Journal of the Academy of Nutrition and Dietetics最新文献

{"title":"Feeding practices, behaviours and disorders in infants and children with cystic fibrosis: A scoping review.","authors":"Caitlin N Miles, Kristyn E Ford, Cassandra E Gorton, Gillian M Nixon, Zoe E Davidson","doi":"10.1016/j.jand.2026.156836","DOIUrl":"https://doi.org/10.1016/j.jand.2026.156836","url":null,"abstract":"<p><strong>Background: </strong>Feeding practices and behaviours in children with cystic fibrosis (cwCF) are thought to be atypical, with evidence pertaining to lower breastfeeding rates and higher problematic mealtime behaviours compared to the general population. To date, there has been no systematic approach to synthesising this evidence.</p><p><strong>Objective: </strong>This review aims to map the available literature on feeding practices, feeding behaviours and feeding disorders in infants and cwCF.</p><p><strong>Methods: </strong>Six electronic databases (MEDLINE, Embase, Emcare, PsycINFO, Cochrane and CINAHL) were searched on September 13^th, 2024 and last updated on June 16^th, 2026. Studies exploring feeding practices, behaviours and feeding in cwCF 0-12 years, or their parents, were included. The search was limited to English-language and published empirical studies. Two authors independently screened studies for inclusion in a two-staged process and charting followed standardised JBI methodology. Quality appraisal was performed using Critical Appraisal Skills Programme and JBI checklists.</p><p><strong>Results: </strong>The search yielded 6116 articles; 279 full-text studies were screened and 38 were included in the final synthesis. Twenty-two studies described breastfeeding practices, 15 studies described feeding behaviours and 1 study explored feeding disorders in cwCF. Eighty-two percent (31 of 38) were observational studies, 71% (27 of 38) were conducted in the United States. Exclusive breastfeeding rates at 3 months were 14-25%, reducing to 10-16% by 6 months. Problematic mealtime behaviours were twice as common in cwCF, compared to healthy counterparts; 40-43% compared to 21-22%, respectively. Problematic mealtime behaviours were associated with parental stress and authoritarian parenting styles. There were no studies exploring the impact of CF transmembrane conductance regulator modulator (CFTRm) therapy on feeding practices, behaviours or disorders in cwCF.</p><p><strong>Conclusions: </strong>Future research should include breastfeeding exclusivity, duration, support and associated child and maternal health outcomes; strategies for improving the bidirectional relationship between parent and child during feeding and mealtimes; and the impact of early life CFTRm therapy on feeding practices and behaviours in cwCF.</p>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":"156836"},"PeriodicalIF":5.2,"publicationDate":"2026-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148856845","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":"Healthfulness of foods and beverages displayed at store checkouts in Southern California, 2023.","authors":"Yuru Huang, Ethan C Wolf, Kris J Matas, Brittany Lemmon, Alejandra Marquez, Lisa M Powell, Rebecca M Schermbeck, Jennifer Falbe","doi":"10.1016/j.jand.2026.156839","DOIUrl":"https://doi.org/10.1016/j.jand.2026.156839","url":null,"abstract":"<p><strong>Background: </strong>Store checkouts are key retail locations that promote impulse purchases of unhealthy foods and beverages. Perris, California, became the second U.S. jurisdiction-following Berkeley, California-to adopt a healthy checkout policy to improve the nutritional quality of items displayed at checkout.</p><p><strong>Objectives: </strong>To assess the healthfulness of food and beverage facings at retail store checkouts in Perris and three neighboring Southern California cities, prior to the implementation of the policy.</p><p><strong>Design: </strong>Cross-sectional observational study using in-store audits on all checkout product facings at sampled checkouts.</p><p><strong>Setting: </strong>Product-level data at checkouts were collected in June 2023 from 19 stores in Perris and 69 matched stores in Moreno Valley, Rialto, and Riverside, California. Stores included chain supermarkets, chain drugstores, chain convenience stores, chain dollar stores, chain mass merchandisers, and independent grocery stores. A total of 42,294 product facings were included in the analysis.