Journal of Human Nutrition and Dietetics最新文献

{"title":"Menu Assessment Tools Used in Residential Aged Care: A Scoping Review of Content and Quality","authors":"Karly Bartrim,&nbsp;Alice Pashley,&nbsp;Mikaela Wheeler,&nbsp;Lily Chen,&nbsp;Lisa Sossen,&nbsp;Tracy Hancock,&nbsp;Danielle Cave","doi":"10.1111/jhn.70083","DOIUrl":"https://doi.org/10.1111/jhn.70083","url":null,"abstract":"<p>This scoping review aimed to identify and synthesise existing publicly available tools that support menu assessments for residential aged care settings, specifically the tools content areas, recommendations and quality. The scoping review was conducted according to Levac et al. scoping review methodology and reported following the Preferred Reporting Items for Systematic Review and Meta-Analyses extension for Scoping Reviews. Menu assessment tools were identified through grey literature through Google and Google Scholar search engines using key terms such as ‘residential aged care’ and ‘menu assessment’. Data were synthesised and reported narratively, according to content areas of menu planning, nutritional basis of the menu, texture modification/fluid consistency, therapeutic and special diets and foodservice management recommendations. Quality appraisal was conducted using the Appraisal of Guidelines for REsearch &amp; Evaluation Instrument. Seventeen tools from seven countries were included. There was variability in the content and recommendations, with no included tool covering all content areas. The overall quality ranged from two to six (out of seven), and no tools met the quality criteria to be recommended for use in their current form. The lack of consistency in content areas, recommendations and quality of tools indicates the need to modify existing tools or to conduct research to support the development of a new evidence-based tool. Future research is needed to gain consensus on acceptable content areas, appropriate recommendations and to develop an evidence-base to underpin the tools. A purpose-built, evidence-based tool is essential for consistent foodservice evaluation and for improving food and nutrition standards, ultimately enhancing resident outcomes.</p>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"38 4","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jhn.70083","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144671995","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 the Nutrition-Related Healthcare Experiences of Individuals With Endometriosis: Qualitative Interviews With Consumers and Dietitians","authors":"Sharnie Dwyer,&nbsp;Lana J. Mitchell,&nbsp;Lisa Moran,&nbsp;Lisa Vincze","doi":"10.1111/jhn.70097","DOIUrl":"https://doi.org/10.1111/jhn.70097","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Endometriosis is a chronic and incurable inflammatory disease. Traditionally, symptom management involves medical and surgical intervention; however, dietary modification has grown in popularity. While evidence for the effectiveness of dietary interventions for symptom management is emerging, little is known about the nutrition-related healthcare experiences of both consumers and dietitians. This study aimed to explore the nutrition-related healthcare experiences of individuals with endometriosis from both dietitian and consumer perspectives.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>One-on-one, semi-structured interviews with dietitians (<i>n</i> = 9) and individuals with endometriosis aged 18 years or older (<i>n</i> = 15) were conducted online between March and June 2024. Interview protocols were developed using the Theoretical Domains Framework and explored topics including self-directed diet modifications, access and referrals to dietitians, and confidence in managing endometriosis with diet. The Framework Method was used for data analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four themes were generated including: [1] Need for individualised care, [2] Demand for healthcare system changes, [3] Importance of trusted voices for both individuals with endometriosis and practitioners and [4] Demand for further disease research. Sub-themes identified included self-advocacy, financial burdens, limited accesses to nutrition care, the need for earlier dietary intervention, lacking referral pathways for dietitians in the management of endometriosis, and the need for improved access to clinical support for dietitians providing endometriosis care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Despite consumer demand there remains a lack of recognition and access to appropriate nutrition support for individuals with endometriosis. Systems changes including clear referral pathways, access to credible nutrition information sources and clinical support are needed to enhance symptom management for individuals with endometriosis.