Pub Date : 2021-07-01DOI: 10.1097/tin.0000000000000253
J. Kiranmai, S. Mohanty
{"title":"From the Editor's Desk","authors":"J. Kiranmai, S. Mohanty","doi":"10.1097/tin.0000000000000253","DOIUrl":"https://doi.org/10.1097/tin.0000000000000253","url":null,"abstract":"","PeriodicalId":48681,"journal":{"name":"Topics in Clinical Nutrition","volume":"1 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44990788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-01DOI: 10.1097/TIN.0000000000000247
Galia Sheffer-Hilel, A. Drach‐Zahavy, Hadass Goldblatt, R. Endevelt
Dietetics has recently begun implementing the nutrition-focused physical examination, based on a physical examination of oral health. This qualitative study, interviewing 18 dietitians, examined how dietitians experience and cope with this change. Inductive thematic analysis revealed that dietitians experienced the change as either a threat or a challenge, as well as stemming from within or outside the profession. Dietitians' preferred coping strategies that derive from their personal experiences. Managers are recommended to develop coaching programs for dietitians to help them perceive the change as a challenge, focus on the opportunity for mastery, and gain skills to lead the interdisciplinary team.
{"title":"Dietitians' Change in Practice","authors":"Galia Sheffer-Hilel, A. Drach‐Zahavy, Hadass Goldblatt, R. Endevelt","doi":"10.1097/TIN.0000000000000247","DOIUrl":"https://doi.org/10.1097/TIN.0000000000000247","url":null,"abstract":"Dietetics has recently begun implementing the nutrition-focused physical examination, based on a physical examination of oral health. This qualitative study, interviewing 18 dietitians, examined how dietitians experience and cope with this change. Inductive thematic analysis revealed that dietitians experienced the change as either a threat or a challenge, as well as stemming from within or outside the profession. Dietitians' preferred coping strategies that derive from their personal experiences. Managers are recommended to develop coaching programs for dietitians to help them perceive the change as a challenge, focus on the opportunity for mastery, and gain skills to lead the interdisciplinary team.","PeriodicalId":48681,"journal":{"name":"Topics in Clinical Nutrition","volume":"36 1","pages":"189 - 201"},"PeriodicalIF":0.5,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45594507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-01DOI: 10.1097/TIN.0000000000000245
D. Whitcombe, Denise Ragland, C. Gauss, A. Tappe, Nafisa K. Dajani
Diabetes is the most common metabolic dysfunction in pregnancy. The objective of this study was to assess the effectiveness of diabetes knowledge using various educational interventions, including Web-based, traditional in-person class, and a combination of Web-based and in-person education. A quasi-experimental nonequivalent control group pre/posttest design was utilized to assess diabetes and nutrition-related knowledge. There was no statistical difference found among the 3 interventions regarding the mean difference in pretest and posttest scores (P > .05). However, there was a statistically significant mean change in pretest and posttest scores for each intervention group (P < .05), indicating an improvement in nutrition knowledge in each group.
{"title":"An Assessment of Nutrition Education Interventions in Pregnancy Complicated by Diabetes","authors":"D. Whitcombe, Denise Ragland, C. Gauss, A. Tappe, Nafisa K. Dajani","doi":"10.1097/TIN.0000000000000245","DOIUrl":"https://doi.org/10.1097/TIN.0000000000000245","url":null,"abstract":"Diabetes is the most common metabolic dysfunction in pregnancy. The objective of this study was to assess the effectiveness of diabetes knowledge using various educational interventions, including Web-based, traditional in-person class, and a combination of Web-based and in-person education. A quasi-experimental nonequivalent control group pre/posttest design was utilized to assess diabetes and nutrition-related knowledge. There was no statistical difference found among the 3 interventions regarding the mean difference in pretest and posttest scores (P > .05). However, there was a statistically significant mean change in pretest and posttest scores for each intervention group (P < .05), indicating an improvement in nutrition knowledge in each group.","PeriodicalId":48681,"journal":{"name":"Topics in Clinical Nutrition","volume":"36 1","pages":"128 - 136"},"PeriodicalIF":0.5,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43018215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-01DOI: 10.1097/TIN.0000000000000238
J. Balasubramaniam, S. Hewlings
Despite interventions such as the Dietary Approaches to Stop Hypertension (DASH), hypertension remains prevalent. This systematic review assesses the efficacy of the DASH diet in lowering blood pressure among hypertensive adults. PubMed and Google Scholar were searched for original research trials on the DASH diet published between 2014 and 2019. Randomized trials and secondary analyses of adult subjects 18 years and older with prehypertension and hypertension but with no associated medical illnesses and not following any specific diet or exercise were included. Eight studies were eligible and had a low risk of bias. The DASH diet has the potential to lower blood pressure with enhanced effect when combined with reduced sodium, weight loss, and exercise. Although the DASH diet is an efficacious strategy for managing hypertension, further studies should address poor adherence.
