Journal of Human Nutrition and Dietetics最新文献

{"title":"Food-Based Strategies for Stunting: A Scoping Review of Functional Ready-to-Eat and Ready-to-Cook Foods","authors":"Lu Ying Khoo,&nbsp;Azrina Azlan","doi":"10.1111/jhn.70344","DOIUrl":"10.1111/jhn.70344","url":null,"abstract":"<div>\u0000 \u0000 <p>Stunting, a chronic form of malnutrition characterised by impaired linear growth, remains a significant global public health concern. While supplementation programmes have shown potential to improve growth outcomes, long-term implementation may be constrained by poor adherence, high costs and limited sustainability. Increasing reliance on ready-to-eat (RTE) and ready-to-cook (RTC) foods in low- and middle-income countries highlights the potential of nutrient-dense food-based approaches that align with existing dietary practices. This scoping review aimed to map and synthesise existing evidence on the development and evaluation of functional food products intended to support the prevention or management of stunting among children, with a focus on formulation strategies and nutritional characteristics. Using the Population–Concept–Context (PCC) framework, 22 studies were identified, encompassing various product categories, including complementary foods, bakery products and ready-to-use supplementary foods. Formulations primarily used cereal-based staples combined with protein- and lipid-rich ingredients, with selected products incorporating micronutrient fortification or bioactive ingredients. Differences in ingredient combinations, nutrient targets and processing approaches resulted in wide variation in nutrient composition, particularly in energy density, fat and selected micronutrients. Achieving the intended nutrient profile required careful ingredient selection and proportioning, along with appropriate processing. Evidence on the effects of these products on stunting outcomes remains limited. Overall, the findings highlight the need to consider ingredient composition, nutrient targets and processing together when developing nutrient-dense RTE and RTC food products for young children.</p></div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"39 5","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041953","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":"An Evaluation of a Dietitian-Led Webinar for Adults With Coeliac Disease: A Positive Change in Gluten-Free Food Knowledge and Behaviours","authors":"Leah Seamark,&nbsp;Olivia Radcliffe,&nbsp;Marieanne Williams,&nbsp;Jim Gotto,&nbsp;Bridie Watson,&nbsp;Jenna Trudgeon,&nbsp;Sue Reeves,&nbsp;Yvonne Jeanes","doi":"10.1111/jhn.70350","DOIUrl":"10.1111/jhn.70350","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The only treatment for coeliac disease is the exclusion of all gluten from the diet. Adherence to a gluten free (GF) diet requires knowledge acquisition and changes in behaviours. The service evaluation aimed to evaluate the impact of a dietitian-led webinar for adults with coeliac disease.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The pre-recorded dietitian-led webinar had been developed by specialist dietitians and gastroenterologists and was integrated into a patient pathway. A pre- and post-webinar online survey was designed to evaluate the impact of the webinar for adult patients with coeliac disease. Patients were invited to complete an online survey prior to accessing the webinar. Four weeks later, the patients were invited to complete the post-webinar survey.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The webinar was accessed by 1050 adults with coeliac disease, of which 57% were diagnosed within the preceding 8 weeks. In patients who completed both surveys, there was a significant improvement in confidence (<i>p</i> &lt; 0.001) and knowledge (<i>p</i> &lt; 0.001) to follow a GF diet (<i>n</i> = 165). Among patients who reported gastrointestinal symptoms on gluten ingestion (<i>n</i> = 71), a greater proportion reported satisfactory symptom relief after watching the webinar (<i>p</i> = 0.02). Behaviours to minimise gluten ingestion were positively impacted, whereby a higher proportion of patients reported to <i>‘doing things to avoid eating gluten when preparing in the home’</i> and ‘<i>having GF foods on hand while they are out’</i> (<i>p</i> &lt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The dietitian-led webinar enabled timely access to high-quality resources from specialists. Access to the webinar positively impacted knowledge and behaviours to minimise gluten ingestion. This is a practical and inexpensive solution to enable specialist dietitians to utilise their skills and finite time for appointments with patients with more complex presentations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"39 5","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jhn.70350","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031799","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":"From Beliefs to Action: Dietitians' Perspectives on Environmental Sustainability and a Pathway to Planetary Health Framework for Food System Change","authors":"Kristen L. MacKenzie-Shalders,&nbsp;Jo McCormack,&nbsp;Nicole M. Senior,&nbsp;Liza Barbour","doi":"10.1111/jhn.70351","DOIUrl":"10.1111/jhn.70351","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 <p>The Pathway to Planetary Health (PPH) is a theoretical framework that supports dietitians to undertake pro-environmental change within the food system.