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Hydration and meal habits of physicians and medical learners: a literature review

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Abstract

Purpose

Nutrition and hydration are important components of physician and medical learner well-being; meal-skipping and insufficient hydration are known to negatively impact cognition. Existing data on these phenomena are sparse and rarely considered together; furthermore, there is a lack of literature on interventions to address these problems. We therefore aimed to characterize existing literature on this topic.

Methods

We conducted a literature review of existing literature on the prevalence of and reasons for meal-skipping and insufficient hydration in physicians and medical learners.

Results

Reported prevalences varied widely, as did the ways in which the data were collected. Reasons for meal-skipping and insufficient hydration are less studied, but a lack of time is the most commonly reported reason, among a variety of other barriers.

Conclusion

Further research is required to better characterize the prevalences and reasons for meal-skipping in physicians and medical learners. By consolidating the state of current knowledge on this topic in this work, we establish the groundwork for future studies and allow intervention studies to be based on a broader data set.

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References

  1. Puddester D, Flynn L, Cohen J (2009) CanMEDS physician health guide: a practical handbook for physician health and well-being. The Royal College of Physicians and Surgeons of Canada, Ottawa

    Google Scholar 

  2. Hsu DP, Hansen SL, Roberts TA, Murray CK, Mysliwiec V (2018) Predictors of wellness behaviors in U.S. Army physicians. Mil Med 183(11–12):e641–e648. https://doi.org/10.1093/milmed/usy059

    Article  PubMed  Google Scholar 

  3. Flight Safety Foundation (2001) Dehydration presents unique risks for pilots. Hum Factors Aviat Med 48:1–5

    Google Scholar 

  4. Mohler M, Mohler S (1992) Eating habits during layover affect flight performance. Hum Factors Aviat Med 39:1–4

    Google Scholar 

  5. Fraser SE, Leveritt MD, Ball LE (2013) Patients’ perceptions of their general practitioner’s health and weight influences their perceptions of nutrition and exercise advice received. J Prim Health Care 5(4):301–307

    Article  Google Scholar 

  6. Aggarwal M, Singh Ospina N, Kazory A, Joseph I, Zaidi Z, Ataya A, Agito M, Bubb M, Hahn P, Sattari M (2019) The mismatch of nutrition and lifestyle beliefs and actions among physicians: a wake-up call. Am J Lifestyle Med 14(3):304–315. https://doi.org/10.1177/1559827619883603

    Article  PubMed  PubMed Central  Google Scholar 

  7. Duperly J, Lobelo F, Segura C, Sarmiento F, Herrera D, Sarmiento OL, Frank E (2009) The association between Colombian medical students’ healthy personal habits and a positive attitude toward preventive counseling: cross-sectional analyses. BMC Public Health 9:218. https://doi.org/10.1186/1471-2458-9-218

    Article  PubMed  PubMed Central  Google Scholar 

  8. El-Sharkawy AM, Bragg D, Watson P, Neal K, Sahota O, Maughan RJ, Lobo DN (2016) Hydration amongst nurses and doctors on-call (the HANDS on prospective cohort study). Clin Nutr 35(4):935–942. https://doi.org/10.1016/j.clnu.2015.07.007

    Article  PubMed  Google Scholar 

  9. Zhang N, Du SM, Zhang JF, Ma GS (2019) Effects of dehydration and rehydration on cognitive performance and mood among male college students in Cangzhou, China: a self-controlled trial. Int J Environ Res Public Health 16(11):1891. https://doi.org/10.3390/ijerph16111891

    Article  PubMed Central  Google Scholar 

  10. Lindseth PD, Lindseth GN, Petros TV, Jensen WC, Caspers J (2013) Effects of hydration on cognitive function of pilots. Mil Med 178(7):792–798. https://doi.org/10.7205/MILMED-D-13-00013

    Article  PubMed  Google Scholar 

  11. Rogers PJ, Kainth A, Smit HJ (2001) A drink of water can improve or impair mental performance depending on small differences in thirst. Appetite 36(1):57–58. https://doi.org/10.1006/appe.2000.0374

    Article  CAS  PubMed  Google Scholar 

  12. Hamidi MS, Boggild MK, Cheung AM (2016) Running on empty: a review of nutrition and physicians’ well-being. Postgrad Med J 92(1090):478–481. https://doi.org/10.1136/postgradmedj-2016-134131

    Article  PubMed  Google Scholar 

  13. Lemaire JB, Wallace JE, Dinsmore K, Lewin AM, Ghali WA, Roberts D (2010) Physician nutrition and cognition during work hours: effect of a nutrition based intervention. BMC Health Serv Res 10:241. https://doi.org/10.1186/1472-6963-10-241

