Journal of Human Nutrition and Dietetics最新文献

{"title":"Artificial Nutrition Support During Acute Illness in Pregnancy: A Scoping Review","authors":"Danielle E. Bear,&nbsp;Hanna Tejani,&nbsp;Ali Morrison,&nbsp;Kevin Whelan","doi":"10.1111/jhn.70315","DOIUrl":"10.1111/jhn.70315","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The delivery of artificial nutrition support during acute illness in patients who are pregnant is complex with considerations for both maternal and foetal health outcomes. However, there is little known about the research available to guide the artificial nutrition support during pregnancy. This scoping review aims to examine the literature related to artificial nutrition support practices during acute illness in pregnancy, to understand current research, identify gaps and inform directions for future research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The review was conducted in accordance with the Joanna Briggs Institute (JBI) methodology for scoping reviews. A systematic search of five databases (MEDLINE, Embase, CINAHL, Web of Science and the Maternal and Infant Care Database (MIDIRS)) was conducted. Eligible studies involved adult pregnant patients aged 18 or over, hospitalised across a variety of care settings, and receiving artificial nutrition in the form of enteral nutrition or parenteral nutrition. Studies not written in English Language were excluded. Data were extracted on weight, gestation period, type and route of feeding, indication for artificial feeding, energy target and provision, protein target and provision, duration of intervention, micronutrient delivery and supplementation, method of delivery, foetal birthweight and maternal and foetal outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 24 studies were included of which the majority were case reports (<i>n</i> = 12 studies), followed by case series (<i>n</i> = 7), and only one randomised controlled trial (early enteral feeding vs standard care). The most common indication for artificial nutrition support was hyperemesis gravidarum (<i>n</i> = 14 studies) and the most common method was parenteral nutrition (<i>n</i> = 14). There was considerable heterogeneity in reporting of energy and protein targets and delivery, micronutrient supplementation, weight change over pregnancy and maternal and foetal outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This scoping review highlighted the very limited number of studies regarding artificial nutrition support during pregnancy. Hugh quality research is urgently required to inform guidelines and standardise and optimise management strategies and improve outcomes in this complex patient cohort.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"39 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13385647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148537765","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":"Systems-Based Dialogue With Secondary School Students to Explore School Food Environments That Promote Healthy People and Planet","authors":"Sarah Browne,&nbsp;Aoife Dooley,&nbsp;Eamon Lovett,&nbsp;Aisling Ní Fhionnghalaigh,&nbsp;Aideen O'Neill","doi":"10.1111/jhn.70312","DOIUrl":"https://doi.org/10.1111/jhn.70312","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The quality of food environments in secondary schools in the Republic of Ireland (ROI) varies depending on local practices. Funding for free hot school meals recently increased significantly with phased implementation and priority for universal access in primary schools and among ‘disadvantaged’ status schools at the secondary level. Engagement with students, in the context of rapidly changing school food policies, is lacking. This study explored students' views about the food environment in secondary schools using a system-based approach and identified student priorities for actions and policies to support school food environments that are healthy for people and planet.&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 qualitative study design using participatory methods was used. Public secondary schools were recruited in 2023 and 2024. Fourth year students volunteered to participate in one CO-CREATE Dialogue Forum per school on the idea: &lt;i&gt;How to make our school food environment better for our health and the planet&lt;/i&gt;? Data were analysed using content analysis. The systems-based action scales model was applied to categorise students' recommendations for a desired system.&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;Sixty-two students (55% female) aged 15–17 years in eight schools (including four schools designated ‘disadvantaged’ status) participated in dialogue forums. Issues with time, space and mealtime infrastructure were reported by students. Dissatisfaction with food quality and lack of variety were reported by some. Practices that identify students accessing free school meals risk perpetuating stigma. Food and packaging waste and catering for diverse food cultures and health needs were students' primary concerns from a planetary health perspective, with a small minority suggesting more plant-based food options. Limited opportunities to influence school food were reported. In the desired system, food choice, taste and quality, food and packaging waste, adequate spaces to eat and socialise, improved break-time logistics (e.g., food ordering system, time available, queue systems), and structures for participation and influence were priorities for students.