Journal of Human Nutrition and Dietetics最新文献

{"title":"Choice on the menu: Increasing meal choice for people living in residential aged care, a pilot study","authors":"Mikaela Wheeler,&nbsp;Karen L. Abbey,&nbsp;Sandra M. Capra","doi":"10.1111/jhn.13401","DOIUrl":"https://doi.org/10.1111/jhn.13401","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>For residents in residential aged care (RAC), opportunities to make decisions about their meals are often limited. Increasing choice for residents requires significant changes to be made to the foodservice system to deliver nutritionally adequate, timely and enjoyable meals to residents. The pilot project aimed to understand the effect of increasing choice in meals on residents, staff and the foodservice system.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A pragmatic action research approach was used to collaboratively design and evaluate an altered a foodservice system that increased choice, enabling residents to place their order at the mealtime and choose from a menu of seven hot meal options for lunch and dinner. Outcome measures were measured pre- and post-implementation and included food waste, resident satisfaction and foodservice costs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Resident satisfaction measured on a 5-point Likert scale improved between pre- (3.60 ± 1.09) and post- (4.57 ± 0.49) measurements, whereas production waste increased (pre—55g, post—90 g) and foodservice costs increased (pre—$9.20–$11.14 per resident per day, post—$11.01–$12.15 per resident per day). Compared to the standard cook serve meal, consumption of protein foods increased marginally (+5 g), vegetable consumption increased (+11 g) and carbohydrate consumption decreased (−38 g) for meals consumed from the intervention menu.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Increasing choice can have a positive impact of resident satisfaction; however, further work is needed to investigate how production waste and costs can be addressed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"38 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142749287","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":"Content accuracy and readability of dietary advice available on webpages: A systematic review of the evidence","authors":"Evaggelia Fappa,&nbsp;Mary Micheli","doi":"10.1111/jhn.13395","DOIUrl":"10.1111/jhn.13395","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Concerns have been raised regarding the quality of health information published on the World Wide Web, while studies accumulating similar evidence for nutrition-related information are scarce. The present review aimed to systematically accumulate and discuss the findings of studies evaluating the content quality of websites publishing nutrition-related information, based on the PRISMA statement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Studies that have assessed the accuracy and readability of dietary advice published on websites/webpages were evaluated. The SPIDER framework was used for the systematic search of studies, and those that evaluated websites/webpages that did not contain nutritional information, were videos or social media, referred to health professionals, or contained information on a specific theme (e.g., dietary supplements), were excluded.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty-nine studies were included in this review, assessing information, published mainly in English, on 18 different diet-related topics. Twenty of them classified websites and reported, also, results per category. Inconsistent information has been found on 16%–49.6% of websites, with this percentage rising to 54%–94% in the case of ‘weight loss’ information. Purely congruent with guidelines information was found on 18%–39.7% of websites. Commercial sites were inferior in terms of quality to the rest. The readability level was estimated as higher than the recommended in 9 out of 11 studies that assessed it.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Results of the present systematic review indicate that inaccurate and hard-to-read dietary advice is found on many websites, regardless of the dietary topic.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"38 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jhn.13395","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733757","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":"Information sharing and seeking about nutrition-related complementary and alternative medicines in online forums for people affected by cancer: A content analysis of discussion threads","authors":"Elizabeth A. Johnston,&nbsp;Susannah K. Ayre,&nbsp;Shanae Kalepa,&nbsp;Nathalie Bradford,&nbsp;Jolieke C. van der Pols","doi":"10.1111/jhn.13390","DOIUrl":"10.1111/jhn.13390","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Online forums are a key source of information about complementary and alternative medicine (CAM) for people affected by cancer, especially when information needs are not met in healthcare settings. This study therefore investigated nutrition-related CAM information seeking and sharing in online forums for people affected by cancer.