    Article  PubMed  PubMed Central  Google Scholar 

  14. Lemaire JB, Wallace JE, Dinsmore K, Roberts D (2011) Food for thought: an exploratory study of how physicians experience poor workplace nutrition. Nutr J 10(1):18. https://doi.org/10.1186/1475-2891-10-18

    Article  PubMed  PubMed Central  Google Scholar 

  15. National Library of Medicine (2013) Dehydration: MeSH descriptor data 2022. National Library of Medicine. https://meshb.nlm.nih.gov/record/ui?ui=D003681. Accessed 21 Apr 2022

  16. Greenleaf JE (1992) Problem: thirst, drinking behavior, and involuntary dehydration. Med Sci Sports Exerc 24(6):645–656

    Article  CAS  Google Scholar 

  17. Winston J, Johnson C, Wilson S (2008) Barriers to healthy eating by National Health Service (NHS) hospital doctors in the hospital setting: results of a cross-sectional survey. BMC Res Notes 1:69. https://doi.org/10.1186/1756-0500-1-69

    Article  PubMed  PubMed Central  Google Scholar 

  18. Bazargan M, Makar M, Bazargan-Hejazi S, Ani C, Wolf KE (2009) Preventive, lifestyle, and personal health behaviors among physicians. Acad Psychiatry 33(4):289–295. https://doi.org/10.1176/appi.ap.33.4.289

    Article  PubMed  Google Scholar 

  19. Hage CN, Sayegh J, Rizk GA (2010) Comportements à risque et statut vaccinal des résidents au Liban: les futurs médecins appliquent-ils les règles de la prévention? [Health habits and vaccination status of Lebanese residents: are future doctors applying the rules of prevention?]. J Med Liban 58(2):91–96

    PubMed  Google Scholar 

  20. Kassam A, Horton J, Shoimer I, Patten S (2015) Predictors of well-being in resident physicians: a descriptive and psychometric study. J Grad Med Educ 7(1):70–74. https://doi.org/10.4300/JGME-D-14-00022.1

    Article  PubMed  PubMed Central  Google Scholar 

  21. Ganasegeran K, Al-Dubai SA, Qureshi AM, Al-Abed AA, Am R, Aljunid SM (2012) Social and psychological factors affecting eating habits among university students in a Malaysian medical school: a cross-sectional study. Nutr J 11:48. https://doi.org/10.1186/1475-2891-11-48

    Article  PubMed  PubMed Central  Google Scholar 

  22. Sakamaki R, Toyama K, Amamoto R, Liu CJ, Shinfuku N (2005) Nutritional knowledge, food habits and health attitude of Chinese university students - a cross sectional study. Nutr J 4:4. https://doi.org/10.1186/1475-2891-4-4

    Article  PubMed  PubMed Central  Google Scholar 

  23. Tanaka M, Mizuno K, Fukuda S, Shigihara Y, Watanabe Y (2008) Relationships between dietary habits and the prevalence of fatigue in medical students. Nutrition 24(10):985–989. https://doi.org/10.1016/j.nut.2008.05.003

    Article  PubMed  Google Scholar 

  24. Asghar A, Masood Shah A, Ali Hussain A, Tahir A, Asghar H (2019) Frequency of pre-obesity and obesity in medical students of Karachi and the predisposing lifestyle habits. Cureus 11(1):e3948. https://doi.org/10.7759/cureus.3948

    Article  PubMed  PubMed Central  Google Scholar 

  25. Bede F, Cumber SN, Nkfusai CN, Venyuy MA, Ijang YP, Wepngong EN, Kien ATN (2020) Dietary habits and nutritional status of medical school students: the case of three state universities in Cameroon. Pan Afr Med J 35:15. https://doi.org/10.11604/pamj.2020.35.15.18818

    Article  PubMed  PubMed Central  Google Scholar 

  26. Nola IA, Jelinić JD, Matanić D, Pucarin-Cvetković J, Bergman Marković B, Senta A (2010) Differences in eating and lifestyle habits between first- and sixth-year medical students from Zagreb. Coll Antropol 34(4):1289–1294

    PubMed  Google Scholar 

  27. Ackuaku-Dogbe EM, Abaidoo B (2014) Breakfast eating habits among medical students. Ghana Med J 48(2):66–70. https://doi.org/10.4314/gmj.v48i2.2

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  28. Alzahrani SH, Saeedi AA, Baamer MK, Shalabi AF, Alzahrani AM (2020) Eating habits among medical students at King Abdulaziz University, Jeddah, Saudi Arabia. Int J Gen Med 13:77–88. https://doi.org/10.2147/IJGM.S246296

