La actividad física y el estado nutricional en médicos
DOI:
https://doi.org/10.29166/ciencias_medicas.v43i1.1469Keywords:
physical activity, Exercise, Nutritional surveys, Body weight, Healthcare professionalsAbstract
Context: due to their knowledge about physical well-being and how to achieve it, healthcare professionals ought to set the example for the community in general regarding a healthy lifestyle based on eating good food and exercising. However, in real terms, there are no data available concerning the physical condition, level of activity and nutrition of health professionals.
Objective: to establish the degree of excess weight and physical activity of the medical practitioners working at IESS (National Health Service) Hospital San Francisco in Quito. Subjects and methods: This is an epidemiologic cross-sectional descriptive study aimed at defining the prevalence of excess weight of medical personnel using BMI, IPAQ (short version) and a food consumption survey.
Principal measurements: physical activity, nutritional condition, added salt, consumption of saturated fats and fruits.
Results: the number of medical professionals taking part was 80, out of which 46, i.e. 57.5%; IC95%: 46.57%-67.74%) are women. 86.2% of the subjects are between 30 to 50 years of age. The IPAQ classification indicated that half of the participants (50%; n=40; IC95%: 39.30%-60.70%) undertake a moderate form of
physical activity such as walking, and that just 17 (21.3%; IC: 13.71%-31.42%) of the participants perform vigorous physical workouts. Females walk more than males (33% vs. 18%). Moreover, 53.8% (n= 43); IC95%: 42.9 – 64.3% health practitioners are classed as overweight or obese. The males tended to be more overweight/obese than the females: (30% vs. 24%). Also, 41.3 % of the subjects admitted adding salt to their food daily, and 22.5% knowingly consume saturated fats. Regarding the consumption of fruits and vegetables, 60% (n=48); IC: 49.05%-70.04% revealed that they have moderate or relevant consumption of these products. There is a correlation between increased physical activity and decreased BMI whereby the average BMI tends to go down.
Likewise, those participants with decreased physical activity, tended to put on weight.
Conclusion: half of the medical personnel are overweight. Due to additional external influences, physical activity is not the only determining factor for weight loss among the medical staff analysed.
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Davidson S. Human Nutrition and Dietetics. Churchill Livingston New York. 1979.
Gómez C. El cuestionario Internacional de Actividad Física, un instrumento adecuado en el seguimiento de la actividad física poblacional. 2007.
Roldan E. LM, LF. Análisis Descriptivo de las variables: nivel de actividad física, depresión y riesgos cardiovasculares en empleados y docentes de una institución universitaria en Medellín. Apuntes de Medicina de L' Esport. 2008; p. 55-61.
Hall J. OP, AE. Actividad Física, estado nutricional y obesidad abdominal en profesores del área de cultura física. Revista Internacional del Medicina y Ciencias de la Actividad Física y el Deporte. 2012; p. 209-220.
CDC CfDcap. Neinhborhood safety and the prevalence of physical inactivity- selected status. Journal of the American Association. 1996; p. 281.
Huang T, Liu X. Leisure-time physical activity and the risk of metabolic syndrome: meta-analysis. European Journal of Medical Research. 2014; 19(22).
Nambiar L, Bhimjiyani A, Khandelwal S. A systematic review to assess the impact of physical activity intervention on people with metabolic syndrome. Journal of Science and Medicine in Sport. 2014; 185: p.e108-e135.
He D, Xi B, Xue J, Huai P, Zhang M, Li J. Association between leisure time physical activity and metabolic syndrome: a meta-analysis of prospective cohort studies. Springer Endocrine. 2014.
Nikhil B, Ilya K, Serena W, Patricia V, Aparna P, Elaine M, et al. Lifestyle modification for metabolic syndrome: A Systematic Review. The American Journal of Medicine. 2014.
National Institute for Health and Care Excellence. Physical activity: Brief advice for adults in primary care. NICE Guideline. 2013.
George ES, Kolt GS, Duncan MJ, Caperchione CM, Mummery WK, Vandelanotte C, et al. A Review of the Evectiveness of Physical Activity Interventions for Adult Males. Sports Med. 2012; 42(4).
Teresa B, Antonio C, Carlos LJ, Paula MM. Use of accelerometry to measure physical activity in adults and the elderly. Rev. Saúde Pública. 2012; 46(3).
Ickes MJ, Sharma M. A Systematic Review of Physical Activity Interventions in Hispanic Adults. Journal of Enviromental and Public Health. 2012.
Conn VS, Phillips LJ, Ruppar T, Chase JAD. Physical Activity Interventions with Healthy Minority Adults: Meta-Analysis of Behavior and Health Outcomes. J Health Care Poor Underserved. 2012 February; 23(1).
Pucci GCMF, CRR, RCF, Reis RS. Association between physical activity and quality of life in adults. Rev Saúde Pública. 2012; 46(1).
Müller AM, Khoo S. Non-face-to-face physical activity interventions in older adults: a systematic review. International Journal of Behavioral Nutrition and Physical Activity. 2014; 11(35).
Larkin L, Kennedy N. Correlates of Physical Activity in Adults with Rheumatoid Arthritis: A Systematic Review. Journal of Physical Activity and Health. 2014; 11.