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study was conducted in a major online platform that hosts over 10 forums for people affected by cancer and has more than 10,000 registered users. A search strategy was applied to the forums to identify discussion threads with nutrition-related CAM information from January 2020 to December 2023. Content analysis was used to code the topic of, reason for, and source of nutrition-related CAM information sought or shared.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 121 threads retrieved, 40 eligible threads contained 155 instances of nutrition-related CAM information seeking or sharing across 86 posts authored by 54 unique users. Most (89%) instances were information sharing rather than seeking. Topics commonly shared included using food items for medicinal purposes (e.g., ginger to reduce nausea) (25%), other sources of nutrition-related CAM information (e.g., book or naturopath) (17%), and oral nutrition supplements (16%). Most common reasons for sharing nutrition-related CAM information were strategies to manage treatment side effects (52%) and as complementary treatment (22%). Information shared was mostly sourced from personal opinion (44%) or experience (33%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Information sharing about nutrition-related CAM is relatively common in online forums for people affected by cancer. Healthcare professionals should facilitate access to evidence-based information and advise caution when interpreting information shared in forums.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"38 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717779","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":"Nutrition delivery during hospitalisation after critical illness in Australia and New Zealand: a multicentre, prospective observational study","authors":"Emma J. Ridley,&nbsp;Kate Ainscough,&nbsp;Michael Bailey,&nbsp;Rebecca Baskett,&nbsp;Allison Bone,&nbsp;Lewis Campbell,&nbsp;Eleanor Capel,&nbsp;Lee-anne Chapple,&nbsp;Andrew Cheng,&nbsp;Adam M. Deane,&nbsp;Ra'eesa Doola,&nbsp;Suzie Ferrie,&nbsp;Kate Fetterplace,&nbsp;Eileen Gilder,&nbsp;Alisa M. Higgins,&nbsp;Carol L. Hodgson,&nbsp;Victoria King,&nbsp;Andrea P. Marshall,&nbsp;Alistair Nichol,&nbsp;Sandra Peake,&nbsp;Mahesh Ramanan,&nbsp;Ary Serpa Neto,&nbsp;Andrew Udy,&nbsp;Patricia Williams,&nbsp;Jacinta Winderlich,&nbsp;Paul J. Young,&nbsp;NUTRIENT Study Investigators and ANZICS Clinical Trials Group","doi":"10.1111/jhn.13385","DOIUrl":"10.1111/jhn.13385","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Aims</h3>\u0000 \u0000 <p>Energy and protein provision for critically ill patients who receive oral nutrition often falls below recommended targets. We compared characteristics and nutrition processes during hospital stay (within and post-intensive care unit [ICU] stay) of those who received oral nutrition as the sole nutrition source to those who first commenced enteral (EN) or parenteral nutrition (PN) within an Australian or New Zealand (ANZ) ICU.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Multicentre, observational study of routine nutrition care in 44 hospitals across ANZ, including adult patients within ICU admitted for at least 48 h. Those receiving oral nutrition as the sole source of nutrition (with or without oral nutrition supplements) were included in the ‘oral nutrition’ group and those who first received EN and/or PN in the ICU as the ‘EN/PN group’. The primary outcome was median daily energy delivery in ICU. Data are presented as number (%) or median [interquartile range].</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 409 patients enroled, median [IQR] age was 64 [51–74] years and 257 patients (62%) were male. APACHE II score, use of invasive ventilation and hospital length of stay (LOS) were all lower in those receiving oral nutrition (<i>n</i> = 200) compared to those receiving EN/PN (<i>n</i> = 209). In ICU, 63 (31.5%) and 169 (81%) (<i>p</i> &lt; 0.001), patients who were receiving oral nutrition and in the EN/PN group received a nutrition assessment, respectively. Oral nutrition supplements were provided for 40 (20%) patients in the oral nutrition group and 31 of 94 (33%) of those receiving oral nutrition in the EN/PN group (<i>p</i> = 0.019). Energy and protein intake in ICU for the oral nutrition group was 716 [597–1069] kcal/day and 37 [19–46] g/day versus 1158 [664–1583] kcal/day and 57 [31–77] g/day for those receiving EN/PN (<i>p</i> = 0.020 energy, <i>p</i> = 0.016 protein). Quantification of oral nutrition was attempted in 78/294 (27%) patients in ICU and completed on 27/78 (36%) occasions. On the ward, attempts were made for 120/273 (44%) patients, with 60/120 (50%) complete.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Patients who received oral nutrition as the sole nutrition source in ICU had lower illness severity, rates of nutrition assessment and provision of oral supplements compared to those who first received EN/PN. Quantification of oral nutrition was often incomplete for all patients in ICU and on the ward.