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The food pyramid of medical students
First Author : Alina-Georgiana CorduneanuCoordinators: Dr.Raluca Pop Asist.Dr.Remus Sipos
University of Medicine And Farmacy,Targu-Mures
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Introduction Diet evaluation should be a part of general medical assessment and tailored recommendations should be provided.
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The Food PyramidIs a graphic expression of nutritional standards,the amounts and types of food that should be consumed daily to mentain health and reduce the risk of developing various diseases related to diet.
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Objective : The evaluation of the food pyramid of medical students.
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-cross sectional ;
- self administered food frequency questionnaire developed based on the NHANES III and adapted to local dietary habits. -MO Excel and GraphPad Prism 5.
Type of study
Method
Material and Method
Statistical analyses
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• medical students of General Medicine at UMF Tg.Mures. • sample-76 students divided in two groups
Target population
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• age• sex• environment• study year• body mass index• waist• number of meals• physical activity frequency• food pyramid.
Variables analyzed
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Physical activity in IV year students
Girls Boys0
5
10
15
20
25
30
35
64%
36%
Fig.1 – Gender dis-tribution in the first
year
Girls Boys0
5
10
15
20
25
64%
36%
Fig.2 – Gender dis-tribution in fourth
year
Results 1
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1st year 4th year0
5
10
15
20
25
30
35
40
45
50
30 27
15
4
Fig. 3 – Environment distribution
RuralUrban
Results 2
10
1st year (31.11%) 4th year (19.5%)0
5
10
15
20
25
30
35
40
45
50
9 2
31
25
5
4
Fig. 4 – BMI evaluation
OverweightNormal weightUnderweight
p=NS
Results 3
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1st year 4th year0
5
10
15
20
25
30
35
40
2124
1714
Fig.5 – Physical activity evaluation
Physical activityNo exercise
p=NS
Results 4
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None of the subjects have a normal food pyramid.Series1
5
7.18
2.72
3.34
3.62
3.15
Fig. 6 – Food pyramid in the first year students
SweetsFatMeatDairyFruits&VegetablesCereals
No. of
serv
ing
sResults 5
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None of the subjects have a normal food pyramid.Series1
3.99
5.18
2.09
2.9
2.95
2.62
Fig. 7– Food pyramid in the fourth year students
SweetsFatMeatDairyFruits&VegetablesCereals
No. of
serv
ing
sResults 6
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4th year 1st year
3.99 5
5.18 7.18
2.09 2.72
2.93.34
2.953.62
2.623.15
Fig. 8– Comparison of food pyramids
SweetsFatMeatDairyFruits&VegetablesCereals
No. of
serv
ing
sResults 7
p=0.006
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Results 8
F&V normal F&V abnormal0
5
10
15
20
25
30
35
40
45
50
32
13
13
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Fig. 9– Normal servings of fruits and vegetables probability
4th year1st year
RR=0.49, 95% CI – 0.28-0.86, p=0.01
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Results 9
Sweets normal Sweets abnormal0
10
20
30
40
50
60
70
7
38
7
24
Fig. 10– Normal servings of sweets
4th year1st year
RR=0.68, 95% CI – 0.26-1.76, p=0.55
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• As previously stated, young adults tend to have bad dietary habits, fact confirmed by our study.(1)
• Medical students tend to have bad eating and fitness habits (2)
• FFQ are time consuming and subjected to memory biases, but are a good nutritional assessment tool. (3)
• Sweets and fat consumption lead to increased incidence of overweight and obesity.
Discussions
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• Medical students tend to consume higher
amounts of all food groups and do not engage
in regular physical activity.
• First year students tend to have better eating
habits.
• Future perspective - A nutritional evaluation at
the start of each school year with individualised
diet recommendations.
Conclusions
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References
1. Nieradko-Iwanicka B, Borzecki A. Nutritional assessment and eating habits analysis in young adults. Ann Univ Mariae Curie Sklodowska Med. 2004;59(2):437-40
2. Michael Chourdakis, Thrasivoulos Tzellos, Georgios Papazisis, Konstantinos Toulis, Dimitrios Kouvelas. Eating habits, health attitudes and obesity indices among medical students in northern Greece. Appetite 55 (2010) 722–725
3. Maria D Jackson, Susan P Walker, Novie M Younger, Franklyn I Bennett. Use of a food frequency questionnaire to assess diets of Jamaican adults: validation and correlation with biomarkers. Nutr J. 2011; 10: 28.
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Thank you !