Nutrition & Dietetics最新文献

{"title":"Environmental sustainability of nutrition support in a hospital setting: An observational study of waste reduction and management.","authors":"Sharon Carey, Suzie Ferrie","doi":"10.1111/1747-0080.70092","DOIUrl":"https://doi.org/10.1111/1747-0080.70092","url":null,"abstract":"<p><strong>Aims: </strong>Healthcare systems contribute significantly to the global environmental footprint, and hospital food services have been identified as having a significant impact. However, existing sustainability studies auditing the food supply chain in the hospital setting have excluded nutrition support. This study aims to quantify the waste associated with oral, enteral, and parenteral nutrition support in a major tertiary-referral hospital and to identify ways to improve waste management.</p><p><strong>Methods: </strong>This observational audit investigated the types of waste and waste disposal methods associated with nutrition support, to quantify the amount of waste and the cost of waste disposal and associated emissions, and to identify barriers to improved waste management practices. A draft audit checklist was developed as a tool to assist hospitals in nutrition support waste management quality improvement. Calculations and descriptive statistics were used to identify total waste weights, disposal costs and carbon dioxide equivalent emissions for nutrition support products used on the audit day.</p><p><strong>Results: </strong>Nutrition support generated 45.89 kg of waste per day or median 0.19 kg per patient, approximately half of which was discarded formula. Other than the cardboard cartons, a negligible proportion of the waste was recycled; the cost of disposal was approximately $7400 per year. Improving waste management could save $900 per year and reduce total hospital emissions by 7 tonnes of carbon dioxide equivalents.</p><p><strong>Conclusion: </strong>Patients receiving nutrition support in hospital generate waste from packaging, containers and discarded formula and this is commonly sent to landfill. Improvements in waste management could benefit environmental sustainability and reduce costs in the healthcare system.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148881108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Placement poverty: Why it matters to all dietitians.","authors":"Kelly Lambert","doi":"10.1111/1747-0080.70095","DOIUrl":"https://doi.org/10.1111/1747-0080.70095","url":null,"abstract":"","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148881149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Hello, these people exist\": Examining dietitians' perspectives, approaches, and experiences in transgender and gender diverse health.","authors":"Majella Jones, Christie Bennett, Julia McCartan, Janeane Dart","doi":"10.1111/1747-0080.70093","DOIUrl":"https://doi.org/10.1111/1747-0080.70093","url":null,"abstract":"<p><strong>Aim: </strong>The lack of research and guidelines on transgender and gender diverse health, including nutrition considerations, contributes to negative health outcomes for transgender and gender diverse people. This study sought to examine dietitians' perspectives, knowledge, and experiences regarding transgender and gender diverse health dietetic practice.</p><p><strong>Methods: </strong>This critical inquiry study recruited dietitians globally. Data collection involved online surveys and interviews. At survey completion, consenting dietitians were invited to participate in an individual interview or focus group. Quantitative data were analysed using descriptive statistics. Qualitative analysis was conducted through reflexive, team-based thematic analysis.</p><p><strong>Results: </strong>Seventy-eight participants across seven countries completed the survey. Twenty-three dietitians participated in interviews. There was diversity in dietitians' gender, sexuality, disability, chronic illness, and neurodivergence. Many (74%) of dietitians had experience working with transgender and gender diverse people, and 79% reported their comfort to engage with transgender and gender diverse people as high or very high. Six themes were conceptualised: (1) diversity and intersectionality of dietitians; (2) disappointment in the profession; (3) recognition and support for transgender and gender diverse people in dietetic practice; (4) fostering safe, respectful, and inclusive dietetic practice; (5) desire to change; and (6) dissonance and tensions in the transgender and gender diverse space.</p><p><strong>Conclusions: </strong>Study findings suggest that most dietitians are prepared to support transgender and gender diverse people. The data indicate that some dietitians are disappointed in dietetics as a profession and desire radical change regarding transgender and gender diverse health, with concerns about current practices harming transgender and gender diverse people.