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To explore the practical application and impact of the PPH.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The PPH was workshopped with dietitians and dietetic students (<i>n</i> = 46) using a mixed-methods case study approach. Data collection was embedded in workshop delivery via a (i) pre–post survey using both Likert scale and free-text responses, and (ii) qualitative explorations of participants' perspectives via interactive workshop activities. Analysis of quantitative data involved an independent samples <i>t</i>-test for normally distributed data and a Mann–Whitney <i>U</i> test for non-normally distributed data. Qualitative data were analysed thematically for survey responses and content analysis for workshop activity responses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants increased their confidence to undertake pro-environmental change in their personal lives 4.1 ± 0.7 to 4.5 ± 0.8/5, and professional lives 3.6 ± 1.1 to 4.3 ± 0.9/5 (<i>p</i> &lt; 0.05). Three themes were identified as barriers and enablers to pro-environmental action, including ‘personal’, ‘social and professional’ factors, as well as ‘contextual and environmental’ influences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The application of the PPH framework was supported by workshop participants who significantly increased their confidence to undertake pro-environmental food system change.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"39 5","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jhn.70351","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031985","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":"Integrating Systems and Critical Thinking, Clinical Reasoning, Decision-Making, and Judgement in Dietetic Education: Development of a Conceptual Pilot Model","authors":"Sonja Schönberg,&nbsp;Elisa Bertozzi,&nbsp;Jessica Stalder,&nbsp;Anita Bucher,&nbsp;Joyce Haddad,&nbsp;Adrian Rufener,&nbsp;Sandra Jent","doi":"10.1111/jhn.70343","DOIUrl":"10.1111/jhn.70343","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;Dietetic practice is increasingly characterised by complexity arising from chronic disease, food and nutrition insecurity, demographic shifts, and environmental sustainability concerns. Addressing this complexity requires the effective and interprofessionally aligned use of central cognitive strategies. However, despite frequent reference to systems thinking, critical thinking, clinical reasoning, clinical decision-making, and clinical judgement in health professional education, inconsistent use, and limited shared understanding across professions hinder coherent educational approaches – particularly in dietetic education, where these strategies underpin the Nutrition Care Process (NCP). This article presents an initiative at a Swiss University of Applied Sciences to develop a conceptual pilot model bringing together these five cognitive strategies for Bachelor-level nutrition and dietetics education, aiming to clarify their relationships, support their use in teaching the NCP and contribute to reflection on a shared interprofessional language.&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 qualitative case study design with an iterative–inductive reflexive interpretive approach was used to explore shared and profession-specific understandings of central cognitive strategies within Bachelor-level nursing, midwifery, physiotherapy, and nutrition and dietetics education. Data were generated through a targeted narrative literature review, consultations with five expert educators across the four professions, and a feedback session with 16 members of the Nutrition and Dietetics Bachelor's educational team. These inputs informed the development of a conceptual pilot model.&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 analysis revealed variation in how the five cognitive strategies are defined, emphasised, and applied across dietetics and other health professions. In response, the &lt;i&gt;Five Cognitive Strategies in Dietetics Education Pilot Model&lt;/i&gt; offers an initial shared vocabulary and positions the strategies in relation to the NCP.