Heiss V, Petosa R. Correlates of Physical Activity Among Adults With Type 2 Diabetes: A Systematic Literature Review. American Journal of Health Education. 2014; 45(5).
Moran M, Cauwenberg JV, Hercky-Linnewiel R, Cerin E, Deforche B, Plaut P. Understanding the relationships between the physical enviroment and physical activity in older adults: a systematic review of qualitative studies. International Journal of Behavioral Nutrition and Physical Activity. 2014; 11(79).
Holle VV, Deforche B, Cauwenberg JV, Goubert L, Maes L, Weghe NVd, et al. Relationship between the physical enviroment and different domains of physical activity in European adults: a systematic review. BMC Public Health. 2012; 12(807).
Whitt-Glover MC, Keith NR, Ceaser TG, Virgil K, Ledford L, Hasson RE. A systematic review of physical activity interventions among African American adults: evidence from 2009 to 2013. Obesity Reviews. 2014; 15(4).
Wanner M, Götschi T, Martin-Diener E, Kahlmeier S, Martin BW. Active transport, physical activity and body weight in Adults. American Journal of Preventive Medicina. 2012; 42(5).
Joan LB, Cherisse LS, Steve TJ. An updated review in interventions thar include promotion of physical activity for adult men. Sports Med. 2014.
Mansoubi M, Pearson N, Biddle SJH, Clemes S. The relationship between sedentary behaviour and physical activity in adults: A systematic review. Preventive Medicine. 2014; 69.
Millstein RA. Measuring Outcomes in Adult Weight Loss Studies That Include Diet and Physical Activity: A Systematic Review. Journal of Nutrition and Metabolism. 2014; 2014.
Cox EP, O´Dwyer N, Cook R, Vetter M, Cheng HL, Rooney K, et al. Relationship between physical activity and cognitive function in apparently healthy young to middle-aged adults: a systematic review. Journal of Science and Medicine in Sport. 2015.
Donnelly JE, Herrmann SD, Lambourne K, Szabo AN, Honas JJ, Wasburn RA. Does increased exercise or physical activity alter ad-libitum daily energy intake or macronutrient composition in healthy adults? A systematic review. PLoS ONE. 2014; 9(1).
Melanie C, J. WN, John C, P. HS, M HA. Facilitated physical activity as a treatment for depressed adults: randomised controlled trial. BMJ. 2012.
Turner-McGrievy GM, Beets MW, Moore JB, Kaczynski AT, Barr-Anderson DJ, Tate DF. Comparison of traditional versus mobile app self-monitoring if physical activity and dietary intake among overweight adults participating in a mHealth weight loss program. J Am Med Inform Assoc. 2013; 20.
Park MY, Kim SH, Cho YJ, Chung RH, Lee KT. Association of Leisure Time Physical Activity and Metabolic Syndrome over 40 Years. Korean J Fam Med. 2014 Marzo; 35(2): p. 65 - 72.
López ME, Sosa A, Labrousse NP. med.unne.edu.ar/revista/revista174/3_174.pdf. [Online]. 2007. Available from: http://www.med.unne.edu.ar/revista/revista174/3_174.pdf.
Serón P, Muñoz S, Lanas F. Nivel de actividad física medida a través del cuestionario internacional de actividad física en población chilena. Revista Médica de Chile. 2010;(138): p. 1232 - 1239.
IPAQ. www.ipaq.ki.se. [Online]. 2005 [cited 2014 September 21. Available from: http://www.ipaq.ki.se/questionnaires/SpanIQSHL7SELFrev230802.pdf.
Albornoz López R, Pérez R. Nutrición y síndrome metabólico. Nutrición clínica y dietética hospitalaria.2012; 32(3): p. 92-97.
Barrera M, Pinilla A, Cortés É, Mora G, Rodríguez M. revcolcard.org.scc.org.co. [Online]. 2008 [cited 2014 Agosto 25.
OMS. Obesity preventing and Managing the Global Epidemic. WHO. 1998; p. 1-276.
Toloza SCM, Conesa AG. El cuestionario de actividad física. Un instrumento adecuado en el seguimiento de la actividad física poblacional. Rev Iberoam Fisioter Kinesol. 2007; 10(1).
Ainsworth B. HW, LA, JD, MH, SJ. Compendium of physical activities classification of energy cost of human physical activities. Med. Sci. Sports Exerc. 1993.
Kouvelioti R, Vagenas G, Langley-Evans S. Effects of exercise and diet on weight loss maintenance in overweight and obese adults: a systematic review. The Journal of sports medicine and physical fitness. 2014; 54(4): p. 456-74.
Villarreal DT, Banks M, Sinacore DR, Siener C, Klein S. Effect of weight loss and exercise on frailty in obese older adults. Archives of internal medicine. 2006; 166(8): p. 860-6.
Clark JE. Diet, exercise or diet with exercise: comparing the effectiveness of treatment options for weight-loss and changes in fitness for adults (18-65 years old) who are overfat, or obese; systematic review and meta-analysis. Journal of diabetes and metabolic disorders. 2015; 14(1): p. 31.