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"38 4","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jhn.70097","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144672778","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":"Surveying Dietary Beliefs of Patients With Inflammatory Bowel Disease and Their Treating Clinicians—Have These Changed Over Time?","authors":"Nikita Parkash,&nbsp;Darcy Holt,&nbsp;Gregory T. Moore","doi":"10.1111/jhn.70098","DOIUrl":"https://doi.org/10.1111/jhn.70098","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The role of diet in inflammatory bowel disease (IBD) remains controversial, with limited clinical guidelines available. There is increasing evidence of the potential role of diet as therapy in IBD. We conducted a survey nearly a decade ago assessing the perspectives of patients and clinicians on diet and IBD and found that whilst patients believed diet was important for IBD, clinicians had heterogeneous views. This study aimed to determine whether those views have changed over time.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a cross-sectional study in Australia targeting members of national IBD organisations—one survey was sent to patients, the other sent to clinicians. The questionnaires collected data on demographics, disease phenotype, dietary awareness and beliefs. Responses were compared to the index survey responses using the <i>χ</i>² or Fisher's exact tests.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eighty-two patients completed the survey (72% female; median age 40; 52% Crohn's disease; 47% ulcerative colitis). Most (89%) felt diet was important to their IBD. Almost half (49%) felt their diet could be improved and 39% had not seen a dietitian. Compared to the index survey, current patients were more likely to believe diet affects their IBD (78% vs. 89%, <i>p</i> = 0.019). Fifty clinicians (gastroenterologists, dietitians, surgeons and nurses) completed the clinician survey. Over 82% believed diet plays a role in IBD pathogenesis, symptoms, complications, microbiota, and treatment response. This was a shift from the index study, where the role of diet in pathogenesis was more debated (31%). Most clinicians (78%) thought exclusive enteral nutrition and the Crohn's Disease Exclusion Diet were effective, with most (87%) non-dietitian clinicians referring to dietitians for these therapies. Despite this, 57% of clinicians felt their views differed from their patients'—similar rates to previous. While 94% of clinicians reported providing dietary education, only 18% of patients reported receiving such advice from their specialist—a gap similar to that in the index study (98% and 26%, respectively).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Although patients and clinicians are increasingly recognising the role of diet in IBD, a persistent communication gap may contribute to heterogeneous and poorly followed dietary advice.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"38 4","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144647294","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":"Dietetic Practice in the United Arab Emirates: Assessment, Intervention, Collaboration, and Digital Tool Utilization","authors":"Salma Abu-Qiyas,&nbsp;Hadia Radwan,&nbsp;Leila Cheikh Ismail,&nbsp;Mohamad Alameddine,&nbsp;Mariam Muayyad,&nbsp;Farah Naja","doi":"10.1111/jhn.70094","DOIUrl":"https://doi.org/10.1111/jhn.70094","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Given the rising global prevalence of diet-related noncommunicable diseases, aligning dietetic practice with standards of practice is essential for the effective prevention and management of these conditions. This study aimed to examine characteristics of dietetic practice in the United Arab Emirates, such as assessment, intervention, collaboration and digital tool utilization, in light of standards of practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study used a cross-sectional design. A national sample of practicing dietitians (<i>n</i> = 220) filled a web-based questionnaire that assessed various characteristics of their practice, including nutritional assessment methods, dietary interventions for cardiometabolic conditions, interprofessional collaboration, and use of digital tools in practice. Descriptive statistics were used to summarize the data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Most dietitians used anthropometric measurements (91.3%) for nutritional assessment, with less frequent use of biochemical data (77.6%), technology-assisted body composition analysis (73.8%), and nutrition—focused physical exams (46.4%). While a large proportion recommended the DASH (90.9%) and to a lesser extent the Mediterranean diet (64.6%) for cardiometabolic conditions, many dietitians also recommended intermittent fasting (62.3%) and detox diets (24.1%), despite limited supporting evidence. Dietitians collaborated primarily with physicians (81.8%) and nurses (69.5%), but less often with other healthcare professionals (&lt; 26%). Social media use in practice was common among dietitians (66%), and some utilized diet-related mobile apps (55.5%), yet scientific validity in selecting these apps was often not prioritized (68%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study identified strengths and gaps in dietetic practice in the UAE. Despite the common use of standard assessment tools and evidence-based interventions, limitations such as lack of comprehensive assessment, use of less-supported diets, limited collaboration, and inadequate evaluation of digital tools highlight the need for clearer guidelines, enhanced professional training, and stronger alignment with professional standards.