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This article introduces a conceptual pilot model addressing fragmented understandings of key cognitive strategies in Bachelor-level dietetic education. By linking five commonly cited strategies to the NCP, it offers a preliminary framework to support reflection, dialogue, and engagement with complexity in practice. While not intended as a comprehensive or definitive framework, making these strategies explicit may foster a more a","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"39 5","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13598357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026746","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":"Role of Private Practice Dietitians in Working With People With Mental Illness: A Constructivist-Interpretivist Qualitative Interview Study","authors":"Michelle Shwu Huey Hsu,&nbsp;Francis Guo,&nbsp;William Morrow,&nbsp;Andrew Watkins,&nbsp;Scott B. Teasdale","doi":"10.1111/jhn.70349","DOIUrl":"10.1111/jhn.70349","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study aimed to explore dietitians' views, experiences, and perceived barriers and enablers to working with people with mental illness in Australian private and public mental health settings, with a focus on clarifying the contribution of private practice dietitians to mental healthcare.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A combination of convenience and snowball sampling was used to recruit dietitians who primarily work in private practice or public mental health sectors. Virtual semi-structured interviews were conducted in two discrete 3–6-month blocks between 2021 and 2024. A constructivist-interpretivist approach informed the development of the interview guide, data collection and analysis processes. Semi-structured interviews explored experiences, facilitators and barriers of private practice dietitians working with people with mental illness. Data were analysed by three authors using reflexive thematic analysis using semantic, inductive coding.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In total, 14 dietitians completed interviews, comprising 7 working in private practice settings and 7 in public mental health services. Data adequacy was reached with interviews generating 5 main themes and 15 subthemes. Themes included (1) the complex needs of people living with mental illness, (2) access barriers and enablers to private practice dietitian services, (3) gaps in mental health-specific training and support for dietetics, (4) structural limitations of the private healthcare systems and (5) advantages of integrated care in specialised mental healthcare settings for working with people with mental illness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>To harness the full potential of private practice dietitians in mental healthcare requires targeted reforms to funding, training and referral systems to ensure equitable, community-based nutrition support.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"39 5","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13598358/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026796","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":"Muscle Dysmorphia and the Use of Nutritional Ergogenic Supplements Among Amateur Male Bodybuilders: A Cross-Sectional Study","authors":"Esra Tansu Sarıyer,&nbsp;Elvan Yılmaz Akyüz,&nbsp;Sahin Yesildag","doi":"10.1111/jhn.70352","DOIUrl":"10.1111/jhn.70352","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>This study aimed to evaluate the levels of muscle appearance satisfaction and ergogenic aid use among adult male amateur bodybuilders.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In this descriptive cross-sectional study, a questionnaire containing demographic information, the “Nutrition Ergogenic Supplement Attitude Measurement (NESAM)” for ergogenic aid use, and the “Muscle Appearance Satisfaction Scale (MASS)”, and anthropometric measurements were taken using a BIA analysis device (Tanita DC360). Data were analyzed using the SPSS v27 software package (IBM Corp., Armonk, NY, USA).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The participants' mean BMI was 25.37 ± 2.53 kg/m², while the mean body fat percentage was 14.60 ± 5.61%. While 54.8% of participants used ergogenic supplements, the majority (72.9%) did so on their own initiative. According to NESAM results, the highest average score was observed in the “Benefit” subscale, the total MASS score showed positive correlations with benefit (r = 0.207, <i>p</i> &lt; 0.05), natural nutrition (r = 0.231, <i>p</i> &lt; 0.05), and total NESAM scores (r = 0.196, <i>p</i> &lt; 0.05). In multiple linear regression analysis, the NESAM total score remained an independent predictor of the MASS total score (β = 0.312, <i>p</i> = 0.002). Additionally, while BMI was negatively associated with muscle dissatisfaction (r = −0.213, <i>p</i> &lt; 0.05), upper arm circumference was positively correlated with bodybuilding dependence (r = 0.323, <i>p</i> &lt; 0.01).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Among male bodybuilders, attitudes toward ergogenic supplements were independently associated with muscle appearance satisfaction.