Running on empty: a review of nutrition and physicians' well-being

Hamidi, Maryam; Boggild, Miranda K; Cheung, Angela M.

doi:10.1136/postgradmedj-2016-134131

Cited by 89 publications

(25 citation statements)

References 39 publications

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“…Además de disminuir el reporte de estrés y de síntomas depresivos, otorga múltiples beneficios sobre la salud física y el bienestar general del individuo. 34 Este estudio destaca por ser el primer trabajo que analiza el auto-reporte de burnout en traumatólogos que ejercen en Chile. Sin embargo, no se encuentra exento de limitaciones.…”

Section: Discussionunclassified

“…Pese a ese potencial sesgo, los resultados del presente estudio son, en su mayoría, comparables con la literatura internacional. 5,7,30,31,33,34 Finalmente, este reporte fue realizado sólo en especialistas en Ortopedia y Traumatología, por lo que no necesariamente refleja la realidad de otras especialidades. Sin embargo, existen reportes internacionales similares entre especialidades quirúrgicas 1,5,8,22,23 y en médicos en formación en Chile.…”

Section: Discussionunclassified

“…Esas simples medidas están respaldadas en la literatura. 5,7,30,31,33,34 Como conclusión, más de la mitad de los traumatólogos encuestados reportaron burnout más de una vez al año y cerca del 10% presentan síntomas depresivos semanalmente. Una edad menor a 40 años, anhedonia, el temor a demandas laborales y el cansancio al final de la jornada, fueron las variables de mayor impacto en la manifestación del burnout.…”

Section: Discussionunclassified

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Burnout y calidad de vida en traumatólogos chilenos: ¿Estamos realmente bien?

Vaisman

Guiloff

Contreras

et al. 2020

Revista Chilena de Ortopedia y Traumatología

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Resumen Introducción No existen reportes sobre el índice de burnout en traumatólogos que ejercen en Chile. Objetivo Evaluar la presencia de burnout y otros aspectos de calidad de vida en esa población. Material y Método Estudio transversal analítico. Encuesta diseñada para conocer el auto-reporte de burnout y síntomas depresivos entre otros factores. Se incluyeron variables demográficas, laborales, sociales, hábitos personales y anímicas. La encuesta fue compartida vía online a miembros de la Sociedad Chilena de Ortopedia y Traumatología. Se realizó análisis estadístico para buscar asociación entre variables, utilizando pruebas de Chi-cuadrado, test exacto de Fisher y regresión logística (p < 0,05). Resultados Encuesta respondida por 136 especialistas. Rango etario modal menor de 40 años (46,3%), 94,1% hombres. Un 53,7% reportó burnout más de una vez al año, 11% anhedonia, 9,6% ánimo depresivo más de la mitad del mes o casi todos los días y 59,6% cansancio diario. Se encontró asociación significativa entre burnout y edad menor de 40 años (p = 0,004), ausencia de hijos (p = 0,007), dieta no saludable (p = 0,001), anhedonia (p = 0,007), temor a demandas (p < 0,001) y cansancio (p < 0,003). Conclusión Más de la mitad de los traumatólogos encuestados reportaron burnout más de una vez al año y cerca del 10% presentan síntomas depresivos semanalmente. Una edad menor a 40 años, anhedonia, el temor a demandas laborales y el cansancio al final de la jornada, fueron las variables de mayor impacto en la manifestación del burnout. La presencia de hijos y una dieta saludable fueron factores protectores.

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Section: Discussionunclassified

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Burnout y calidad de vida en traumatólogos chilenos: ¿Estamos realmente bien?

