Pub Date : 2025-02-01DOI: 10.1016/S2212-2672(24)01012-8
{"title":"What's New Online","authors":"","doi":"10.1016/S2212-2672(24)01012-8","DOIUrl":"10.1016/S2212-2672(24)01012-8","url":null,"abstract":"","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 2","pages":"Page 147"},"PeriodicalIF":3.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143144936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.jand.2024.09.008
Hannah Martin MPH, RDN , Marsha Schofield MS, RD, LD, FAND , Elizabeth Yakes Jimenez PhD, RDN
The Academy of Nutrition and Dietetics’ Telehealth Task Force was charged with developing a telehealth policy stance to guide the work of the Academy. The task force comprised representatives from diverse areas of telehealth practice, including research, practice, payment, and licensure. They convened in 2020–2021 to conduct an environmental scan and develop a recommended stance on telehealth policy. The tenets of the resulting telehealth stance are (1) Nutrition care services are critical to comprehensive health care delivery systems and should be covered when provided via telehealth under the same coverage and payment policies as in-person care; (2) Patients should have coverage for telehealth delivered via audio only if they cannot effectively access or use audio-visual technologies; (3) In declared emergency situations when access to qualified providers is otherwise severely impacted, the modification of certain consumer protection policies, such as licensure and Health Insurance Portability and Accountability Act requirements, may be appropriate; (4) Public funding and support for broadband internet, technology, digital literacy education, and language services are necessary to address racial, economic, and geographic health disparities and to address disabilities; and (5) Publicly funded research on telehealth should be nationally representative and include a wide variety of services and providers, including nutrition care services provided by registered dietitian nutritionists and nutrition and dietetic technicians, registered. The telehealth policy stance was formally adopted by the Academy in April 2021.
{"title":"Tenets for Increasing Access to Nutrition Care Delivered Via Telehealth: Recommendations from the Academy of Nutrition and Dietetics Telehealth Task Force","authors":"Hannah Martin MPH, RDN , Marsha Schofield MS, RD, LD, FAND , Elizabeth Yakes Jimenez PhD, RDN","doi":"10.1016/j.jand.2024.09.008","DOIUrl":"10.1016/j.jand.2024.09.008","url":null,"abstract":"<div><div>The Academy of Nutrition and Dietetics’ Telehealth Task Force was charged with developing a telehealth policy stance to guide the work of the Academy. The task force comprised representatives from diverse areas of telehealth practice, including research, practice, payment, and licensure. They convened in 2020–2021 to conduct an environmental scan and develop a recommended stance on telehealth policy. The tenets of the resulting telehealth stance are (1) Nutrition care services are critical to comprehensive health care delivery systems and should be covered when provided via telehealth under the same coverage and payment policies as in-person care; (2) Patients should have coverage for telehealth delivered via audio only if they cannot effectively access or use audio-visual technologies; (3) In declared emergency situations when access to qualified providers is otherwise severely impacted, the modification of certain consumer protection policies, such as licensure and Health Insurance Portability and Accountability Act requirements, may be appropriate; (4) Public funding and support for broadband internet, technology, digital literacy education, and language services are necessary to address racial, economic, and geographic health disparities and to address disabilities; and (5) Publicly funded research on telehealth should be nationally representative and include a wide variety of services and providers, including nutrition care services provided by registered dietitian nutritionists and nutrition and dietetic technicians, registered. The telehealth policy stance was formally adopted by the Academy in April 2021.</div></div>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 2","pages":"Pages 256-268"},"PeriodicalIF":3.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142338561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.jand.2024.05.010
Vera C.R. Weijer MSc , Kristin L. Jonvik PhD , Lotte van Dam MSc , Linn Risvang MSc , Truls Raastad PhD , Luc J.C. van Loon PhD , Jan-Willem van Dijk PhD
Background
Although resting metabolic rate (RMR) is crucial for understanding athletes’ energy requirements, limited information is available on the RMR of Paralympic athletes.
Objective
The aim of this study was to determine RMR and its predictors in a diverse cohort of Paralympic athletes and evaluate the agreement between measured and predicted RMR from both newly developed and pre-existing equations.
Design
This cross-sectional study, conducted between September 2020 and September 2022 in the Netherlands and Norway, assessed RMR in Paralympic athletes by means of ventilated hood indirect calorimetry and body composition by means of dual-energy x-ray absorptiometry.
