Nutrition & Dietetics最新文献

{"title":"Placement poverty: Why it matters to all dietitians.","authors":"Kelly Lambert","doi":"10.1111/1747-0080.70095","DOIUrl":"10.1111/1747-0080.70095","url":null,"abstract":"","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":"404-406"},"PeriodicalIF":3.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13575720/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The environmental impact of tray-line packaging waste at an Australian tertiary hospital: Retrospective observational study.","authors":"Lucas Hall, Aimee Dow, Katherine Burns, Joyce Sadek, Deana Sikovska, Ashleigh Allen, Monika Page, Scott McAlister, Kym Wittholz","doi":"10.1111/1747-0080.70028","DOIUrl":"10.1111/1747-0080.70028","url":null,"abstract":"<p><strong>Aims: </strong>To quantify the volume of tray-line packaging waste at an Australian metropolitan tertiary hospital and explore current disposal methods and their environmental impact.</p><p><strong>Methods: </strong>The patient menu ordering system was used to retrospectively quantify packaged menu items served on the tray-line from March 2023 to March 2024, with some of the data extrapolated from a 3-month period to provide an estimate of 12-month quantities. The packaged weight of all menu items was multiplied by the number of times they were plated and served to patients. Carbon emissions (expressed as carbon equivalents) were calculated using the methods outlined in the Australian Government National Greenhouse Accounts Factors 2023.</p><p><strong>Results: </strong>Packaging waste was analysed for 1068 main meals and 712 mid-meals over 365 days. Sixteen tonnes of food packaging was sent to patients, all of which was sent to landfill. This equates to 7.73 tonnes of carbon equivalents. Of this food packaging, 9.4 tonnes of waste (60%) had the potential to be recycled and diverted from landfill.</p><p><strong>Conclusion: </strong>This study quantified the annual packing waste generated from this tertiary hospital food service tray-line. Implementation of a recycling system could divert significant packaging waste from landfill and reduce carbon emissions.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":"470-475"},"PeriodicalIF":3.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13575692/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144608936","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":"\"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":"\"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":"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":"429-439"},"PeriodicalIF":3.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13575705/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Laxative use and chronic diarrhoea in older adults living in residential care.","authors":"Leigh O'Brien, Catherine Wall, Tim J Wilkinson, Chris Frampton, Richard B Gearry","doi":"10.1111/1747-0080.70060","DOIUrl":"10.1111/1747-0080.70060","url":null,"abstract":"<p><strong>Aims: </strong>Chronic diarrhoea in older adults in residential care is underreported. This study examined its prevalence, contributing factors, and impacts on the quality of life of older adults living in care throughout New Zealand.</p><p><strong>Methods: </strong>This study had two components: (1) a retrospective observational study of resident clinical, medication, bowel chart and health care data from 36 residential care facilities electronically entered by nursing or care staff, and (2) an observational study in six facilities where residents completed validated gastrointestinal and quality of life questionnaires. Residents were categorised by bowel pattern (normal, constipation, and diarrhoea) using Rome IV criteria. Chi-square tests compared bowel patterns with quality of life outcomes. Associations between bowel symptom reporting in parts one and two were assessed using contingency tables.</p><p><strong>Results: </strong>The retrospective data of 2411 residents revealed that 26% (618/2411) experienced chronic diarrhoea, most of whom were taking laxatives (402/618), presumably for constipation. The prevalence of chronic diarrhoea in non-laxative users was 8.8% (214/2411). Proportions were similar in part two: 21% (23/110) of residents experienced chronic diarrhoea, half of whom were also charted laxatives (12/23). Chronic diarrhoea was negatively associated with quality of life (p < 0.001) and associated with an increased risk of pressure injuries (n = 80, 12.9%) compared to having normal bowel motions (n = 20, 7%) (p < 0.001).</p><p><strong>Conclusions: </strong>Chronic diarrhoea commonly affects older adults living in residential care, with laxative use appearing a significant contributor. Living with chronic diarrhoea can negatively impact quality of life and may be associated with an increased risk of pressure injury.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":"440-449"},"PeriodicalIF":3.