</p><p><strong>Main outcome measures: </strong>The main outcome was the proportion of food and beverage facings at checkout in Southern California that met the nutritional standards of Perris' healthy checkout ordinance (HCO). For comparison, the analysis also examined this proportion using Berkeley's HCO standards.</p><p><strong>Statistical analyses performed: </strong>Descriptive analyses and log-binomial regression with robust standard errors clustered by store and checkout location were used to estimate the proportion of healthy food and beverage facings and compare differences by location, store type, and checkout staffing.</p><p><strong>Results: </strong>Only 33% of food and beverage checkout facings were considered healthy under Perris' standards, and only 22% under Berkeley's. The most common food and beverage categories at checkouts were candy (35%), gum (14%), salty snacks (13%), sugar-sweetened beverages (12%), and mints (6%). Water accounted for 2%, and fruits and vegetables for less than 1%. The percentage of checkout foods and beverages meeting Perris' standards was lowest at checkout endcaps and independent grocery stores.</p><p><strong>Conclusions: </strong>Most checkout foods and beverages were unhealthy before the implementation of a healthy checkout policy. To improve checkouts, healthy checkout policies should include the entire checkout (e.g., including endcaps where most SSBs are located) and cogent nutritional standards such as those in Berkeley's HCO.</p>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":"156839"},"PeriodicalIF":5.2,"publicationDate":"2026-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148856814","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":"Artificial Intelligence and Machine Learning Resource Guide: The Academy of Nutrition and Dietetics and the American Society for Nutrition Joint Taskforce for Artificial Intelligence","authors":"Keiy Murofushi MS, RDN, LD,&nbsp;Diana Thomas PhD,&nbsp;Samitinjaya Dhakal PhD,&nbsp;Heyjun Park PhD, RD,&nbsp;Samantha Kleinberg PhD,&nbsp;Meg Salvia PhD, RDN,&nbsp;Mahsa Jessri PhD, MSc, RD,&nbsp;Hannah Kittrell MS, RD,&nbsp;Anna Cataldo PhD, MPH, RD, LD","doi":"10.1016/j.jand.2026.156320","DOIUrl":"10.1016/j.jand.2026.156320","url":null,"abstract":"","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"126 8","pages":"Article 156320"},"PeriodicalIF":5.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147589186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Housing Insecurity and Disordered Eating Behaviors in Adolescents: A Cross-Sectional Study Using 2022 National Survey of Children’s Health Data","authors":"Namrata Sanjeevi PhD,&nbsp;Kayla Hooker","doi":"10.1016/j.jand.2026.156318","DOIUrl":"10.1016/j.jand.2026.156318","url":null,"abstract":"<div><h3>Background</h3><div>Engagement in disordered eating behaviors (DEBs) during adolescence could have long-term implications on health. Previous studies investigating protective and risk factors of DEBs have predominantly focused on individual- and family-level aspects.</div></div><div><h3>Objective</h3><div>The objective of this study is to examine association of housing insecurity with DEBs in a nationally representative sample of adolescents from low-income households.</div></div><div><h3>Design</h3><div>A cross-sectional study design was used.</div></div><div><h3>Participants/setting</h3><div>Using 2022 National Survey of Children’s Health data, adolescents, aged 12 years or older, and from households with incomes ≤200% federal poverty level were included (N = 5607). Housing insecurity was defined as experiencing 1 of the following: inability to pay mortgage/rent on time, history of homelessness, multiple moves, and caregiver stress on eviction/foreclosure.</div></div><div><h3>Main outcome measures</h3><div>Main outcome measures were engagement in 1 or more DEB and individual DEBs.</div></div><div><h3>Statistical analyses</h3><div>Logistic regression models, adjusted for demographic covariates and food security status, examined associations of experiencing housing insecurity with engaging in 1 or more DEB as well as individual DEBs (ie, skipping meals or fasting, having low interest in food, extremely picky eating, or binge eating) in male and female adolescents.</div></div><div><h3>Results</h3><div>Housing insecurity was significantly associated with greater odds of engaging in 1 or more DEB in female adolescents (odds ratio [OR] 1.52; 95% CI, 1.07 to 2.15). Housing insecurity also was significantly associated with greater odds of low interest in food (OR 1.64; 95% CI, 1.07 to 2.51) and extremely picky eating (OR 1.89; 95% CI, 1.20 to 2.99) in female adolescents.