title: Ten thousand steps: a pedometer study of junior dentists in a major British teaching hospital and a district general hospital.
abstract: Sedentary behaviour is widely associated with deleterious health outcomes that in modern medicine have similar connotations to smoking tobacco and alcohol misuse. The integration of e-portfolio, e-logbook, British National Formulary (BNF) and encrypted emails has made smartphones a necessity for trainees. Smartphones also have the ability to record the amount of exercise taken, which allows activity at work to be monitored. The aim of this study to compare the activity of the same group of dental core trainees when they worked within a large multisite teaching hospital and a smaller district general hospital, to find out if supplementary activity was needed outside work. Data were collected from smartphones. To ensure continuity, data were collected only from those who had calibrated iPhones (n=10). At the teaching hospital six of the trainees walked over 10 000 steps a day while working (mean (SD) 10 004 (639)). At the district hospital none of the trainees walked 10 000 steps. The mean (SD) number of steps completed by all trainees was 6265 (119). Walking at work provides the full quota of recommended daily exercise most of the time for those working in the teaching hospital, but additional exercise is occasionally required. While working at the district hospital they walk less, meaning that they should try to increase their activity outside work. Trainees working in the teaching hospital walk significantly more steps than in the district hospital.
authors.affiliation: Sheffield Teaching Hospitals NHS Foundation Trust, Department of Oral and Maxillofacial Surgery, Charles Clifford Dental Hospital, Wellesley Road, S10 2SZ. Electronic address: rosskeat@gmail.com.
authors.forename: R M
authors.initials: RM
authors.lastname: Keat
authors.affiliation: Sheffield Teaching Hospitals NHS Foundation Trust, Department of Oral and Maxillofacial Surgery, Charles Clifford Dental Hospital, Wellesley Road, S10 2SZ. Electronic address: Mathew.Thomas@sth.nhs.uk.
authors.forename: M
authors.initials: M
authors.lastname: Thomas
authors.affiliation: Sheffield Teaching Hospitals NHS Foundation Trust, Department of Oral and Maxillofacial Surgery, Charles Clifford Dental Hospital, Wellesley Road, S10 2SZ. Electronic address: a.mckechnie@sheffield.ac.uk.
authors.forename: A
authors.initials: A
authors.lastname: McKechnie
mesh_terms: D056044:Actigraphy; D000328:Adult; D003815:Dentists; D004739:England; D005260:Female; D006767:Hospitals, District; D006769:Hospitals, General; D006801:Humans; D008297:Male; D000068997:Smartphone; D016138:Walking / Q000502:physiology*
keywords: dental core trainee; junior doctor; pedometer; secondary care