Participants
Sixty-seven Paralympic athletes (male: n = 37; female: n = 30) competing in various sports, with a spinal cord disorder (n = 22), neurologic condition (n = 8), limb deficiency (n = 18), visual or hearing impairment (n = 7), or other disability (n = 12) participated.
Main outcome measures
RMR, fat-free mass (FFM), body mass, and triiodothyronine (T3) concentrations were assessed.
Statistical analyses
Multiple regression analyses were conducted with height, FFM, body mass, sex, T3 concentration, and disabilities as potential predictors of RMR. Differences between measured and predicted RMRs were analyzed for individual accuracy, root mean square error, and intraclass correlation.
Results
Mean ± SD RMR was 1386 ± 258 kcal/d for females and 1686 ± 302 kcal/d for males. Regression analysis identified FFM, T3 concentrations, and the presence of a spinal cord disorder, as the main predictors of RMR (adjusted R2 = 0.71; F = 50.3; P < .001). The novel prediction equations based on these data, as well as pre-existing equations of Chun and colleagues and Nightingale and Gorgey performed well on accuracy (>60% of participants within 10% of measured RMR), had good reliability (intraclass correlation >0.78), and low root mean square error (≤141 kcal).
Conclusions
FFM, total T3 concentrations, and presence of spinal cord disorder are the main predictors of RMR in Paralympic athletes. Both the current study’s prediction equations and those from Chun and colleagues and Nightingale and Gorgey align well with measured RMR, offering accurate prediction equations for the RMR of Paralympic athletes.
{"title":"Measured and Predicted Resting Metabolic Rate of Dutch and Norwegian Paralympic Athletes","authors":"Vera C.R. Weijer MSc , Kristin L. Jonvik PhD , Lotte van Dam MSc , Linn Risvang MSc , Truls Raastad PhD , Luc J.C. van Loon PhD , Jan-Willem van Dijk PhD","doi":"10.1016/j.jand.2024.05.010","DOIUrl":"10.1016/j.jand.2024.05.010","url":null,"abstract":"<div><h3>Background</h3><div>Although resting metabolic rate (RMR) is crucial for understanding athletes’ energy requirements, limited information is available on the RMR of Paralympic athletes.</div></div><div><h3>Objective</h3><div>The aim of this study was to determine RMR and its predictors in a diverse cohort of Paralympic athletes and evaluate the agreement between measured and predicted RMR from both newly developed and pre-existing equations.</div></div><div><h3>Design</h3><div>This cross-sectional study, conducted between September 2020 and September 2022 in the Netherlands and Norway, assessed RMR in Paralympic athletes by means of ventilated hood indirect calorimetry and body composition by means of dual-energy x-ray absorptiometry.</div></div><div><h3>Participants</h3><div>Sixty-seven Paralympic athletes (male: n = 37; female: n = 30) competing in various sports, with a spinal cord disorder (n = 22), neurologic condition (n = 8), limb deficiency (n = 18), visual or hearing impairment (n = 7), or other disability (n = 12) participated.</div></div><div><h3>Main outcome measures</h3><div>RMR, fat-free mass (FFM), body mass, and triiodothyronine (T3) concentrations were assessed.</div></div><div><h3>Statistical analyses</h3><div>Multiple regression analyses were conducted with height, FFM, body mass, sex, T3 concentration, and disabilities as potential predictors of RMR. Differences between measured and predicted RMRs were analyzed for individual accuracy, root mean square error, and intraclass correlation.</div></div><div><h3>Results</h3><div>Mean ± SD RMR was 1386 ± 258 kcal/d for females and 1686 ± 302 kcal/d for males. Regression analysis identified FFM, T3 concentrations, and the presence of a spinal cord disorder, as the main predictors of RMR (adjusted <em>R</em><sup>2</sup> = 0.71; <em>F</em> = 50.3; <em>P</em> < .001). The novel prediction equations based on these data, as well as pre-existing equations of Chun and colleagues and Nightingale and Gorgey performed well on accuracy (>60% of participants within 10% of measured RMR), had good reliability (intraclass correlation >0.78), and low root mean square error (≤141 kcal).</div></div><div><h3>Conclusions</h3><div>FFM, total T3 concentrations, and presence of spinal cord disorder are the main predictors of RMR in Paralympic athletes. Both the current study’s prediction equations and those from Chun and colleagues and Nightingale and Gorgey align well with measured RMR, offering accurate prediction equations for the RMR of Paralympic athletes.</div></div>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 2","pages":"Pages 217-227.e5"},"PeriodicalIF":3.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141064771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.jand.2024.08.001
Julie M. Hess PhD , Madeline E. Comeau MS , Jane Lankes Smith PhD , Kylie Swanson , Cindy M. Anderson PhD
Background
The 2020-2025 Dietary Guidelines for Americans (DGA) includes a lacto-ovo vegetarian pattern (the healthy vegetarian dietary pattern [HVDP]) as a recommended dietary pattern during pregnancy.