</div></div><div><h3>Conclusions</h3><div>Study findings indicate that housing insecurity is associated with certain DEBs in female adolescents, independent of food security status. Additional research is needed to elucidate mechanisms linking housing insecurity and DEBs in adolescents.</div></div>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"126 8","pages":"Article 156318"},"PeriodicalIF":5.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146256870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nutrition Considerations in Youth with Type 2 Diabetes Using Glucagon-Like Peptide-1 Receptor Agonists: A Commentary","authors":"Maria E. Diaz MS, RD, LD, CDCES,&nbsp;Grace Kim MD,&nbsp;Mili Vakharia APRN, FNP-C, CDCES","doi":"10.1016/j.jand.2026.156317","DOIUrl":"10.1016/j.jand.2026.156317","url":null,"abstract":"","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"126 8","pages":"Article 156317"},"PeriodicalIF":5.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147269440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Revision to Practice: Key Highlights from the 2026 Scope and Standards of Practice for Registered Dietitian Nutritionists in Food and Culinary","authors":"Jennifer Watson PhD, RDN,&nbsp;Alexandra Kazaks PhD, RDN, CDCES,&nbsp;Dana Buelsing Sowards MS, CAPM,&nbsp;Karen Hui RDN, LDN, FAND","doi":"10.1016/j.jand.2026.156329","DOIUrl":"10.1016/j.jand.2026.156329","url":null,"abstract":"","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"126 8","pages":"Article 156329"},"PeriodicalIF":5.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147643669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adherence to the Alternate Mediterranean Diet and Multidimensional Sleep Health Among US Adults from the 2017-2018 National Health and Nutrition Examination Survey: Exploring Racial/Ethnic Disparities","authors":"Astrid N. Zamora PhD, MPH,&nbsp;Velarie Y. Ansu-Baidoo PhD, MS,&nbsp;Erica C. Jansen PhD, MPH","doi":"10.1016/j.jand.2026.156300","DOIUrl":"10.1016/j.jand.2026.156300","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Adherence to the Mediterranean diet has been linked to better sleep health. However, the relationship between adherence to the alternate Mediterranean diet (aMED) and specific sleep health dimensions remains understudied, particularly among racial/ethnic minority adult populations in the United States (US).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;The objective was to examine associations between aMED adherence and multiple dimensions of sleep health in US adults and assess differences by race/ethnicity.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A cross-sectional analysis using data from the 2017-2018 National Health and Nutrition Examination Survey (NHANES), a nationally representative survey of the noninstitutionalized US population, was conducted. Dietary intake was assessed via two 24-hour recalls to calculate a modified aMED score, and sleep health was measured using self-reported dimensions summarized into a composite score.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants/Setting&lt;/h3&gt;&lt;div&gt;The analytic study sample included 3005 adults (aged 18 years and older) from the 2017-2018 NHANES cycle. Analyses were survey-weighted to yield estimates representative of US adults who completed two 24-hour dietary recalls.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Main Outcome Measures&lt;/h3&gt;&lt;div&gt;Sleep health was assessed using 5 self-reported dimensions (ie, regularity, timing, duration, satisfaction, and alertness) summarized into a composite multidimensional sleep health score, with a score ≥3 indicating overall “good” sleep health.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Statistical Analyses Performed&lt;/h3&gt;&lt;div&gt;Survey-weighted logistic regression models were used to examine the associations between aMED adherence and sleep health dimensions as well as the overall multidimensional sleep health score, while adjusting for confounding variables. All models incorporated NHANES strata, clusters, and the 2-day dietary recall weight (WTDR2D) to account for the complex survey design and obtain nationally representative estimates. Effect modification by race/ethnicity was assessed using both interaction terms and stratified models.