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The CO-CREATE Dialogue Forum was an effective method for exploring school food, with students demonstrating systems thinking ability in considering a range of factors shaping their environments. Their ideas and solutions are important to inform policy and practice at local school, publ","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"39 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jhn.70312","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148467170","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":"Professional Reasoning in Dietary Hyperkalaemia Management in Chronic Kidney Disease: Development of the PRIME-K Model","authors":"Andrew Morris,&nbsp;Kelly Lambert","doi":"10.1111/jhn.70314","DOIUrl":"https://doi.org/10.1111/jhn.70314","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Dietary management of hyperkalaemia in chronic kidney disease has traditionally focused on potassium restriction. However, contemporary renal nutrition practice increasingly requires dietitians to balance biochemical safety with nutritional adequacy, dietary quality, treatment burden, and patient wellbeing. Limited empirical evidence has examined how renal dietitians reason through these competing priorities in routine practice.&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;To explore how renal dietitians approach dietary hyperkalaemia management in chronic kidney disease and to examine the professional reasoning underpinning dietary decision-making.&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;This qualitative study integrated free-text responses from an international online survey of renal dietitians with semi-structured interviews. Survey free-text responses provided breadth across practice settings, while interviews enabled more detailed exploration of clinical reasoning. Data from 203 survey respondents and eight interview participants were analysed consequently using reflexive thematic analysis to examine how dietitians prioritised, sequenced, and adapted dietary interventions.&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;Dietitians described dietary hyperkalaemia management as a staged but flexible process of professional reasoning. Four interrelated themes were identified: consideration of non-dietary contributors before dietary restriction; prioritisation of potassium additives and highly processed foods; preservation of nutritional adequacy as a central boundary condition; and selective restriction of potassium-rich whole foods only when clinically indicated. Dietary restriction was not described as an automatic response to elevated serum potassium, but as one possible component of a broader reasoning process shaped by biochemical trends, nutritional status, clinical urgency, patient preferences, and psychosocial context. These findings informed development of the Prioritisation and Reasoning in the Management of Elevated Potassium in Chronic Kidney Disease model, known as PRIME-K.&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;Renal dietitians reported using flexible professional judgement to manage hyperkalaemia while minimising unnecessary dietary burden and protecting nutritional adequacy. The PRIME-K model offers a practice-informed representation of professional reasoning in dietary hyp","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"39 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jhn.70314","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148467167","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":"Changing the Sickle Cell Nutrition Integration Narrative: Qualitative Perspectives From Sickle Cell Service Users/Carers About Nutritional Care","authors":"Claudine Matthews,&nbsp;Adrian Brown,&nbsp;Michelle Hawkins,&nbsp;David Smith","doi":"10.1111/jhn.70303","DOIUrl":"10.1111/jhn.70303","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Nutrition is not currently integrated into standard care provision in sickle cell disease (SCD) impacting patients experience, access and outcomes of nutrition. The lack of understanding of the nutritional needs in SCD and its impact on patient outcomes requires exploration to integrate nutrition into clinical practice. However, there is a paucity of qualitative studies conducted with sickle cell service users/carers to explore their views, knowledge and experiences of nutritional care and the influencing factors affecting nutrition integration in SCD care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An independent focus group involving SCD service users and carers formed part of a larger four phased participatory sequential Learning Alliance study conducted between March and December of 2020. Purposive sampling was used to recruit suitable adult sickle cell service users/carers (<i>n</i> = 11) to participate in this UK based study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four main themes were generated including 1) The invisibility of SCD, 2) Under -recognised importance of nutrition, 3) Lack of priority to nutrition and 4) Multi-level factors affecting nutrition and service provision that underscore key knowledge and care gaps in addition to an array of influencing factors affecting nutrition integration in SCD. Moreover, these themes reflect the complexity of sickle cell nutrition and the impact of the lack of nutrition integration on SCD patients access and outcomes of nutrition.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The main findings provide evidence of the nutrition knowledge and care gaps in SCD and the need to address the under-recognition and lack of priority to nutrition, driving the lack of nutrition integration and poor patient outcomes in SCD.