Journal article
The Impact of Orthopaedic Surgical Training on Body Composition
The Iowa orthopaedic journal, Vol.42(1), pp.31-34
06/01/2022
PMCID: PMC9210408
PMID: 35821953
Appears in Diamond Open Access
Abstract
BackgroundResidency is known to consist of rigorous training that has contributed to increased rates of resident burn out, depression, and suicide. There have been recent efforts to attempt to combat and solve the rising levels of mental health concerns amongst physicians and physicians in training. While studies have examined the adverse effects of medical training on mental health, few have examined the associated changes in physical health. This study aimed to identify and compare baseline body composition and hand grip strength of orthopaedic surgery residents. The second aim was to identify and compare changes that may occur over the course of the training program. MethodsFirst year orthopaedic surgery residents ("interns") were recruited to undergo body composition measurements via bioimpedance analysis (BIA) during their first, third, and twelfth month of post-graduate training. At each interval, three hand-grip-strength measurements per hand were captured. Additionally, orthopaedic surgery residents who had already completed their first year ("non-interns") were recruited to undergo baseline and 12-month BIA for comparison. ResultsSix interns and six non-interns were recruited. The interns lost 2.88 ± 4.26 kg (-3.31% ± 4.75%) of their initial body mass with most of the loss being body fat mass (1.97 ± 2.62 kg) by three months. Interns recovered a fair amount of mass loss by 12 months with a net change of -0.78 ± 3.14 kg (-1.09% ± 3.90%). Non-interns experienced an overall net weight gain (1.20 ± 3.64 kg; 1.68% ± 5.55%) over the same period. Intern HGS changed by -1.92 ± 2.49 kg and 3.39 ± 2.34 kg at 3- (n=6) and 12-months (n=3), respectively. ConclusionThis study demonstrates that there is an appreciable decrease in overall body mass, lean tissue mass, and body fat throughout the orthopaedic resident's intern year. The results demonstrate an initial fall in each body metric and strength by 3-months followed by partial recovery by 12-months. This pattern contrasts the average gain of body mass in each measured metric by non-interns. This study is limited by population sizes and by incompleteness of HGS data. Level of Evidence: II.
Details
- Title: Subtitle
- The Impact of Orthopaedic Surgical Training on Body Composition
- Creators
- Michael C MarinierTrevor R GulbrandsenJacob M Elkins
- Resource Type
- Journal article
- Publication Details
- The Iowa orthopaedic journal, Vol.42(1), pp.31-34
- Publisher
- Dept. of Orthopaedics, The University of Iowa; United States
- PMID
- 35821953
- PMCID
- PMC9210408
- ISSN
- 1541-5457
- eISSN
- 1555-1377
- Language
- English
- Date published
- 06/01/2022
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Orthopedics and Rehabilitation
- Record Identifier
- 9984303981202771
Metrics
7 Record Views