{"title":"A Systematic Review of the Efficacy of DASH Diet in Lowering Blood Pressure Among Hypertensive Adults","authors":"J. Balasubramaniam, S. Hewlings","doi":"10.1097/TIN.0000000000000238","DOIUrl":"https://doi.org/10.1097/TIN.0000000000000238","url":null,"abstract":"Despite interventions such as the Dietary Approaches to Stop Hypertension (DASH), hypertension remains prevalent. This systematic review assesses the efficacy of the DASH diet in lowering blood pressure among hypertensive adults. PubMed and Google Scholar were searched for original research trials on the DASH diet published between 2014 and 2019. Randomized trials and secondary analyses of adult subjects 18 years and older with prehypertension and hypertension but with no associated medical illnesses and not following any specific diet or exercise were included. Eight studies were eligible and had a low risk of bias. The DASH diet has the potential to lower blood pressure with enhanced effect when combined with reduced sodium, weight loss, and exercise. Although the DASH diet is an efficacious strategy for managing hypertension, further studies should address poor adherence.","PeriodicalId":48681,"journal":{"name":"Topics in Clinical Nutrition","volume":"36 1","pages":"158 - 176"},"PeriodicalIF":0.5,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41679101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-01DOI: 10.1097/TIN.0000000000000243
Ulla Bach Laursen, A. M. Joensen, M. N. Johansen, K. Overvad, M. Larsen
We explored the longitudinal changes in and maintenance of specific food groups among patients with ischemic heart disease who were following a cardiac rehabilitation program. We measured dietary intake of 19 food groups with a validated self-administered food frequency questionnaire before rehabilitation, postrehabilitation, and 6 months after baseline. A total of 186 participants provided data at baseline and postrehabilitation and 157 participants after 6 months. We identified a trend that the quality of most foods was improved and more heart-healthy foods were consumed in patients. Improvements were maintained after 6 months.
{"title":"Heart-Healthy Dietary Intake Improved and Maintained 6 Months After Participation in a Cardiac Rehabilitation Program","authors":"Ulla Bach Laursen, A. M. Joensen, M. N. Johansen, K. Overvad, M. Larsen","doi":"10.1097/TIN.0000000000000243","DOIUrl":"https://doi.org/10.1097/TIN.0000000000000243","url":null,"abstract":"We explored the longitudinal changes in and maintenance of specific food groups among patients with ischemic heart disease who were following a cardiac rehabilitation program. We measured dietary intake of 19 food groups with a validated self-administered food frequency questionnaire before rehabilitation, postrehabilitation, and 6 months after baseline. A total of 186 participants provided data at baseline and postrehabilitation and 157 participants after 6 months. We identified a trend that the quality of most foods was improved and more heart-healthy foods were consumed in patients. Improvements were maintained after 6 months.","PeriodicalId":48681,"journal":{"name":"Topics in Clinical Nutrition","volume":"36 1","pages":"100 - 111"},"PeriodicalIF":0.5,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48045748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-01DOI: 10.1097/TIN.0000000000000239
Volkan Özen, Aylin Aydın Sayılan, M. Turkoglu, D. Mut, Samet Sayılan, C. Sousa, Nurten Özen
Underfeeding is prevalent in intensive care unit (ICU) patients receiving enteral nutrition (EN). This study aimed to investigate whether ICU patients were fed adequately on the third day of EN. One hundred ten patients who were hospitalized in the 3 mixed ICUs were evaluated for nutrition adequacy. Patient nutritional status was monitored by a nutrition support team. Nutrition provision was found to be adequate in 95.5% (n = 105) and inadequate in 4.5% (n = 5) of patients. A multidisciplinary approach should be employed to ensure that patients receive maximum benefit from EN.