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"39 5","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149013307","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":"Double Burden of Malnutrition Prevalence in Pregnant Women: Systematic Review and Meta-Analysis","authors":"Amanda Biete,&nbsp;Camila Biete,&nbsp;Vivian S. S. Gonçalves,&nbsp;Erika S. O. Patriota,&nbsp;Nathalia Pizato","doi":"10.1111/jhn.70347","DOIUrl":"10.1111/jhn.70347","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The coexistence of undernutrition and overweight, obesity, or diet-related noncommunicable diseases and micronutrient deficiency in pregnant women is defined by the WHO as a double burden of malnutrition (DBM). These coexistences are a critical aspect of maternal and antenatal care, especially in low- and middle-income countries.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To estimate the global prevalence of DBM in pregnant women through a systematic review and meta-analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The systematic review was conducted in accordance with the PRISMA recommendations. Studies that reported prevalence measures of DBM in healthy pregnant women were included. DBM was considered as the coexistence of underweight with gestational diabetes mellitus (GDM), underweight with hypertension, overweight/obesity with anemia, overweight/obesity with vitamin D deficiency, overweight/obesity with vitamin B12 deficiency, and overweight/obesity with folate deficiency. The meta-analysis used a random-effects model with inverse-variance weighting. Risk of bias was assessed using Joanna Briggs Institute tools, and the certainty of the evidence was evaluated using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The systematic review included 62 articles totaling 1,386,245 pregnant women, at 8–42 gestational weeks and 13–45 years of age. The most common DBMs identified were overweight/obesity and vitamin D deficiency (21%; 95% CI: 14%–27%, <i>n</i> = 10 studies) and overweight/obesity and anemia (9%; 95% CI: 7%–10%, <i>n</i> = 18 studies). A meta-analysis of overweight/obesity and micronutrient deficiency was not conducted due to the small number of eligible studies. Most studies (66.3%) had high methodological quality; however, GRADE rated the overall certainty of evidence as low.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>A high prevalence of overweight/obesity with vitamin D deficiency and anemia were observed. These results emphasize the need for stronger public policies to ensure equitable access to healthy diets, evidence-based supplementation, and continuous nutritional monitoring during pregnancy.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"39 5","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jhn.70347","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992613","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":"Under-Identification of Malnutrition Within an Inpatient Hospital Setting","authors":"Jacqui Bailey,&nbsp;Jolie Baird,&nbsp;Olivia Dullard,&nbsp;Sophie Kane,&nbsp;Caroline J. Tuck,&nbsp;Katherine J. Desneves","doi":"10.1111/jhn.70338","DOIUrl":"https://doi.org/10.1111/jhn.70338","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Malnutrition contributes to significant health and economic burden. A 2022 Malnutrition Point Prevalence Survey (PPS) at Austin Health, Melbourne, reported a 40% prevalence rate, consistent with international studies. However, despite robust screening and referral processes, 28% of at-risk or malnourished patients were not receiving dietetic care on the PPS day. This study aimed to evaluate the rate and timing of electronic malnutrition screening tool (eMST) completion in adult inpatients against local hospital guidelines, compare the accuracy of nursing completed eMST with dietitian completed MST and identify common sources of error in screening completion and potential contributors for those patients who were identified as at risk of or with malnutrition and not receiving dietetic care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A retrospective case series of dietitian referrals, weights, time of eMST completion and MST results between admission and the PPS day were assessed for timeliness against hospital guidelines and accuracy based on available weight history, dietitian completed MST and nutrition impact symptoms documented in the electronic medical record (EMR).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>On the day of the PPS 48 patients at-risk of (<i>n</i> = 19) or malnourished (SGA B <i>n</i> = 27, SGA C <i>n</i> = 2) were not receiving dietetic care. Of these, 60% (<i>n</i> = 29) missed dietetic care due to inaccurate MST completion. No weight loss (<i>n</i> = 20) was incorrectly reported despite patient reports or EMR data indicating otherwise. 35% of patients (<i>n</i> = 17) were weighed within 24 h of admission as per hospital guideline. 65% of MSTs completed during the morning nursing shift were inaccurate, compared with 48% during the afternoon and 36% during the night shift.