardiovascular disease prevention counselling among medical trainees.
作者信息
Razavi Alexander C, Latoff Anna, Dyer Amber, Albin Jaclyn Lewis, Artz Kristi, Babcock Alexandra, Cimino Francesca, Daghigh Farzaneh, Dollinger Beth, Fiellin Maya, Johnston Emily A, Jones Grace Marie, Karch Robert D, Keller Emily T, Nace Heather, Parekh Nimisha K, Petrosky Stephanie Nelson, Robinson Amy, Rosen Jessica, Sheridan Eva M, Warner Susan W, Willis Jada L, Harlan Timothy S
机构信息
Division of Cardiology, Emory University School of Medicine, Atlanta, Georgia, USA.
Tulane University School of Medicine, New Orleans, Louisiana, USA.
出版信息
BMJ Nutr Prev Health. 2023 Feb 2;6(1):6-13. doi: 10.1136/bmjnph-2022-000477. eCollection 2023.
BACKGROUND
Hands-on culinary medicine education for medical trainees has emerged as a promising tool for cardiovascular health promotion.
PURPOSE
To determine whether virtual culinary medicine programming associates with Mediterranean diet (MedDiet) adherence and lifestyle medicine competencies among medical trainees across the USA.
METHOD
A total of 1433 medical trainees across 19 sites over a 12-month period were included. The Cooking for Health Optimisation with Patients-Medical Trainees survey composed of 61 questions regarding demographics, nutritional attitudes, dietary habits including MedDiet score and lifestyle medicine counselling competencies. Multivariable logistic regression assessed the association of virtual culinary medicine education with MedDiet intake and nutritional attitudes.
RESULTS
There were 519 medical trainees who participated in virtual culinary medicine education and 914 medical trainees who participated in their standard nutrition curricula. More than one-half of participants were women (n=759) and the mean age was 27 years old. Compared with students enrolled in traditional nutrition curricula, participants in virtual culinary medicine education were 37% more likely to adhere to MedDiet guidelines for fruit intake (OR 1.37, 95% CI 1.03 to 1.83, p=0.03). Virtual culinary medicine education was associated with higher proficiency in lifestyle medicine counselling categories, notably recommendations involving fibre (OR 4.03; 95% CI 3.05 to 5.34), type 2 diabetes prevention (OR 4.69; 95% CI 3.51 to 6.27) and omega fatty acids (OR 5.21; 95% CI 3.87 to 7.02). Virtual culinary medicine education had a similar, although higher magnitude association with MedDiet counselling competency (OR 5.73, 95% CI 4.26 to 7.70) when compared with historical data previously reported using hands-on, in-person culinary medicine courseware (OR 4.97, 95% CI 3.89 to 6.36).
CONCLUSIONS
Compared with traditional nutritional educational curricula, virtual culinary medicine education is associated with higher MedDiet adherence and lifestyle medicine counselling competencies among medical trainees. Both virtual and hands-on culinary medicine education may be useful for cardiovascular health promotion.
背景
为医学实习生提供的实践烹饪医学教育已成为促进心血管健康的一种有前景的工具。
目的
确定虚拟烹饪医学课程与美国各地医学实习生对地中海饮食（MedDiet）的依从性以及生活方式医学能力之间是否存在关联。
方法
在12个月的时间里，纳入了来自19个地点的总共1433名医学实习生。“与患者 - 医学实习生一起优化健康烹饪”调查由61个问题组成，涉及人口统计学、营养态度、饮食习惯（包括MedDiet评分）和生活方式医学咨询能力。多变量逻辑回归评估了虚拟烹饪医学教育与MedDiet摄入量和营养态度之间的关联。
结果
有519名医学实习生参加了虚拟烹饪医学教育，914名医学实习生参加了标准营养课程。超过一半的参与者是女性（n = 759），平均年龄为27岁。与参加传统营养课程的学生相比，参加虚拟烹饪医学教育的参与者遵循MedDiet水果摄入指南的可能性高37%（OR 1.37，95%CI 1.03至1.83，p = 0.03）。虚拟烹饪医学教育与生活方式医学咨询类别的更高熟练度相关，特别是涉及纤维的建议（OR 4.03；95%CI 3.05至5.34）、2型糖尿病预防（OR 4.69；95%CI 3.51至6.27）和欧米伽脂肪酸（OR 5.21；95%CI 3.87至7.02）。与先前使用实践面对面烹饪医学课件报告的历史数据（OR 4.97，95%CI 3.89至6.36）相比，虚拟烹饪医学教育与MedDiet咨询能力有相似但更强的关联（OR 5.73，95%CI 4.26至7.
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