Lisa Moloney, Mary Rozga, Alison Steiber, Deepa Handu
{"title":"The Effectiveness of Medical Nutrition Therapy in Prevention and Treatment of Chronic Disease: A Position Paper of the Academy of Nutrition and Dietetics.","authors":"Lisa Moloney, Mary Rozga, Alison Steiber, Deepa Handu","doi":"10.1016/j.jand.2025.10.010","DOIUrl":"https://doi.org/10.1016/j.jand.2025.10.010","url":null,"abstract":"<p><p>It is the position of the Academy of Nutrition and Dietetics that all individuals with nutrition-related health conditions or risk factors should have access to medical nutrition therapy (MNT) provided by a registered dietitian nutritionist (RDN). MNT provided by RDNs is effective in improving health outcomes for many chronic conditions that are leading drivers of morbidity, mortality, and health care costs in the United States. Widespread access to MNT using an individualized, client-centered, and evidence-based approach has the potential to improve population health, reduce health disparities, and reduce health care costs associated with nutrition-related health conditions. This Academy of Nutrition and Dietetics position paper summarizes recent evidence from systematic reviews on the effectiveness of MNT provided by an RDN for the prevention and treatment of nutrition-related health conditions. A total of 25 systematic reviews published between 2017 and 2024 were summarized and assessed for certainty of evidence. Systematic reviews with high or moderate certainty of evidence demonstrate that MNT is likely effective in improving a range of health outcomes in adults with pre-diabetes, type 1 diabetes, type 2 diabetes, obesity, pre-hypertension, hypertension, dyslipidemia, chronic kidney disease, head and neck cancer, and chronic obstructive pulmonary disease compared to no MNT or standard care. Barriers exist to accessing MNT, including inadequate staffing of RDNs in some areas, lack of provider referrals to an RDN for MNT, and lack of payer coverage and reimbursement. This position was approved in September 2025 and will remain in effect until December 31, 2032.</p>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145285338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amanda B Zeitlin, Alix Zuceth Durán Gómez, Cristina J Y Lee, Andrea Pedroza Tobias, Christina A Hecht, Anisha I Patel, Kenneth Hecht, Anna H Grummon
{"title":"Perspectives on messaging strategies to increase participation in Universal Free School Meal programs: A qualitative study with parents of elementary-aged children.","authors":"Amanda B Zeitlin, Alix Zuceth Durán Gómez, Cristina J Y Lee, Andrea Pedroza Tobias, Christina A Hecht, Anisha I Patel, Kenneth Hecht, Anna H Grummon","doi":"10.1016/j.jand.2025.09.011","DOIUrl":"https://doi.org/10.1016/j.jand.2025.09.011","url":null,"abstract":"<p><strong>Background: </strong>Eight states currently have Universal Free School Meal programs that offer school meals at no charge to all students regardless of their household income. Marketing campaigns offer a scalable strategy for motivating parents to encourage their children to participate in these programs, but little is known about what topics campaigns should address.</p><p><strong>Objective: </strong>To explore perceptions of the content and design of messages encouraging school meal participation among parents of elementary-aged children.</p><p><strong>Design: </strong>Qualitative online semi-structured interviews conducted in February-March 2024. Interviews explored parents' reactions to messages encouraging school meal participation with a variety of topics (e.g., saving time, improving nutrition) and design elements (e.g., cartoons, photographs).</p><p><strong>Participants: </strong>/setting: Parents of children in grades 1-5 not frequently consuming school meals and living in states with Universal Free School Meal programs (n=18; 14 female; 6 Spanish-speaking).</p><p><strong>Analysis: </strong>Discussions were transcribed verbatim. Investigators developed codes in vivo and analyzed transcripts using a thematic approach.</p><p><strong>Results: </strong>Parents perceived messages that focused on how school meals are convenient and save money to be most likely to motivate them to encourage their children to eat school meals. Parents also believed that school meals can foster social and developmental benefits. Parents perceived messages describing the nutritional quality of school meals to be likely to be motivating, but only if they perceived school meals to be nutritious. Some parents reported they did not know school meals were free, despite living in states with Universal Free School Meals. In terms of design, parents preferred succinct messages with bold colors, modern layouts, and references or statistics.