Gender differences in residentsʼ health

Gutgesell, Margaret E.; Sowa, Calan; Weltman, Joel K.; Abbott, Raymond; Weltman, Arthur

doi:10.1097/00001888-199712000-00008

Cited by 2 publications

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“…A longitudinal study conducted at the University of Virginia found that residents reported increased stress and decreased physical activity at the end of internship and, by the end of residency, men weighed more and had more body fat and lower HDL-C levels. 21 Our results are similar to these findings and further emphasize that IM residents are at increased risk for having unrecognized CVD risk factors.…”

Section: Commentsupporting

confidence: 90%

“…Although Frank and colleagues 19 found that few medical students had CVD risk factors, a study by Troyer colleagues 20 reported that >50% of medical students had ≥1 CVD risk factors, including sedentary behavior, overweight, and dyslipidemia. A longitudinal study conducted at the University of Virginia found that residents reported increased stress and decreased physical activity at the end of internship and, by the end of residency, men weighed more and had more body fat and lower HDL‐C levels 21 . Our results are similar to these findings and further emphasize that IM residents are at increased risk for having unrecognized CVD risk factors.…”

Section: Commentsupporting

confidence: 85%

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Cardiovascular Risk Factors Among Internal Medicine Residents

Mihalopoulos

Berenson

2008

Preventive Cardiology

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Modification of risk factors can reduce the number of deaths due to cardiovascular disease (CVD). Internal medicine (IM) residents devote significant clinical time to help patients modify CVD risk factors but may fail to recognize the presence of such factors in their own lives. The prevalence of major modifiable risk factors was assessed in IM residents. Of 101 eligible residents, 56 completed at least 1 component of the study. None had symptoms or history of CVD, and 11 (20%) had > or = 2 CVD risk factors. Of 39 subjects who had physical assessment, 3 had systolic hypertension and 13 had a body mass index > or = 25. Of 38 patients with fasting lipid measurements, 13 had total cholesterol >200 mg/dL; 28 had low-density lipoprotein > or = 100 mg/dL, with 7 >160 mg/dL; and 7 had high-density lipoprotein <40 mg/dL. Three residents smoked 10 cigarettes per day and 15 were sedentary. Training in IM should include strategies to increase awareness of modifiable personal risk factors for CVD, as well as strategies to reduce or eliminate them.

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Section: Commentsupporting

confidence: 90%

Section: Commentsupporting

confidence: 85%

Cardiovascular Risk Factors Among Internal Medicine Residents

Mihalopoulos

Berenson

2008

Preventive Cardiology

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Dietary Patterns, Metabolic Markers and Subjective Sleep Measures in Resident Physicians

Mota

De-Souza

Rossato

et al. 2013

Chronobiology International

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Shiftwork is common in medical training and is necessary for 24-h hospital coverage. Shiftwork poses difficulties not only because of the loss of actual sleep hours but also because it can affect other factors related to lifestyle, such as food intake, physical activity level, and, therefore, metabolic patterns. However, few studies have investigated the nutritional and metabolic profiles of medical personnel receiving training who are participating in shiftwork. The aim of the present study was to identify the possible negative effects of food intake, anthropometric variables, and metabolic and sleep patterns of resident physicians and establish the differences between genders. The study included 72 resident physicians (52 women and 20 men) who underwent the following assessments: nutritional assessment (3-day dietary recall evaluated by the Adapted Healthy Eating Index), anthropometric variables (height, weight, body mass index, and waist circumference), fasting metabolism (lipids, cortisol, high-sensitivity C-reactive protein [hs-CRP], glucose, and insulin), physical activity level (Baecke questionnaire), sleep quality (Pittsburgh Sleep Quality Index; PSQI), and sleepiness (Epworth Sleepiness Scale; ESS). We observed a high frequency of residents who were overweight or obese (65% for men and 21% for women; p = 0.004). Men displayed significantly greater body mass index (BMI) values (p = 0.002) and self-reported weight gain after the beginning of residency (p = 0.008) than women. Poor diet was observed for both genders, including the low intake of vegetables and fruits and the high intake of sweets, saturated fat, cholesterol, and caffeine. The PSQI global scores indicated significant differences between genders (5.9 vs. 7.5 for women and men, respectively; p = 0.01). Women had significantly higher mean high-density lipoprotein cholesterol (HDL-C; p < 0.005), hs-CRP (p = 0.04), and cortisol (p = 0.009) values than men. The elevated prevalence of hypertriglyceridemia and abnormal values of low-density lipoprotein cholesterol (LDL-C; >100 mg/dL) were observed in most individuals. Higher than recommended hs-CRP levels were observed in 66% of the examined resident physicians. Based on current recommendations, a high prevalence of low sleep quality and excessive daytime sleepiness was identified. These observations indicate the need to monitor health status and develop actions to reassess the workload of medical residency and the need for permission to perform extra night shifts for medical residents to avoid worsening health problems in these individuals.

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Gender differences in residentsʼ health

Cited by 2 publications

References 0 publications

Cardiovascular Risk Factors Among Internal Medicine Residents

Cardiovascular Risk Factors Among Internal Medicine Residents

Dietary Patterns, Metabolic Markers and Subjective Sleep Measures in Resident Physicians

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