{"title":"Are Intensive Care Unit Patients Undergoing Enteral Nutrition Therapy Sufficiently Fed? A Prospective, Descriptive Study","authors":"Volkan Özen, Aylin Aydın Sayılan, M. Turkoglu, D. Mut, Samet Sayılan, C. Sousa, Nurten Özen","doi":"10.1097/TIN.0000000000000239","DOIUrl":"https://doi.org/10.1097/TIN.0000000000000239","url":null,"abstract":"Underfeeding is prevalent in intensive care unit (ICU) patients receiving enteral nutrition (EN). This study aimed to investigate whether ICU patients were fed adequately on the third day of EN. One hundred ten patients who were hospitalized in the 3 mixed ICUs were evaluated for nutrition adequacy. Patient nutritional status was monitored by a nutrition support team. Nutrition provision was found to be adequate in 95.5% (n = 105) and inadequate in 4.5% (n = 5) of patients. A multidisciplinary approach should be employed to ensure that patients receive maximum benefit from EN.","PeriodicalId":48681,"journal":{"name":"Topics in Clinical Nutrition","volume":"36 1","pages":"119 - 127"},"PeriodicalIF":0.5,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42667762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-01DOI: 10.1097/TIN.0000000000000241
Justine Zozula, Perry Smizer, K. Prelack
Supplemental Digital Content is Available in the Text. Telehealth is rapidly being incorporated into the health care field to improve and supplement health care processes; however, limited studies of telehealth use in dietetic practice exist. Participants of this qualitative cross-sectional study were 196 practicing registered dietitian nutritionists throughout the United States who determined how telehealth, prior to COVID-19, was being used in dietetics, what the benefits and barriers of telehealth are, and the perceptions of current registered dietitian nutritionists regarding future use.
{"title":"Telehealth in Dietetic Practice","authors":"Justine Zozula, Perry Smizer, K. Prelack","doi":"10.1097/TIN.0000000000000241","DOIUrl":"https://doi.org/10.1097/TIN.0000000000000241","url":null,"abstract":"Supplemental Digital Content is Available in the Text. Telehealth is rapidly being incorporated into the health care field to improve and supplement health care processes; however, limited studies of telehealth use in dietetic practice exist. Participants of this qualitative cross-sectional study were 196 practicing registered dietitian nutritionists throughout the United States who determined how telehealth, prior to COVID-19, was being used in dietetics, what the benefits and barriers of telehealth are, and the perceptions of current registered dietitian nutritionists regarding future use.","PeriodicalId":48681,"journal":{"name":"Topics in Clinical Nutrition","volume":"36 1","pages":"137 - 146"},"PeriodicalIF":0.5,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45966735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-01DOI: 10.1097/TIN.0000000000000237
P. S. Yeo, C. Boey, S. Lim, Hazreen Abdul Majid
Nutrition screening in pediatric hospitals is not a common practice in many countries. This study validated the 3-Minute Nutrition Screening-Paediatric (Paediatric 3-MinNS) with Screening Tool for the Assessment of Malnutrition in Paediatrics (STAMP), anthropometric measures, biochemical parameters, and dietary assessment. This cross-sectional study included 165 patients aged 2 to 12 years admitted as pediatric patients to the University Malaya Medical Centre. The tool identified 26.1% of patients as being at high risk of malnutrition. The findings suggest that Paediatric 3-MinNS offers a valid and reliable screening tool for early recognition of children at risk of malnutrition.
