Nutrition & Dietetics最新文献

{"title":"Identifying research priorities for paediatric nutrition for Australia: A Delphi consensus approach.","authors":"Annabel Doolan, Kristie Bell, Danielle Gallegos, Judi Porter, Helen Truby","doi":"10.1111/1747-0080.70017","DOIUrl":"10.1111/1747-0080.70017","url":null,"abstract":"<p><strong>Aim: </strong>The Australian Academy of Science's Decadal Plan for the science of nutrition emphasised research investment combined with system wide changes to improve the population's nutritional health. This study applied a Delphi consensus process with the aim to develop a definition for 'paediatric nutrition research' alongside identifying research themes and specific key priorities.</p><p><strong>Methods: </strong>Multidisciplinary health professionals with expertise in paediatric nutrition were invited to participate in an on-line survey. Panellists contributed to refining a new definition of paediatric nutrition research. Consensus was sought on nine priority areas under which more specific topics were listed, with panellists using a 7-point Likert scale to rate priority statements. Approval was considered where agreement was reached by ≥70% of participants, with a ranked score ≥6.</p><p><strong>Results: </strong>Participants (n = 104) were invited with n =31 agreeing (response rate: 30%). The majority (n = 28) also completed round 2. The proposed definition of paediatric nutrition research was agreed by 86% of first round respondents. This process generated 7 research themes containing 30 specific topic priorities. The themes were: growth and development; health equity and priority populations; food systems and food access; Aboriginal and Torres Strait Islander Peoples; strengthening prevention and treatment; empowering children, parents, and caregivers to maximise healthy development; and strengthening the workforce.</p><p><strong>Conclusions: </strong>This study will support the prioritisation of critical nutrition research questions and inform the skills and expertise required within cross-disciplinary teams needed to tackle the identified priorities. Consultation with Aboriginal and Torres Strait Islander leaders and consumer representatives is required to understand the specific needs of priority communities.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":"82 3","pages":"319-326"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12168051/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysing the behaviour change techniques in an effective food literacy program to inform future program design.","authors":"Lucy M Butcher, Caylah Batt, Sophie Royce, Eamon Barron, Roslyn Giglia, Andrea Begley","doi":"10.1111/1747-0080.12908","DOIUrl":"10.1111/1747-0080.12908","url":null,"abstract":"<p><strong>Aim: </strong>Food literacy programs aim to improve food related skills and knowledge and are selected Governments as a strategy to address dietary intakes at a community level. The purpose of this research is to identify behaviour change techniques in a food literacy program, which were assessed by the achievement of participant goals related to food literacy and dietary behaviour changes.</p><p><strong>Methods: </strong>Consensus methods were applied to map behaviour change techniques to an adult food literacy program. A second phase investigation applied content analysis of participant process evaluation data (collected between 2016 and June 2021) to align target behaviours and behaviour change techniques. Chi-square and ANCOVA were used to assess the statistically significant demographic characteristics, food literacy, and dietary behaviour scores for participants who set goals and recorded changes.</p><p><strong>Results: </strong>A total of 4697 program participants provided evaluation data from the 4-week food literacy program. Participants who set goals and made changes were statistically more likely to have higher food literacy factor scores (p < 0.001) and fruit serves (p = 0.004). Statistical analysis showed that participants were more likely to have set goals and recorded changes if they were female (p < 0.001), older (p < 0.001), higher education level (p < 0.001), had a higher socioeconomic status (p = 0.049), lived with children (p = 0.014), were born in Australia (p = 0.019), or did not identify as Indigenous (p < 0.001). The behaviour change technique mapping process identified nine techniques used weekly and a total of 22 techniques used over the entire 4 week program curriculum.</p><p><strong>Conclusions: </strong>This is the first Australian study to link the contribution of behaviour change techniques to food literacy and dietary behaviour change in an established effective food literacy program. Knowing the behaviour change techniques associated with effective programs will facilitate replication of effective interventions.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":"268-282"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12168058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142471024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The changing landscape of dietetic education in Australia.","authors":"Fiona Pelly, Hattie Wright, Libby Swanepoel, Anthony Villani","doi":"10.1111/1747-0080.70009","DOIUrl":"10.1111/1747-0080.70009","url":null,"abstract":"","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":"348-350"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649737","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":"Exploring behaviour change skill development during final placements: Practice educator and student perspectives.","authors":"Georgia Dallow, Lauren T Williams, Emily Williams, Roshan R Rigby","doi":"10.1111/1747-0080.70015","DOIUrl":"10.1111/1747-0080.70015","url":null,"abstract":"<p><strong>Aims: </strong>The integration of behaviour change science into dietetics education is crucial for developing competent health practitioners. However, the ability of final placements to provide student dietitians with the opportunity to practice skills for supporting dietary behaviour change is not yet understood. This study aims to explore how placements shape the development of dietetics students' knowledge and skills in behaviour change through the novel approach of drawing on practice educator and student perspectives.