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148875496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"I have sixty people apply for a job\": A qualitative exploration of how recruiters approach employment decisions about new graduate dietitians.","authors":"Henriette G Ryding, Lana J Mitchell, Lauren T Williams","doi":"10.1111/1747-0080.70090","DOIUrl":"https://doi.org/10.1111/1747-0080.70090","url":null,"abstract":"<p><strong>Aims: </strong>The increasing number of new graduates in recent decades has intensified competition for dietetics positions in Australia. While literature is emerging on the job-seeking experiences of new graduates, the voices of those recruiting and employing dietitians have been under-researched. This study explored recruiter views and attitudes towards the employability (employment potential) of new graduate dietitians, including use of tools such as ePortfolios and their impact on employment decision-making.</p><p><strong>Methods: </strong>A qualitative design was utilised, based on the theory of descriptive phenomenology. Semi-structured interviews were conducted with employers/recruiters of Australian dietetics graduates. Interviews were recorded and transcribed verbatim. Transcripts were coded inductively and analysed using reflexive thematic analysis, then interpreted within a graduate employability framework.</p><p><strong>Results: </strong>Twenty-one recruiters of dietitians from a variety of work settings in three Australian states participated. Three themes were identified: (i) applicants need career development skills to succeed in the recruitment process; (ii) recruiters consider applicant work and life experience prior to graduation; and (iii) recruiters differentiate on generic skills and emotional intelligence of applicants rather than on degree subject knowledge to optimise team fit. ePortfolios are currently under-utilised in recruitment of dietitians.</p><p><strong>Conclusion: </strong>This study shows recruiters of graduate dietitians differentiate applicants on all but the degree subject knowledge component of the graduate employability framework. The findings highlight the need for universities to co-design career development curriculum with recruiters and students.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148830459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare professionals' perspectives regarding the foundations of a patient reported measure for adults receiving Home Enteral Tube Feeding-A Delphi study.","authors":"Andriana Korai, Sharon Carey, Margaret Allman-Farinelli","doi":"10.1111/1747-0080.70087","DOIUrl":"https://doi.org/10.1111/1747-0080.70087","url":null,"abstract":"<p><strong>Aims: </strong>To seek input on the development of a tool for measuring treatment burden in Home Enteral Tube Feeding by healthcare professional consultation.</p><p><strong>Methods: </strong>A modified two-round online Delphi study recruited experts via an open call to professional organisations and snowball sampling. Experts were healthcare professionals involved in the provision, coordination, or management of care for adults receiving Home Enteral Tube Feeding. In Round 1, participants rated 14 topics grouped under three themes derived from prior qualitative research with Australian Home Enteral Tube Feeding patients and a literature review. Agreement was defined as the proportion of the top two ratings on a five-point Likert scale. Ratings and free-text comments were summarised and presented in Round 2, where topics and themes were re-rated and ranked for usefulness to clinical practice and service management.</p><p><strong>Results: </strong>Forty-five dietitians and nurses completed Round 1 and 32 self-nominated for Round 2, which was completed by 18 respondents. In Round 1, agreement for importance (n = 33-41, 75%-98%) and relevance (n = 28-40, 72%-95%) was high across all topics. In Round 2, agreement for usefulness to practice was 88%-100% (n = 14-18) and for management, 60%-100% (n = 3-5). When prioritised, the theme 'Essential Treatment Work' ranked highest (n = 9, 60%), with three of its six topics placed in the top tertile by at least half of respondents.</p><p><strong>Conclusion: </strong>Clinicians perceived measurement of the topics patients previously described as contributing to Home Enteral Tube Feeding burden as important for improving clinical care. Findings support use of these topics to develop a targeted, patient-reported measure that produces clinically meaningful data.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Marginalism, racism and tokenism: A composite narrative of Indigenous Māori dietitian experiences.","authors":"Hannah Rapata, Rhiannon Jones, Daena Moller, Nikki Renall","doi":"10.1111/1747-0080.70088","DOIUrl":"https://doi.org/10.1111/1747-0080.70088","url":null,"abstract":"<p><strong>Aims: </strong>This study aimed to explore the experiences of Māori dietitians and students in Aotearoa New Zealand, with a focus on how racism, marginalism and tokenism affect their training, workplaces and wellbeing.</p><p><strong>Methods: </strong>A kaupapa Māori community research approach was undertaken in partnership with Te Kāhui Manukura o Kai Ora (Māori Dietitians Association). A focus group was held with Māori dietitians and students in March 2024. Data were analysed using reflexive thematic analysis, guided by kaupapa Māori research principles. Candidate themes were then shared with participants in March 2025, and a dissemination strategy was co-designed to protect anonymity. Composite narratives were then developed to illustrate how individual experiences connect to systemic issues.