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"38 4","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144615206","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":"Caffeine Intake and Cognitive Function Among US Adults Aged 60+: Insights From NHANES 2011−2014","authors":"Xiaoli Wang,&nbsp;Meng Li,&nbsp;Minheng Zhang","doi":"10.1111/jhn.70090","DOIUrl":"https://doi.org/10.1111/jhn.70090","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Caffeine, often consumed as a central nervous system stimulant, is proposed to have neuroprotective benefits, but there is limited evidence from population studies on its association with cognitive function.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>The analysis in this cross-sectional study involved 2461 US adults aged 60 and older, based on the National Health and Nutrition Examination Survey (NHANES) data from the 2011 to 2014 cycle. Caffeine intake was assessed via 24 h dietary recall, and cognitive function was evaluated using a composite score derived from Consortium to Establish a Registry for Alzheimer's Disease (CERAD), Animal Fluency Test (AFT) and Digit Symbol Substitution Test (DSST). Multivariable logistic regression models were used to assess the association between caffeine intake and cognitive function. Restricted cubic splines (RCS) were employed to explore dose−response relationships, and subgroup and sensitivity analyses were conducted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Higher caffeine intake was significantly associated with lower odds of poor cognitive function. In fully adjusted models, each 80 mg/day increase in caffeine intake was associated with a 12% reduced risk (OR = 0.88, 95% CI: 0.78−0.99, <i>p</i> = 0.035). Individuals in the highest quartile for caffeine intake had a 42.5% decreased risk of poor cognitive function compared to those in the lowest quartile (OR = 0.58, 95% CI: 0.40−0.83, <i>p</i> = 0.006). RCS analysis revealed a predominantly linear inverse association between caffeine intake and poor cognitive function (<i>p</i> overall = 0.002). These findings were shown to be robust through subgroup and sensitivity analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Higher levels of caffeine intake appear to be connected with superior cognitive function among older adults. Longitudinal studies are required to determine causality.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"38 4","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144573663","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":"Prevalence of Chronic and Acute Malnutrition and Association With Overall Three-Year Survival in Newly Diagnosed Children With Cancer in South Africa","authors":"Judy Schoeman,&nbsp;Ilde-Marié Kellerman,&nbsp;Sandile Ndlovu,&nbsp;Elena J. Ladas,&nbsp;Paul C. Rogers,&nbsp;Gita Naidu,&nbsp;Biance Rowe,&nbsp;Jan Du Plessis,&nbsp;Mariechen Herholdt,&nbsp;Karla Thomas,&nbsp;Barry Vanemmenes,&nbsp;Rema Mathews,&nbsp;Ronelle Uys,&nbsp;Ané Büchner,&nbsp;Fareed E. Omar,&nbsp;David T. Reynders,&nbsp;Mariana Kruger","doi":"10.1111/jhn.70082","DOIUrl":"https://doi.org/10.1111/jhn.70082","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>This study investigated the prevalence of malnutrition at childhood cancer diagnosis in South Africa and the association with 1-year post-diagnosis overall survival (OS).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Nutritional status was prospectively assessed for newly diagnosed children with cancer. Chronic undernutrition was defined as two standard deviations (SDs) or more below zero for height/length-for-age (HAZ), and acute as underweight (weight-for-age [WAZ], and wasted as body mass index for age [BAZ] and mid-upper arm circumference for age [MUAC/A]). The association between the nutritional status at diagnosis and age, sex, disease group and 1-year post-diagnosis OS was analysed with Cox regression and hazard ratios (HRs).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Less than 15% were chronically malnourished (stunted: 14.3%) and up to 24.3% acutely undernourished (wasted: 24.3% MUAC-Z and BAZ 8.1%), 11.6% underweight, of 320 patients at cancer diagnosis). More females than males were underweight (12.2% vs. 4.5%; <i>p</i> = 0.027). Children of 5 years of age and older had a higher prevalence of wasting (18.7%) than children under 5 years of age (3.9%) (<i>p</i> &lt; 0.001) at diagnosis, with significant improvement 6 months after diagnosis. Stunting was significantly associated with poorer OS at 3 years after a cancer diagnosis (HR 1.8; 95% CI 1.1, 2.8; <i>p</i> = 0.011).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>MUAC/A identified more children with undernutrition than other nutritional parameters. Stunting was significantly associated with poorer OS 3 years and EFS 2 years after a cancer diagnosis. Optimal nutritional support should be provided for South African children, especially those with acute and chronic malnutrition, to improve OS.