Journal of Human Nutrition and Dietetics最新文献

{"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}

{"title":"Dietary Quality Analysis Methods for the Type 2 Diabetes Mellitus Population: A Scoping Review","authors":"Catilúcia A. Santana,&nbsp;Jéssica Dias-Santos,&nbsp;Claudiele Santana-Silva,&nbsp;Vivianne de Sousa Rocha,&nbsp;Analícia R. S. Freire,&nbsp;Liliane V. Pires","doi":"10.1111/jhn.70050","DOIUrl":"https://doi.org/10.1111/jhn.70050","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>High diet quality is associated with improved glycemic control in type 2 diabetes mellitus (T2DM) patients. Thus, mapping the dietary analysis methods that lead to the assessment of diet quality is essential for promoting glycemic control in individuals with T2DM. Therefore, this scoping review aimed to map and synthesize the available evidence on the use of dietary analysis methods to assess diet quality in individuals with T2DM.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This review was conducted following the Manual for Evidence Synthesis proposed by the Joanna Briggs Institute and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews Checklist. Articles were searched in the MEDLINE (via PubMed), CINAHL (EBSCO), Embase, LILACS/BVS, Bireme, Scopus, and Web of Science databases. Additionally, grey literature was searched using Google Scholar. The protocol was registered in the Open Science Framework (DOI 10.17605/OSF.IO/HSKU9). Studies that utilized dietary analysis methods to assess diet quality in individuals with T2DM were included.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Overall, 3761 studies were identified, and after the selection process, 33 publications were included for full analysis. Twenty-five indices were mapped to assess diet quality in individuals with T2DM. Only the Diabetes Healthy Eating Index was specific to this population. Considering the application of these methods, most indices were linked to the lowest scores, indicating lower diet quality, poor glycemic control, and other unfavourable health outcomes for the participants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Despite the existence of various dietary methods for analysing diet quality, only one index was specific to individuals with T2DM. It is important to assess the applicability of these methods, considering that the quantity consumed must be evaluated to promote better glycemic control in this population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"38 2","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143793910","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 Meta-Synthesis Exploring Daily Experiences of Adults With Coeliac Disease in Adhering to a Gluten-Free Diet","authors":"Anna Kowalczuk,&nbsp;Fiona Moor","doi":"10.1111/jhn.70043","DOIUrl":"https://doi.org/10.1111/jhn.70043","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Coeliac disease (CD) is an autoimmune disease affecting 1.4% of the population worldwide. The only treatment for this condition is a strict, lifelong gluten-free diet (GFD). Although the complexity of this condition is recognised, the definitive follow-up strategy and long-term management have still not been developed in the United Kingdom (UK) and Australia. This meta-synthesis aimed to explore the experiences of patients living with CD who follow the GFD in the UK and Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic search for primary qualitative literature related to experiences of patients with CD on a GFD and a meta-synthesis of the results were conducted. Healthcare-relevant online databases were screened: Academic Search Complete, CINAHL, MEDLINE, and Scopus, followed by reference list searching. A defined inclusion criteria were used to identify relevant studies. The data synthesis from the literature followed the thematic synthesis approach. A clear description of the methodology and peer review were applied to ensure transparency.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 286 studies were screened for eligibility. Of those, six studies met the inclusion criteria. The experiences of 198 patients living with CD were analysed and reported. Five analytical themes emerged through the thematic synthesis process: acceptance and adaptation, dietary burden, cost burden, socialising, and importance of support. All themes were found to impact patients' quality of life (QoL). The overall quality of the reviewed studies was described as good.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This meta-synthesis revealed insights into the daily experiences of patients with CD in adhering to a GFD in the UK and Australia, being the first secondary qualitative study to explore this phenomenon. It highlighted the need for the development of defined strategies for patient follow-up to provide holistic care, considering the complexities of this condition and its impact on both physical and psychological domains.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"38 2","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jhn.70043","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143793911","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":"Prevalence of Reported Dietary Supplement Use in 2019 Older Adult (≥ 55 Years) National Alzheimer's Coordinating Center Participants With Normal Cognition, Mild Cognitive Impairment or Dementia","authors":"Karin E. Sandoval","doi":"10.1111/jhn.70049","DOIUrl":"https://doi.org/10.1111/jhn.70049","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>In those with mild cognitive impairment (MCI) and dementia, nutritional intake decreases, increasing nutritional deficiency risk. Dietary supplements (DSs) may be an important source of nutrition, but recent insight into their use in those with normal cognition (NC), MCI or dementia is lacking.