</p><p><strong>Conclusions: </strong>Campaigns seeking to motivate parents to encourage their children to participate in Universal Free School Meal programs may wish to discuss convenience, saving money, and social and developmental benefits, and to communicate that school meals are free for all students. Future studies will be needed to evaluate whether campaigns discussing these topics successfully promote school meal participation.</p>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145256991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Nickel Allergy Masquerading as Irritable Bowel Syndrome- Case Report.","authors":"Desiree de Waal","doi":"10.1016/j.jand.2025.09.010","DOIUrl":"https://doi.org/10.1016/j.jand.2025.09.010","url":null,"abstract":"<p><p>Nickel-allergy is a common cause for contact dermatitis but not a well-known cause for gastrointestinal (GI) symptoms. Dietitians, faced with a patient with multiple nontraditional food intolerances and continued GI distress, worry about declining nutritional health. The prevalence of nickel-allergy is estimated to be about 11.4% in the general population. Many clinicians are unaware systemic nickel allergy syndrome (SNAS) causes symptoms similar to irritable bowel syndrome (IBS). Elimination of nickel in the diet is not possible as it occurs naturally in the environment but reducing exposure is possible. This report describes a woman with dermatological nickel-allergy who has suffered significant GI symptoms with the diagnosis of non-responding IBS. The patient noted that her multiple symptoms both intestinal and extra-intestinal either resolved or were better managed once she started a low-nickel diet. This case demonstrates that clinicians should be aware of nickel-allergy as a potential contributor to non-responding IBS.</p>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Natalie Doan, Martin J Cooke, Michael P Wallace, Elena Neiterman, Dana Lee Olstad
{"title":"Intersections of educational attainment, Indigenous identity and race/ethnicity best predicted diet quality among adults in Canada: A conditional random forests analysis.","authors":"Natalie Doan, Martin J Cooke, Michael P Wallace, Elena Neiterman, Dana Lee Olstad","doi":"10.1016/j.jand.2025.09.009","DOIUrl":"https://doi.org/10.1016/j.jand.2025.09.009","url":null,"abstract":"<p><strong>Background: </strong>While it is well-known that diet quality varies according to multiple dimensions of socioeconomic position (SEP), much remains unknown about how these dimensions together shape diet quality. Given that diet quality associated with one SEP dimension (e.g., income) can systematically differ across another dimension (e.g., race/ethnicity), it is necessary to investigate diet quality across SEP intersections.</p><p><strong>Objectives: </strong>To identify SEP intersections that best predicted lower and higher diet quality among adults in Canada.</p><p><strong>Design: </strong>Population-based data from the cross-sectional 2015 Canadian Community Health Survey - Nutrition. Data were collected by interviewers who visited selected dwellings to collect household information and administer a general health questionnaire, along with a 24-hour dietary recall.</p><p><strong>Participants/setting: </strong>Data from 13,617 adults (≥18 years) living in Canada's ten provinces.</p><p><strong>Main outcome measures: </strong>24-hour dietary recall data were used to assess diet quality, based on the Healthy Eating Index-2015 (HEI-2015; range 0-100).</p><p><strong>Statistical analyses performed: </strong>Conditional random forests (CRF), a supervised machine learning technique, were used to identify the four (out of 12) SEP indicators that best individually predicted HEI-2015 scores. The resulting four most important predictors were used to predict diet quality using all possible two-way intersections.</p><p><strong>Results: </strong>The four most important intersectional predictors of HEI-2015 scores based on CRF variable importance measures were: (1) educational attainment and Indigenous identity and race/ethnicity, (2) educational attainment and household food insecurity, (3) educational attainment and sex/gender, and (4) household food insecurity and sex/gender. Among these four SEP intersections, individuals without a high school diploma living in a severely food insecure household had the lowest (55.7), while individuals without a high school diploma identifying as Middle Eastern had the highest (64.5) predicted HEI-2015 scores.