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"38 4","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144551239","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":"Evaluating the Quality and Reliability of YouTube Videos Providing Nutritional Recommendations for Irritable Bowel Syndrome","authors":"Eda Başmısırlı,&nbsp;Merve Kip,&nbsp;Hande Altun,&nbsp;Neriman İnanç","doi":"10.1111/jhn.70088","DOIUrl":"https://doi.org/10.1111/jhn.70088","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>This study aimed to evaluate YouTube videos providing nutritional recommendations for irritable bowel syndrome (IBS) in terms of validity, quality, accuracy and reliability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In December 2023, we searched for relevant videos on YouTube using three search terms related to IBS in Turkish. Two independent researchers analysed the content of 64 videos that met the inclusion criteria. Reliability and quality were determined using the m-DISCERN criteria, the Global Quality Scale (GQS), the <i>Journal of American Medical Association</i> (JAMA) system, the Video Information and Quality Index (VIQI), and the IBS Nutition Scoring System (INSS).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The majority of these videos (%67.2) are produced by gastroenterologists, 15.6% by dietitians, and 17.2% by other individuals. The number of views and likes on videos by other individuals was higher compared to the videos of gastroenterologists (<i>p</i> &lt; 0.05). In the comparison across the three groups, no statistically significant differences were found in the mean INSS (<i>p</i> = 0.287) and JAMA scores (<i>p</i> = 0.783). However, significant differences were observed in the mean interaction index (<i>p</i> = 0.029), Video Power Index (VPI) (<i>p</i> = 0.006), m-DISCERN (<i>p</i> &lt; 0.001), GQS (<i>p</i> = 0.002), and VIQI (<i>p</i> &lt; 0.001) scores. GQS scores demonstrated strong positive correlations with both INSS and VIQI scores (<i>r</i> = 0.6528, <i>r</i> = 0.6174, respectively), while showing a moderate correlation with m-DISCERN scores (<i>r</i> = 0.531, <i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our study shows that users prioritise popularity over reliability when seeking nutritional information. Health professionals should create engaging content to ensure accurate information stands out online.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"38 4","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jhn.70088","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144550884","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":"Dietetic-Led Cognitive Behavioral Therapy for ARFID: A Novel Approach to Avoidant/Restrictive Food Intake Disorder With Case Studies","authors":"Copeland G. Winten,&nbsp;Lynda J. Ross,&nbsp;Esben Strodl,&nbsp;Gabriella Heruc,&nbsp;Jennifer J. Thomas","doi":"10.1111/jhn.70087","DOIUrl":"https://doi.org/10.1111/jhn.70087","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Cognitive-behavioral therapy for avoidant/restrictive food intake disorder (CBT-AR) is an emerging treatment for adults with avoidant/restrictive food intake disorder (ARFID). This article explores how CBT-AR can be integrated with and enhanced by the dietetics skillset and presents two case studies in which a dietitian primarily provided treatment within a multidisciplinary team.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The dietetic-led CBT-AR treatment journeys are described for two patients. We utilised dietetic and psychological assessments to measure change, including: nutrient pathology; weight; Pica, ARFID and Rumination Disorder Interview scores; Australian Core Food Score; and Structured Assessment of Gastrointestinal Symptoms. We describe the stages of CBT-AR with examples of how a dietitian's skillset might be utilised within this treatment approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Both patients demonstrated significant improvements in ARFID psychopathology and dietetic measures after completing dietitian-led CBT-AR. These findings provide preliminary evidence that dietitians with specialised expertise in eating disorders could effectively deliver CBT-AR as part of a multidisciplinary team.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These case studies highlight the potential for dietitians to act as primary clinicians in delivering CBT-AR and provide preliminary evidence on how their skillset could lead to clinically meaningful improvements for adults living with ARFID. Future research trials are required to confirm that dietitian-led CBT-AR could be a viable treatment option for ARFID.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"38 4","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jhn.70087","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144550885","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":"Vitamin A, C and/or E Intake During Pregnancy and Offspring Respiratory Health: A Systematic Review and Meta-Analysis","authors":"Vanessa E. Murphy,&nbsp;Megan E. Jensen,&nbsp;Soriah Harvey,&nbsp;Tesfalidet Beyene,&nbsp;Jake Gregson,&nbsp;Farihah Islam,&nbsp;William Huang,&nbsp;Katie Aistrope,&nbsp;Adam Collison","doi":"10.1111/jhn.70086","DOIUrl":"https://doi.org/10.1111/jhn.70086","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;Poor respiratory health in childhood is common, and asthma is the most common chronic disease among children, for which there is no known cure. Maternal intake of vitamins (A, C, E) may be a modifiable nutritional exposure to reduce adverse respiratory health in offspring.