Objective
To adapt the HVDP for vegan, ovo-vegetarian, lacto-vegetarian, and pescatarian diets during pregnancy.
Design
Using food pattern modeling, 4 adaptations of the HVDP were developed at energy levels that may be appropriate during pregnancy (1800, 2000, 2200, 2400, and 2600 kcal/day). Models were run both with and without the addition of a composite prenatal supplement.
Main outcome measures
Main outcome measures were macro- and micronutrient adequacy without exceeding recommendations for saturated fat and added sugar.
Statistical analysis performed
The 2020-2025 DGA Food Pattern Modeling Report was used to define food groups and nutrients in the HVDP. The HVDP was revised to remove dairy and/or eggs or to add seafood.
Results
Across all examined energy levels (1800, 2000, 2200, 2400, and 2600 kcal per day), modeled dietary patterns provided sufficient macronutrients. Without prenatal supplements, each dietary pattern met most, but not all, micronutrient recommendations. Micronutrients that were below recommendations in patterns without supplements included vitamin D, iron, vitamin E, sodium, and choline. With the addition of a composite prenatal supplement to these patterns, the nutrients below 100% of recommendations were vitamin D, choline, and sodium.
Conclusions
Overall, these results show that a HVDP and similar diets without meat, eggs, dairy, and/or seafood can provide most nutrients needed during pregnancy, albeit with some micronutrient challenges similar to those diets that include meat and other animal products.
{"title":"Vegetarian Diets During Pregnancy: With Supplementation, Ovo-Vegetarian, Lacto-Vegetarian, Vegan, and Pescatarian Adaptations of US Department of Agriculture Food Patterns Can Be Nutritionally Adequate","authors":"Julie M. Hess PhD , Madeline E. Comeau MS , Jane Lankes Smith PhD , Kylie Swanson , Cindy M. Anderson PhD","doi":"10.1016/j.jand.2024.08.001","DOIUrl":"10.1016/j.jand.2024.08.001","url":null,"abstract":"<div><h3>Background</h3><div>The 2020-2025 Dietary Guidelines for Americans (DGA) includes a lacto-ovo vegetarian pattern (the healthy vegetarian dietary pattern [HVDP]) as a recommended dietary pattern during pregnancy.</div></div><div><h3>Objective</h3><div>To adapt the HVDP for vegan, ovo-vegetarian, lacto-vegetarian, and pescatarian diets during pregnancy.</div></div><div><h3>Design</h3><div>Using food pattern modeling, 4 adaptations of the HVDP were developed at energy levels that may be appropriate during pregnancy (1800, 2000, 2200, 2400, and 2600 kcal/day). Models were run both with and without the addition of a composite prenatal supplement.</div></div><div><h3>Main outcome measures</h3><div>Main outcome measures were macro- and micronutrient adequacy without exceeding recommendations for saturated fat and added sugar.</div></div><div><h3>Statistical analysis performed</h3><div>The 2020-2025 DGA Food Pattern Modeling Report was used to define food groups and nutrients in the HVDP. The HVDP was revised to remove dairy and/or eggs or to add seafood.</div></div><div><h3>Results</h3><div>Across all examined energy levels (1800, 2000, 2200, 2400, and 2600 kcal per day), modeled dietary patterns provided sufficient macronutrients. Without prenatal supplements, each dietary pattern met most, but not all, micronutrient recommendations. Micronutrients that were below recommendations in patterns without supplements included vitamin D, iron, vitamin E, sodium, and choline. With the addition of a composite prenatal supplement to these patterns, the nutrients below 100% of recommendations were vitamin D, choline, and sodium.</div></div><div><h3>Conclusions</h3><div>Overall, these results show that a HVDP and similar diets without meat, eggs, dairy, and/or seafood can provide most nutrients needed during pregnancy, albeit with some micronutrient challenges similar to those diets that include meat and other animal products.</div></div>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 2","pages":"Pages 204-216.e17"},"PeriodicalIF":3.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141970280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.jand.2024.12.005
{"title":"February 2025 New in Review","authors":"","doi":"10.1016/j.jand.2024.12.005","DOIUrl":"10.1016/j.jand.2024.12.005","url":null,"abstract":"","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 2","pages":"Pages 273-275, 276-278"},"PeriodicalIF":3.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143145410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-31DOI: 10.1016/j.jand.2025.01.017
Aviva A Musicus, Melissa L Jensen, Carol Mita, Diana R H Winters, Michael T Roberts, Sally Mancini, Jennifer L Harris, Frances Fleming-Milici, James W Krieger
Background: Fruit drinks are the top source of added sugar in young children's diets, increasing their risk of chronic disease. It is unclear to what extent front-of-package marketing and disclosures influence parents' perceptions of fruit drinks and their intentions and decisions to purchase them. These data are needed to inform regulatory and legal action to reduce potentially misleading marketing and help parents make healthier choices for their children.