</p><p><strong>Results: </strong>Three composite narratives were developed to highlight shared experiences of racism, tokenism and marginalism across the dietetic journey. Participants described culturally unsafe training environments where deficit stereotypes and staff silence placed additional burdens on Māori students. In workplaces, participants observed Māori patients being subject to inequitable care shaped by racialised assumptions, while Māori dietitians often carried the cultural load of being positioned as 'the Māori voice' without adequate support. These pressures contributed to isolation, burnout and challenges to professional identity, belonging and wellbeing.</p><p><strong>Conclusion: </strong>Systemic racism underpins these experiences, creating culturally unsafe environments and unsustainable cultural loading for Māori dietitians and students. Addressing these issues requires profession-wide action to strengthen cultural safety, support the retention and wellbeing of Māori within dietetics.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How do supermarkets shape the experience of vulnerable people in Australia's food system? A scoping review.","authors":"Casey E Webb, Jeremy Farr, Nathan Cook, Olivia R L Wright","doi":"10.1111/1747-0080.70085","DOIUrl":"https://doi.org/10.1111/1747-0080.70085","url":null,"abstract":"<p><strong>Aims: </strong>The aim of this scoping review was to synthesise how supermarkets shape health behaviours and nutrition-related outcomes of vulnerable populations in Australia.</p><p><strong>Methods: </strong>Five databases were searched and studies were included if they discussed Australia's major supermarket chains, their relationship with vulnerable populations, and outcomes linked to nutrition behaviour or health. Findings were synthesised narratively and reported using the food systems approach interdisciplinary conceptual framework.</p><p><strong>Results: </strong>Twenty-eight studies met the inclusion criteria. Twenty-seven studies investigated food access, six studies examined health behaviours, and four studies focused on nutrition-related health outcomes. Socioeconomic disadvantage was the only vulnerability explored across all studies. Large supermarket chains provided greater access and availability to foods of higher nutritional quality at lower prices than other types of stores; however, areas of lower socio-economic status experienced poorer proximity to supermarkets. Supermarket food prices were less affordable for low-income households in all locations. Individuals living in lower socio-economic areas had a higher risk of greater body size.</p><p><strong>Conclusion: </strong>Supermarkets play a structural role in the health of socioeconomically vulnerable populations in Australia. Supermarkets are important for the provision of higher nutritional quality foods but can also have negative effects through the stocking and marketing of discretionary foods. Future research is required to understand the relationship between supermarkets and other populations experiencing disadvantage and/or vulnerability, such as those with physical disabilities, older adults, youth, and other cultural backgrounds. The extent of alternative food systems and community-based initiatives that provide food for these groups requires further investigation.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148352686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A decade of renal dietetic staffing and malnutrition prevalence in dialysis patients: An observational study in a large dialysis population.","authors":"Anne Snelson, Jenny Wei, Stephanie Greco, Sajani Wijekoon, Marcus Connor, Susannah King, Raisa Shaikh, Lillian King","doi":"10.1111/1747-0080.70086","DOIUrl":"https://doi.org/10.1111/1747-0080.70086","url":null,"abstract":"<p><strong>Aims: </strong>This study explores the maintenance of dietetic full time equivalent staffing alongside malnutrition rate in a metropolitan renal dialysis service in Victoria, Australia. Objectives were to: (1) describe changes in dietitian staff-to-patient ratios over time; (2) evaluate dietetic service delivery against best practice guidelines and (3) report malnutrition prevalence over a 10-year period.</p><p><strong>Methods: </strong>Data were collated from nine retrospective point prevalence audits conducted between 2009 and 2024 across satellite, home haemodialysis and peritoneal dialysis modalities. Nutritional status was primarily assessed using the Subjective Global Assessment, with the Mini Nutritional Assessment and Global Leadership Initiative on Malnutrition criteria introduced in 2024. Malnutrition prevalence was analysed across gender, age and dialysis vintage. Staffing levels were mapped against patient growth, with a target of 1 full time equivalent dietitian per 143 patients (1:143). A decade of renal dietetic staffing and malnutrition prevalence in dialysis patients: An observational study in a large dialysis population RESULTS: Between 2014 and 2024, dietitian staffing levels increased proportionally with patient numbers, maintaining dietitian staff-to-patient ratios between 1:126 and 1:157. Nutritional assessments completed in the home haemodialysis population rose from 25% to 96%. Malnutrition prevalence declined from 25% to 18% in the haemodialysis and from 22% to 11% in the home haemodialysis populations. These improvements were sustained over time. Malnutrition prevalence was higher in older adults, females and individuals on dialysis for less than 1 year.