    Article  PubMed  PubMed Central  Google Scholar 

  29. Mirghani HO, Albalawi KS, Alali OY, Albalawi WM, Albalawi KM, Aljohani TR, Albalawi WS (2019) Breakfast skipping, late dinner intake and chronotype (eveningness-morningness) among medical students in Tabuk City, Saudi Arabia. Pan Afr Med J 34:178. https://doi.org/10.11604/pamj.2019.34.178.16250

    Article  PubMed  PubMed Central  Google Scholar 

  30. Sun J, Yi H, Liu Z, Wu Y, Bian J, Wu Y, Eshita Y, Li G, Zhang Q, Yang Y (2013) Factors associated with skipping breakfast among Inner Mongolia medical students in China. BMC Public Health 13:42. https://doi.org/10.1186/1471-2458-13-42

    Article  PubMed  PubMed Central  Google Scholar 

  31. Vibhute NA, Baad R, Belgaumi U, Kadashetti V, Bommanavar S, Kamate W (2018) Dietary habits amongst medical students: an institution-based study. J Fam Med Prim Care 7(6):1464–1466. https://doi.org/10.4103/jfmpc.jfmpc_154_18

    Article  Google Scholar 

  32. Chourdakis M, Tzellos T, Papazisis G, Toulis K, Kouvelas D (2010) Eating habits, health attitudes and obesity indices among medical students in northern Greece. Appetite 55(3):722–725. https://doi.org/10.1016/j.appet.2010.08.013

    Article  PubMed  Google Scholar 

  33. Sajwani RA, Shoukat S, Raza R, Shiekh MM, Rashid Q, Siddique MS, Panju S, Raza H, Chaudhry S, Kadir M (2009) Knowledge and practice of healthy lifestyle and dietary habits in medical and non-medical students of Karachi. Pakistan J Pak Med Assoc 59(9):650–655

    PubMed  Google Scholar 

  34. Bellomo R, Ronco C, Kellum JA, Mehta RL, Palevsky P, Workgroup ADQI (2004) Acute renal failure - definition, outcome measures, animal models, fluid therapy and information technology needs: the Second International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI) Group. Crit Care 8(4):R204–R212. https://doi.org/10.1186/cc2872

    Article  PubMed  PubMed Central  Google Scholar 

  35. Solomon AW, Kirwan CJ, Alexander ND, Nimako K, Jurukov A, Forth RJ, Rahman TM, Prospective Analysis of Renal Compensation for Hypohydration in Exhausted Doctors (PARCHED) Investigators (2010) Urine output on an intensive care unit: case-control study. BMJ 341:c6761. https://doi.org/10.1136/bmj.c6761

    Article  PubMed  PubMed Central  Google Scholar 

  36. Alomar MZ, Akkam A, Alashqar S, Eldali A (2013) Decreased hydration status of emergency department physicians and nurses by the end of their shift. Int J Emerg Med 6(1):27. https://doi.org/10.1186/1865-1380-6-27

    Article  PubMed  PubMed Central  Google Scholar 

  37. Parshuram CS, Dhanani S, Kirsh JA, Cox PN (2004) Fellowship training, workload, fatigue and physical stress: a prospective observational study. CMAJ 170(6):965–970. https://doi.org/10.1503/cmaj.1030442

    Article  PubMed  PubMed Central  Google Scholar 

  38. Khan R, Rehman R, Baig M, Hussain M, Khan M, Syed F (2015) Dimensions of physical wellness among medical students of public and private medical colleges in Pakistan. Saudi Med J 36(6):754–758. https://doi.org/10.15537/smj.2015.6.11108

    Article  PubMed  PubMed Central  Google Scholar 

  39. Tomlinson JK (2006) Quantification of surgical resident stress on call. J Am Coll Surg 202(3):564. https://doi.org/10.1016/j.jamcollsurg.2005.11.022

    Article  PubMed  Google Scholar 

  40. Kunene SH, Taukobong NP (2017) Dietary habits among health professionals working in a district hospital in KwaZulu-Natal, South Africa. Afr J Prim Health Care Fam Med 9(1):e1–e5. https://doi.org/10.4102/phcfm.v9i1.1364

    Article  PubMed  Google Scholar 

  41. Song WO, Chun OK, Obayashi S, Cho S, Chung CE (2005) Is consumption of breakfast associated with body mass index in US adults? J Am Diet Assoc 105(9):1373–1382. https://doi.org/10.1016/j.jada.2005.06.002

