2021, Number 4
<< Back Next >>
Rev Med UAS 2021; 11 (4)
Inappropriate nutrition leads to an energy deficit in medical students during 24-hour shifts
Flores-Villalba E, Ortiz De Elguea-Lizarraga JI, Segura-Ibarra V, Dominguez-Barragan EM, Guerra-Cantu AS, Diaz-Elizondo JA, Frausto-Alejos JA, Ramirez D
Language: English
References: 16
Page: 293-300
PDF size: 78.13 Kb.
ABSTRACT
Introduction: Surgical rotations of medical students are physically, emotionally, and intellectually demanding. Energy expenditure
throughout a shift, lack of sleep and inadequate nutrition affect student’s performance.
Objective: The aim of this study is to describe
and analyze caloric intake and energy expenditure during a 24-hour shift in medical students during a clinical surgical rotation.
Materials
and Methods: Twenty-three medical students wore a smart armband during a 24-hour shift to register energy expenditure
physical activity, along reports of meals and food intake.
Results: Median energetic expenditure was of 3666 kcal/day while intake
was of 1384 kcal/day, averaging a deficit of 2374 kcal. Students slept a median of 0 minutes and walked 9252 steps.
Discussion and
Conclusion: These parameters should be considered when designing clinical rotations to provide quality service to patients and
ensure the well-being of students.
REFERENCES
Truswell AS, Darnton-Hill I. Food habits ofadolescents. Nutr Rev. 1981;39(2):73-88.
Winston J, Johnson C, Wilson S. Barriers tohealthy eating by National Health Service(NHS) hospital doctors in the hospital setting:results of a cross-sectional survey.BMC Res Notes. 2008;1:69.
Dahlin ME, Runeson B. Burnout andpsychiatric morbidity among medical studentsentering clinical training: a three yearprospective questionnaire and interview-basedstudy. BMC Med Educ. 2007;7:6.
Dyrbye LN, Massie FS, Eacker A, Harper W,Power D, Durning SJ, et al. Relationship betweenburnout and professional conduct andattitudes among US medical students.JAMA. 2010;304(11):1173-80.
Acheson KJ. Carbohydrate for weight andmetabolic control: where do we stand? Nutrition.2010;26(2):141-5.
Bowman SA, Vinyard BT. Fast food consumptionof U.S. adults: impact on energy andnutrient intakes and overweight status. J AmColl Nutr. 2004;23(2):163-8.
Spiegel K, Tasali E, Penev P, Van Cauter E.Brief communication: Sleep curtailment inhealthy young men is associated with decreasedleptin levels, elevated ghrelin levels,and increased hunger and appetite.Ann Intern Med. 2004;141(11):846-50.
Bidlack WR. Interrelationships of food, nutrition,diet and health: the National Associationof State Universities and Land GrantColleges White Paper. J Am Coll Nutr.1996;15(5):422-33.
Guo X, Warden BA, Paeratakul S, Bray GA.Healthy Eating Index and obesity. Eur J ClinNutr. 2004;58(12):1580-6.
Kant AK, Schatzkin A, Ziegler RG. Dietarydiversity and subsequent cause-specificmortality in the NHANES I epidemiologic follow-up study. J Am Coll Nutr.1995;14(3):233-8.
Cluskey M, Grobe D. College weight gainand behavior transitions: male and femaledifferences. J Am Diet Assoc.2009;109(2):325-9.
Thomas DM, Gonzalez MC, Pereira AZ,Redman LM, Heymsfield SB. Time to correctlypredict the amount of weight loss withdieting. J Acad Nutr Diet. 2014;114(6):857-61.
Maggini S, Pierre A, Calder PC. ImmuneFunction and Micronutrient RequirementsChange over the Life Course. Nutrients.2018;10(10).
Fitzpatrick LA. Secondary causes of osteoporosis.Mayo Clin Proc. 2002;77(5):453-68.
Browne BJ, Van Susteren T, Onsager DR,Simpson D, Salaymeh B, Condon RE. Influenceof sleep deprivation on learningamong surgical house staff and medical students.Surgery. 1994;115(5):604-10.
Lieffers JR, Hanning RM. Dietary assessmentand self-monitoring with nutrition applicationsfor mobile devices. Can J Diet PractRes. 2012;73(3):e253-60.