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study design determined prevalence for reported use of 12 DS categories and 19 individual DSs based on co-participant report in 9517 older adult (≥ 55 years) National Alzheimer's Coordinating Center (NACC) participants diagnosed with NC (<i>n</i> = 5361), MCI (<i>n</i> = 1800) or dementia (<i>n</i> = 2347) in 2019. Multivariable binary logistic regression compared reported DS use prevalence between NC, MCI and dementia adjusting for demographics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Reported use of any DS was highly prevalent (NC: 76.6%, MCI: 73.9% and dementia: 69.6%). For all DS categories and many DSs, reported use was significantly lower in dementia compared to NC. Prevalence of reported use progressively declined from NC, MCI and dementia for 8/12 DS categories, including any vitamin (NC: 71.2%, MCI: 68% and dementia: 62.4%) and any mineral (NC: 34.8% MCI: 28.2% and dementia: 23.5%). This trend was also observed for 4/19 DSs, including vitamin D (NC: 49.2%, MCI: 41.2% and dementia: 36.7%). For vitamin B12 (NC: 15.5%, MCI: 18.2% and dementia: 18.5%) and melatonin (NC: 6.0%, MCI: 7.3% and dementia: 7.9%), prevalence increased from NC to MCI and from NC to dementia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>For many DSs, prevalence was significantly lower in dementia compared to NC. Reported use of any DS was highly prevalent in NACC older adults with NC, MCI or dementia in 2019.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"38 2","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143749739","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":"Home Enteral Tube Feeding in Children and Young People: A Review of Current Literature on Optimum Frequency and Mode of Dietetic Assessment and Monitoring in the Community Setting","authors":"Hannah Baker,&nbsp;Sarah Durnan,&nbsp;Pearl Pugh","doi":"10.1111/jhn.70044","DOIUrl":"https://doi.org/10.1111/jhn.70044","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Home enteral nutrition (HEN) is the provision of nutrition support administered via feeding tube designed to support growth and development when oral feeding is not possible. Post-hospital discharge, patients are provided with all necessary enteral feed and equipment for continued nutrition support in the community. Specialist HEN dietitians, typically undertake assessment and monitoring of growth, tolerance and correct administration of HEN within the community. However, national clinical guidelines specific to the assessment and monitoring of children in receipt of HEN do not exist.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This review sought to identify current evidence on (1) optimum frequency of HEN dietetic reviews and (2) ideal mode of review, including explicit criteria on how this might alter based on the child's age, nutritional parameters and clinical condition.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Two electronic databases, CINAHL and Medline were screened to identify relevant articles published between February 2006 and June 2022 that met the inclusion criteria, using a PEO (population, exposure, outcome) search strategy. The search yielded 1677 articles, these were screened by title, abstract and full text for suitability for inclusion within the final review. A total of 1674 articles were excluded, yielding three articles considered suitable for this review.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Recommendations on frequency and mode of assessment and monitoring of this patient group varied between the three articles. There was a lack of consensus on ‘ideal’ dietetic care, and explicit guidance on how this may alter based on clinical presentation was not provided.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>There is a paucity of evidence on the most effective and efficient assessment and monitoring of children in receipt of HEN. Evidence-based and person-centred clinical guidelines are needed to inform commissioners and healthcare professionals on the optimum monitoring of this patient group. Future research should explore children, family and clinician expectations and needs, with pertinence to patient age and primary diagnosis, type and adequacy of feed used, feed tolerance, tube-related complications and treatment, hydration status, biochemical monitoring, the use of telehealth platforms, obtaining anthropometric measurements and the effects of drug/nutrient interactions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"38 2","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143741029","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":"Current Practices of Irish Dietitians Assessing and Monitoring Muscle Strength, Mass and Function: A Cross-Sectional Survey","authors":"Emily Morrin,&nbsp;Samuel Donnelly,&nbsp;Aideen McGuinness,&nbsp;Katherine L. Ford,&nbsp;Anne Griffin","doi":"10.1111/jhn.70046","DOIUrl":"https://doi.org/10.1111/jhn.70046","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background and Aims&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Measuring muscle mass, strength, and function is vital in nutritional assessment, offering valuable insights into overall health, including nutritional adequacy, metabolic function and physical well-being. Nonetheless, the use of these measures for nutritional assessment and monitoring in dietetic practice is not widely implemented, and gaps in care remain. This study aimed to explore Irish dietitians' current nutritional assessment practices related to muscle health.&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 cross-sectional descriptive 29-item online survey was adapted and distributed via link in email and social media to state-registered dietitians (&lt;i&gt;N&lt;/i&gt; = 1340) in Ireland between 21 September 2023 and 26 October 2023. Data were analysed descriptively.&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;The majority of dietitians (84/85) agreed that musculature was important in the assessment of nutritional status, with 80% (&lt;i&gt;n&lt;/i&gt; = 56/70) reporting the integration of at least one assessment of muscle health into their clinical practice. Handgrip strength (HGS) was viewed as the most important (95.7%; &lt;i&gt;n&lt;/i&gt; = 67/70), frequently applied (64.3%; &lt;i&gt;n&lt;/i&gt; = 45/70) and most useful for monitoring muscle health (77.1%; &lt;i&gt;n&lt;/i&gt; = 54/70). Regardless, the frequency of muscle health assessment in routine practice was low. The muscle health assessments that are routinely ( &gt; once/week) measured include body weight (82.9%; &lt;i&gt;n&lt;/i&gt; = 58/70), BMI (81.4%; &lt;i&gt;n&lt;/i&gt; = 57/70), HGS (25.7%; &lt;i&gt;n&lt;/i&gt; = 18/70) and the Timed up and go test, chair stand test or short physical performance battery (10%; &lt;i&gt;n&lt;/i&gt; = 7/70). The main barriers to muscle health assessment were ‘lack of training/application experience’ (61.4%, &lt;i&gt;n&lt;/i&gt; = 43/70) and ‘lack of device availability’ (58.5%, &lt;i&gt;n&lt;/i&gt; = 41/70).