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;In survey-weighted analyses, the mean (SE) age was 47.1 (0.6) years; 51.3% were male. The weighted mean aMED score was 4.0, and 71% of adults were classified as having good sleep health. Higher aMED scores were significantly associated with greater odds of achieving recommended sleep duration (odds ratio [OR] per 1-point increase 1.1; 95% CI, 1.0 to 1.2; &lt;em&gt;P&lt;/em&gt; = .03). Stratified analyses revealed that moderate/high aMED adherence was significantly associated with a greater odds of achieving recommended sleep duration among racial/ethnic minority adults (OR, 1.3; 95%, CI 1.1 to 1.7; &lt;em&gt;P&lt;/em&gt; = .01), but not among non-Hispanic White adults (OR 1.1; 95% CI, 0.7 to 1.9; &lt;em&gt;P&lt;/em&gt; = .68). No significant associations were observed for other sleep domains or the overall multidimensional sleep health score.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclu","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"126 8","pages":"Article 156300"},"PeriodicalIF":5.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146083781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations of High Serum Ferritin Concentrations with Learning Disability and Attention Deficit/Hyperactivity Disorder among Children and Adolescents","authors":"Xueya Xiao MD,&nbsp;Buyun Liu MD, PhD,&nbsp;Yuhong Xiong MD,&nbsp;Zelong Wangchen MD,&nbsp;Wei Bao MD, PhD,&nbsp;Shuang Rong MD, PhD,&nbsp;Meiyuan Chen PhD,&nbsp;Yang Du MD, MS,&nbsp;Linda G. Snetselaar PhD,&nbsp;Guifeng Xu MD, PhD","doi":"10.1016/j.jand.2026.156328","DOIUrl":"10.1016/j.jand.2026.156328","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Associations of iron deficit with learning disability (LD) and attention deficit/hyperactivity disorder (ADHD) have been fully investigated. However, the association of high body iron levels with LD and ADHD in children and adolescents has seldom been investigated.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;This study aimed to examine the association of serum ferritin concentrations, a biomarker of body iron status, with LD and ADHD in a large population-based cross-sectional study.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;This study utilized a cross-sectional study design.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants/setting&lt;/h3&gt;&lt;div&gt;This study used data from the 1999 to 2002 National Health and Nutrition Examination Survey, which is a nationwide, population-based, cross-sectional survey in the United States. Participants with missing data on serum ferritin concentration, or LD and ADHD diagnosis, as well as those with anemia, were removed, and data of 4520 children and adolescents aged 4 to 15 years were included in the final analyses.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Main outcome measures&lt;/h3&gt;&lt;div&gt;Outcome variables were LD and ADHD diagnoses, which were reported by the children’s parents.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Statistical analyses performed&lt;/h3&gt;&lt;div&gt;The characteristics of the participants according to quartiles of serum ferritin concentrations were calculated. Analysis of variance and Rao-Scott χ&lt;sup&gt;2&lt;/sup&gt; tests were used to compare differences in continuous variables and categorical variables, respectively. Multivariable logistic regression was used to estimate the odds ratio (OR) and 95% CI of LD and ADHD according to quartiles of serum ferritin concentration. Several covariates were adjusted for in the models, including age, sex, race/ethnicity, family poverty-to-income ratio, cotinine concentration (tobacco exposure marker), total energy intake, body mass index, and serum C-reactive protein concentration.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Higher serum ferritin concentrations were associated with a higher odds of LD in US children and adolescents. The adjusted OR for LD across increasing quartiles of serum ferritin levels was 1.00 (reference), 1.61 (95% CI, 1.11 to 2.32), 1.47 (95% CI, 0.93 to 2.32), and 1.89 (95% CI, 1.13 to 3.13), respectively (&lt;em&gt;P&lt;/em&gt; for trend &lt; .05). Each 10 ng/mL increase of serum ferritin level (to convert ng/mL to pmol/L, multiply by 2.247) was associated with a 13% higher odds of LD (adjusted OR, 1.13; 95% CI, 1.01 to 1.24). In addition, no significant association between serum ferritin levels and ADHD prevalence was found, and the adjusted ORs for ADHD across increasing quartiles of serum ferritin levels were 1.00 (reference), 1.16 (OR, 0.66 to 2.01), 1.04 (95% CI, 0.64 to 1.70), and 1.63 (OR, 0.95 to 2.82), respectively (&lt;em&gt;P&lt;/em&gt; for trend was .08). Stratified analyses found that significant associations between serum ferritin level and LD prevalence were only found in boys with the highest quartile of seru","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"126 8","pages":"Article 156328"},"PeriodicalIF":5.