{"title":"Validation of 3-Minute Nutrition Screening-Paediatric (Paediatric 3-MinNS) for Hospitalized Children","authors":"P. S. Yeo, C. Boey, S. Lim, Hazreen Abdul Majid","doi":"10.1097/TIN.0000000000000237","DOIUrl":"https://doi.org/10.1097/TIN.0000000000000237","url":null,"abstract":"Nutrition screening in pediatric hospitals is not a common practice in many countries. This study validated the 3-Minute Nutrition Screening-Paediatric (Paediatric 3-MinNS) with Screening Tool for the Assessment of Malnutrition in Paediatrics (STAMP), anthropometric measures, biochemical parameters, and dietary assessment. This cross-sectional study included 165 patients aged 2 to 12 years admitted as pediatric patients to the University Malaya Medical Centre. The tool identified 26.1% of patients as being at high risk of malnutrition. The findings suggest that Paediatric 3-MinNS offers a valid and reliable screening tool for early recognition of children at risk of malnutrition.","PeriodicalId":48681,"journal":{"name":"Topics in Clinical Nutrition","volume":"36 1","pages":"93 - 99"},"PeriodicalIF":0.5,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43824905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-01DOI: 10.1097/TIN.0000000000000244
T. Serna, Grace Q. Zheng, R. Hand
Critical thinking is essential for registered dietitian nutritionists (RDNs) to obtain and interpret data within the Nutrition Care Process Model, but critical thinking dispositions and skills have not been quantified previously in RDNs. This cross-sectional study used validated tools to describe critical thinking dispositions and skills of 78 RDNs. Results suggest that RDNs have relatively strong critical thinking skills but the study did not reach adequate power to make planned comparisons of critical thinking based on participant personal or professional characteristics. This study raises awareness of critical thinking definition and measurement to encourage additional participation in future research on this topic.
{"title":"Describing Critical Thinking Dispositions and Skills Among Registered Dietitian Nutritionists","authors":"T. Serna, Grace Q. Zheng, R. Hand","doi":"10.1097/TIN.0000000000000244","DOIUrl":"https://doi.org/10.1097/TIN.0000000000000244","url":null,"abstract":"Critical thinking is essential for registered dietitian nutritionists (RDNs) to obtain and interpret data within the Nutrition Care Process Model, but critical thinking dispositions and skills have not been quantified previously in RDNs. This cross-sectional study used validated tools to describe critical thinking dispositions and skills of 78 RDNs. Results suggest that RDNs have relatively strong critical thinking skills but the study did not reach adequate power to make planned comparisons of critical thinking based on participant personal or professional characteristics. This study raises awareness of critical thinking definition and measurement to encourage additional participation in future research on this topic.","PeriodicalId":48681,"journal":{"name":"Topics in Clinical Nutrition","volume":"36 1","pages":"147 - 157"},"PeriodicalIF":0.5,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44150686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-01DOI: 10.1097/TIN.0000000000000240
Kihou Nunokawa, Nagisa Tokairin, Kasumi Homma, T. Nagai
The goal of this study was to evaluate the effect of food odors on subjective degree of appetite in patients on a convalescent rehabilitation ward. The degree of subjective appetite for sauce and curry odor samples was significantly stronger than that for the odorless sample. But the evoked intensity of subjective appetite did not differ between the 2 groups, and none of the samples affected the degree of perceived favorability. These results suggested that sauce and curry odors can enhance the appetite and food consumption of patients in convalescent rehabilitation wards.
{"title":"Effect of Food Odors on Subjective Degree of Appetite Among Patients Undergoing Convalescent Rehabilitation","authors":"Kihou Nunokawa, Nagisa Tokairin, Kasumi Homma, T. Nagai","doi":"10.1097/TIN.0000000000000240","DOIUrl":"https://doi.org/10.1097/TIN.0000000000000240","url":null,"abstract":"The goal of this study was to evaluate the effect of food odors on subjective degree of appetite in patients on a convalescent rehabilitation ward. The degree of subjective appetite for sauce and curry odor samples was significantly stronger than that for the odorless sample. But the evoked intensity of subjective appetite did not differ between the 2 groups, and none of the samples affected the degree of perceived favorability. These results suggested that sauce and curry odors can enhance the appetite and food consumption of patients in convalescent rehabilitation wards.","PeriodicalId":48681,"journal":{"name":"Topics in Clinical Nutrition","volume":"36 1","pages":"112 - 118"},"PeriodicalIF":0.5,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47886584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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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