Nutrition & Dietetics最新文献

{"title":"The business of dietetics: Results from the national Australian private practice dietetics dataset.","authors":"Amy Kirkegaard, Peter Clark, Olivia R L Wright, Lauren Ball","doi":"10.1111/1747-0080.70036","DOIUrl":"10.1111/1747-0080.70036","url":null,"abstract":"<p><strong>Aims: </strong>This study aimed to describe private dietetics practices in Australia in terms of ownership, size, and operation, team composition, and products and services.</p><p><strong>Methods: </strong>Australian dietitians operating private practices were invited to participate in a cross-sectional survey between May and June 2024. The survey captured data regarding the business, including ownership, revenue, business and clinical operation, team composition and remuneration, products and services, and consultation and program characteristics. Data were analyzed descriptively.</p><p><strong>Results: </strong>One hundred and fifty-four participants completed the survey (22% response rate). Businesses were primarily sole traders (n = 105; 68%) that neither employed nor contracted health professionals (n = 94; 61%) and generated less than AU$149999 in revenue (n = 114; 77%). Most businesses specialised (n = 107; 69%), with common areas of specialisation being eating disorders (n = 49; 32%), disability support (n = 35; 23%), and weight inclusive care (n = 35; 23%). Client consultations (n = 146; 95%) were the most frequently offered service. Initial consultations were most frequently 60 min (n = 83; 59%), attracting a mean fee of AU$173 (±$9 95% CI), while review consultations were most frequently 30 min (n = 80, 57%) and AU$113 (±$7 95% CI). Business and dietitian performance evaluation were typically not performed periodically, yet both were positively correlated with revenue (τ_b = 0.231, p < 0.001 and τ_b = 0.338, p < 0.001, respectively).</p><p><strong>Conclusions: </strong>Sole practitioners represent a significant proportion of private dietetics practice. With a significant proportion of the workforce working in this area, support is needed to ensure private practices are sustainable and the workforce can continue to provide much-needed services for Australians.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":"200-210"},"PeriodicalIF":3.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13096668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144794982","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":"Fortifying public trust: Exploring social licence in dietetics and nutrition science.","authors":"Anita Stefoska-Needham","doi":"10.1111/1747-0080.70068","DOIUrl":"10.1111/1747-0080.70068","url":null,"abstract":"","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":"281-283"},"PeriodicalIF":3.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146053177","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":"Studying the transition to employment in dietetics: A 2-year longitudinal study of employment outcomes in graduates of a university dietetics program.","authors":"Lana J Mitchell, Lauren T Williams","doi":"10.1111/1747-0080.70067","DOIUrl":"10.1111/1747-0080.70067","url":null,"abstract":"<p><strong>Aims: </strong>Transition to employment is considered a vulnerable period for health professional graduates. This study aimed to follow the transition to employment for graduates from a single dietetics program, at several timepoints over 24 months to assess dietetic employment outcomes.</p><p><strong>Methods: </strong>Griffith University dietetics graduates from 2017 to 2019 were invited to participate in the longitudinal Griffith Dietetics Graduate Outcomes Study comprising four online surveys on employment preferences and outcomes: Survey 1 (graduation), Survey 2 (6-months), Survey 3 (12-months), and Survey 4 (24-months). Quantitative data were analysed using descriptive statistics, for cross-sectional findings (Surveys 3 and 4) and longitudinal analyses (Surveys 1-4).</p><p><strong>Results: </strong>Of the 150 eligible graduates, 91.3%, 73.3%, 59.3% and 51.3% responded to Surveys 1-4 respectively. At Survey 3, 84.3% of respondents were employed as a dietitian, 60.0% working more than 32 h/week and 25.3% in permanent positions. At Survey 4, 85.7% worked as a dietitian, 69.7% more than 32 h/week, predominantly in hospitals (45.5%) and private practice (37.9%). Longitudinal analyses showed that of 44/62 (70.1%) respondents who preferred a hospital role at graduation, 25 (56.8%) worked in a hospital at 24 months. All but one of the 16/62 (25.8%) who preferred private practice at graduation worked there at 6 months (93.8%), 12 of whom remained in private practice at 24 months (75%).</p><p><strong>Conclusion: </strong>Universities need to prepare graduates for the challenging transition to full-time employment within their preferred sector. For dietitians within this study, the most vulnerable period was the 12 months post-graduation. National, longitudinal studies to at least 24 months are needed to investigate graduate employment outcomes for all dietetics programs.