</p><p><strong>Conclusion: </strong>The SEP intersection defined by educational attainment and Indigenous identity and race/ethnicity was the most important predictor of diet quality among adults in Canada.</p>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Improving Research Literacy in Dietetic Education: Increasing the Knowledge and Application of Nutritional Sciences Research Techniques Through a Course-based Undergraduate Inquiry","authors":"E. Klingbeil","doi":"10.1016/j.jand.2025.06.060","DOIUrl":"10.1016/j.jand.2025.06.060","url":null,"abstract":"","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 10","pages":"Page A17"},"PeriodicalIF":4.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145104250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Registered Dietitian/Nutritionist Workforce Scope of Practice Expansion","authors":"L. Maria , N. Munoz , C. County","doi":"10.1016/j.jand.2025.06.051","DOIUrl":"10.1016/j.jand.2025.06.051","url":null,"abstract":"<div>Continuous Glucose Monitoring (CGM) is associated with improved glycemic control, reduced glycemic-related emergency room visits, and hospitalizations among diabetic Veterans. Recent Patient Selection Criteria Guidance for CGMs expanded eligibility of CGM devices to Veterans using insulin. The U.S. Department of Veterans Affairs (VA) policy change expanding the scope of Registered Dietitian/Nutritionists (RDNs) to include CGM education underscores the importance of this shift. This quality</div>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 10","pages":"Page A15"},"PeriodicalIF":4.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145104352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Standardize Clinical Competency Validation for Your Staff-the Why and How?","authors":"B. Attwal","doi":"10.1016/j.jand.2025.06.053","DOIUrl":"10.1016/j.jand.2025.06.053","url":null,"abstract":"","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 10","pages":"Page A15"},"PeriodicalIF":4.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145104354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mixed Methods Meta-synthesis of Nutrition Education Programs for the Autism Spectrum Disorders’ Community","authors":"N. Palmer, D. Richards, J. Hinojosa","doi":"10.1016/j.jand.2025.06.110","DOIUrl":"10.1016/j.jand.2025.06.110","url":null,"abstract":"<div>Children diagnosed with autism spectrum disorder (ASD) often face significant nutritional challenges, primarily due to food selectivity or “picky eating”, which can lead to nutritional deficiencies during critical periods of growth and development. As the prevalence and diagnosis of ASD continue to rise, there is an urgent need for more research on evidence-based nutrition education interventions. These interventions are especially vital for the ASD community, considering the sensory and</div>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 10","pages":"Page A34"},"PeriodicalIF":4.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145104602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Peters, J. Bakare, F. Zhou, V. Chikkamagaluru Lakshmikanth, L. Gatzke, M. Berry, I. Brooks, M. Teran-Garcia, N. Khan, M. Raj
{"title":"Development and testing of SPICE-Healthcare: A Novel Web-based Platform to Support Personalized and Inclusive Cuisines in Environments for Healthcare","authors":"H. Peters, J. Bakare, F. Zhou, V. Chikkamagaluru Lakshmikanth, L. Gatzke, M. Berry, I. Brooks, M. Teran-Garcia, N. Khan, M. Raj","doi":"10.1016/j.jand.2025.06.098","DOIUrl":"10.1016/j.jand.2025.06.098","url":null,"abstract":"","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 10","pages":"Page A31"},"PeriodicalIF":4.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Development of Targeted Training Programs Through Exploration of Barriers and Enablers for the Use of the Nutrition Care Process Among a Diverse Sample of Registered Dietitian/Nutritionists","authors":"I. Asare , L. Wright , C. Papoutsakis , C. Colin","doi":"10.1016/j.jand.2025.06.099","DOIUrl":"10.1016/j.jand.2025.06.099","url":null,"abstract":"","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 10","pages":"Page A31"},"PeriodicalIF":4.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}