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study examining the alignment between real-world screening practices and institutional guidelines for patients at risk of malnutrition identified clear gaps in the timely and accurate completion of MST screening and weight documentation. A multitude of factors likely influence this including nursing staff capacity, flawed design of EMR systems, and suboptimal protocol sequencing. Future research applying systems-level thinking is required.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"39 5","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jhn.70338","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148816452","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":"The Role and Meaning of Hospital Food for Culturally and Linguistically Diverse Patients","authors":"Vanessa M. Carter,&nbsp;Vicki E. Barrington,&nbsp;Bryan Ross,&nbsp;Danielle P. Hitch","doi":"10.1111/jhn.70336","DOIUrl":"https://doi.org/10.1111/jhn.70336","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study explored the perceptions of former Culturally and Linguistically Diverse (CALD) hospital patients and carers regarding the role and meaning of hospital food during hospitalisation and recovery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Using a descriptive qualitative design guided by a social constructionist approach, four focus groups (<i>n</i> = 28) were conducted with participants from Asian, Mediterranean, Arabic, and Indian Subcontinent communities at a major Australian metropolitan health service. Purposively recruited participants included former inpatients or caregivers who discussed their experiences in face-to-face focus groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thematic analysis revealed three key themes: (1) Familiar food as a source of comfort in an unfamiliar environment, (2) Cultural traditions as wisdom for health and healing, and (3) Food as a contributor to physical recovery. Findings highlight the multifaceted role of culturally appropriate hospital food beyond basic nutrition, including its ability in supporting emotional well-being, cultural identity, and physical healing when feeling already vulnerable amid the unfamiliar daily activities of hospital wards.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Hospital food plays an important role in comfort, cultural identity, and recovery for CALD patients. Culturally responsive food services may enhance patient experiences, support recovery, and contribute to more equitable healthcare delivery.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"39 5","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jhn.70336","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148816454","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":"Comparison of Olive Versus Fish Oil Based Parenteral Nutrition and Clinical Outcomes—A Systematic Review","authors":"Sharon Carey,&nbsp;Miriam Astorga,&nbsp;Abbey Hubble,&nbsp;Suzie Ferrie","doi":"10.1111/jhn.70331","DOIUrl":"10.1111/jhn.70331","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>It is well-established that earlier generations of lipid emulsions based on soybean oil are inferior to later generations based on olive or fish oil. However, evidence directly comparing between later-generation lipid emulsions is limited. This study aims to systematically review existing literature comparing olive versus fish oil based parenteral nutrition formulations within an inpatient setting, and to evaluate clinical outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Electronic databases Medline, Embase, CINAHL and Web of Science were searched from earliest to current date. Titles, abstracts and full texts were screened for eligibility. Eligible papers were assessed for risk of bias and relevant data were extracted for a qualitative summary of results.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Six papers in total were eligible. Primary outcomes of interest reported across the six papers were related to infection, inflammation and oxidative stress. Overall, the number of studies and significant findings were limited. Based on the current evidence it is not possible to promote either fish or olive oil emulsions as superior to the other in influencing immune function, inflammation, liver function or clinical outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>While previous evidence has shown the clear benefits to reducing soybean oil content, the similar benefits may be obtained by replacing this with either olive or fish oil. More high-quality research is required to further explore olive versus fish oil based parenteral nutrition to guide clinical practice.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"39 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jhn.70331","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148763171","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}