Sasha Fenton, Megan Whatnall, Hannah Edwards, Amelia Rae, Anna Jansson, Erin D Clarke, Clare E Collins
{"title":"Change in diet quality and differences in characteristics in Australian adults who completed the Healthy Eating Quiz: A cohort study.","authors":"Sasha Fenton, Megan Whatnall, Hannah Edwards, Amelia Rae, Anna Jansson, Erin D Clarke, Clare E Collins","doi":"10.1111/1747-0080.70049","DOIUrl":"https://doi.org/10.1111/1747-0080.70049","url":null,"abstract":"<p><strong>Aim: </strong>Investigate changes in diet quality scores in adults who repeated a brief online dietary assessment tool, the Healthy Eating Quiz, and whether changes in diet quality varied by sociodemographic variables, dietary characteristics, or motivations for completing the tool.</p><p><strong>Methods: </strong>This is a secondary analysis of longitudinal data collected July 2019-May 2022. Data from respondents aged 16-100 years who repeated the dietary assessment tool were analysed, including diet quality, measured using the validated Australian Recommended Food Score (range 0-73), sociodemographic and dietary characteristics (gender, age, socioeconomic status, vegetarian status, and meal sharing), and the main motivation for completing the tool. Paired t-tests assessed change in score between first and second tool completion (reported as mean (SD)). One-way ANOVA was used to test whether mean change in score differed by respondent sociodemographic, dietary, or motivation variables.</p><p><strong>Results: </strong>Across 5189 respondents (73.6% female, 42.0 (17.4) years), mean score improved by 2.28 points during a mean 231 (11) days (p <0.001). Non-vegetarians reported a significantly greater improvement in score than vegetarians (2.39 (6.78) versus 1.56 (6.97) points, p = 0.003). Similarly, those who ate main meals alone improved more (2.70 (7.05) points) compared to those who ate with one (2.15 (6.67) points) or ≥two others (2.14 (6.72) points, p = 0.035).</p><p><strong>Conclusion: </strong>Using the Healthy Eating Quiz, a diet quality assessment tool, on repeated occasions may contribute to improvements in diet quality in adults.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145251934","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":"In the words of the residents: A scoping review of residents' experiences of food, eating and mealtime environments in aged care settings.","authors":"Chelsea Alycia, Jorja Collins, Janeane Dart","doi":"10.1111/1747-0080.70047","DOIUrl":"https://doi.org/10.1111/1747-0080.70047","url":null,"abstract":"<p><strong>Aim: </strong>To capture published research describing aged care residents' experiences with food, eating and mealtime environments.</p><p><strong>Methods: </strong>A scoping review involved a comprehensive search of six electronic databases: Medline, EMBASE, Scopus, CINAHL, Ageline and PsychInfo. No date and language limits were applied. Original research papers using qualitative methods and residents as participants to explore food, eating and/or the mealtime environment were included. Study selection involved screening and then full-text review completed in duplicate. Data from the included studies was extracted and charted and then thematic analysis and interpretive synthesis were applied.</p><p><strong>Results: </strong>From 3421 studies identified in the database search, 11 studies were included. They explored aged care residents' experiences with food, eating and/or the mealtime environment through interviews, focus groups or observations. Five themes were identified: (1) respecting autonomy; (2) connection and community with others; (3) provision of quality, diverse and culturally appropriate foods; (4) mealtimes and the dining/eating environment; and (5) relationships, availability and skills of staff.</p><p><strong>Conclusions: </strong>Mealtimes, food and dining experiences have a direct impact on residents' intake. Positive mealtime experiences, quality and varied food choices will maintain and improve outcomes for aged care residents. This review captures how residents experience mealtimes, what food means to them, and the barriers and enablers to resident-centred care. Understanding these may support aged care homes to align with Quality Standards.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145252070","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}
Heather Podanovitch, Julie E Campbell, Melissa D Rossiter, Kyly C Whitfield, Jessie-Lee D McIsaac
{"title":"\"A few more bites?\": Manifestation of pressure-to-eat in child care.","authors":"Heather Podanovitch, Julie E Campbell, Melissa D Rossiter, Kyly C Whitfield, Jessie-Lee D McIsaac","doi":"10.1111/1747-0080.70041","DOIUrl":"https://doi.org/10.1111/1747-0080.70041","url":null,"abstract":"<p><strong>Aims: </strong>Pressuring children to eat can override hunger and satiety cues, which may lead to over- or under-eating and food refusal. This study aims to describe the manifestations of pressure-to-eat in child care from early childhood educators.</p><p><strong>Methods: </strong>A secondary data analysis was conducted using qualitative content analysis. Observations of educators from child care centres in Nova Scotia and Prince Edward Island (n = 9) occurred over 2 days. Observation data were coded and counted to determine the most and least prevalent forms of pressure. The count results were then assessed quantitatively by educator demographic characteristics to explore potential associations using nonparametric tests (Mann-Whitney U test, Spearman's correlations).