Journal of Human Nutrition and Dietetics最新文献

{"title":"Systematic Review of Patient Preferences and Experiences Regarding Dietetic Outpatient Care","authors":"Pooja Kumar,&nbsp;Kelly Lambert","doi":"10.1111/jhn.70056","DOIUrl":"https://doi.org/10.1111/jhn.70056","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Dietitians play a crucial role in delivering medical nutrition therapy in outpatient settings where overnight admission of patients is not required. Despite the increasing focus on value-based healthcare and patient-reported measures (PRMs), there have been no recent reports synthesising patient experiences of dietetic outpatient care. This study aims to synthesise existing literature on patient preferences and experiences of outpatient dietetic care and to provide updated guidance for dietitians to improve patient-centred care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative systematic review with meta-ethnography was conducted. The review included studies that reported patient experiences of dietetic care provided at outpatient settings detailed through focus groups, interviews, surveys or questionnaires, regardless of language, year or nationality. Participants’ quotes and second-order concepts were extracted verbatim and synthesised. Main themes and sub-themes were then developed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Five database searches yielded 5786 articles. After title and abstract screening and full-text review, 72 articles were included. Three overarching themes were identified: (1) the process of accessing and receiving dietetic care was problematic; (2) the delivery and content of dietetic advice were suboptimal at times and (3) personal attributes of the dietitian and a desire for speciality expertise influenced perceptions of the quality of dietetic care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings from this study provide actionable insights for dietitians to tailor their outpatient services by improving accessibility, refining the delivery of care and enhancing specialised expertise to meet individual patient needs and expectations effectively.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"38 3","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jhn.70056","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143884001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"‘A Necessary Idea Given Our Current Climate’: A Qualitative Study of Stakeholder Perspectives and Actions Required to Increase the Proportion of Plant to Animal Protein in Hospital Patient Menus","authors":"Garalynne Stiles,&nbsp;Jorja Collins,&nbsp;Kathryn Beck","doi":"10.1111/jhn.70059","DOIUrl":"https://doi.org/10.1111/jhn.70059","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Replacing dietary animal protein with plant protein reduces greenhouse gas emissions and improves human health. Hospital foodservices can support change, but require buy-in and collaboration between people across the system.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative descriptive study aimed to explore hospital patient menu content expert perspectives regarding increasing the proportion of plant to animal protein in hospital patient menus and outline actions required to do this. Semi-structured interviews were completed with hospital or foodservice contractor employees and data were analysed using a general inductive approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty-five of the 35 content experts interviewed supported increasing the proportion of plant to animal protein foods. All voiced concerns, including patients not eating meals, jeopardising protein intake and increasing malnutrition rates, and the prohibitive cost of plant-based protein foods. Participants described steps to change patient menus, including a cyclical design process. This entailed consultation with stakeholders, setting a target, choosing a strategy, developing a menu and recipes, finding food product, planning the system and operations, and checking it works. Most felt the best ways to increase the proportion of plant to animal protein were to swap ingredients in familiar recipes or replace entire menu items (<i>n</i> = 21), add plant-based options to the menu (<i>n</i> = 25), and move the position of plant-based meals on the menu (<i>n</i> = 22).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study conceptualised a process for increasing the proportion of plant to animal protein in hospital patient menus for use by hospitals or policymakers. Future studies should test these suggested menu changes, assessing impacts on greenhouse gas emissions, plate waste, malnutrition indicators, cost and patient satisfaction.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"38 3","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jhn.70059","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143879804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Food Related Quality of Life and Associations With Demographic and Clinical Characteristics in People With Coeliac Disease","authors":"Nick Trott,&nbsp;William Holland,&nbsp;Olivia Hoffmann,&nbsp;Mohamed G. Shiha,&nbsp;Suneil A. Raju,&nbsp;Hugo A. Penny,&nbsp;Kevin Whelan,&nbsp;David S. Sanders","doi":"10.1111/jhn.70051","DOIUrl":"https://doi.org/10.1111/jhn.70051","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Coeliac disease is an autoimmune disorder resulting from the consumption of gluten in genetically susceptible individuals. Current treatment is a lifelong gluten-free diet that significantly affects quality of life. Food-related quality of life (FRQoL) refers to the impact of food, nutrition, eating and drinking on the psychosocial aspects of life. The aim of this study was to examine FRQoL in patients with coeliac disease.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Patients with confirmed coeliac disease completed the validated FR-QoL-29 questionnaire adapted for coeliac disease (FR-QoL-29-Coeliac) and provided demographic and clinical information.