Objective: This systematic review investigated the relationship between fruit drink front-of-package claims (nutrient, natural/implied-natural, or health-related), fruit imagery, and ingredient disclosures (sugar, nonnutritive sweeteners, and juice content) and consumer perceptions, intentions, and behavior.
Methods: A comprehensive search was used to identify peer-reviewed, original quantitative, and/or qualitative research published any time using the following databases: PubMed, Embase, PsycInfo, CAB Abstracts, Web of Science Core Collection, and Business Source Complete. Searches were conducted during May 2022 and January 2023. Risk of bias was assessed using the Quality Assessment Tool for Quantitative Studies and the Critical Appraisal Skills Programme checklist for qualitative studies. Articles were grouped by exposure and narratively synthesized.
Results: Sixteen articles met inclusion criteria. Reviewed studies found that natural claims-and, to some extent, nutrient claims and fruit imagery-are associated with increased selection, purchase intentions, perceived healthfulness, and appeal of fruit drinks; as well as increased misunderstandings of fruit drink juice content (overestimation) and added sugars content (underestimation). Ingredient disclosures-including percent-juice content and presence of added sweeteners-may help correct misperceptions about product healthfulness.
Conclusions: Front-of-package claims and imagery can increase healthfulness misperceptions and selection of fruit drinks, and ingredient disclosures could partially correct those misperceptions. The US Food and Drug Administration should consider updating fruit drink front-of-package marketing regulations. More high-quality randomized experiments would be useful to inform federal and legal action to support parents in selecting healthier beverages for their children.
{"title":"The Relationship Between Fruit Drink Front-of-Package Claims, Fruit Imagery, and Ingredient Disclosures and Consumer Perceptions, Intentions, and Behavior: A Systematic Review.","authors":"Aviva A Musicus, Melissa L Jensen, Carol Mita, Diana R H Winters, Michael T Roberts, Sally Mancini, Jennifer L Harris, Frances Fleming-Milici, James W Krieger","doi":"10.1016/j.jand.2025.01.017","DOIUrl":"10.1016/j.jand.2025.01.017","url":null,"abstract":"<p><strong>Background: </strong>Fruit drinks are the top source of added sugar in young children's diets, increasing their risk of chronic disease. It is unclear to what extent front-of-package marketing and disclosures influence parents' perceptions of fruit drinks and their intentions and decisions to purchase them. These data are needed to inform regulatory and legal action to reduce potentially misleading marketing and help parents make healthier choices for their children.</p><p><strong>Objective: </strong>This systematic review investigated the relationship between fruit drink front-of-package claims (nutrient, natural/implied-natural, or health-related), fruit imagery, and ingredient disclosures (sugar, nonnutritive sweeteners, and juice content) and consumer perceptions, intentions, and behavior.</p><p><strong>Methods: </strong>A comprehensive search was used to identify peer-reviewed, original quantitative, and/or qualitative research published any time using the following databases: PubMed, Embase, PsycInfo, CAB Abstracts, Web of Science Core Collection, and Business Source Complete. Searches were conducted during May 2022 and January 2023. Risk of bias was assessed using the Quality Assessment Tool for Quantitative Studies and the Critical Appraisal Skills Programme checklist for qualitative studies. Articles were grouped by exposure and narratively synthesized.</p><p><strong>Results: </strong>Sixteen articles met inclusion criteria. Reviewed studies found that natural claims-and, to some extent, nutrient claims and fruit imagery-are associated with increased selection, purchase intentions, perceived healthfulness, and appeal of fruit drinks; as well as increased misunderstandings of fruit drink juice content (overestimation) and added sugars content (underestimation). Ingredient disclosures-including percent-juice content and presence of added sweeteners-may help correct misperceptions about product healthfulness.</p><p><strong>Conclusions: </strong>Front-of-package claims and imagery can increase healthfulness misperceptions and selection of fruit drinks, and ingredient disclosures could partially correct those misperceptions. The US Food and Drug Administration should consider updating fruit drink front-of-package marketing regulations. More high-quality randomized experiments would be useful to inform federal and legal action to support parents in selecting healthier beverages for their children.</p>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143078370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-29DOI: 10.1016/j.jand.2025.01.016