</p><p><strong>Methods: </strong>Using a constructivist approach, qualitative data were collected through semi-structured interviews with practice educators and focus groups with graduating dietitians. Questions aimed to explore the practice educator role in developing student behaviour change skills and aspects of hospital placement that improved student confidence. Data were transcribed verbatim and analysed using inductive thematic analysis to identify key themes and sub-themes.</p><p><strong>Results: </strong>Eleven hospital-based practice educators and eight dietetics graduands participated. Three key themes were identified: (1) limited modelling of behaviour change within a hospital placement; (2) experiential learning needed to consolidate behaviour change skill development; and (3) the need to strengthen behaviour change science in dietetics. Throughout each theme, educators and students described challenges to skill development on placement, such as limited opportunities to practise behaviour change interventions, insufficient attention to behaviour change in feedback and assessment, and differing educator confidence in teaching these skills.</p><p><strong>Conclusions: </strong>This study suggests a need to strengthen opportunities for students to link theoretical and practical learning of behaviour change skills to work toward producing a workforce of confident behaviour change agents.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":"337-347"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12168055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing a food list for a new 24-h dietary recall tool for New Zealand.","authors":"Sally Mackay, Caitlin Haliburton, Berit Follong, Carolyn Lister, Michelle Gibbs, Cliona Ni Mhurchu","doi":"10.1111/1747-0080.70014","DOIUrl":"10.1111/1747-0080.70014","url":null,"abstract":"<p><strong>Aim: </strong>A 24-h dietary recall is commonly used in national nutrition surveys to assess population diets. Intake24, an automated United Kingdom tool, was selected and modified for use in New Zealand in 2023. This study aimed to develop a local food list for Intake24-New Zealand.</p><p><strong>Methods: </strong>A draft food list developed for the Australian 2023 National Nutrition and Physical Activity Survey was the starting point due to similarities in food supply between the two countries. Additional New Zealand foods were identified using the New Zealand Food Composition Database, New Zealand dietary intake studies, household purchasing data, and consultation with nutritionists working with ethnic communities. Food names and recipes were revised and included to reflect New Zealand versions and linked to New Zealand food composition data.</p><p><strong>Results: </strong>The final New Zealand food list contained 2618 foods which included: 968 foods that were matched to nutrient lines from the New Zealand Food Composition Database; 558 new recipes; 1028 foods that were matched to other food composition databases; and 64 foods which needed to be matched.</p><p><strong>Conclusions: </strong>This contemporary New Zealand food list will facilitate the use of Intake24 New Zealand in national surveys, research studies, and clinical practice.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":"82 3","pages":"292-300"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12168050/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dietitians as activists-Using public health to advocate for human and planetary health.","authors":"Danielle Gallegos","doi":"10.1111/1747-0080.70022","DOIUrl":"https://doi.org/10.1111/1747-0080.70022","url":null,"abstract":"","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":"82 3","pages":"248-250"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302604","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":"Occurrence and predictors of food insecurity in a sample of pregnant women recruited from an Australian hospital.","authors":"Fiona H McKay, Julia Zinga, Paige van der Pligt","doi":"10.1111/1747-0080.70021","DOIUrl":"10.1111/1747-0080.70021","url":null,"abstract":"<p><strong>Aims: </strong>The aim of this study is to explore the occurrence of food insecurity among pregnant women in Australia.</p><p><strong>Methods: </strong>This cross-sectional, self-reported study included two measures of food insecurity (the US Department of Agriculture Household Food Security Survey Module and single item measure), use of emergency and community food assistance, health conditions, eating habits during pregnancy, and professional nutritional advice and health seeking behaviours. Participants were recruited using (1) an advertisement posted on social media and (2) flyers with a QR code linked to the online survey, made available for women to take from clinic rooms at a hospital in Melbourne, Victoria. Data were analysed using basic statistics, spearman's rho correlation coefficients, and linear regression to identify factors that may be associated with food insecurity among pregnant women in Australia; the study was open between May 2021 and March 2022.</p><p><strong>Results: </strong>Three hundred and three valid responses were received from pregnant women in Australia. Food insecurity was determined to be 14.5% (US Department of Agriculture Household Food Security Survey Module) and 6.3% (single item used). Food insecurity was significantly associated with income, education level and age.</p><p><strong>Conclusions: </strong>Results indicate a high prevalence of food insecurity among pregnant women. Routine screening and referral of food insecure pregnant women should be considered in antenatal care settings.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":"309-318"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12168057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Creating a food environment scoring index for online food delivery outlets: Delphi study with Australian nutrition and public health professionals.","authors":"Rebecca Bennett, Christina Zorbas, Laura Alston, Cindy Needham","doi":"10.1111/1747-0080.12919","DOIUrl":"10.1111/1747-0080.12919","url":null,"abstract":"<p><strong>Aims: </strong>This study aimed to develop a scoring index for the healthfulness of food outlet menu offerings available through Australian delivery platforms.