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Questionnaires were completed by 138 adults (62% female, mean age 52.3 SD ± 18.6). FR-QoL-29 scores were mean 85.8 (SD ± 23.1). The lowest FR-QoL-29 scores were in the 18–35 year age group (76.6 ± 17.2) compared with the highest in the 56+ age group (92.5 ± 22.3, <i>p</i> = 0.002). Patients with ≥ 4 gastrointestinal (GiS) symptoms had significantly lower FR-QoL-29 scores (77.9 ± 20.7) compared with those with 1–3 GiS (96.7 ± 21, <i>p</i> = 0.0001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>FRQoL is impaired in coeliac disease and is particularly lower in younger people and those with greater GI symptom burden. Further research should examine the mechanisms that reduce FRQoL in coeliac disease to identify interventions that minimise the burden for patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"38 3","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143879924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Need for User-Friendly Audit Tools: Investigating Dietitians' Use and Requirements of Clinical Documentation Audit Tools","authors":"Fabienne Schaller,&nbsp;Elin Lövestam,&nbsp;Sandra Jent","doi":"10.1111/jhn.70058","DOIUrl":"https://doi.org/10.1111/jhn.70058","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Introduction&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;High-quality clinical documentation is critical for ensuring patient safety, enhancing quality of care and outcomes management. Despite the recognised importance of standardised clinical documentation, particularly through the Nutrition Care Process (NCP) and its associated terminology, studies indicate flaws in current practices that may have negative impacts on patient outcomes and interprofessional communication. Regular auditing of clinical documentation could help in improving clinical documentation quality. Despite the availability of validation studies of clinical documentation audit tools, information on their use and dietitians' requirements is lacking. This study aimed to investigate the dietitians' use of clinical documentation audit tools internationally and to learn about their requirements for these tools.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A quantitative cross-sectional online survey was conducted in October 2021 using a newly developed and pretested 26-item questionnaire among dietitians identified through convenience sampling. The survey, developed through a multi-step approach including expert review and pretesting, collected data on clinical documentation audit tool use, purpose of auditing, preferred tool formats, and perceived enablers and barriers. Descriptive statistics and inferential analyses were applied to compare current practices and desired future applications of current auditors and non-auditors.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A total of 154 respondents from 16 countries completed the survey, with more than half working in patient-related fields. Fifty-three percent indicated that clinical documentation audits were conducted in their workplaces Audit purpose was primarily improving clinical documentation quality, reinforcing NCP understanding, and enhancing clarity, with significant differences observed between current and desired uses regarding result comparability and quality reporting (&lt;i&gt;p&lt;/i&gt; &lt; 0.001). Key enablers included management support, education/training, time, and helpful manuals, while barriers included lack of knowledge, time constraints, and insufficient training. Auditors used the tools mainly in paper format (33%) or as a text processing/spreadsheet file (26%), with 51% preferring a web application in the future. Additional requirements included further manual development, benchmarking capabilities, and cross-cultural adaptations.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The process of clinical documentation auditing is not well established in the nutrition and dietetics community but has the potential t","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"38 2","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143871533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Organic Halo Effect: Perceived Caloric Disparities in High- and Low-Calorie Foods and the Role of Nutrition Label Reading Frequency","authors":"Théo Besson,&nbsp;François Durand,&nbsp;Oulmann Zerhouni","doi":"10.1111/jhn.70052","DOIUrl":"https://doi.org/10.1111/jhn.70052","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>This study examines the organic halo effect, specifically how organic labels influence perceptions of caloric content and consumption recommendations for high and low calorie food items. Previous research suggests that organic labels can create a perception of healthiness, but it is unclear how these perceptions vary with food calorie content.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An online experiment was conducted with 198 participants, who were randomly assigned to evaluate 20 food items (10 high-calorie and 10 low-calorie) labelled as either organic or conventional. Participants rated the calorie content and recommended consumption frequency of each item using Likert scales. The analysis included multilevel regression models to account for nested data and interactions between labels, calorie content, and participants' propensity to read nutrition information.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The organic label led to a significant underestimation of calorie content for high-calorie items and an overestimation for low-calorie items. Participants who frequently read nutritional information were more sensitive to the organic label, showing a stronger organic halo effect. Consumption frequency recommendations were influenced by the label only for low-calorie items, with conventional items being recommended more frequently.