Judith A. Beto PhD, RDN, FAND , Phillip Gleason PhD , Jeffrey E. Harris DrPH, RDN, LDN, FAND , Elizabeth Metallinos-Katsaras PhD, RD
Background
This article is part of a series of articles in the Journal of the Academy of Nutrition and Dietetics exploring the importance of research design, epidemiological methods, and statistical analysis as applied to nutrition and dietetics research. The purpose of this ongoing statistical portfolio is to assist Registered Dietitian Nutritionists (RDN) and Nutrition and Dietetic Technicians, Registered (NDTR) in interpreting nutrition research and applying scientific principles to produce high-quality data analysis. Advances in technology are promoting faster, easier, and often more diverse data collection and analysis. Consumers and practitioners alike are rapidly adopting electronic communication preferences (ie, telehealth, mobile applications, social media). This article, which accompanies the companion article on basic survey research, is an overview of electronic internet-mediated survey methodology for data collection and analysis in nutrition and dietetics research. Its purpose is to highlight the unique requirements in electronic planning and administration for surveys that builds on basic survey principles. This includes the effect of internet-mediated data methodology on an array of research parameters, including evaluation of software functions for the investigator and survey navigation issues for the participant. A Checklist for Reporting Electronic Survey Statistics (CRESS) is provided as a guide for data dissemination in nutrition and dietetics research.
{"title":"Electronic Survey Methodology for Data Collection and Analysis in Nutrition and Dietetics Research","authors":"Judith A. Beto PhD, RDN, FAND , Phillip Gleason PhD , Jeffrey E. Harris DrPH, RDN, LDN, FAND , Elizabeth Metallinos-Katsaras PhD, RD","doi":"10.1016/j.jand.2025.01.016","DOIUrl":"10.1016/j.jand.2025.01.016","url":null,"abstract":"<div><h3>Background</h3><div>This article is part of a series of articles in the <em>Journal of the Academy of Nutrition and Dietetics</em> exploring the importance of research design, epidemiological methods, and statistical analysis as applied to nutrition and dietetics research. The purpose of this ongoing statistical portfolio is to assist Registered Dietitian Nutritionists (RDN) and Nutrition and Dietetic Technicians, Registered (NDTR) in interpreting nutrition research and applying scientific principles to produce high-quality data analysis. Advances in technology are promoting faster, easier, and often more diverse data collection and analysis. Consumers and practitioners alike are rapidly adopting electronic communication preferences (ie, telehealth, mobile applications, social media). This article, which accompanies the companion article on basic survey research, is an overview of electronic internet-mediated survey methodology for data collection and analysis in nutrition and dietetics research. Its purpose is to highlight the unique requirements in electronic planning and administration for surveys that builds on basic survey principles. This includes the effect of internet-mediated data methodology on an array of research parameters, including evaluation of software functions for the investigator and survey navigation issues for the participant. A Checklist for Reporting Electronic Survey Statistics (CRESS) is provided as a guide for data dissemination in nutrition and dietetics research.</div></div>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 5","pages":"Pages 603-614"},"PeriodicalIF":3.5,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143073369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-28DOI: 10.1016/j.jand.2025.01.015
Susan Pac, Lyndsey R Huss, Joel C Hampton, Cheryl Callen, Alison L Eldridge
Background: The Food and Drug Administration's Closer to Zero Action Plan aims to reduce toxic element exposure from foods infants and toddlers eat. Rice has been identified as a source of inorganic arsenic in the diets of infants and toddlers.