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"38 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717789","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":"Workforce development in private practice dietetics: experiences and perceptions of experienced practitioners","authors":"Jennifer Donnelly,&nbsp;Louisa Walsh,&nbsp;Rebecca Lane,&nbsp;Roger Hughes","doi":"10.1111/jhn.13397","DOIUrl":"10.1111/jhn.13397","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Changes in Australian health policies and public funding models have increased the demand for private dietetics services over the past two decades. Limited available workforce data indicate that over half of the Australian dietetics workforce works in private practice at some level, with approximately 30%–50% of dietitians now entering private practice as new graduates. These changes in the sector have implications for dietetics workforce development. The present study aimed to explore private practice dietitians' perceptions and experiences about workforce development needed to successfully work as a private practice dietitian.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Australian private practice dietitians were purposively sampled for participation in semistructured interviews on their experiences of, and perceptions about, workforce development needs for successful private practice. Data were analysed using qualitative thematic analysis methods.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Sixteen dietitians participated. Twenty-seven themes emerged across seven constructs spanning pathways to practice, the work of private practitioners, workforce preparation, competency development, placements, competency requirements and challenges.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Experienced private practice dietitians offer critical insights into the workforce development needs and challenges of the sector. Study participants indicated that their preparation for private practice was suboptimal and they have endured many challenges during their careers. This study highlights the need for a strategic approach to workforce development for private practice, including further research into the preparation and needs of this evolving area.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"38 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717831","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":"Consolidating the evidence on the effectiveness of strategies to promote vegetable intake in priority settings: An overview of systematic reviews","authors":"Paige G. Brooker,&nbsp;Astrid A. M. Poelman,&nbsp;Katherine M. Livingstone,&nbsp;Clare E. Collins,&nbsp;Seema Mihrshahi,&nbsp;Ros Sambell,&nbsp;Jason H. Y. Wu,&nbsp;Gilly A. Hendrie","doi":"10.1111/jhn.13398","DOIUrl":"10.1111/jhn.13398","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Effective interventions to increase vegetable intake are urgently needed. This systematic rapid review aimed to summarise the effectiveness of interventions targeting increased vegetable intakes across diverse settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>The review was guided by the conduct of rapid reviews from the Cochrane Handbook. The literature was searched in February 2024 across PubMed, Web of Science and Cochrane Central for systematic review articles published since 2014. The Risk of Bias In Systematic Reviews tool was used and characteristics of reviews synthesised narratively with intervention effectiveness results were summarised.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 20 systematic reviews met the eligibility criteria. Most targeted school-based settings (<i>n</i> = 7) or community/home-based settings (<i>n</i> = 4). Early childhood education and workplaces had one review each, with none in retail, secondary or tertiary education, food service, food relief or aged care. The mean change in vegetable consumption was +0.12 serves per day, with increases of up to +0.42 serves reported (range −0.09 to +0.42). By setting, the largest increases were reported for interventions in school settings (+0.42 serves/day), followed by home (+0.38 serves/day). Almost half the studies reporting effect sizes suggested no effect on intake (46%), 41% suggested a small effect and 13% suggested a medium effect. Greater effect sizes were achieved in interventions implemented across multiple settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Review findings indicate that the average increase in vegetable intake following interventions is about one-eighth of a serve but up to almost half a serve in some settings. An increase of this magnitude could have a substantial population impact, particularly in population groups with persistently low intakes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"38 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jhn.13398","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717723","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":"HEAL-D Online: Exploring the potential for the spread and adoption of a virtual culturally tailored diabetes self-management programme for adults of African and Caribbean heritage","authors":"Sophie Lowry,&nbsp;Joseph Low,&nbsp;Louise Goff,&nbsp;Sally Irwin,&nbsp;Nick Sevdalis,&nbsp;Pearl Okeke,&nbsp;Oliver Brady,&nbsp;Natasha Curran,&nbsp;Andrew Walker","doi":"10.1111/jhn.13396","DOIUrl":"10.1111/jhn.13396","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>People of African and Caribbean heritage in the UK have a higher prevalence of Type 2 Diabetes (T2D) and poorer health outcomes than white Europeans. Healthy Eating and Active Lifestyles for Diabetes Online (HEAL-D Online) is a co-designed, culturally tailored T2D self-management programme for black African and Caribbean adults, which, due to online delivery, is well positioned for spread. This qualitative evaluation uses the Exploration-Preparation-Implementation-Sustainment (EPIS) framework to explore factors affecting scale-up from delivery and commissioning perspectives.