&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;This study provides insights into the application of muscle health assessments within nutritional assessment among Irish dietitians. Results indicate a gap between the recognised value of muscle health and its use in nutritional assessment. Despite an almost unanimous agreement on the importance of musculature, challenges such as insufficient training and lack of equipment hinder the widespread implementation of muscle health assessment as a standard component of nutritional assessment. These findings emphasise the need for further practical education and measures to improve the availability of equipment to bridge this gap and optimise nutritional care.&lt;/p&gt;\u0000 ","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"38 2","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jhn.70046","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143741028","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":"Multimodal Prehabilitation in Head and Neck Cancer Patients Undergoing Surgery: A Feasibility Study","authors":"Lennaert C. B. Groen,&nbsp;Celine D. de Vries,&nbsp;Doriene C. Mulder,&nbsp;Freek D. Daams,&nbsp;Emma R. J. Bruns,&nbsp;Renée Helmers,&nbsp;Hermien W. H. Schreurs","doi":"10.1111/jhn.70047","DOIUrl":"https://doi.org/10.1111/jhn.70047","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Head and neck cancer (HNC) incidence is increasing, and surgery is frequently indicated as curative treatment. Unfortunately, complications and long-term functional impairment are common. Recent promising results of multimodal prehabilitation in colorectal cancer surgery show improved recovery and functional outcomes. The objective of this study is to assess the feasibility of multimodal prehabilitation, which is composed of high-intensity training, a protein-enriched diet, cessation of intoxications, mental support and speech support therapy, in HNC surgery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A feasibility study was conducted at a large teaching hospital, Northwest Clinics, Alkmaar, the Netherlands, between July 2022 and December 2023. The primary outcome was feasibility, defined as participation, dropout and adherence rate. The secondary outcome was functional capacity 6 weeks postoperatively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The participation rate was 60% (30 of 50 patients), mainly limited due to the travel distance to the physiotherapist. A dropout rate of 7% was present, as two patients discontinued prehabilitation. Of the remaining 28 patients, 27 patients (96%) attended at least six sessions at the community physiotherapist practice. All functional tests increased by prehabilitation, with the 6-min walking test being significant (<i>p</i> ≤ 0.05). Six weeks postoperatively, all but steep ramp tests remained higher than baseline.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Feasibility of multimodal prehabilitation in HNC surgery patients in this study is limited by its participation rate of 60%. Addressing participation, a widespread network of oncologic physiotherapists or home-based multimodal prehabilitation by an app could possibly potentiate participation. More studies are needed to assess the optimal form of multimodal prehabilitation in this challenging population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"38 2","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jhn.70047","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717255","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":"Designing Better Resources: Consumer Experiences, Priorities and Preferences Regarding Contemporary Nutrition Education Materials","authors":"Kelly Lambert,&nbsp;Sophie Bernes,&nbsp;Nicole Buxton,&nbsp;Nisa Gogebakan,&nbsp;Grace Taylor Hennen,&nbsp;Georgia Flynn Caswell","doi":"10.1111/jhn.70041","DOIUrl":"https://doi.org/10.1111/jhn.70041","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Nutrition education materials are frequently used by dietitians to support counselling and education. Few studies have explored consumer perspectives regarding these resources and none in a contemporary setting post pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Purposive sampling was used to recruit a range of Australian consumers to participate in seven focus groups (conducted between April 2022 and May 2024). Each group involved 6–10 participants. Transcripts were inductively coded and thematic analysis was used to identify recurrent themes that best reflected consumer experiences, priorities and preferences regarding contemporary consumer nutrition education materials. Latent and manifest analysis was conducted on annotations made by consumers on consumer nutrition education materials.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Consumers (<i>n</i> = 45) articulated four recurring themes: barriers to use (overwhelming volume of information, unclear purpose, credibility), desirable language (plain language, positive messaging), attention to content (minimal key messages, individualised and actionable materials, culturally applicable) and optimal layout and design (appealing and thoughtful visuals, signposting and flow, colour). A framework for the evaluation and development of nutrition education materials was developed based on consumer insights and relevant literature. This framework can be used to improve the quality of future education materials used to support nutrition counselling and education activities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings from this study provide dietitians with practical guidance to design nutrition education materials that meet consumer needs and expectations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"38 2","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jhn.70041","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143690280","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}