โรคอ้วนในวิชาชีพแพทย์

Parichamon Puntiya

Authors

Parichamon Puntiya Nopparat Rajathanee Hospital

Keywords:

physician, resident, obesity, overweight, lifestyle

Abstract

Obesity is a globally and locally important problem as can be seen from the increasing prevalence every year. Physician is an occupation directly related to people’s healthcare. However, 40% of physicians are overweight. Half of the overweight physicians think that they are at normal weight. There are many contributing factors for weight gain such as stress, shift work, high calorie food intake and low workout. These factors are usually found in residents. Obesity may directly and indirectly affect patients through patient care process and competency. Therefore, the obesity problem among physicians must be emphasized and alleviated in order to prevent further complications.

References

World Health Organization. Cardiovascular diseases [internet]. 2017 [cited 2019 Jan 19]. Available from: https://www.who.int/en/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds).

Hfocus.Thai people die with NCD disease 37 people per hour [internet]. 2018 [cited 2019 Jan 19]. Available from: https://www.hfocus.org/content/2018/08/16157. (in Thai)

World Health Organization. Overweight and obesity [internet]. 2017 [cited 2018 Oct 30]. Available from: http://www.who.int/gho/ncd/risk_factors/overweight/en/.

Thai Health Promotion Foundation. Overweight and obesity report of the Thai health survey on physical examination, no. 5. 2014:135-41. (in Thai)

Puhl RM, Gold JA, Luedicke J, DePierre JA. The effect of physicians’ body weight on patient attitudes: implications for physician selection, trust and adherence to medical advice. Int J Obes 2013;37(11):1415.

Peckham C. Medscape physician lifestyle report 2014 [internet]. 2014 [cited 2019 Jan 20]. Available from: https://www.medscape.com/features/slideshow/lifestyle/2014/public/overview#1.

Ajani UA, Lotufo PA, Gaziano JM, Lee IM, Spelsberg A, Buring JE, et al. Body mass index and mortality among US male physicians. Ann Epidemiol 2004;14(10):731-9.

Wikipedia. Residency (medicine) [Internet]. 2018 [cited 2018 Nov 4]. Available from: https://en.m.wikipedia.org/wiki/Residency_(medicine).

Mota MC, De-Souza DA, Rossato LT, Silva CM, Araujo MB, Tufik S, et al. Dietary patterns, metabolic markers and subjective sleep measures in resident physicians. Chronobiol Int 2013;30(8):1032-41.

Leventer-Roberts M, Zonfrillo MR, Yu S, Dziura JD, Spiro DM. Overweight physicians during residency: a cross-sectional and longitudinal study. J Grad Med Educ 2013;5(3):405-11.

Bleich SN, Bennett WL, Gudzune KA, Cooper LA. Impact of physician BMI on obesity care and beliefs. Obesity 2012;20(5):999-1005.

Puhl RM, Gold JA, Luedicke J, DePierre JA. The effect of physicians’ body weight on patient attitudes: implications for physician selection, trust and adherence to medical advice. Int J Obes (Lond) 2013;37(11):1415-21.

Goldring MR, Persky S. Preferences for physician weight status among women with overweight. Obesity Science & Practice 2018;4(3):250-8.

Lesser L, Cohen D, Brook RH. Changing eating habits for the medical professional. JAMA 2014;311(2):205.

Chaimanee A. Prevalence and associates factors of metabolic syndrome among nurses in King Chulalongkorn Memorial Hospital. Journal of Safety and Health 2008;2:11-29.

Bazargan M, Makar M, Bazargan-Hejazi S, Ani C, Wolf KE. Preventive, lifestyle, and personal health behaviors among physicians. Acad Psychiatry 2009;33:289-95.

World Health Organization. Global strategy on diet, physical activity and health [Internet]. 2018 [cited 2018 Oct 1]. Available from: http://www.who.int/dietphysicalactivity/factsheet_adults/en/.

Thai Health Promotion Foundation. How to exercise [internet]. 2014 [cited 2018 Oct 30]. Available from: http://www.thaihealth.or.th/Content/26616-%E0%B8%AD%E0%B8%AD%E0%B8%81%E0%B8%81%E0%B8%B3%E0%B8%A5%E0%B8%B1%E0%B8%87%E0%B8%81%E0%B8%B2%E0%B8%A2%E0%B8%AD%E0%B8%A2%E0%B9%88%E0%B8%B2%E0%B8%87%E0%B9%84%E0%B8%A3%E0%B8%94%E0%B8%B5%20.html. (in Thai)

Stanford FC, Durkin MW, Blair SN, Powell CK, Poston MB, Stallworh JR. Determining levels of physical activity in attending physicians, resident and fellow physicians and medical students in the USA. Br J Sports Med 2012;46:360-4.

Sirisopon D, Leewanun C, Kuptniratsaikul V. The attitudes and behavior of exercise of residents of Faculty of Medicine, Siriraj Hospital. J Thai Rehabil Med 2011;21(2):50-5. (in Thai)

Junthanasombat P. Prevalence of stress and factors correlated with stress among residents in training in King Chulalongkorn Memorial Hospital (master’s thesis) [Internet]. Chulalongkorn University; 2002 [cited 2018 Oct 1]. Available from: http://cuir.car.chula.ac.th/handle/123456789/10492. (in Thai)

Chaukos D, Chad-Friedman E, Mehta DH, Byerly L, Celik A, McCoy TH, et al. Risk and resilience factors associated with resident burnout. Acad Psychiatry 2017;41(2):189-94.

Karamanova A, Todorova I, Montgomery A, Panagopoulou E, Costa P, Baban A, et al. Burnout and health behaviors in health professionals from seven European countries. Int Arch Occup Environ Health 2016;89(7):1059-75.

Sinha R, Jastreboff AM. Stress as a common risk factor for obesity and addiction. Biol Psychiatry 2013;73(9):827-35.

Jackson SE, Kirschbaum C, Steptoe A. Hair cortisol and adiposity in a population-based sample of 2,527 men and women aged 54 to 87 years. Obesity (Silver Spring) 2017;25(3):539-44.

Liang JJ. Diet and exercise during cardiology fellowship training: practicing what we preach. J Am Coll Cardiol 2014;64:1755–7.

Farshchi H, Taylor M, Macdonald I. Deleterious effects of omitting breakfast on insulin sensitivity and fasting lipid profiles in healthy lean women. Am J Clin Nutr 2005;81:388–96.

Meekaseam K. A study of fast food consumption behavior of working age [Internet]. 2011 [cited 2018 Oct 1]. Available from: http://dspace2.bu.ac.th/jspui/handle/123456789/346. (in Thai)

Currie J, DellaVigna S, Moretti E, Pathania V. The effect of fast food restaurants on obesity and weight gain. American Economic Journal: Economic Policy 2010;2(3):32-63.

Mathew E, Shaikh RB, Al-Sharbatti S, Muttappallymyalil J, Sreedharan J, Basha SA. Self-rated health, BMI, blood pressure, and perceived health needs of first year students at a Middle-Eastern medical university. Prev Med 2012;54:287. doi: 10.1016/j.ypmed.2012.01.007

Barnett KG. Physician obesity: the tipping point. Glob Adv Health Med 2014;3(6):8-10.