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Semi-structured interviews were conducted with nine commissioners and providers of T2D services from three English areas with varying population characteristics to explore scale-up. Focus groups were held with 15 people of African and Caribbean heritage with T2D lived experience to explore the impact of a digital model of participation. Data were analysed using thematic analysis, with themes mapped onto the EPIS framework exploration phase constructs to consider the outer and inner contextual factors for planning implementation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Six EPIS constructs were identified by commissioners and providers as key in scaling HEAL-D Online. People with T2D lived experience explored the online mode of delivery, using the <i>patient advocacy</i> construct as the analytical lens. In delivering an online T2D programme, two themes were identified: (1) aligning course content with people's preferences; (2) practicalities to ensure online delivery was acceptable and accessible to the community.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>HEAL-D Online was acceptable with the potential to help address health inequalities. The EPIS framework provided a structure to understand factors in planning scale-up for an intervention targeting underserved communities.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"38 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jhn.13396","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717773","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 evolution of nutritional care in children with food allergies – With a focus on cow's milk allergy","authors":"Rosan Meyer,&nbsp;Marion Groetch,&nbsp;Alexandra Santos,&nbsp;Carina Venter","doi":"10.1111/jhn.13391","DOIUrl":"10.1111/jhn.13391","url":null,"abstract":"<p>Cow's milk allergy (CMA) remains one of the most common and complex paediatric food allergies. In the last decade, our understanding has advanced in terms of immunoglobulin E (IgE)-mediated CMA and focus is now also paid to non-IgE-mediated CMA, particularly in some Western countries where incidence rates are high. We have had significant progress in the last 10 years in relation to our understanding of existing supportive tests for IgE-mediated CMA, with the advancement of newer tests, such as the basophil activation test (BAT), which have shown great promise. However, little advancement has been made in terms of tests for non-IgE-mediated CMA, and controversy still exists around symptoms. Our understanding of the natural history of CMA has also advanced with more awareness of different phenotypes. While the mainstay of management remains cow's milk elimination, the importance of supporting breastfeeding and avoidance of unwarranted cow's milk elimination diets in breastfeeding mothers has been highlighted. For non-breastfed children, there has been some advancement in the formulas offered for the management of CMA, including the recognition of hydrolysed rice-based formulas and increased demand for nutritionally complete plant-based options, some of which are currently being assessed. The addition of pro, pre and synbiotics is considered safe to use, although research and guidance on routine use remain absent. Knowledge of tolerance induction from studies on the early introduction of peanuts has also highlighted the importance of a more active approach to managing CMA with the use of milk ladders, primarily in non-IgE-mediated CMA and baked milk (BM) introduction in IgE-mediated CMA. In addition, modulation of the microbiome and diet diversity during complementary feeding has been a major advancement in the last 10 years. While data on poor growth and feeding difficulties in children with CMA has not changed much, increased rates of obesity are now also reported. Finally, novel approaches, including oral immunotherapy, the use of milk ladders and earlier consideration of BM, have advanced somewhat in the last decade, although the risks and benefits of these novel approaches require further research. While CMA remains a complicated allergy to diagnose and manage, the evolution of science has advanced our knowledge and brought some novel innovations, which combined have enhanced our practice.