</p><p><strong>Results: </strong>Offering food and encouraging eating without referencing hunger or satiety was found to be the most common type of pressure; serving children without asking if they were hungry made up the majority of this type of pressure. This was less common with both increasing educator age (r = -0.692, p = 0.039), as well as years of experience (r = 0.878, p = 0.002). Pressuring children to eat by referring to health benefits and consequences was the least common type of pressure.</p><p><strong>Conclusion: </strong>This study provides insight into the types and frequency of pressure-to-eat strategies implemented in child care centres, which can inform interventions to create more responsive feeding environments.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233020","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}
Erin D Clarke, Mitch Duncan, Lisa G Wood, Jessica J A Ferguson, Clare E Collins
{"title":"Fatty acid intakes in healthy adults quantified using a food frequency questionnaire compared with red blood cell membrane fatty acid content: A validation study.","authors":"Erin D Clarke, Mitch Duncan, Lisa G Wood, Jessica J A Ferguson, Clare E Collins","doi":"10.1111/1747-0080.70039","DOIUrl":"https://doi.org/10.1111/1747-0080.70039","url":null,"abstract":"<p><strong>Aims: </strong>Red blood cell membrane fatty acids can be used alongside self-reported dietary assessment methods, such as food frequency questionnaires, to measure the validity of self-reported intakes. This study aimed to validate fatty acid intakes estimated from the Australian Eating Survey food frequency questionnaire against red blood cell profiles of healthy Australian adults.</p><p><strong>Methods: </strong>Demographic data and dietary intakes of fatty acids were collected, and red blood cell membrane fatty acid composition was measured using gas chromatography. Bland-Altman plots and concordance correlation coefficients (ρ<sub>c</sub>) examined levels of agreement between measures and were adjusted for confounders.</p><p><strong>Results: </strong>A total of 58 participants (67% female, mean age 39.6 years) yielded 105 observations. Total saturated, total monounsaturated, total polyunsaturated fats including Eicosapentaenoic acid, Docosahexaenoic acid, Docosapentaenoic acid, and linoleic acid were within limits of agreement with moderate associations (ρ<sub>c</sub> = 0.26-0.59). All adjusted models weakened associations; except total saturated fat retained moderate association in all models (ρ<sub>c</sub> = 0.24-0.58). Omega-3 supplement use weakened associations for all fatty acids, except saturated and total omega-3 polyunsaturated fats. Carbohydrate intake had the least impact on associations.</p><p><strong>Conclusion: </strong>Self-reported intakes from the Australian Eating Survey food frequency questionnaire were in moderate agreement (ρ<sub>c</sub> = 0.20-0.60) with red blood cell membrane fatty acids. This questionnaire may be used as an indicator of self-reported long-term dietary fatty acid intake in Australian adults, with caveats for individuals reporting extreme intakes and consideration for evaluating the effects of endogenous synthesis of fatty acids. Future studies are warranted to replicate findings and strengthen translation to other sub-populations.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113472","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":"Enhancing sustainability competencies: A systematic review of educational interventions for dietitians and nutrition professionals.","authors":"Romina Lörzing, Tina Bartelmeß","doi":"10.1111/1747-0080.70046","DOIUrl":"https://doi.org/10.1111/1747-0080.70046","url":null,"abstract":"<p><strong>Aims: </strong>This study investigates how sustainability competencies are integrated into educational interventions for dietitians and nutrition professionals and examines pedagogical approaches employed, offering insight into how well these professionals are prepared to support the transition towards a sustainable food system.</p><p><strong>Methods: </strong>A systematic review was conducted using four electronic databases (PubMed, SCOPUS, Web of Science and ProQuest) and additional manual searches on 18 June 2024. Studies were included if they focused on educational interventions for dietitians and nutrition professionals that addressed sustainability competencies. Study quality was appraised using Johanna Briggs Institute critical appraisal tools and the Mixed Methods Appraisal Tool. Results were narratively synthesised and tabulated.</p><p><strong>Results: </strong>Nineteen studies met the inclusion criteria. While certain sustainability competencies are addressed, competencies related to inter-personal, integration, intra-personal and futures-thinking remain underrepresented. Practical approaches with high potential for fostering sustainability competencies, such as project-/problem-based learning and place-based environmental education, were frequently implemented. These methods were often combined with less effective instructional strategies, such as traditional lecturing.</p><p><strong>Conclusions: </strong>Education for dietitians and nutrition professionals should adopt a more comprehensive approach, integrating all sustainability competencies across the curriculum. Combining practical, experiential methods with traditional lecturing may enhance sustainability learning.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081106","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}