Vaisman

Guiloff

Contreras

et al. 2020

Revista Chilena de Ortopedia y Traumatología

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“…There is a particular issue for staff who work out of hours such as nursing and junior doctors, and similar issues have been described in the US. 34 The case studies identified a lack of quality food provision for staff working out of hours with a high reliance on vending machines with items with long shelf life and preponderance of energy dense food and snacks and sugary drinks. There was a recognition that the provision of high-quality food environment for staff can increase staff and visitors eating in canteens/local food outlets and have a positive impact on staff wellbeing.…”

Section: Discussionmentioning

confidence: 99%

Food for Life: evaluation of the impact of the Hospital Food Programme in England using a case study approach

Gray¹,

Orme²,

Pitt

et al. 2017

JRSM Open

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ObjectivesTo evaluate the impact and challenges of implementing a Food for Life approach within three pilot NHS sites in 2014/2015 in England. Food for Life is an initiative led by the Soil Association, a non-governmental organisation in the UK that aims to encourage a healthy, sustainable food culture across communities.DesignA case-study approach was undertaken using semi-structured interviews with staff and key stakeholders together with analysis of relevant documents such as meeting minutes, strategic plans and reports.SettingThree NHS Trusts in England.ParticipantsStaff and key stakeholders.Main outcome measuresSynthesis of key findings from semi-structured interviews and analysis of relevant documents.ResultsKey themes included the potential to influence contracting processes; measuring quality; food for staff and visitors; the role of food in hospitals, and longer term sustainability and impact. Participants reported that adopting the Food for Life approach had provided enormous scope to improve the quality of food in hospital settings and had provided levers and external benchmarks for use in contracting to help drive up standards of the food provided by external contractors for patients and staff. This was demonstrated by the achievement of an FFLCM for staff and visitor catering in all three organisations.ConclusionsParticipants all felt that the importance of food in hospitals is not always recognised. Engagement with Food for Life can produce a significant change in the focus on food within hospitals, and help to improve the quality of food and mealtime experience for staff, visitors and patients.

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“…25 Proper nutrition and PA are important components of physician wellness. 26 Poor nutrition can affect HCPs' physical, emotional, and cognitive functioning 27 and improving physician nutrition is associated with enhanced cognitive testing results. 28 HCPs' regular PA correlates with their career satisfaction, improved sense of well-being, increased empathy, and decreased burnout.…”

Section: Introductionmentioning

confidence: 99%

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

Aggarwal

Ospina

Kazory

et al. 2019

American Journal of Lifestyle Medicine

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Background. There is a notable lack of education on nutrition and physical activity guidelines in medical schools and postgraduate training. The purpose of this study is to assess the nutrition and exercise knowledge and personal health behaviors of physicians in the Department of Medicine at a large academic center. Methods. We conducted a survey study in the Department of Medicine at the University of Florida in 2018. The survey instrument included questions on demographics, medical comorbidities, baseline perception of health and fitness, and knowledge of nutrition concepts. The Duke Activity Status Index assessed activity/functional capacity and the validated 14-point Mediterranean Diet Survey evaluated dietary preferences. Data were analyzed using descriptive statistics and the χ2 test was used to perform comparisons between groups. Statistical significance was determined at P < .05. Results. Out of 331 eligible physicians, 303 (92%) participated in the study. While all respondents agreed that eating well is important for health, less than a fourth followed facets of a plant-based Mediterranean diet. Only 25% correctly identified the American Heart Association recommended number of fruit and vegetable servings per day and fewer still (20%) were aware of the recommended daily added sugar limit for adults. Forty-six percent knew the American Heart Association physical activity recommendations and 52% reported more than 3 hours of personal weekly exercise. Reported fruit and vegetable consumption correlated with perceived level of importance of nutrition as well as nutrition knowledge. Forty percent of physicians (102/253) who considered nutrition at least somewhat important reported a minimum of 2 vegetable and 3 fruit servings per day, compared with 7% (3/44) of those who considered nutrition less important (“neutral,” “not important,” or “important, but I don’t have the time to focus on it right now”; P < .0001). Conclusions. This study highlights the need for significant improvement in education of physicians about nutrition and physical activity and need for physicians to focus on good personal health behaviors, which may potentially improve with better education.

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Running on empty: a review of nutrition and physicians' well-being

Cited by 89 publications

References 39 publications

Burnout y calidad de vida en traumatólogos chilenos: ¿Estamos realmente bien?

Burnout y calidad de vida en traumatólogos chilenos: ¿Estamos realmente bien?

Food for Life: evaluation of the impact of the Hospital Food Programme in England using a case study approach

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

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