Barriers to healthy eating by National Health Service (NHS) hospital doctors in the hospital setting: results of a cross-sectional survey

James Winston,Sue Wilson,Carol Johnson

doi:10.1186/1756-0500-1-69

Abstract

BackgroundWith high levels of obesity and related illness, improving the health of the nation is a major public health concern. This study aimed to identify factors that prevent healthy eating among doctors, and that are associated with satisfaction with catering services.FindingsMethods: Cross-sectional survey of 328 NHS doctors working in two NHS Trusts with on-site hospital canteen. Questionnaire to establish perceived barriers to healthy eating, weekly use and satisfaction with the hospital canteen, lifestyle and dietary habits, gender, age, height, weight, job details, and affect.Results: 70% of doctors reported using their hospital canteen each week, with 2 visits per week on average.Canteen opening times, lack of selection and lack of breaks were the most commonly perceived barriers to healthy eating. Availability of healthy options caused the most dissatisfaction. Only 12% felt the NHS was supportive of healthy eating. 74% did not feel their canteen advocated healthy eating. Canteen use is associated with younger age (r = -0.254, p < 0.0001) and health score (r = 0.123, p = 0.049).ConclusionInterventions to encourage regular meal breaks, eating breakfast and drinking more water each day need developing. Improved canteen accessibility and availability of healthy options at evenings and weekends may be beneficial.

Highlights

With high levels of obesity and related illness, improving the health of the nation is a major public health concern
Doctors were dissatisfied with hospital canteen provision; satisfaction scores varying between the five hospital units
This study demonstrates that many doctors do not consider their working environment to be conducive to healthy eating

Summary

Introduction

With high levels of obesity and related illness, improving the health of the nation is a major public health concern. Poor diet and obesity are associated with diet related illnesses such as heart disease and diabetes and diet has an influence on concentration, memory and attention span [2,3], motor performance [4], mood [5], and tiredness [2,4]. Emotional stresses and high work load, medicine is an example of a mentally and physically demanding activity requiring high levels of cognitive and motor performance [7,8]. Illness and absenteeism among health care workers may lead to reduced patient care and increased work and stress for other team members [13]. This concept is referred to as the "Health Promoting Hospital" [11]

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