</p><p><strong>Methods: </strong>The Delphi method was employed to achieve consensus among a panel of Australian nutrition and public health experts regarding the food environment scores assigned to online food outlets, classified by type. From previous studies and scoping of delivery platforms, 36 food outlet types were identified. Australian nutrition and public health experts were recruited to complete an online Delphi survey to score the healthfulness of these outlets using a scale from -10 (least healthful) to +10 (most healthful), based on typical menu offerings. The first round of the survey was opened for approximately 5 weeks in July to August 2023, and the second round was opened for 2 weeks in September 2023. The mean food environment score, minimum and maximum awarded food environment score, and SD for each outlet type, and coefficient of variation was calculated after each survey round to provide a measure of the spread of the data around the mean and the degree of consistency in the distribution of responses. Following the second survey round, results were assessed for consensus among the participants.</p><p><strong>Results: </strong>Fifty-four participants completed the round one survey, and n=14 completed round two. The majority of online food delivery outlet types received a food environment score of less than +5, and were considered 'less healthful.' Participants scored greengrocers as the most healthful outlet type (mean food environment score of 8.83 ± 0.37) and liquor selling stores as the least healthful (score of -8.10 ± 1.14). The group reached consensus after two survey rounds due to decreases in the standard deviations of mean food environment scores.</p><p><strong>Conclusions: </strong>This study provides an expert-informed tool, the DIGIASSESS tool, that can be easily applied by researchers, policy makers, health workers and public health professionals to understand the rapidly evolving online food delivery environment, including changes over time and areas for potential intervention.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":"283-291"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142786300","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":"Micronutrient intakes in a young antenatal population-10-year Retrospective survey at a Sydney hospital clinic.","authors":"Suzie Ferrie, Merryl Ireland","doi":"10.1111/1747-0080.12915","DOIUrl":"10.1111/1747-0080.12915","url":null,"abstract":"<p><strong>Aim: </strong>Nutritional requirements are increased in young people to support growth, and this is particularly critical when pregnancy occurs within young age groups. The aim was to describe nutritional intakes (with particular emphasis on iron and calcium) and selected pregnancy outcomes, in a young antenatal population aged 14-24 years.</p><p><strong>Method: </strong>A retrospective audit was conducted using 404 records from a young parents' antenatal clinic which included prepregnancy body mass index (BMI), pregnancy weight gain, baby birth weight, nutritional biochemistry, and dietitian assessment of iron and calcium intakes and supplement use. Age groups were compared (adolescents aged 14-18 years versus older 19-24 years clients), and regression analysis was used to explore potential predictors of birth outcomes.</p><p><strong>Results: </strong>There was no difference in prepregnancy body mass index for age, pregnancy weight gain, baby birth weight or outcomes, between the age groups. Based on food group serves, intakes were inadequate for iron in 82% of clients and for calcium in 72%. Iron status declined in both groups during the pregnancy, while adolescents had less adequate calcium intake (p = 0.0001). Supplement use was more common in clients with poor iron (p = 0.015) or vitamin D status (p < 0.0001).</p><p><strong>Conclusion: </strong>Iron and calcium intakes were inadequate in this nutritionally vulnerable population. Further research would be beneficial to identify effective interventions to improve nutrition in this cohort.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":"186-194"},"PeriodicalIF":3.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648216","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":"Translating digital health services for nutrition care management of chronic conditions in outpatient settings: A multi-stakeholder e-Delphi study.","authors":"Amandine Barnett, Ingrid J Hickman, Katrina L Campbell, Jaimon T Kelly","doi":"10.1111/1747-0080.12927","DOIUrl":"10.1111/1747-0080.12927","url":null,"abstract":"<p><strong>Aim: </strong>To identify and achieve expert consensus on the most important and feasible strategies to implement digital health services for nutrition care management of chronic conditions in outpatient settings.</p><p><strong>Methods: </strong>Determinants and strategies for implementing digital health services for nutrition care management were identified in line with the literature and the Consolidated Framework for Implementation Research. These were presented to team leaders and senior clinicians, as well as dietetic and allied health directors in a two-round e-Delphi process. Consensus was reached when strategies were rated very important/feasible by at least 75% of respondents, calculated by the median, interquartile range and frequency. Following the two survey rounds, a final prioritisation survey was distributed to participants, where participants were asked to prioritise their top strategy for each determinant, which was analysed by frequency calculations.</p><p><strong>Results: </strong>Twenty participants participated in round one of the survey and 18 completed the final prioritisation round. Following the two rounds, 3 strategies did not meet consensus for importance and 7 strategies did not meet consensus for feasibility out of 25 strategies presented. Nine strategies were prioritised following the survey rounds. Key concepts of the strategies that met consensus and were prioritised related to (i) adhering to quality of care with effective evaluation processes; (ii) providing options for digital health upskilling and support; and (iii) individualising patient care.</p><p><strong>Conclusion: </strong>Team leaders and senior clinicians as well as dietetic and allied health directors have indicated that there are many important digital health strategies yet not all are feasible to implement within current resourcing and systems.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":"231-243"},"PeriodicalIF":3.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11973619/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}