Nutrition & DieteticsPub Date : 2025-09-01Epub Date: 2025-03-17DOI: 10.1111/1747-0080.70008
Mikeeley Hoch, Ingrid Hickman, Thomas O'Rourke, Nick Butler, Ra'eesa Doola
{"title":"Perioperative nutritional practices and associations with delayed gastric emptying in patients undergoing a pancreaticoduodenectomy: A retrospective observational study.","authors":"Mikeeley Hoch, Ingrid Hickman, Thomas O'Rourke, Nick Butler, Ra'eesa Doola","doi":"10.1111/1747-0080.70008","DOIUrl":"10.1111/1747-0080.70008","url":null,"abstract":"<p><strong>Aims: </strong>Delayed gastric emptying is a common complication of a pancreaticoduodenectomy and can adversely impact nutritional status, and potentially clinical outcomes due to delays in nutrition initiation post-operatively. The aim of this study was to explore associations between delayed gastric emptying and patient baseline characteristics, early post-operative nutritional status, post-operative nutritional practices and clinical outcomes in a tertiary Australian hospital.</p><p><strong>Methods: </strong>This was a retrospective, observational study of 80 consecutive patients who underwent a pancreaticoduodenectomy between January 2019 and June 2022. Delayed gastric emptying was classified according to the International Study Group of Pancreatic Surgery definition. Continuous variables were compared using the independent t test, and categorical variables were compared using chi-squared or Fisher's exact test. Significant variables were included in a multivariable model.</p><p><strong>Results: </strong>The incidence of delayed gastric emptying within this cohort was 45% (36/80) and was higher in males compared to females (p = 0.025). Early post-operative nutritional status was not significantly associated with delayed gastric emptying (p = 0.124). Patients with delayed gastric emptying had a higher incidence of post-operative pancreatic fistula (p = 0.03) and Clavien-Dindo complications ≥3 (p = 0.011). Delayed gastric emptying was associated with greater usage of enteral (p < 0.001) and parenteral nutrition (p < 0.001), a longer length of stay (p < 0.001) and increased re-admissions (p = 0.014). Male sex remained significantly associated with delayed gastric emptying following regression analysis.</p><p><strong>Conclusions: </strong>Delayed gastric emptying rates were high, associated with greater use of artificial nutrition and worse outcomes in our patient population post-operatively. Early post-operative malnutrition was not significantly associated with delayed gastric emptying.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":"403-411"},"PeriodicalIF":3.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649790","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}
Nutrition & DieteticsPub Date : 2025-09-01Epub Date: 2025-05-20DOI: 10.1111/1747-0080.70019
Joanna Popiolek-Kalisz, Matthew Hollings, Piotr Blaszczak
{"title":"Nutritional risk score predicts the length of stay in patients undergoing coronary angiography.","authors":"Joanna Popiolek-Kalisz, Matthew Hollings, Piotr Blaszczak","doi":"10.1111/1747-0080.70019","DOIUrl":"10.1111/1747-0080.70019","url":null,"abstract":"<p><strong>Aim: </strong>Nutritional status is a factor that impacts the clinical outcomes of various medical conditions, including cardiovascular disease and surgical procedures; however, little is known about its role in percutaneous procedures. This study aimed to assess the association between nutritional status and risk in patients undergoing coronary angiography and in-hospital mortality and length of stay to improve risk stratification and peri-procedural care.</p><p><strong>Methods: </strong>Patients who underwent coronary angiography between January 2022 and August 2023. Nutritional status was assessed with body mass index, and nutritional risk was assessed with the Nutritional Risk Screening 2002 score. Multivariate regression models assessed independent predictors of in-hospital mortality, adjusting for age, sex, coronary event, Canadian Cardiovascular Society class, and cardiac arrest at admission. Subgroup analyses were performed based on coronary event type to evaluate whether the associations differed across clinical presentations.</p><p><strong>Results: </strong>Patients who underwent angiography (n = 1343) were aged 69.2 ± 11.1 years, 51% male, and 49% had acute coronary syndrome. The mean length of stay at the hospital was 4.5 ± 4.8 days; 38% of patients stayed ≥5 days. The in-hospital mortality rate was 1.3%. Regression analyses revealed that the Nutritional Risk Screening 2002 score independently predicted the length of stay (β = 0.63, p = 0.002), and this relationship was strongest in the non-ST segment elevation myocardial infarction subgroup (β = 1.26, p = 0.02). Body mass index did not predict the length of stay. There was no significant relationship between in-hospital mortality and body mass index or the Nutritional Risk Screening 2002 score.</p><p><strong>Conclusion: </strong>Nutritional risk significantly predicts the length of stay after coronary angiography, independent of age, sex, and coronary event type. Clinicians should consider routine nutritional risk assessment preceding coronary angiography to help individualise post-procedure, in-hospital care.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":"383-391"},"PeriodicalIF":3.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102316","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}