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The study shows that the organic halo effect is more pronounced for high-calorie foods, leading to an underestimation of their calorie content, which may result in occasional overconsumption. Frequent readers of nutritional information are more susceptible to the organic halo effect, contradicting previous findings. The dissociation between calorie perception and consumption frequency highlights the need for clearer nutritional labelling to mitigate misperceptions and support healthier consumer choices. Further research with larger samples and real-world settings is recommended to validate these findings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"38 2","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jhn.70052","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143852783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Challenges Faced by Adults Living With Celiac Disease: A Food Literacy Perspective","authors":"Catherine C. Payette,&nbsp;Christine Desjardins,&nbsp;Edith Lalanne,&nbsp;Marie Marquis,&nbsp;Maude Perreault","doi":"10.1111/jhn.70057","DOIUrl":"https://doi.org/10.1111/jhn.70057","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Coeliac disease (CD) is an autoimmune disorder treated with a gluten-free diet (GFD), requiring substantial changes in food choices and eating habits. This study explores the challenges faced by adults living with CD focusing on the theme of food literacy (FL), namely functional, relational, and system FL competencies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>A secondary analysis of data obtained through an online questionnaire was conducted. Adults living with CD in Québec, Canada and subscribed to Coeliaque Québec's newsletter were invited to complete a questionnaire. Using the critical incident method, respondents described a negative experience in their journey living with CD. Content analysis was done in a deductive and inductive manner, based on the 2022 Slater Food Literacy framework adapted to CD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 743 patients were included in the analysis. The qualitative analysis resulted in 11 codes under the three themes of FL. Patients reported challenges in finding reliable nutrition and medical information, managing a GFD in social settings, explaining CD and preventing gluten contamination, preparing balanced gluten-free (GF) meals, and making informed food choices. Patients reported on the negative impact of the GFD on their relationship with food, and how CD inhibits conviviality. Finally, patients addressed the need to advocate for GF food access in grocery stores and restaurants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study highlights the broad impacts of effectively managing CD and the GFD on patients’ functional, relational and system FL competencies. Future research should explore how social and economic factors further interact with FL competencies of adults living with CD.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"38 2","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jhn.70057","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143852797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Determinants of Adherence to the Mediterranean Diet Among Adults in Lebanon During the Economic Crisis: A Qualitative Study","authors":"Cécile Obeid,&nbsp;Anke Oenema,&nbsp;Antoine Aoun,&nbsp;Luna Awad,&nbsp;Stef P. J. Kremers,&nbsp;Jessica S. Gubbels","doi":"10.1111/jhn.70053","DOIUrl":"https://doi.org/10.1111/jhn.70053","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Adherence to MD is declining in its native region, posing public health concerns. To improve adherence, it is important to understand its determinants. Deriving from socio-ecological models (SEM), determinants may include socio-demographic, environmental and behavioural factors. Lebanon is a Mediterranean country that faces serious challenges due to an ongoing economic crisis, which may affect MD adherence and its determinants. The aim of this study is, therefore, to explore the determinants influencing adherence to the MD in Lebanon, as well as the impact of the economic crisis on these factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study employed a qualitative approach consisting of individual face-to-face interviews. A purposive sample of 25 generally healthy adults from different regions in Lebanon was recruited. Data collection started with a brief questionnaire to collect background socio-demographic information, followed by assessing MD adherence using the Mediterranean Diet Adherence Screener. Next, participants were interviewed using a semi-structured interview guide, focusing on barriers and enablers to adhering to the MD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants maintained a moderate adherence to MD with many reporting improving or sustaining healthy eating habits. Because of the economic crisis, the consumption of local produce became more prevalent due to import shortages, aligning with MD recommendations. Determinants included individual attitudes beliefs, particularly concerns about the quality and trustworthiness of food products during the economic crisis, and environmental factors like the unavailability of imported foods. Convenience and proximity were prioritized over cost in food purchases.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Despite economic constraints, many participants prioritized diet quality. People shifted to traditional, healthy diets. Emphasizing tradition, food availability, accessibility and affordability could be crucial for interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"38 2","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jhn.70053","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143831011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Predominantly Plant-Based Diets on Visceral Fat: A Systematic Review and Meta-Analysis","authors":"Vinu Vij,&nbsp;Kalyani Deshmukh,&nbsp;Mathavaswami Vijayageetha,&nbsp;Chanchal Goyal,&nbsp;Jyotsna Gumashta,&nbsp;Aravind P. Gandhi","doi":"10.1111/jhn.70055","DOIUrl":"https://doi.org/10.1111/jhn.70055","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Visceral fat (VF) is a key contributor to metabolic disorders, including type 2 diabetes and cardiovascular diseases. Predominantly plant-based diets (PPBDs) have been linked to improved body composition and metabolic health. This systematic review and meta-analysis (SRMA) evaluated the impact of PPBDs on VF.