Literature DB >> 28261402

Cardiorespiratory Fitness in Internal Medicine Residents: Are Future Physicians Becoming Deconditioned?

Farshid Daneshvar, Michael Weinreich, Danial Daneshvar, Michael Sperling, Chadi Salmane, Harout Yacoub, James Gabriels, Thomas McGinn, Marianne C Smith.   

Abstract

BACKGROUND: Previous studies have shown a falloff in physicians' physical activity from medical school to residency. Poor fitness may result in stress, increase resident burnout, and contribute to mortality from cardiovascular disease and other causes. Physicians with poor exercise habits are also less likely to counsel patients about exercise. Prior studies have reported resident physical activity but not cardiorespiratory fitness age.
OBJECTIVE: The study was conducted in 2 residency programs (3 hospitals) to assess internal medicine residents' exercise habits as well as their cardiorespiratory fitness age.
METHODS: Data regarding physical fitness levels and exercise habits were collected in an anonymous cross-sectional survey. Cardiopulmonary fitness age was determined using fitness calculator based on the Nord-Trøndelag Health Study (HUNT).
RESULTS: Of 199 eligible physicians, 125 (63%) responded to the survey. Of respondents, 11 (9%) reported never having exercised prior to residency and 45 (36%) reported not exercising during residency (P < .001). In addition, 42 (34%) reported exercising every day prior to residency, while only 5 (4%) reported exercising daily during residency (P < .001), with 99 (79%) participants indicating residency obligations as their main barrier to exercise. We found residents' calculated mean fitness age to be 5.6 years higher than their mean chronological age (P < .001).
CONCLUSIONS: Internal medicine residents reported significant decreases in physical activity and fitness. Residents attributed time constraints due to training as a key barrier to physical activity.

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Year:  2017        PMID: 28261402      PMCID: PMC5330203          DOI: 10.4300/JGME-D-15-00720.1

Source DB:  PubMed          Journal:  J Grad Med Educ        ISSN: 1949-8357


  7 in total

1.  The effects of residency on physical fitness among military physicians.

Authors:  Rajiv Arora; Christopher Lettieri; John R Claybaugh
Journal:  Mil Med       Date:  2004-07       Impact factor: 1.437

2.  Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association.

Authors:  William L Haskell; I-Min Lee; Russell R Pate; Kenneth E Powell; Steven N Blair; Barry A Franklin; Caroline A Macera; Gregory W Heath; Paul D Thompson; Adrian Bauman
Journal:  Circulation       Date:  2007-08-01       Impact factor: 29.690

Review 3.  How to assess physical activity? How to assess physical fitness?

Authors:  Luc Vanhees; Johan Lefevre; Renaat Philippaerts; Martine Martens; Wim Huygens; Thierry Troosters; Gaston Beunen
Journal:  Eur J Cardiovasc Prev Rehabil       Date:  2005-04

4.  Physical activity levels and counseling practices of U.S. medical students.

Authors:  Erica Frank; Elizabeth Tong; Felipe Lobelo; Jennifer Carrera; John Duperly
Journal:  Med Sci Sports Exerc       Date:  2008-03       Impact factor: 5.411

5.  Burnout and Physical Activity in Minnesota Internal Medicine Resident Physicians.

Authors:  Shawn M Olson; Nnaemeka U Odo; Alisa M Duran; Anne G Pereira; Jeffrey H Mandel
Journal:  J Grad Med Educ       Date:  2014-12

6.  Estimating V·O 2peak from a nonexercise prediction model: the HUNT Study, Norway.

Authors:  Bjarne Martens Nes; Imre Janszky; Lars Johan Vatten; Tom Ivar Lund Nilsen; Stian Thoresen Aspenes; Ulrik Wisløff
Journal:  Med Sci Sports Exerc       Date:  2011-11       Impact factor: 5.411

7.  A simple nonexercise model of cardiorespiratory fitness predicts long-term mortality.

Authors:  Bjarne Martens Nes; Lars J Vatten; Javaid Nauman; Imre Janszky; Ulrik Wisløff
Journal:  Med Sci Sports Exerc       Date:  2014-06       Impact factor: 5.411

  7 in total
  5 in total

1.  Physician-Training Stress and Accelerated Cellular Aging.

Authors:  Kathryn K Ridout; Samuel J Ridout; Constance Guille; Douglas A Mata; Huda Akil; Srijan Sen
Journal:  Biol Psychiatry       Date:  2019-05-09       Impact factor: 13.382

2.  The Mismatch of Nutrition and Lifestyle Beliefs and Actions Among Physicians: A Wake-Up Call.

Authors:  Monica Aggarwal; Naykky Singh Ospina; Amir Kazory; Islande Joseph; Zareen Zaidi; Ali Ataya; Markus Agito; Michael Bubb; Paulette Hahn; Maryam Sattari
Journal:  Am J Lifestyle Med       Date:  2019-11-05

Review 3.  What Educators Can Learn from the Biopsychosocial-Spiritual Model of Patient Care: Time for Holistic Medical Education.

Authors:  David Vermette; Benjamin Doolittle
Journal:  J Gen Intern Med       Date:  2022-03-31       Impact factor: 6.473

4.  Physical fitness of medical residents: Is the health of surgical residents at risk?

Authors:  David L. Perrin; Dean M. Cordingley; Jeff R. Leiter; Peter B. MacDonald
Journal:  Can J Surg       Date:  2018-10-01       Impact factor: 2.089

5.  Pediatric Integrative Medicine in Residency Program: Relationship between Lifestyle Behaviors and Burnout and Wellbeing Measures in First-Year Residents.

Authors:  Hilary McClafferty; Audrey J Brooks; Mei-Kuang Chen; Michelle Brenner; Melanie Brown; Anna Esparham; Dana Gerstbacher; Brenda Golianu; John Mark; Joy Weydert; Ann Ming Yeh; Victoria Maizes
Journal:  Children (Basel)       Date:  2018-04-23
  5 in total

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