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13575696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145724879","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":"Becoming monstrous: Beauty norms, body image, and discursive limits on compassion in The Substance.","authors":"Phillip Joy","doi":"10.1111/1747-0080.70071","DOIUrl":"10.1111/1747-0080.70071","url":null,"abstract":"<p><strong>Aim: </strong>This study analyses the Hollywood body horror film The Substance to explore how Western beauty culture regulates emotions and bodies. It aims to explore compassion within dominant body image discourses and considers how this impacts dietetic care.</p><p><strong>Methods: </strong>Using Foucauldian discourse analysis informed by affect theory, the film was analysed through repeated viewings and close readings of the screenplay. This approach enabled attention to both visual and textual elements. The analysis focused on how subjectivity, bodily regulation, and the possibility for compassion are shaped.</p><p><strong>Results: </strong>Three key discursive and affective formations were identified: (1) surveillance and affective discipline as mechanisms enforcing normative appearance ideals; (2) the denial of compassion to bodies deemed unworthy; and (3) the inescapability of disciplinary beauty systems, even for idealised bodies.</p><p><strong>Conclusions: </strong>The film shows how Western media circulates power by shaping what is known and felt about bodies, often denying compassion to those who do not fit dominant beauty ideals. This underscores the need for dietitians to reflect on how professional practices may unintentionally reinforce harmful norms. Compassion, understood as an affective and discursive counter-practice, can disrupt these norms and create space for more inclusive, caring approaches to bodies in dietetic care.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":"515-525"},"PeriodicalIF":3.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13575727/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146202279","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":"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":"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":"407-428"},"PeriodicalIF":3.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13575728/pdf/","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":"OA","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":"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":"Protein intake in aged care residents before and after the Royal Commission into Aged Care Quality and Safety: A review of historical data compared to contemporary intakes.","authors":"Emily Adams, Annalise Macriyiannis, Shannon Turnbull, Sandra Iuliano","doi":"10.1111/1747-0080.70075","DOIUrl":"10.1111/1747-0080.70075","url":null,"abstract":"<p><strong>Aim: </strong>Malnutrition is prevalent among aged care residents and is exacerbated by inadequate provision and intake of protein. High rates of malnutrition and inadequate provision of protein were two issues raised by the Royal Commission into Aged Care Quality and Safety that prompted the Federal government to provide financial support to the sector to improve nutrition in residents. We aimed to determine if protein provision to, and intake in, residents has improved and meets requirements following the Royal Commission.</p><p><strong>Methods: </strong>Protein intakes from 12 Pre-Royal Commission studies were identified from a literature search (n = 2378 residents, 85.9 years, 72.3% female). Post-Royal Commission intakes of 78 residents (84.3 years, 84.6% female) were documented. Protein intakes were measured using weighed intake or visual plate waste assessment over 1-3 days. Intakes (±95% confidence interval) for protein (g), relative protein (g/kg body weight), high-protein foods and energy (kJ/kg body weight) were calculated. Differences occurred if the 95% confidence interval between Pre- and Post-Royal Commission intakes did not overlap.</p><p><strong>Results: </strong>Mean relative protein (0.9 g/kg body weight; 95% confidence interval: 0.8-0.9) and energy (98 kJ/kg body weight; 95% confidence interval: 97-100) intakes of residents pre-Royal Commission did not differ to post-Royal Commission residents (protein: 0.9 g/kg body weight; 95% confidence interval: 0.8-1.0, energy: 96 kJ/kg body weight; 95% confidence interval: 88-104). Provision and intakes of high-protein foods remained below recommended levels.</p><p><strong>Conclusions: </strong>Protein intake of residents and provision of high-protein foods were inadequate prior to and remain below recommendations since the Royal Commission. Regulatory changes such as minimal national nutritional standards for food provision are required to ensure nutritional adequacy of aged care residents.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":"387-398"},"PeriodicalIF":3.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147623461","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}