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic search of PubMed, EMBASE, Scopus, Web of Science and Cochrane Library (up to November 2024) identified 13 studies (10 cross-sectional, 2 randomized controlled trials [RCTs], 1 non-randomized intervention) with a total of 4000 participants reporting VF outcomes. Risk of bias was assessed using RoB 2.0, ROBINS-I and JBI tools. Meta-analyses used random-effects models, with heterogeneity and publication bias assessed via statistical tests and Doi plots.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>RCTs indicated a trend toward VF reduction in those following a PPBD (pooled mean difference: −177.99 cm³; 95% CI: −475.83 to 119.85). Cross-sectional studies showed significantly lower VF with high adherence to the Mediterranean diet (SMD: −0.45; 95% CI: −0.73 to −0.17; <i>I</i>² = 70%) and modest reductions with vegetarian diets (SMD: −0.24; 95% CI: −0.47 to −0.02; <i>I</i>² = 0%). Sensitivity analyses confirmed the robustness of findings. Certainty of evidence was rated very low.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>PPBDs appear to be associated with lower VF and improved metabolic health, though the certainty of evidence remains very low. Further, well-powered RCTs are needed to confirm these findings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>PROSPERO; ID: CRD42024617129. https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024617129.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"38 2","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143830977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Virtual Reality as a Dietary Education Adjunct for Pediatric Patients With Obesity: A Pragmatic, Randomised Pilot Study","authors":"Marwa Abu El Haija,&nbsp;Nicole Barsanti,&nbsp;Elizabeth Cotter,&nbsp;Michelle Zuniga-Hernandez,&nbsp;Janet Titzler,&nbsp;Christian Jackson,&nbsp;Thomas J. Caruso","doi":"10.1111/jhn.70054","DOIUrl":"https://doi.org/10.1111/jhn.70054","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Pediatric obesity is associated with increased morbidity. One common therapy within multicomponent treatment for obesity is nutrition counselling and dietary education led by a Registered Dietitian (RD). Virtual reality (VR) improves engagement when used as an educational adjunct.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The primary aim investigated immediate dietary choices when pediatric patients with obesity engaged in traditional RD nutrition counselling compared to VR-supplemented nutrition counselling. Secondary aims explored food likability, knowledge, and satisfaction. Patients, 6–20 years old, presenting for obesity counselling were recruited. The primary aim was measured by after-visit food choice. Secondary aims were measured with the Pediatric Adapted Liking Scale, an assessment of nutritional facts, and a VR satisfaction survey. Statistical analysis included Chi-square, Wilcoxon and <i>t</i>-tests.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Forty participants were enroled and divided into two groups described above. There were no differences in food choice (<i>p</i> = 0.90). Regarding likability, the VR group liked vegetables more than those in the standard of care group (<i>p</i> = 0.045).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>There were no differences in nutritional knowledge (<i>p</i> = 0.574). Participants in the VR group reported high satisfaction.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"38 2","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143831010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Qualitative Study Exploring Dietetic Students' and Registered Dietitians' Views on Cultural Humility in Training and the Profession","authors":"Amelia Sullivan,&nbsp;Leigh Neptune,&nbsp;Jade McNamara","doi":"10.1111/jhn.70048","DOIUrl":"https://doi.org/10.1111/jhn.70048","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Cultural humility is a critical component of equitable and inclusive nutrition care. The current study aimed to explore the existing state of cultural competence among nutrition students and nutrition professionals while identifying the need for and acceptability of cultural humility training tailored for nutrition professionals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Dietetic students and nutrition professionals from various educational and professional backgrounds in the United States were recruited through purposive sampling. Descriptive statistics were used to examine the samples self-reported standing as a nutritional professional, time in the field, and cultural competence awareness and behaviours. A directed and deductive thematic analysis was conducted using the Theory of Cultural Humility to analyse interview transcriptions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants reported high agreement for cultural competence awareness/behaviours, while responses to educational resources and confidence in adapting services showed more variability. Five major themes emerged aligning with Foronda's Theory of Cultural Humility.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Key findings highlight an opportunity to strengthen cultural humility training among nutrition students and professionals. Expanding cultural humility education in nutrition and dietetics programmes could enhance the ability of future professionals to navigate diverse patient needs and address health disparities shaped by social determinants of health.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"38 2","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143818723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}