IntroductionSelf-care activities, including exercise, may be neglected by medical students in response to increasing academic demands. Low levels of exercise among medical students may have ripple effects on patient care and counseling. This study investigates the reciprocal role of recreation use and academic performance among first-year medical students.MethodsWe combined retrospective administrative data from four cohorts of first-year medical students at the University of Illinois at Urbana-Champaign from 2006 to 2010 (n =408). We estimated regression models to clarify the role of changes in recreation use before examinations on changes in academic performance, and vice versa.ResultsThe use of recreation facilities by first-year medical students was highly skewed. We found that changes in recreation use before an exam were positively associated with changes in exam performance, and vice versa. Students who make large decreases in their recreation use are likely to decrease their exam scores, rather than increase them.DiscussionStudents who make decreases in their recreation, on average, are likely to decrease their exam scores. These findings suggest that medical students may be able to boost their achievement through wellness interventions, even if they are struggling with exams. We find no evidence that decreasing wellness activities will help improve exam performance.
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机译：简介随着学生对学术需求的增长，医学生可能会忽略包括运动在内的自我保健活动。医学生的低运动量可能会对患者的护理和咨询产生连锁反应。这项研究调查了一年级医学生娱乐活动使用和学业成绩的倒数作用。方法我们结合了2006年至2010年伊利诺伊大学香槟分校伊班诺斯分校四个一年级医学生队列的回顾性行政数据（ n = 408）。我们对回归模型进行了评估，以便在检查学习成绩变化之前弄清娱乐用途变化的作用，反之亦然。结果一年级医学生对娱乐设施的使用存在很大的偏差。我们发现，考试前娱乐用途的变化与考试成绩的变化呈正相关，反之亦然。娱乐活动大量减少的学生可能会降低而不是增加考试成绩。讨论娱乐活动减少的学生平均而言会降低他们的考试成绩。这些发现表明，即使医学生在考试中挣扎，他们也可以通过健康干预来提高自己的学习成绩。我们发现没有证据表明减少健康活动将有助于提高考试成绩。
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