Objective: Evaluate consumption of rice and rice-containing foods from the Feeding Infants and Toddlers Study (FITS) 2016.
Design: FITS was a national cross-sectional survey conducted in 2016. Dietary intakes were collected by trained nutritionists using multiple-pass 24-hour recalls by telephone with parents and caregivers of infants and toddlers.
Participants: Participants from FITS 2016 (n = 2635) are from a national sample weighted to be representative of US infants and toddlers 0-24 months of age.
Main outcome measures: Rice grain consumption among infants and toddlers and distribution of rice grain consumed was determined using 1-day intakes. Per capita mean grams rice/day from infant cereal was determined for infants aged 0-12 months.
Statistical analyses: Sources of rice were identified from 24-hour dietary recalls. A percentage of rice grain was assigned to each food source, and descriptive statistics were used to estimate intakes and distributions.
Results: Percentage consuming rice or rice-containing foods was highest for infants aged 6-11.9 months (58.2%), including snacks (32.1%), infant cereal (27.9%), baby food purees (11.1%), and cooked rice (7.7%). Among infants 6-11.9 months of age who consumed rice, mean intake of rice from all sources was 11.9 ± 0.8 g/d (mean ± standard error [SE]), and although most frequently reported, snacks provided the least quantity of rice (2.0 ± 0.2 g/d). For infants 0-11.9 months of age, mean per capita rice intake from infant cereal was 3.3 ± g/day.
Conclusions: Older infants consume rice from a variety of foods. Rice-containing snacks contribute minimal quantities of rice to the daily diet. To reduce exposure to inorganic arsenic, infants should be offered a variety of grains as part of a well-balanced diet.
{"title":"Rice Intake Among Infants and Toddlers from the Feeding Infants and Toddlers Study 2016.","authors":"Susan Pac, Lyndsey R Huss, Joel C Hampton, Cheryl Callen, Alison L Eldridge","doi":"10.1016/j.jand.2025.01.015","DOIUrl":"10.1016/j.jand.2025.01.015","url":null,"abstract":"<p><strong>Background: </strong>The Food and Drug Administration's Closer to Zero Action Plan aims to reduce toxic element exposure from foods infants and toddlers eat. Rice has been identified as a source of inorganic arsenic in the diets of infants and toddlers.</p><p><strong>Objective: </strong>Evaluate consumption of rice and rice-containing foods from the Feeding Infants and Toddlers Study (FITS) 2016.</p><p><strong>Design: </strong>FITS was a national cross-sectional survey conducted in 2016. Dietary intakes were collected by trained nutritionists using multiple-pass 24-hour recalls by telephone with parents and caregivers of infants and toddlers.</p><p><strong>Participants: </strong>Participants from FITS 2016 (n = 2635) are from a national sample weighted to be representative of US infants and toddlers 0-24 months of age.</p><p><strong>Main outcome measures: </strong>Rice grain consumption among infants and toddlers and distribution of rice grain consumed was determined using 1-day intakes. Per capita mean grams rice/day from infant cereal was determined for infants aged 0-12 months.</p><p><strong>Statistical analyses: </strong>Sources of rice were identified from 24-hour dietary recalls. A percentage of rice grain was assigned to each food source, and descriptive statistics were used to estimate intakes and distributions.</p><p><strong>Results: </strong>Percentage consuming rice or rice-containing foods was highest for infants aged 6-11.9 months (58.2%), including snacks (32.1%), infant cereal (27.9%), baby food purees (11.1%), and cooked rice (7.7%). Among infants 6-11.9 months of age who consumed rice, mean intake of rice from all sources was 11.9 ± 0.8 g/d (mean ± standard error [SE]), and although most frequently reported, snacks provided the least quantity of rice (2.0 ± 0.2 g/d). For infants 0-11.9 months of age, mean per capita rice intake from infant cereal was 3.3 ± g/day.</p><p><strong>Conclusions: </strong>Older infants consume rice from a variety of foods. Rice-containing snacks contribute minimal quantities of rice to the daily diet. To reduce exposure to inorganic arsenic, infants should be offered a variety of grains as part of a well-balanced diet.</p>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The dietetics profession is facing a shortage of registered dietitian nutritionists (RDNs) with a terminal degree. The need for doctoral-prepared RDNs was augmented with the entry-level RDN requiring a graduate degree and exacerbated by the number of retirees from the baby-boomer generation. Advanced practice doctoral (APD) programs can assist in meeting the increased need for doctoral-prepared RDNs. The Accreditation Council for Education in Nutrition and Dietetics Board established an Expanded Standards Committee to develop the APD academic accreditation standards, which included creating and validating doctoral-level competencies in dietetics practice. The development began with a review of the literature, including a review of advanced practice standards for nondietetic, health-related professional programs and professional-doctorate accreditation standards, and focus groups to investigate the perception and need. A rigorous, iterative, Delphi research process was used to develop the academic standards, competencies, and respective performance indicators. The iterative approach resulted in 8 validated standards with 14 competencies with 34 performance indicators for the academic accreditation APD standards. The APD standards define an advanced practice professional doctorate curriculum that is distinct from the entry-level graduate degree in clinical nutrition programs, as well as the research PhD, as it incorporates advanced didactic coursework, advanced practice residency, and applied practice-based research to achieve specific practice-based competencies. Academic accreditation at the doctoral level ensures quality programs that are educating RDNs who are competent at the advanced-practice level, enhancing not only professional practice, but also advancing research supporting practice, education, and leadership.