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"39 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jhn.70303","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148450563","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":"Experiential Learning and Educational Competence Among Registered Dietitians in Japanese Hospitals: A Nationwide Cross-Sectional Study","authors":"Chisako Kambara","doi":"10.1111/jhn.70311","DOIUrl":"10.1111/jhn.70311","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>This study aimed to clarify the relationship between experiential learning and educational competence—defined as the ability to mentor students, newly employed staff, junior colleagues, and subordinates—among registered dietitians working in Japanese hospitals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An anonymous, self-administered questionnaire survey was conducted <i>via</i> mail between January and February 2025, targeting registered dietitians employed at 5132 hospitals nationwide with 100 or more beds. A total of 2383 responses were received (response rate: 27.5%), of which 2200 respondents with mentoring experience were included in the analysis. Data were measured using scales for experiential learning and educational competence. The reliability of each scale was confirmed using Cronbach's α, and the relationship between the two was examined using Pearson's correlation coefficient and multiple linear regression analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Cronbach's α coefficients were 0.92 for the experiential learning scale and 0.93 for the educational competence scale. A moderate positive correlation was observed between educational competence and experiential learning (<i>r</i> = 0.63), with subfactor correlations ranging from 0.36 to 0.57. In multivariable regression analysis, experiential learning was significantly associated with educational competence across all domains; among its components, concrete experience showed the highest association (standardised <i>β</i> = 0.40). The coefficient of determination for the model was 0.46.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Among hospital-based registered dietitians in Japan, experiential learning is positively associated with educational competence, with concrete experience appearing to have a particularly strong association. Establishing an educational system that promotes experiential learning and structured reflection may contribute to the development of educational competence.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"39 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148430996","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":"Defining Consensus-Based Components for Integrating Dietitians Into Primary Dental Care for Paediatric Populations: A Delphi Study","authors":"Lauren Hallewell,&nbsp;Raul Bescos,&nbsp;Zoe Brookes,&nbsp;Robert Witton,&nbsp;Patricia Casas-Agustench","doi":"10.1111/jhn.70305","DOIUrl":"10.1111/jhn.70305","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Diet is a modifiable risk factor linking oral and systemic health, contributing to dental caries and weight-related outcomes (including underweight, overweight and obesity) in the paediatric population. However, dietary advice provided by dental professionals in primary dental care is often brief and sugar-focused, representing a missed opportunity to address shared risk factors. Integrating dietitians into primary dental care may support more holistic paediatric preventative care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To develop expert consensus on the components required to integrate dietitians into primary dental care to address diet as a common risk factor in paediatric oral health and weight-related outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A three-round online Delphi study was conducted with dietitians and dental professionals, followed by patient and public involvement (PPI) consultation with caregivers and children and young people. Round 1 open-text responses were thematically analysed and synthesised into 158 statements. In Rounds 2 and 3, experts rated statements using a 7-point Likert scale. Consensus agreement was defined <i>a priori</i> as ≥ 70% agreement (ratings of 6 or 7) and &lt; 15% disagreement (ratings of 1 or 2) across the panel and within both professional groups. Results were summarised using descriptive statistics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirty-six, twenty-eight, and twenty-five experts completed Delphi Rounds 1, 2 and 3, respectively. Round 1 generated 158 statements, of which 90 achieved full consensus agreement by Round 3. Full consensus agreement was reached on safeguards for discussing weight-related outcomes sensitively, referral criteria for oral-health dietary support, training and skill development, organisational structures for collaboration, communication pathways and role clarification. No single approach to identifying weight-related outcomes met the predefined agreement threshold and remained exploratory.