Como Christopher J, Tang Yunting Melissa, Harris Jennifer F, Dalton Jonathan F, Ramanathan Rahul, Chang Feier, Ma Yan, Lee Joon Y, Shaw Jeremy D
From the Department of Orthopaedic Surgery, University of Pittsburgh Medical Center (Dr. Como, Dr. Tang, Dr. Dalton, Dr. Ramanathan, Dr. Lee, and Dr. Shaw); the Pittsburgh Orthopaedic Spine Research Group (POSR) (Dr. Como, Dr. Tang, Dr. Dalton, Dr. Ramanathan, Dr. Lee, and Dr. Shaw); the Orland Bethel Family Musculoskeletal Research Center (BMRC) (Dr. Como, Dr. Tang, Dr. Dalton, Dr. Ramanathan, Dr. Lee, and Dr. Shaw); the Jennifer Harris Nutrition (Dr. Harris); and the Department of Biostatistics, University of Pittsburgh, Pittsburgh, PA (Ms. Chang and Dr. Ma).
J Am Acad Orthop Surg Glob Res Rev. 2025 Apr 18;9(4). doi: 10.5435/JAAOSGlobal-D-24-00316. eCollection 2025 Apr 1.
Orthopaedic surgery residency requires physical stamina and mental acuity. Residents work long hours in demanding conditions like those faced by professional athletes. However, surgical residents often neglect their nutritional needs. This investigates dietary habits of orthopaedic surgery residents and explores strategies to improve nutritional status and performance of residents.
A prospective survey created by a dietitian focused on performance nutrition was conducted among orthopaedic surgery residents at a large, tertiary, academic surgery residency program. Data were collected on demographics, nutritional habits, and perceptions of dietary practices.
The survey was completed by 30 orthopaedic surgery residents (19 M and 11 F; 29.8 ± 2.5 years). This cohort had inconsistent nutritional habits, characterized by irregular meal patterns, and frequently skipped meals. The most common barrier revolved around time constraints. Other barriers included stress/emotional eating and undesired weight changes. Male and female residents had similar demographics and outcomes, except that female residents more frequently reported having the highest energy level. Those who skipped meals had lower reported levels of nutritional knowledge and cited limited time to prepare or eat food compared with those who did not.
This study underscores the paradox of the "surgeon athlete," where despite facing physical demands like athletes, orthopaedic surgeons fail to prioritize their nutrition. This neglect can impair both performance and long-term health and may trickle down to worse patient care and outcomes. Addressing these issues requires a multifaceted approach. Institutional support is essential to improve access to healthy foods, nutrition education, and fostering a culture that values physician well being.
骨科手术住院医师需要具备体力耐力和敏锐的思维能力。住院医师在要求苛刻的条件下长时间工作,类似于职业运动员所面临的情况。然而,外科住院医师往往忽视了他们的营养需求。本研究调查了骨科手术住院医师的饮食习惯,并探索改善住院医师营养状况和工作表现的策略。
由一名营养师针对运动营养设计的前瞻性调查在一个大型的三级学术外科住院医师培训项目中的骨科手术住院医师中进行。收集了有关人口统计学、营养习惯和对饮食习惯的看法的数据。
30名骨科手术住院医师(19名男性和11名女性;年龄29.8±2.5岁)完成了该调查。这一组人的营养习惯不一致,表现为用餐模式不规律,经常不吃饭。最常见的障碍围绕时间限制。其他障碍包括压力/情绪化进食和意外的体重变化。男性和女性住院医师的人口统计学特征和结果相似,只是女性住院医师更频繁地报告精力最为充沛。与未跳过餐的人相比,跳过餐的人报告的营养知识水平较低,并表示准备或进食食物的时间有限。
本研究强调了“外科医生运动员”的矛盾之处,即尽管骨科医生面临着与运动员类似的身体需求,但他们却没有将营养放在优先位置。这种忽视会损害工作表现和长期健康,并且可能会导致更糟糕的患者护理和治疗结果。解决这些问题需要采取多方面的方法。机构支持对于改善获取健康食品的机会、营养教育以及营造重视医生健康的文化至关重要。