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":"169-180"},"PeriodicalIF":3.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146065388","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":"Ten-year dietary trends and urban-rural disparities in fruit, vegetable, meat, egg, and milk products consumption among older Chinese adults.","authors":"Cai Xu, Trishnee Bhurosy, Ching-Ti Liu, Yen-Han Lee","doi":"10.1111/1747-0080.70051","DOIUrl":"10.1111/1747-0080.70051","url":null,"abstract":"<p><strong>Aims: </strong>This study explored dietary trends and urban-rural disparities in food consumption among older adults in China.</p><p><strong>Methods: </strong>A repeated cross-sectional study of adults aged 65+ years using data from four waves (2008-2018) of the Chinese Longitudinal Healthy Longevity Survey. Multiple logistic regression models assessed daily vs. non-daily consumption of fresh fruit, vegetables, meat, eggs, and milk products.</p><p><strong>Results: </strong>Among 20 945 older adults, over half were female (51.44%) and 54.22% resided in rural communities. Most participants did not consume fresh fruit (83.23%), meat (67.21%), eggs (65.13%), or dairy products (79.89%) daily, although 64.84% consumed vegetables daily. Urban adults had significantly higher odds of daily consumption of fruit (OR = 2.06), meat (OR = 1.56), eggs (OR = 1.20), and dairy (OR = 2.01).</p><p><strong>Conclusion: </strong>The study highlights urban-rural disparities in dietary behaviours, emphasising the need for public health initiatives to improve healthier diets and expand dietary options, especially in rural populations.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":"267-280"},"PeriodicalIF":3.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145401399","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":"'Our training didn't prepare us for private practice': A multi-method study of dietetics graduates' preparedness for private practice employment.","authors":"Merran Blair, Charlotte E Rees, Simone Gibson, Lana J Mitchell, Ella Ottrey, Lynn V Monrouxe, Claire Palermo","doi":"10.1111/1747-0080.70020","DOIUrl":"10.1111/1747-0080.70020","url":null,"abstract":"<p><strong>Aim: </strong>This multi-method study explored dietetics graduates' preparedness for the landscape of private practice employment.</p><p><strong>Methods: </strong>Qualitative, in-depth interview and audio-diary data were collected longitudinally in 2019 regarding dietetics graduates' experiences of private practice employability. Framework analysis of qualitative data prompted a quantitative survey of university representatives in 2021-2022 on the use of private practice placements. Survey data were analysed descriptively. Qualitative themes were reviewed alongside quantitative findings and were interpreted in the context of the sociocultural theory, landscapes of practice.</p><p><strong>Results: </strong>Qualitative data from nine dietetics graduates (total 12 hours of audio data) indicated unpreparedness for this setting, with the following themes identified: 1) private practice skills were lacking; 2) making a living from private practice was challenging; and 3) support was needed. Quantitative data from 18 program directors of accredited universities (100% response) illustrated that private practice placement experiences varied from <10 to 40 days. Placements were most commonly elective (44%) and were not offered by four programs (22%). University program directors expressed concerns that private practice placements were challenging to organise and offered limited client contact hours.</p><p><strong>Conclusions: </strong>It is an educational priority to prepare graduates for available employment opportunities by providing learning experiences that traverse the dietetics landscape of practice. Co-designing placements with private practice business owners may support authentic experiences of appropriate durations, with ample opportunities for students to build skills to enhance preparedness for this growing employment setting.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":"181-190"},"PeriodicalIF":3.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13096673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102318","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":"Defining double burden of malnutrition across individual, household and population level: A narrative review.","authors":"Ashis Talukder, Matthew Kelly, Md Abu Sayeed, Darren Gray, Haribondhu Sarma","doi":"10.1111/1747-0080.70037","DOIUrl":"10.1111/1747-0080.70037","url":null,"abstract":"<p><strong>Aims: </strong>This study aims to evaluate the existing definitions of double burden of malnutrition and to synthesise and propose operational definitions at different levels, with the goal of improving consistency in measurement and policy development.