4.2 Article

Nutrition education on obesity and diabetes to medical students

期刊

ADVANCES IN PHYSIOLOGY EDUCATION
卷 45, 期 2, 页码 217-223

出版社

AMER PHYSIOLOGICAL SOC
DOI: 10.1152/advan.00193.2020

关键词

blood glucose regulation; glycemic index; medical education

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Medical students learned about the relationship between nutrition, obesity, and diabetes through laboratory exercises and blood glucose response tests, with teaching intervention showing positive outcomes.
It is important for medical students to understand the relationship between nutrition, obesity, and diabetes to educate their patients in the future. However, medical training does not always include nutritional education. An experiential learning project was incorporated into the medical school curriculum as an effort to implement nutrition in the physiology course. First-year medical students (n = 140) received lectures on the regulation of blood glucose levels and their relationship to carbohydrates with different glycemic indexes (GI), obesity, and diabetes. Lectures were followed by a laboratory exercise where students calculated their body mass index (BMI), percentage body fat, and percentage muscle using a Bioelectrical Impedance Commercial Scale. While 63% of students had normal BMI, 31% were overweight or obese and 5% were underweight. A subgroup of 54 students tested different types of breakfasts with varying GI and provided blood samples at 0, 30, 60, 90, and 120 min. Their glucose responses were plotted based on the breakfast GI. Pre- and posttests were conducted to assess the teaching intervention where the Wilcoxon signed ranks test indicated that posttest ranks were significantly higher than pretest ranks (Z = -6.6, P < 0.001), suggesting the intervention was beneficial to students.

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