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study identified consensus-based components for integrating dietitians into primary dental care, providing a practical foundation to inform the design and piloting of integrated dietetic-dental care models with potential to improve oral health and broader child health outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"39 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jhn.70305","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431522","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":"Development of a Theoretical Framework for Program Evaluation of the Impact of Policy, Systems, and Environmental Interventions on Individual-Level Behavior","authors":"Krystal L. Hodge,&nbsp;Caitlin Kownacki,&nbsp;Kaitlyn Streitmatter,&nbsp;Rebecca L. Hagedorn-Hatfield,&nbsp;Karah Mantinan,&nbsp;Jennifer McCaffrey","doi":"10.1111/jhn.70307","DOIUrl":"10.1111/jhn.70307","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;As community nutrition education programs have expanded to include policy, systems, and environmental (PSE) initiatives to increase access to nutritious food and safe physical activity, the impact of these efforts on the consumption of healthier foods and physical activity levels is not clear. Research shows the effectiveness of PSE changes on individual-level behavior in controlled environments and in other public health disciplines. However, more evidence and guidance is needed to show the impact of PSE interventions in practice on individual-level nutrition and physical activity behaviors. The PSE Intervention and Evaluation Framework (PSE-IEF) was developed to explain the process by which implemented PSE activities may result in behavior changes within the priority audience.&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;Framework development involved a review and Theory of Change mapping process of a list of PSE changes used in the Supplemental Nutrition Assistance Program- Education (SNAP-Ed) Program, an environmental literature scan to identify relevant theories and related factors, and an expert review. The environmental scan examined how PSE changes are conceptualized as drivers of behavior change and how their impacts are measured at the individual level. Sources were identified through database searches, grey literature review, and citation tracking, with inclusion limited to U.S.-based, English-language documents published in the past 10 years. Twelve frameworks or theories were reviewed for their focus on individual behavior, ability to capture behavior change over time, and recognition of individual choice in when or whether change occurs. The PSE changes theory of change mapping results were reviewed for alignment with the selected framework and applied to a logic model for PSE implementers. Forty-five practitioners reviewed the framework for relevance, comprehensiveness, and comprehensibility, with revisions made iteratively until no substantial changes to structure or content were received.&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 final PSE-IEF describes how PSE programs are implemented at the organizational level and how they might impact the target audience at the individual level. To see outcomes at the individual level, organizational level activities must be completed, including staff awareness, engagement, action and maintenance activities to produce PSE outputs available for target audience use. Precaution Adoption Process Model stages of awareness, engagement, decision, action, and maintenance describe the responses at both the organizational and individual level over time.&lt;/p","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"39 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jhn.70307","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431517","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":"Supporting Nutritional Health of the UK Food Manufacturing Workforce: A Qualitative Study Exploring Insights From Employees","authors":"Georgia Rogerson,&nbsp;Bibi Rodgers Hunt,&nbsp;Louise Durrant,&nbsp;Hannah E. Theobald,&nbsp;Elena Philippou,&nbsp;Wendy L. Hall,&nbsp;Rachel Gibson","doi":"10.1111/jhn.70310","DOIUrl":"10.1111/jhn.70310","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Engagement of underserved groups, including low-paid, shift workers, men, and ethnic minorities, is a priority for workplace health and wellbeing practitioners. The aims of the study were to explore experiences and perceptions around nutritional health and wellbeing in UK food manufacturing shift work employees and identify priorities to take forward for research, policy and practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Online semi-structured interviews with shift work food manufacturing workers were conducted between May and July 2025. Interview guides were developed using the Theoretical Domains Framework, aiming to explore factors influencing healthy nutrition choices when at work (the target behaviour) and to understand perceptions of worksite nutritional health and wellbeing provision. Data were analysed using a combined deductive framework and inductive thematic analysis approach; emergent themes were mapped to the COM-B model and linked to potential Behaviour Change Techniques. Findings were externally validated with food and beverage industry stakeholders.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Interviews were conducted with 11 participants, 91% male, with a mean of 14 years of day and night shift work experience. Eight themes were identified including: (1) Having knowledge of healthy dietary choices for working on shift, (2) Physical consequences of dietary choices, (3) Intentions to make healthier dietary choices, (4) Influence of convenience on dietary choices, (5) Ability to access healthy dietary choices, (6) Social influence on dietary choices, (7) Emotional influence on dietary choices, (8) Ability to plan or monitor dietary intake.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>In addition to previously reported barriers around healthy food access while working atypical hours, UK food manufacturing staff face role-specific challenges, including inadequate breaks, health and safety regulations and exposure to food production. Workplace policies to improve access to healthy nutrition and protected breaks may be prerequisites for individual-level support for UK food manufacturing staff.