</p><p><strong>Methods: </strong>We conducted a narrative review that used structured search and narrative synthesis to review and summarise how double burden of malnutrition has been defined at different levels. We performed a structured search across PubMed, Web of Science and Scopus, focusing on peer-reviewed articles published between January 2010 and December 2024. We screened articles for relevance to double burden of malnutrition and categorised them based on the level of the definition, such as households, individuals and populations.</p><p><strong>Results: </strong>Of the 60 selected studies, the majority originated from Latin America (n = 19, 32%), followed by South Asia (n = 10, 17%) and Southeast Asia (n = 8, 13%). At the household level, the most common definition of double burden of malnutrition was the coexistence of an overweight/obese mother and a stunted child. Individual-level definitions commonly included the coexistence of overweight/obesity with anaemia or stunting. However, definitions at the population level varied considerably and lacked consistency across studies.</p><p><strong>Conclusions: </strong>Our findings highlight the need for consistent operational definitions of double burden of malnutrition across different levels of analysis. Drawing on existing literature, we synthesise practical definitions at different levels to more accurately reflect the coexistence of different forms of malnutrition. Clarifying these definitions can improve the comparability of prevalence estimates across contexts and support the development of more effective, evidence-based strategies to address the growing burden of double burden of malnutrition.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":"8-22"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12884263/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144799762","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":"A scoping review of squeeze pouch use among infants and children: Frequency, types, sociodemographic characteristics and parental experiences.","authors":"Bianca Smith, Catharine A K Fleming, Ami Seivwright, Katherine Kent","doi":"10.1111/1747-0080.70030","DOIUrl":"10.1111/1747-0080.70030","url":null,"abstract":"<p><strong>Aims: </strong>Demand for infant and child foods in squeeze pouches is increasing, yet limited evidence exists to inform public health strategies on who uses them and why. The aim of this scoping review was to explore the frequency and types of squeeze pouches consumed by children, the sociodemographic characteristics of users and insights from parental experiences regarding their use.</p><p><strong>Methods: </strong>A scoping review was conducted in accordance with the Joanna Briggs Institute guidelines for scoping reviews. Between January and April 2024, three databases were searched (MEDLINE, Scopus and CINAHL) in addition to grey literature. Two independent reviewers screened 125 articles, of which 16 underwent full-text review. Results were summarised narratively.</p><p><strong>Results: </strong>Eleven studies across five countries were included. Eight studies reported on the prevalence of squeeze pouch consumption, ranging from 23.5% to 82.8% for infants and children. Frequency of intake ranged from daily (n = 4; 8.7%-29.2%), weekly (n = 7; 20.9%-75.2%), to monthly consumption (n = 7 16.7%-70.4%), depending on the study. Predominantly fruit- and dairy-based pouches were consumed. Frequent use was linked to higher deprivation, childcare use, larger families, early breastfeeding cessation and early solid food introduction. Studies on parental perceptions (n = 6) reported their perceived convenience, healthiness and low cost and concerns related to waste.</p><p><strong>Conclusions: </strong>This review identified widespread use of squeeze pouches among infants and children, particularly fruit and dairy-based pouches. More research is needed on their nutritional impact to guide public health strategies promoting healthy early feeding practices.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":"125-144"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12884246/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144699055","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":"Energy and protein intake relative to body weight in haemodialysis patients: A reanalysis of data.","authors":"Shatha S Hammad","doi":"10.1111/1747-0080.70064","DOIUrl":"10.1111/1747-0080.70064","url":null,"abstract":"","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":"161-162"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145805271","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":"Global parent perspectives on school food service internationally: A mixed papers narrative review.","authors":"Alexandra C Manson, Rebecca K Golley, Brittany J Johnson","doi":"10.1111/1747-0080.12926","DOIUrl":"10.1111/1747-0080.12926","url":null,"abstract":"<p><strong>Aims: </strong>The views of parents/caregivers about food programs in schools internationally is not well understood. This review aimed to synthesise what parents/caregivers identify as the key features of school food programs and their perspectives of these programs globally.