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Osteopathic Medical Students: Promoting Physical Activity

Journal: Journal of Osteopathic Medicine Date: 2019/12, 119(12):Pages: e90-e91. doi: Subito , type of study: cross sectional study

Full text    (https://www.degruyter.com/document/doi/10.7556/jaoa.2019.128/html)

Keywords:

cross sectional study [597]
exercise [94]
medical students [402]
osteopathic medicine [1540]
USA [1086]

Abstract:

Statement of Significance: Osteopathic medicine is looking at the patient as a whole person, including their lifestyle. With the AOA/ACGME merger, there is an increased number of DO-trained medical learners doing rotations and residencies with MDs who did not learn medicine in this way. Promoting viewing patients as a whole person among our allopathic colleagues can be a special osteopathic distinction promoting health among ourselves and therefore, our patients. Research Methods: Utilizing a cross-sectional design, in partnership with the Student Osteopathic Medical Association (SOMA) and Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine (NSU-KPCOM), we conducted an online survey of third and fourth year OMS across USA, from August through December 2015. The survey collected self-reported data on frequency and duration of vigorous and moderate physical activity per week. Students were also asked to name the top 3 barriers to physical activity in free-response text. Data Analysis: We performed statistical analyses using SPSS version 22.0 (IBM Corp., Armonk, NY). We used descriptive statistics to describe the OMS physical activity levels in days per week, minutes per day, and minutes per week of both vigorous and moderate physical activity. We used a 1 sample t testto determine differences between OMS physical activity and the ACSM minimum recommended level of 150 minutes per week. Tests were 2-tailed, and p values < .05 were considered significant. Results: Most participants (60.7%) met or exceeded the American College of Sports Medicine (ACSM) physical activity guidelines of at least 150 minutes of moderate intensity aerobic activity per week. The OMS respondents’ mean of 215 minutes of physical activity per week significantly exceeded the ACSM recommendation (P=.000). The top 4 barriers identified by OMS in terms of word frequency (no qualitative analysis) were a lack of Motivation, a lack of Energy, Studying, and Time. Sixty-four percent of OMS met the recommendation of 150 minutes, and 13% identified a lack of Motivation 15% identified a lack of Energy 20% identified Studying and, 72% identified Time. These barriers are not associated with meeting or not meeting the recommended 150 minutes. There was a significant difference between Time-alone (217 min) and Motivation-alone (96 min). We studied Time-alone and Motivation-alone in a logistic regression model with Meeting or Not Meeting Recommended Level of physical activity as the dependent. OMS who identified Motivation, without time, as a barrier were 6.5 times more likely to not meet the recommended 150 min of physical activity. Conclusion: OMS are well positioned to become physically active physicians and, in turn, promote physical activity in their patients. Future studies may look at barriers to physical activity in medical students and attempt to increase participation in active lifestyles in this population. Future studies may also look at how osteopathic physicians can make a positive influence in promoting wellness among their allopathic colleagues and their patients. Additionally, finding that OMS who identify Motivation as a barrier have significantly lower levels of physical activity is noteworthy. Perhaps, if OMS are adequately trained in motivational interviewing, this technique could help a vulnerable portion of OMS increase their levels of physical activity, and the OMS could use the technique on their patients as they become acting physicians.


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