</p>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"38 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jhn.13391","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717792","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":"Use of digital food records in clinical settings: lessons in translation from a randomised controlled trial","authors":"Amandine Barnett MNutr&Diet, PhD,&nbsp;Hannah L. Mayr PhD,&nbsp;Shelley E. Keating PhD,&nbsp;Marguerite M. Conley MNutr&Diet,&nbsp;Lindsey Webb BSc,&nbsp;Dev K. Jegatheesan MD,&nbsp;Heidi M. Staudacher PhD,&nbsp;Graeme A. Macdonald PhD,&nbsp;Jaimon T. Kelly PhD,&nbsp;Katrina L. Campbell PhD,&nbsp;Ingrid J. Hickman PhD","doi":"10.1111/jhn.13389","DOIUrl":"10.1111/jhn.13389","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Digital food records offer efficiencies in collecting and assessing dietary information remotely; however, research into factors impacting their translation into clinical settings is limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study examined factors that may impact the integration of digital food records into clinical dietetic practice by assessing (1) the source and rate of data errors received, (2) the impact of dietitian-adjusted data on dietary variables and (3) the acceptance of use in a complex chronic condition cohort. Adults from specialist clinics enroled in a randomised controlled feasibility trial participated. Participants recorded their dietary intake using a mobile food diary application (Research Food diary, Xyris Software Pty Ltd.); it was analysed via electronic nutrition analysis software (FoodWorks, Xyris Software Pty Ltd.). Records were verified and corrected by a dietitian. Dietary variables assessed before (participant-unadjusted data) and after (dietitian-adjusted data) were compared by the Wilcoxon signed-rank test, Bland–Altman and Passing–Bablok analysis. Surveys and Interviews assessed participants'; acceptance of the mobile application's usability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Errors appeared in 93% of records. Dietitian-adjusted median data were higher for most variables compared to participant-unadjusted median data (<i>p</i> &lt; 0.05, median changes between 0.0% and 64.7%) of 59 participant records (median age 51 years, interquartile range 38–58). There was poor agreement between participant-unadjusted and dietitian-adjusted data for some dietary variables. Sixty-four percent surveyed (<i>n</i> = 32/50) found the app easy to use, whereas 29 interviews provided insights into facilitators and challenges of use.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Significant barriers to integrating digital food records into clinical settings exist requiring dietitian adjustment to correct errors which has major implications for estimates of diet quality and intake.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"38 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717795","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 counselling to increase soluble fibre in patients with gynaecological cancers undergoing pelvic radiotherapy: A feasibility study","authors":"Emilie Croisier,&nbsp;Teresa Brown,&nbsp;Alice Grigg,&nbsp;Philip Chan,&nbsp;Judy Bauer","doi":"10.1111/jhn.13402","DOIUrl":"10.1111/jhn.13402","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>This study aimed to determine the feasibility of increasing soluble fibre intake via dietary counselling to improve gastrointestinal toxicity and quality of life in patients with gynaecological cancers undergoing pelvic radiotherapy without adverse consequences on radiation treatment (RT) delivery accuracy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A single-arm, single-centre intervention feasibility trial included patients with gynaecological cancers undergoing pelvic RT ± chemotherapy at a tertiary hospital. Participants were provided weekly dietary counselling over the duration of their RT (5–6 weeks) to increase soluble fibre intake incrementally each week. Stakeholder surveys were also completed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In total, 9 of 14 eligible patients participated (55 years old [SD 13.2], diagnosis: cervical [<i>n</i> = 3], endometrial/uterine [<i>n</i> = 5] and vaginal [<i>n</i> = 1]), with the majority categorised as low fibre consumers at baseline (<i>n</i> = 6). On average, soluble fibre intake increased by 150% throughout treatment. There were no adverse events or major adjustments required for RT delivery. There were improving trends in the functional subset identified. Results may be confounded by the sample size resulting from limited eligibility (<i>n</i> = 14) and a high attrition rate (<i>n</i> = 4).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Most participants successfully increased their soluble fibre intake throughout treatment, without significant adverse events noted for RT delivery accuracy. These results provide preliminary data to calculate the sample size required to produce meaningful effect sizes. However, this study highlighted challenges in participant recruitment and retention, with limited organisational support and perceived compatibility.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"38 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717726","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}