</p><p><strong>Methods: </strong>A mixed papers review was undertaken with a systematic search (January 2024) and screening of three databases (Scopus, Web of Science, PubMed). Eligible studies captured parent/caregiver perspectives across all school food models. Study findings were extracted using Bayesian methods to translate quantitative findings into qualitative data. Data was deductively categorised to identify features of school food models, and separately themed to identify parent perspectives.</p><p><strong>Results: </strong>Twenty-six eligible studies were identified from 11 countries. Fifteen features were identified, including cost, time, effort and convenience, child preferences, nutrition, policy and messaging, eating environment and food education. Parent perspective themes were: child is the priority, lunchbox procurement, preparation and provision is challenging, school-provided meals have strengths and limitations, and parents acknowledge they are central to feeding. An overarching theme was that compromises must be made to meet the needs of family members, when parents make decisions on school food.</p><p><strong>Conclusions: </strong>This review found that globally parents perceive benefits and challenges to school food programs, regardless of provision model, with a range of features that influence parent acceptability. Considering parent/caregiver perspectives when developing or changing school food provision models is likely to increase caregiver acceptability, supporting children to engage with health promotion efforts.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":"145-160"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12884259/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123150","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":"Fluid requirements for adult inpatients with medically compromised eating disorders: A scoping review.","authors":"Kylie Matthews-Rensch, Liam Connolly, Courtney Ellis, Kate Flint, Michael Wilson, Adrienne Young","doi":"10.1111/1747-0080.70038","DOIUrl":"10.1111/1747-0080.70038","url":null,"abstract":"<p><strong>Aims: </strong>This review aimed to describe the current evidence on fluid requirements for adults with medically compromised eating disorders, with objectives to: (1) review study designs and aims, (2) describe participant characteristics, (3) identify modes of fluid delivery, and (4) examine fluid reporting methods and adverse events relating to fluid intake.</p><p><strong>Methods: </strong>This scoping review was conducted following the Joanna Briggs Institute's methodology. Three research databases (PubMed, CINAHL, Embase) were searched until 25 November 2024 for relevant studies. Research articles examining adult (aged ≥18 years), acutely unwell, hospitalised patients with eating disorders and that included information on fluid (requirements, provision, intake, output and/or restrictions) and any fluid-related outcomes were included. Screening of search results was conducted independently in duplicate. Results were synthesised narratively.</p><p><strong>Results: </strong>The search strategy yielded 1691 articles, and 13 studies (total n = 104 participants) were included. All studies were observational, including case report (n = 10 studies) and prospective study designs (n = 3 studies). No study specifically aimed to examine fluid requirements. Participants were predominantly female, and all had anorexia nervosa. Fluid was provided by multiple routes in most studies, and fluid reporting was inconsistent.</p><p><strong>Conclusions: </strong>Limited evidence is available with no studies specifically addressing fluid requirements for adults with medically compromised eating disorders. The results identify major gaps in the evidence, including no justification for fluid provision or restrictions applied, minimal explanation as to how fluid may have impacted clinical presentations, and no fluid measurements conducted in totality from all fluid provision routes. Future research should prioritise larger, well-designed cohort studies with detailed fluid information to assist with building the evidence base and thereby enhancing nutritional support for this vulnerable group.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":"74-92"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144883341","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}