Pathways for integration of body composition and energy metabolism assessments throughout the nutrition care process: Protocol for implementation planning

IF 2.6 Q3 NUTRITION & DIETETICS

Clinical nutrition ESPEN Pub Date : 2025-07-09 DOI:10.1016/j.clnesp.2025.07.014

Camila E. Orsso , Homa Ghomashchi , Anne Caretero , Marlis Atkins , Thiago G. Barbosa-Silva , Carlota Basualdo-Hammond , Diana Cardenas , Stephanie Chevalier , M. Cristina Gonzalez , Leah Gramlich , Harriët Jager-Wittenaar , Nicole Kiss , Sarah A. Purcell , Maira Quintanilha , Satnam Sidhu , Puneeta Tandon , Mei Tom , Carla M. Prado

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引用次数: 0

Abstract

Background & aims

Body composition and energy metabolism (BC and EM) assessments inform patients’ nutritional status and allow the identification, diagnosis, and management of core nutritional problems. However, a structured approach or care model for integrating these assessments into the nutrition care process is currently lacking. This manuscript describes the protocol for a planning project aimed at convening a multidisciplinary team of researchers, healthcare providers, provincial managers, and industry partners to identify a practical pathway for implementing BC methods and indirect calorimetry for EM assessment in targeted clinical settings.

Methods

Using purposive sampling, dietitians from six specialty areas (oncology, liver or kidney diseases, critical care, weight management/bariatric surgery, and inpatient care) within Alberta Health Services are invited to participate in this two-phase planning project. In phase 1, participants attend a 4-h evidence-based educational session to establish a baseline understanding of BC and EM. In phase 2, seven 4-h focus group discussions are conducted, facilitated by trained moderators using a semi-structured interview guide. Discussions are audio-recorded and will be transcribed verbatim. Data will be analyzed using an inductive, descriptive qualitative content analysis approach. The Consolidated Framework for Implementation Research will inform barriers and facilitators identification, and the Expert Recommendations for Implementing Change will inform implementations strategies. Peer debriefings and reflexivity will ensure trustworthiness of the findings.

Conclusions

The proposed pathway will serve as a roadmap to dietitians and other healthcare professionals involved in nutrition assessment and a catalyst for practice improvement. Beyond outlining the proposed pathway, this initiative will inform the development of a larger implementation project focused on evaluating the feasibility and cost-effectiveness of BC and EM assessments in daily practice. Ultimately, a structured approach to integrating these assessments into routine care may enhance patient outcomes and improve nutrition care standards.

查看原文本刊更多论文

在整个营养护理过程中整合身体成分和能量代谢评估的途径：实施计划的协议。

背景与目的：身体成分和能量代谢（BC和EM）评估告知患者的营养状况，并允许核心营养问题的识别、诊断和管理。然而，目前缺乏将这些评估纳入营养护理过程的结构化方法或护理模式。这篇手稿描述了一个计划项目的协议，旨在召集一个多学科的研究人员、医疗保健提供者、省级管理人员和行业合作伙伴，以确定在有针对性的临床环境中实施BC方法和EM评估的间接量热法的实用途径。方法：通过有目的抽样，邀请艾伯塔省卫生服务部门六个专业领域（肿瘤学、肝脏或肾脏疾病、重症护理、体重管理/减肥手术和住院护理）的营养师参加这个两阶段的规划项目。在第一阶段，参与者参加四小时的循证教育会议，以建立对BC和EM的基本理解。在第二部分，由训练有素的主持人使用半结构化访谈指南进行七次四小时的焦点小组讨论。对讨论进行录音，并逐字抄录。数据将使用归纳，描述性定性内容分析方法进行分析。《实施研究综合框架》将为确定障碍和促进因素提供信息，《实施变革专家建议》将为实施战略提供信息。同行汇报和反思将确保调查结果的可信度。结论：建议的途径将作为营养师和其他参与营养评估的医疗保健专业人员的路线图和实践改进的催化剂。除了概述拟议的途径外，该倡议还将为更大的实施项目的发展提供信息，重点是在日常实践中评估BC和EM评估的可行性和成本效益。最终，将这些评估纳入常规护理的结构化方法可能会提高患者的治疗效果并改善营养护理标准。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical nutrition ESPEN NUTRITION & DIETETICS-

CiteScore

4.90

自引率

3.30%

发文量

512

期刊介绍： Clinical Nutrition ESPEN is an electronic-only journal and is an official publication of the European Society for Clinical Nutrition and Metabolism (ESPEN). Nutrition and nutritional care have gained wide clinical and scientific interest during the past decades. The increasing knowledge of metabolic disturbances and nutritional assessment in chronic and acute diseases has stimulated rapid advances in design, development and clinical application of nutritional support. The aims of ESPEN are to encourage the rapid diffusion of knowledge and its application in the field of clinical nutrition and metabolism. Published bimonthly, Clinical Nutrition ESPEN focuses on publishing articles on the relationship between nutrition and disease in the setting of basic science and clinical practice. Clinical Nutrition ESPEN is available to all members of ESPEN and to all subscribers of Clinical Nutrition.