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objective&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;We aimed to systematically review the evidence for the association between maternal vitamin (A, C, E) intake during pregnancy (via questionnaire or blood assay) and respiratory outcomes in the offspring.&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;Studies identified through electronic databases were eligible if they assessed maternal levels and/or intake of vitamins A, C and/or E via dietary intake or supplements in pregnancy and respiratory outcomes in the first 5 years of life. Meta-analyses were conducted where possible. Outcomes included wheeze, cough, asthma, infant respiratory distress syndrome (RDS), respiratory tract infection (RTI) and lung function measurement.&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;Of 1170 articles screened, 12 observational studies and six RCTs met the inclusion criteria (total sample size &lt;i&gt;n&lt;/i&gt; = 58,769). Meta-analysis could not be performed for vitamin A; however, there was no evidence to suggest that maternal vitamin A intake improves early life respiratory outcomes in offspring. Two RCTs found that vitamin C supplementation (500 mg/day vs. placebo) reduced the incidence of wheeze at 12 months (&lt;i&gt;n&lt;/i&gt; = 206 children) and 5 years (&lt;i&gt;n&lt;/i&gt; = 213 children) in pregnancies exposed to smoking. In meta-analyses, maternal intake in the highest vitamin E quartile versus lowest reduced the odds of wheeze at 2 years by 36% (aOR: 0.64, 95% CI: 0.47–0.87, &lt;i&gt;n&lt;/i&gt; = 2 observational studies, very low certainty); this was not true for vitamin C intake (aOR: 0.85, 95% CI: 0.63–1.16, &lt;i&gt;n&lt;/i&gt; = 2 observational studies, very low certainty). Vitamin supplementation (C + E) was not associated with infant RDS (OR: 1.15, 95% CI: 0.80–1.64, &lt;i&gt;n&lt;/i&gt; = 2 studies, moderate certainty) relative to placebo.&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;There may be some benefit to vitamin C supplementation during pregnancy in the context of maternal smoking or higher maternal vitamin E intake during pregnancy, for reducing the risk of childhood wheeze in early life. This emerging evidence warrants further studies to enable translation into dietary guidelines.&lt;/p&gt;\u0000 ","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"38 4","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jhn.70086","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144537074","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":"Barriers and Practices in Food Reintroduction Following Exclusive Enteral Nutrition in Chinese Teenagers With Crohn's Disease: A Multi-Perspective Qualitative Study","authors":"Mi Zhou,&nbsp;Yunxian Zhou,&nbsp;Qingqing Li,&nbsp;Meihao Wei","doi":"10.1111/jhn.70081","DOIUrl":"https://doi.org/10.1111/jhn.70081","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Food reintroduction is a critical step for teenagers with Crohn's disease (CD) transitioning from exclusive enteral nutrition (EEN) to a normal diet. However, no standardized protocol currently guides this process. This study aimed to explore the barriers and practices of food reintroduction from the perspectives of teenagers, their caregivers and healthcare professionals in the Chinese context.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A descriptive qualitative design was adopted. Purposive sampling was used to recruit participants, including teenagers with CD, their caregivers and healthcare professionals. Semi-structured interviews were conducted to collect data on food reintroduction barriers and practices. Conventional content analysis was used to analyse the interview transcripts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 25 participants completed 24 interviews. Four themes emerged regarding barriers: absence of specific dietary guidance, poor food acceptance by teenagers, unreasonable dietary control by caregivers and school environment limitations. Three themes were identified regarding practices: principles of food reintroduction, time of food reintroduction and application strategies of partial enteral nutrition.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study underscores the need for a structured protocol for food reintroduction in Chinese teenagers with CD from the perspectives of patients, caregivers and the IBD healthcare professionals, exploring the variability in the barriers and practices related to individual preferences, caregiver approaches, healthcare professional guidance and school environments. The findings may provide valuable insights for the development of future food reintroduction protocols.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"38 4","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144520231","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}