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Nutrition Journal Dec 2017Community-based intervention studies that aim at developing cooking skills have increased in the scientific literature and are related to healthier food practices.... (Randomized Controlled Trial)
Randomized Controlled Trial
BACKGROUND
Community-based intervention studies that aim at developing cooking skills have increased in the scientific literature and are related to healthier food practices. However, methodological limitations are observed and only a few studies have university students as the target. The university entrance period has been related to negative changes in eating habits among young people and it represents an important period for developing interventions for health promotion. This study describes the study protocol and the evaluation framework for the Nutrition and Culinary in the Kitchen program. This program aims to develop cooking skills in university students, and is based on the Cooking with a Chef program in the United States.
METHODS
This ongoing, randomized controlled intervention was designed with a six month follow-up study. The intervention consisted of three-hour weekly classes during a six week period with printed materials provided. Five of the classes were hands-on cooking and one was a tour to a popular food market. There were eight primary outcome measures: changes in relation to i) accessibility and availability of fruits and vegetables; ii) cooking attitudes; iii) cooking behaviors at home; iv) cooking behaviors away from home; v) produce consumption self-efficacy; vi) self-efficacy for using basic cooking techniques; vii) self-efficacy for using fruits, vegetables, and seasonings (while cooking); and viii) knowledge of cooking terms and techniques. Secondary outcomes included changes in body mass index and in personal characteristics related to cooking. Repeated measures were collected through the application of an online self-completed survey, at baseline, after intervention and six months after intervention. A sample of 80 university students (40: intervention group; 40: control group) was estimated to detect a mean change of 1.5 points in cooking knowledge, with study power of 80%, and 95% level of confidence, plus 20% for random losses and 10% for confounding factors. The control group participants have continued with their usual activities. Data analyses will evaluate the intervention effect on changes in outcomes within and between groups, as well as explore relations with personal characteristics.
DISCUSSION
This method provides new evidence about whether or not a culinary intervention targeting university students has an impact on the improvement of cooking skills and healthy eating practices.
TRIAL REGISTRATION
Brazilian Clinical Trials Registry - RBR-8nwxh5 ( http://www.ensaiosclinicos.gov.br/rg/RBR-8nwxh5/ ).
Topics: Brazil; Cooking; Diet, Healthy; Dietetics; Feeding Behavior; Food; Fruit; Health Education; Health Knowledge, Attitudes, Practice; Health Promotion; Humans; Nutritional Physiological Phenomena; Nutritional Sciences; Students; Universities; Vegetables
PubMed: 29262811
DOI: 10.1186/s12937-017-0305-y -
Journal of Human Nutrition and... Feb 2023Despite increased awareness of diet and nutrition being integral to the management of patients with inflammatory bowel disease (IBD), there are gaps in the knowledge of...
BACKGROUND
Despite increased awareness of diet and nutrition being integral to the management of patients with inflammatory bowel disease (IBD), there are gaps in the knowledge of IBD healthcare providers regarding nutrition. Furthermore, high quality evidence on nutritional assessment and dietary management of IBD is limited. A Delphi consensus from a panel of experts allows for best-practice guidelines to be developed, especially where high quality evidence is limited. The aim was to develop guidelines for the nutritional assessment and dietary management of IBD using an eDelphi online consensus agreement platform.
METHODS
Seventeen research topics related to IBD and nutrition were systematically reviewed. Searches in Cochrane, Embase®, Medline® and Scopus® electronic databases were performed. GRADE was used to develop recommendations. Experts from the IBD community (healthcare professionals and patients with IBD) were invited to vote anonymously on the recommendations in a custom-built online platform. Three rounds of voting were carried out with updated iterations of the recommendations and evaluative text based on feedback from the previous round.
RESULTS
From 23,824 non-duplicated papers, 167 were critically appraised. Fifty-five participants completed three rounds of voting and 14 GRADE statements and 42 practice statements achieved 80% consensus. Comprehensive guidance related to nutrition assessment, nutrition screening and dietary management is provided.
CONCLUSIONS
Guidelines on the nutritional assessment and dietary management of IBD have been developed using evidence-based consensus to improve equality of care. The statements and practice statements developed demonstrate the level of agreement and the quality and strength of the guidelines.
Topics: Humans; Nutrition Assessment; Dietetics; Inflammatory Bowel Diseases; Diet; Delivery of Health Care
PubMed: 35735908
DOI: 10.1111/jhn.13054 -
Nutrients Feb 2024Obesity results from interactions between environmental factors, lifestyle, and genetics. In this scenario, nutritional genomics and nutrigenetic tests stand out, with... (Review)
Review
Obesity results from interactions between environmental factors, lifestyle, and genetics. In this scenario, nutritional genomics and nutrigenetic tests stand out, with the promise of helping patients avoid or treat obesity. This narrative review investigates whether nutrigenetic tests may help to prevent or treat obesity. Scientific studies in PubMed Science Direct were reviewed, focusing on using nutrigenetic tests in obesity. The work showed that few studies address the use of tools in obesity. However, most of the studies listed reported their beneficial effects in weight loss. Ethical conflicts were also discussed, as in most countries, there are no regulations to standardize these tools, and there needs to be more scientific knowledge for health professionals who interpret them. International Societies, such as the Academy of Nutrition and Dietetics and the Brazilian Association for the Study of Obesity and Metabolic Syndrome, do not recommend nutrigenetic tests to prevent or treat obesity, especially in isolation. Advancing nutrigenetics depends on strengthening three pillars: regulation between countries, scientific evidence with clinical validity, and professional training.