{"title":"Report on the Development of the Accreditation Council for Education in Nutrition and Dietetics’ Academic “Accreditation Standards for Advanced Practice Doctoral Education in Nutrition and Dietetics”","authors":"Leanne Worsfold MEd, RPN , Kendra Kattelmann PhD, RDN, LN, FAND , Cheryl Bacon PhD, RDN, LDN, FAND , Janet Bezner PhD, DPT, PT, FAPTA , Rebecca Brody PhD, RDN, LD, CNSC , Kristi Chipman DCN, MS, RDN, LD, FAND , Anne Davis PhD, MS, RDN, LDN, FAND , Corrine Hanson PhD, RDN, LMNT, FAND , Renee Hodgkins PhD, MLS(ASCP) , Lauren Atwell Housley PhD, RDN, LD , Swarna Mandali PhD, RDN, LD , Julie O’Sullivan-Maillet PhD, RDN , Gina Pazzaglia PhD, RDN , Jason Stevens DCN, RDN, LD , Leslie Van Horn DCN, RDN, LDN, FAND , Jody Vogelzang PhD, RDN, FADA, FAND, CHES , Lauri Wright PhD, RDN, FADA , Jane Ziegler DCN, RDN, LDN , Rayane AbuSabha PhD, RDN","doi":"10.1016/j.jand.2025.01.013","DOIUrl":"10.1016/j.jand.2025.01.013","url":null,"abstract":"<div><div>The dietetics profession is facing a shortage of registered dietitian nutritionists (RDNs) with a terminal degree. The need for doctoral-prepared RDNs was augmented with the entry-level RDN requiring a graduate degree and exacerbated by the number of retirees from the baby-boomer generation. Advanced practice doctoral (APD) programs can assist in meeting the increased need for doctoral-prepared RDNs. The Accreditation Council for Education in Nutrition and Dietetics Board established an Expanded Standards Committee to develop the APD academic accreditation standards, which included creating and validating doctoral-level competencies in dietetics practice. The development began with a review of the literature, including a review of advanced practice standards for nondietetic, health-related professional programs and professional-doctorate accreditation standards, and focus groups to investigate the perception and need. A rigorous, iterative, Delphi research process was used to develop the academic standards, competencies, and respective performance indicators. The iterative approach resulted in 8 validated standards with 14 competencies with 34 performance indicators for the academic accreditation APD standards. The APD standards define an advanced practice professional doctorate curriculum that is distinct from the entry-level graduate degree in clinical nutrition programs, as well as the research PhD, as it incorporates advanced didactic coursework, advanced practice residency, and applied practice-based research to achieve specific practice-based competencies. Academic accreditation at the doctoral level ensures quality programs that are educating RDNs who are competent at the advanced-practice level, enhancing not only professional practice, but also advancing research supporting practice, education, and leadership.</div></div>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 5","pages":"Pages 692-708.e15"},"PeriodicalIF":3.5,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-27DOI: 10.1016/j.jand.2025.01.014
Christopher E Anderson, Shannon E Whaley
Background: The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) provides benefits redeemable for select healthy foods, aligned with the 2020-2025 Dietary Guidelines for Americans, to support healthy diets among pregnant and postpartum women, and their children to age 5 years, living in low-income households. WIC benefits are often not fully redeemed, limiting nutritional benefits of participation.