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"39 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jhn.70310","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148426279","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":"Critical Care Dietitians' Practices in the Nutritional Management of Critically Ill Patients Receiving Vasopressors and Artificial Nutrition Support","authors":"Terpsichori Karpasiti,&nbsp;Qinglin Jin,&nbsp;Kevin Whelan,&nbsp;Danielle Bear","doi":"10.1111/jhn.70304","DOIUrl":"10.1111/jhn.70304","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Nutritional management of critically ill patients receiving vasopressors is challenging. This survey aimed to describe UK critical care dietitians' practices and confidence regarding the route, timing and dose of artificial nutrition support in critically ill patients receiving vasopressors, and explore relationships of these with intensive care unit (ICU) and dietitian professional characteristics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional, anonymous survey was distributed electronically to UK registered dietitians working in ICU via the British Dietetic Association Critical Care Specialist Group and British Society of Parenteral and Enteral Nutrition mailing lists. The 32-item survey included questions regarding ICU and professional characteristics, dietetic practices (artificial nutrition route, timing, and dose), evidence sufficiency and confidence. Data were compared between ICU and professional characteristics and dietetic practice using Fisher's exact or Kruskal-Wallis tests, as appropriate, and with self-reported confidence using Spearman's rank correlation or Kruskal-Wallis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 89 responses, 72 met the eligibility criteria. All respondents completing dietetic practice questions (71/71, 100%) used gastric feeding as the first-line artificial nutrition route, and two thirds (47, 66.2%) initiated this within 24-48 h of ICU admission. Over two thirds (39/57, 68.4%) aimed for &lt; 70% energy targets in the first 72 h, with 48 (84.2%) escalating to full targets thereafter. Despite more than three quarters (41/52, 78.8%) feeling confident in managing critically ill patients receiving vasopressors, most considered evidence to be insufficient. There was no significant association between enteral nutrition practices and any ICU or dietitian professional characteristics or self-reported confidence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Amongst UK critical care dietitians, there is substantial variation in EN initiation and escalation practices for critically ill patients receiving vasopressors. Despite high self-reported confidence, evidence concerning the route, timing and dose of artificial nutrition was perceived insufficient.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"39 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jhn.70304","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148399962","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":"National Prevalence and Sociodemographic Disparities of Food Allergy in Brazilian Children Under Five Years: Findings From the ENANI-2019 Survey","authors":"Nathalia C. Freitas-Costa,&nbsp;Clara Sousa Dias Thomaz de Araujo,&nbsp;Paula Normando,&nbsp;Davi Damasceno,&nbsp;Nadya Helena Alves-Santos,&nbsp;Elisa Maria de Aquino Lacerda,&nbsp;Inês Rugani Ribeiro de Castro,&nbsp;Gilberto Kac","doi":"10.1111/jhn.70309","DOIUrl":"10.1111/jhn.70309","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Food allergy (FA) is a growing public health concern, particularly in early childhood. This study estimated the prevalence of FA in Brazilian children under 5 years of age (&lt; 5 y) and described its distribution by sociodemographic, health, and nutrition factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data from 14,558 children &lt; 5 y studied by the Brazilian National Survey on Child Nutrition (ENANI-2019), a population-based household survey, were analyzed. FA was assessed based on the medical diagnosis of any FA and specific allergens reported by the mother/caregiver. Sociodemographic, health, and nutrition data were collected through a structured questionnaire. The prevalence and 95% confidence intervals (95%CI) of FA were estimated using descriptive analysis, and the prevalence ratio (PR) was estimated using adjusted Poisson regression models.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The prevalence of any FA was 4.6% (4.0–5.3) and was higher in the Southeast [RP = 1.75 (1.16–2.63)], South [RP = 1.91 (1.16–3.13)] and Midwest [RP = 1.88 (1.21–2.91)] compared to the Northeast, and among children aged 24–59 months [RP = 2.25 (1.56–3.25)] compared to 0–23 months. Milk FA was the most frequent (2.1%), followed by egg FA (0.6%). Higher prevalence of FA was observed among children using private healthcare services [any: RP = 1.54 (1.04–2.29); milk: RP = 3.02 (1.85–4.91); egg: RP = 3.58 (1.10–11.59)] and among those born by planned/elective C-section [any: RP = 1.45 (1.01–2.08); milk: 1.96 (1.24–3.08)]. Children with FA consumed more ultra-processed foods [92.8% (89.8–95.7)] than those without FA [84.9% (83.8–86.1)].</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study provides national estimates of FA prevalence and highlights regional and sociodemographic disparities among Brazilian children &lt; 5 y.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"39 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148399975","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}