    Article  PubMed  Google Scholar 

  42. Fayet-Moore F, McConnell A, Cassettari T, Petocz P (2019) Breakfast choice is associated with nutrient, food group and discretionary intakes in Australian adults at both breakfast and the rest of the day. Nutrients 11(1):175. https://doi.org/10.3390/nu11010175

    Article  CAS  PubMed Central  Google Scholar 

  43. Haghighatdoost F, Feizi A, Esmaillzadeh A, Keshteli AH, Afshar H, Adibi P (2021) Breakfast skipping alone and in interaction with inflammatory based quality of diet increases the risk of higher scores of psychological problems profile in a large sample of Iranian adults. J Nutr Sci 10:10e. https://doi.org/10.1017/jns.2020.62

    Article  Google Scholar 

  44. Jung J, Kim A, Ko H, Choi H, Hong H (2020) Association between breakfast skipping and the metabolic syndrome: the Korea National Health and Nutrition Examination Survey, 2017. Medicina 56(8):396. https://doi.org/10.3390/medicina56080396

    Article  PubMed Central  Google Scholar 

  45. Pendergast FJ, Livingstone KM, Worsley A, McNaughton SA (2016) Correlates of meal skipping in young adults: a systematic review. Int J Behav Nutr Phys Act 13(1):125. https://doi.org/10.1186/s12966-016-0451-1

    Article  PubMed  PubMed Central  Google Scholar 

  46. Pendergast FJ, Livingstone KM, Worsley A, McNaughton SA (2019) Examining the correlates of meal skipping in Australian young adults. Nutr J 18(1):24. https://doi.org/10.1186/s12937-019-0451-5

    Article  PubMed  PubMed Central  Google Scholar 

  47. Ferreira-Pêgo C, Guelinckx I, Moreno LA, Kavouras SA, Gandy J, Martinez H, Bardosono S, Abdollahi M, Nasseri E, Jarosz A, Babio N, Salas-Salvadó J (2015) Total fluid intake and its determinants: cross-sectional surveys among adults in 13 countries worldwide. Eur J Nutr 54(Suppl. 2):35–43. https://doi.org/10.1007/s00394-015-0943-9

    Article  PubMed  PubMed Central  Google Scholar 

  48. Hopkins L, Morgan H, Buery-Joyner SD, Craig LB, Everett EN, Forstein DA, Graziano SC, Hampton BS, McKenzie ML, Page-Ramsey SM, Pradhan A, Bliss S, Undergraduate Medical Education Committee, Association of Professors of Gynecology and Obstetrics (2019) To the Point: a prescription for well-being in medical education. Am J Obstet Gynecol 221(6):542–548. https://doi.org/10.1016/j.ajog.2019.05.012

    Article  PubMed  Google Scholar 

  49. Christensen CB, Mikkelsen BE, Toft U (2019) The effect of introducing a free breakfast club on eating habits among students at vocational schools. BMC Public Health 19:369. https://doi.org/10.1186/s12889-019-6701-9

    Article  PubMed  PubMed Central  Google Scholar 

  50. Eilat-Adar S, Koren-Morag N, Siman-Tov M, Livne I, Altmen H (2011) School-based intervention to promote eating daily and healthy breakfast: a survey and a case-control study. Eur J Clin Nutr 65:203–209. https://doi.org/10.1038/ejcn.2010.247

    Article  CAS  PubMed  Google Scholar 

  51. Shin WY, Kim JH (2020) Use of workplace foodservices is associated with reduced meal skipping in Korean adult workers: a nationwide cross-sectional study. PLoS ONE 15(12):e0243160. https://doi.org/10.1371/journal.pone.0243160

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  52. Wade R, AlSulaimi A (2012) Everyone needs fluids. BMJ. https://www.bmj.com/content/341/bmj.c6761/rr/573600. Accessed 21 May 2021

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Acknowledgements

The authors would like to thank Dr. Risa Bordman for her helpful comments during revision of the manuscript.

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No funding was received to assist with the preparation of this manuscript.

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Authors

Contributions

Conceptualization: JL, DM; formal analysis and investigation: JL; writing—original draft preparation: JL; writing—review and editing: DM; Supervision: DM.

Corresponding author

Correspondence to James C.-Y. Lai.

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On behalf of all authors, the corresponding author states that there is no conflict of interest.

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This is a literature review: thus, no ethical approval was required.

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Lai, J.CY., Manis, D. Hydration and meal habits of physicians and medical learners: a literature review. Eur J Nutr 61, 3345–3356 (2022). https://doi.org/10.1007/s00394-022-02914-y

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