Topics: Humans; Nutrigenomics; Nutritional Status; Obesity; Dietetics; Brazil
PubMed: 38474735
DOI: 10.3390/nu16050607 -
Nutricion Hospitalaria Jul 2019
Topics: Dietetics; Food Preferences; Humans; Nutritive Value; Spain
PubMed: 31232579
DOI: 10.20960/nh.02684 -
Canadian Journal of Dietetic Practice... Jun 2020
Topics: Administrative Personnel; Canada; Dietetics; Publishing
PubMed: 32425126
DOI: 10.3148/cjdpr-2020-019 -
Canadian Journal of Dietetic Practice... Sep 2019
Topics: Biomedical Research; Dietetics; Humans; Statistics as Topic
PubMed: 31414625
DOI: 10.3148/cjdpr-2019-020 -
Canadian Journal of Dietetic Practice... Jun 2018
Topics: Awareness; Culturally Competent Care; Culture; Dietetics; Humans; Quality of Health Care; Sexual and Gender Minorities
PubMed: 29766743
DOI: 10.3148/cjdpr-2018-015 -
Canadian Journal of Dietetic Practice... Sep 2014
Topics: Canada; Congresses as Topic; Dietetics; Evidence-Based Medicine; Humans; Interdisciplinary Communication; Nutrition Policy; Nutritionists; Patient Compliance; Professional Role; Workforce
PubMed: 26066813
DOI: 10.3148/cjdpr-2014-016 -
Canadian Journal of Dietetic Practice... Dec 2023Many Canadian universities have committed to becoming more accountable to Indigenous Peoples by confronting the systemic, historical, and ongoing colonialism and...
Many Canadian universities have committed to becoming more accountable to Indigenous Peoples by confronting the systemic, historical, and ongoing colonialism and anti-Indigenous racism that shape their campuses. In this Perspective in Practice piece, we invite the field of dietetics to consider how colonialism has shaped dietetics research, teaching, and practice. We also consider how we might transform the field of dietetics in ways that accept settler responsibility for interrupting racism and colonial harm; support the resurgence of Indigenous food and health practices; and recognise the connections between struggles to ensure that Indigenous Peoples can access culturally appropriate food and health care, and struggles for Indigenous sovereignty and self-determination. We do this by reviewing the history of the dietetics field, examining critical responses to existing Indigenisation and decolonisation efforts, and reflecting on recent changes to required dietetics competencies. We argue that curricula in dietetics programmes must teach the history of the colonial food system and equip students to identify and interrupt the individual and institutional colonial dynamics that contribute to the ongoing dispossession of Indigenous Peoples' lands and food sources and negatively impact Indigenous patients.
Topics: Humans; Canada; Dietetics; Colonialism; Curriculum; Racism
PubMed: 37737126
DOI: 10.3148/cjdpr-2023-017 -
Patient Education and Counseling Jul 2022The aim of this scoping review was to identify and map available evidence concerning counseling strategies that contribute to effective DC. (Review)
Review
OBJECTIVE
The aim of this scoping review was to identify and map available evidence concerning counseling strategies that contribute to effective DC.
METHODS
Following the PRISMA SCR-Scoping Reviews Statement and Checklist, a systematic search in electronic databases was performed in March 2020.
RESULTS
Synthesis of recurring themes in the 28 included studies revealed seven core counseling strategies that effectively contribute to DC: 1) connecting to motivation, 2) tailoring the modality of DC, 3) providing recurring feedback, 4) using integrated dietetic support tools, 5) showing empathy, 6) including clients' preferences, wishes, and expectations during decision-making, and 7) dietitians having high self-efficacy.
CONCLUSIONS
Multiple counseling strategies contributing to effective DC have been identified and mapped. The counseling strategies identified seem to interrelate, and their conceived interrelatedness reveals that strategies can both compliment or contrast each other. Therefore, advancing effective DC requires further development towards an integrated approach to DC that includes combinations of strategies that form a unified whole.
PRACTICAL IMPLICATIONS
Insights from this scoping review provide a foundation for dietitians to effectively carry out DC and serve as a starting point to further work towards effective DC.
Topics: Counseling; Dietetics; Humans; Nutritionists
PubMed: 34953620
DOI: 10.1016/j.pec.2021.12.011