Objective: The objective of this study was to assess the associations of WIC participant, caregiver, and household characteristics with WIC food benefit redemption.
Design: This was a longitudinal study using WIC administrative data.
Participants/setting: WIC participants served by a program in Southern California from November 2019 to June 2023 (n = 501 527 certification periods; n = 271 116 individuals) were included in this study.
Main outcome measures: Mean WIC benefit redemption percentage in certification periods in benefit categories (ie, cheese/tofu, eggs, breakfast cereal, legumes, canned fish, fruits and vegetables, infant foods [cereal, fruits and vegetables, meats, contract and therapeutic formula], whole grains/bread, yogurt, whole and reduced-fat milk, and 100% juice) and across all categories, continuous and interval-scaled in 10% increments was measured.
Statistical analysis: Multivariable quantile regression and generalized estimating equation ordinal logistic regression models were used to assess associations of WIC participant, caregiver, and household characteristics with median and interval-scaled redemption percentage, respectively, in each and across all categories.
Results: Redemption ranged from very low (infant meats, 5.4%) to very high (infant formula, 96.2%). Median redemption across all categories was 70.6%. Significantly lower redemption was observed for households of Black, White, and other race/ethnicity-language preference individuals (compared with households of Hispanic English-speaking individuals); households with caregivers with lower educational attainment; and households with at least 1 month without food benefits issued, participating in the Supplemental Nutrition Assistance Program, income <100% of the federal poverty level, ≤5 individuals, or only 1 WIC participant.
Conclusions: WIC benefits are used at different rates by WIC participant, caregiver, and household characteristics. Groups with lower redemption may need additional support in using benefits. Maximizing redemption might help all WIC participants derive the full positive nutritional impact of program participation.
{"title":"Household WIC Benefit Redemption Varies by Participant and Household Characteristics in Southern California.","authors":"Christopher E Anderson, Shannon E Whaley","doi":"10.1016/j.jand.2025.01.014","DOIUrl":"10.1016/j.jand.2025.01.014","url":null,"abstract":"<p><strong>Background: </strong>The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) provides benefits redeemable for select healthy foods, aligned with the 2020-2025 Dietary Guidelines for Americans, to support healthy diets among pregnant and postpartum women, and their children to age 5 years, living in low-income households. WIC benefits are often not fully redeemed, limiting nutritional benefits of participation.</p><p><strong>Objective: </strong>The objective of this study was to assess the associations of WIC participant, caregiver, and household characteristics with WIC food benefit redemption.</p><p><strong>Design: </strong>This was a longitudinal study using WIC administrative data.</p><p><strong>Participants/setting: </strong>WIC participants served by a program in Southern California from November 2019 to June 2023 (n = 501 527 certification periods; n = 271 116 individuals) were included in this study.</p><p><strong>Main outcome measures: </strong>Mean WIC benefit redemption percentage in certification periods in benefit categories (ie, cheese/tofu, eggs, breakfast cereal, legumes, canned fish, fruits and vegetables, infant foods [cereal, fruits and vegetables, meats, contract and therapeutic formula], whole grains/bread, yogurt, whole and reduced-fat milk, and 100% juice) and across all categories, continuous and interval-scaled in 10% increments was measured.</p><p><strong>Statistical analysis: </strong>Multivariable quantile regression and generalized estimating equation ordinal logistic regression models were used to assess associations of WIC participant, caregiver, and household characteristics with median and interval-scaled redemption percentage, respectively, in each and across all categories.</p><p><strong>Results: </strong>Redemption ranged from very low (infant meats, 5.4%) to very high (infant formula, 96.2%). Median redemption across all categories was 70.6%. Significantly lower redemption was observed for households of Black, White, and other race/ethnicity-language preference individuals (compared with households of Hispanic English-speaking individuals); households with caregivers with lower educational attainment; and households with at least 1 month without food benefits issued, participating in the Supplemental Nutrition Assistance Program, income <100% of the federal poverty level, ≤5 individuals, or only 1 WIC participant.</p><p><strong>Conclusions: </strong>WIC benefits are used at different rates by WIC participant, caregiver, and household characteristics. Groups with lower redemption may need additional support in using benefits. Maximizing redemption might help all WIC participants derive the full positive nutritional impact of program participation.</p>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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