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147455152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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 Dietary Management for Nondiabetic Gastroparesis: Evidence Limitations and Research Gaps","authors":"Gemma P. Fagan MSc, RD,&nbsp;Reema Rabheru MSc, RD,&nbsp;Danielle E. Bear PhD, RD,&nbsp;Miranda C.E. Lomer PhD, RD","doi":"10.1016/j.jand.2026.156302","DOIUrl":"10.1016/j.jand.2026.156302","url":null,"abstract":"<div><h3>Background</h3><div>Dietary management is essential in gastroparesis, but existing guidelines primarily focus on diabetic gastroparesis, highlighting a lack of evidence-based guidelines for patients with nondiabetic gastroparesis, who experience higher malnutrition and mortality rates. Management is complicated by a suggested bidirectional relationship with eating disorders.</div></div><div><h3>Objective</h3><div>To investigate evidence on dietary interventions, patterns, and intake in nondiabetic gastroparesis, including effects on symptoms, nutritional outcomes, quality of life (QoL), and their potential role in disordered eating behaviors.</div></div><div><h3>Methods</h3><div>A scoping review was conducted using the Joanna Briggs Institute methodology. A comprehensive search was conducted across 8 databases: Embase, MEDLINE, Web of Science Core Collection, Global Health, CINAHL, Scopus, CENTRAL and PsycInfo, alongside gray literature and citation searching. English-language studies from 2008 investigating dietary interventions, patterns, and intake in adults with objectively confirmed nondiabetic gastroparesis (idiopathic, autoimmune-related, postviral, or eating disorder–associated causes) were included. Two reviewers independently screened, extracted data, and synthesized findings using a narrative approach.</div></div><div><h3>Results</h3><div>Of 6212 articles screened by title/abstract, 88 underwent full-text review, and 13 met inclusion criteria. Of these, 7 studies examined dietary interventions, 5 assessed dietary patterns, and 2 reported dietary intake. Two were randomized controlled trials (RCTs) including 16 participants with nondiabetic gastroparesis; the remaining 11 observational studies included 679 participants with confirmed nondiabetic gastroparesis and 752 for whom cause was unspecified or delayed gastric emptying could not be confirmed. All included studies assessed symptom burden; 5 reported nutritional outcomes, and 2 evaluated dietary impact on QoL. No studies explored the role of diet in disordered eating. Considerable variation was observed in dietary management strategies across studies.</div></div><div><h3>Conclusion</h3><div>Research on dietary management in nondiabetic gastroparesis is limited, with significant variability in interventions, dietary definitions, and study designs, reflecting lack of standardization across intervention protocols and research methodology. Well-designed trials are needed to clarify the impact of diet on symptoms, nutritional status, and QoL, considering psychosocial effects and potential disordered eating risks.</div></div>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"126 8","pages":"Article 156302"},"PeriodicalIF":5.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146117248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Revision to Practice: Key Changes in the Revised 2025 Scope and Standards of Practice for Registered Dietitian Nutritionists in Nutrition in Integrative and Functional Medicine","authors":"Kristi M. Crowe-White PhD, RD, LDN,&nbsp;Monique Richard MS, RDN, LDN, FAND, IFNCP, RYT,&nbsp;Sudha Raj PhD, RDN, FAND,&nbsp;Carol J. Gilmore MS, RDN, LD, FADA, FAND,&nbsp;Dana Buelsing Sowards MS, CAPM","doi":"10.1016/j.jand.2026.156301","DOIUrl":"10.1016/j.jand.2026.156301","url":null,"abstract":"","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"126 7","pages":"Article 156301"},"PeriodicalIF":5.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147343178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}