</p><p><strong>Conclusion: </strong>This audit observed that maintaining dietetics staffing in line with recommendations aligned with sustained reductions in malnutrition prevalence. These findings support the integral role of renal dietitians in multidisciplinary renal care.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148308922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ultra-processed food supply in hospitals: A cross-sectional analysis of Australian hospitals using cook fresh foodservices.","authors":"Priscila Machado, Nathan Cook, Mark Lawrence, Mike Forrester, Rebecca Patrick, Judi Porter","doi":"10.1111/1747-0080.70083","DOIUrl":"https://doi.org/10.1111/1747-0080.70083","url":null,"abstract":"<p><strong>Aim: </strong>Ultra-processed foods have been associated with a range of adverse health and environmental impacts, yet their supply in health-promoting settings like hospitals remains largely unexamined. This study aimed to assess and quantify the proportion of ultra-processed foods utilised in a sample of Australian hospitals using cook fresh foodservice systems (i.e., most menu items are prepared/cooked just prior to service), and to determine types of ultra-processed foods available in each of the menu categories.</p><p><strong>Methods: </strong>Cross-sectional data on the foods and drinks available to inpatients in Australian hospitals were collected in October and November 2023. Trained hospital dietitians recorded the standard inpatient menu (Full ward diet), short-order menu items, and oral nutrition support products for paediatric and adult patients over seven consecutive days. Australian food composition databases were used to estimate the energy content of each item. The number of items and energy contribution of ultra-processed foods was estimated by meal (e.g., breakfast, lunch, dinner) and food category (e.g., cereals, spreads, dairy).</p><p><strong>Results: </strong>Six hospitals using predominantly or cook fresh only foodservice systems were included, offering 100-1200 meals per day. Ultra-processed foods contributed 51% of total energy provided, with the highest proportions observed at breakfast and afternoon tea. Bread, dessert, snack, spread/sauce, and drinks had over two-thirds of items classified as UPFs.</p><p><strong>Conclusions: </strong>Findings suggest a concerning large contribution of ultra-processed foods in Australian hospital cook fresh foodservice systems. These findings have implications for interventions aimed at promoting both public and planetary health in institutional settings.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148164006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Food insecurity among university students in Australia: A systematic review of prevalence, predictors, health and academic outcomes.","authors":"Suvasish Das Shuvo, Karen Charlton, Rajshri Roy, Margaret Allman-Farinelli, Seema Mihrshahi, Katherine Kent","doi":"10.1111/1747-0080.70082","DOIUrl":"https://doi.org/10.1111/1747-0080.70082","url":null,"abstract":"<p><strong>Aims: </strong>Food insecurity has increasingly been recognised as a significant challenge among university student populations in Australia. This systematic review aimed to synthesise existing evidence on the prevalence, predictors, and outcomes of food insecurity among university students in Australia.</p><p><strong>Methods: </strong>A comprehensive search was conducted (May 2025), following PRISMA guidelines, across eight databases (Scopus, Web of Science, Google Scholar, ERIC, MEDLINE, CINAHL, Informit, and PsycINFO). Studies were included if peer reviewed, published in English since 2000, and food insecurity was assessed among students attending tertiary institutions in Australia. Two authors independently screened search results against the inclusion criteria.</p><p><strong>Results: </strong>From 1450 records, 23 met the inclusion criteria: 20 quantitative (n = 105-3077) and 3 qualitative or mixed methods (n = 14-64). 17 studies assessed the prevalence of food insecurity, reporting rates between 9.0% and 77.9%. Fifteen studies examined predictors of food insecurity. Key risk factors included being an international student (n = 2), low income/limited financial resources (n = 3), unstable employment (n = 3), younger age (n = 5), and living alone (n = 9). 6 studies found associations between food insecurity and poor dietary patterns; 5 studies reported associations with poorer physical health. 6 studies identified associations with increased anxiety, depression, and stress, and 2 of 4 studies reported associations with poorer academic performance. Qualitative findings suggested that food insecurity exacerbated existing health conditions and weight management. Studies evaluating interventions to improve student food insecurity were not identified.</p><p><strong>Conclusion: </strong>Food insecurity is highly prevalent among Australian university students and was associated with poorer diet and health, and to reduced academic performance. Despite evidence of widespread impact, no evaluated interventions were identified, underscoring the need for coordinated research and policy action in higher education.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148163983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}