Journal of the Academy of Nutrition and Dietetics

BACKGROUND: While previous research has attempted to understand the barriers and enablers of oral intake in hospitalized patients, these studies have mainly focused on short-stay inpatients and lacked a theory-driven examination of the determinants that influence dietary behavior in the hospital. OBJECTIVE: To explore and compare the factors influencing adequate and poor oral intake in long-stay acute patients (admitted >14 days). DESIGN: A qualitative descriptive study with semi-structured interviews...

BACKGROUND: Numerous studies have examined the association between neuroprotective diets and cognitive function during aging, however, these studies have produced divergent findings. Some studies find greater adherence to these dietary patterns is associated with preserved cognition while others find no effect. OBJECTIVE: The aim of this study was to examine the association of the Mediterranean, the Dietary Approach to Stop Hypertension (DASH), and Mediterranean-DASH Intervention for Neurodegeneration Delay (MIND) dietary patterns with global cognition over four waves of data from the Health and Retirement Study (HRS), a longitudinal panel study conducted at the University of Michigan...

BACKGROUND: Registered Dietitian Nutritionists (RDNs) are important members of interprofessional (IP) healthcare teams; yet, there is limited research of RDN perspectives of IP teams. OBJECTIVE: To examine associations between the characteristics of RDNs and their attitudes of team-based care (TBC). DESIGN: A cross-sectional electronic Qualtrics survey encompassing demographic questions, the Attitudes Toward Interdisciplinary Healthcare Teams scale (ATIHCT), and additional interprofessional-related items was distributed to RDNs in January 2020...

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 was comprised of 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 utilize 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...

BACKGROUND: The relationships between diet quality and healthcare costs have not been explored beyond 15-years. OBJECTIVE: To investigate relationships between both baseline diet quality and change in diet quality over time with cumulative data on healthcare claims and costs over 21-years among Australian Women. DESIGN: This is a secondary analysis of data from a cohort study, the Australian Longitudinal Study on Women's Health. PARTICIPANTS/SETTING: Data for women born 1946-51 included diet quality data at baseline (2001, n=8,228), change in diet quality (2001-2013, n=6,553) and cumulative administrative healthcare data (2001-2021)...

BACKGROUND: Privilege (defined as the unearned advantage or disadvantage experienced by social groups resulting from structural power differences), impacts efforts to create a diverse and inclusive dietetics profession. Yet, no current measures exist to assess and observe privilege and the relative privilege among dietetic professionals is unknown. OBJECTIVE: The purpose of this study was to develop and validate a scale to measure dietetics profession privilege and to use that scale to assess privilege among a sample of dietetic professionals in the United States...

BACKGROUND: Home food availability has been identified as an important influence on dietary intake. Less is known about the relationship between the physical home food environment (HFE) and factors of cardiometabolic health in children. OBJECTIVE: The purpose was to explore the relationship between the physical HFE and diet quality and factors of cardiometabolic health (weight, blood biomarkers). DESIGN: This was a cross-sectional secondary analysis with one or more children per household...

BACKGROUND: Evidence is lacking to inform how micronutrient deficiencies should be prevented and treated before metabolic-bariatric surgery to optimize patient outcomes. OBJECTIVE: This systematic review aimed to examine the effect of preoperative repletion strategies for micronutrient deficiencies on micronutrient biochemistry, quality of life, and complication rates among candidates for metabolic and bariatric surgery, compared to usual care, alternate strategies, or no treatment...

No abstract text is available yet for this article.

BACKGROUND: The evidence-based nutrition standards of the Healthy, Hunger-Free Kids Act (HHFKA) of 2010 significantly improved school meal nutrition, yet little is known about how school food authorities (SFAs) were supported to translate the standards into practice in schools. OBJECTIVE: This study tested whether two implementation supports, SFA receipt of training/technical assistance (TA) and purchase of new equipment, for implementing the nutrition standards were associated with the nutritional quality of school lunches...

No abstract text is available yet for this article.

BACKGROUND: Child diet can impact risk for obesity and other related noncommunicable diseases. Few studies have used the Healthy Eating Index (HEI)-Toddlers-2020 to assess diet quality among toddlers (children aged 12-23.9 months). OBJECTIVE: The aim of this study was to examine diet quality among toddlers participating in the Feeding Infants and Toddlers Study (FITS), 2016 and determine differences by sociodemographic characteristics. Caregiver perception of how their toddler's diet aligns with HEI-Toddlers-2020 diet quality scores was also assessed...

BACKGROUND: Depression is a common mental health disorder. OBJECTIVE: The objective of this study was to explore the association between diet quality, as measured by the Healthy Eating Index (HEI-2020), and depression symptoms among US adolescents and young adults, 12-29 years. DESIGN: The study design was a cross sectional secondary data analysis. PARTICIPANTS: Data from the first 24-hour dietary recall for adolescents and young adults 12-29 years in the National Health and Nutrition Examination Survey 2015-March 2020 (n=4750) were analyzed...

BACKGROUND: Limited access to healthy foods in low-income, minority communities has been proposed as a critical factor contributing to health disparities. One policy option for improving access is to introduce supermarkets in low-income communities, but evidence increasingly points to null effects. OBJECTIVE: The aim of this study was to examine whether the introduction of a new supermarket in a public housing community, and proximity to it, were associated with improvements in residents' dietary outcomes...

BACKGROUND: More data are needed to guide evidence-based, inpatient registered dietitian nutritionist (RDN) staffing models. OBJECTIVE: Identify relationships between: 1) patient malnutrition risk or intervention categories and estimated total RDN care time ("care time"); and 2) care time and emergency department (ED) visits. DESIGN: Prospective cohort study with data collection via RDN surveys, patient interviews and medical record review...

No abstract text is available yet for this article.

BACKGROUND: The 2020-2025 Dietary Guidelines for Americans (DGA) includes a lacto-ovo vegetarian pattern (the Healthy Vegetarian Dietary Pattern; HVDP) as one recommended dietary patterns during pregnancy. OBJECTIVE: To adapt the HVDP for vegan, ovo-vegetarian, lacto-vegetarian, and pescatarian diets during pregnancy. DESIGN: Using food pattern modeling, four adaptations of the HVDP were developed at energy levels that may be appropriate during pregnancy (1800, 2000, 2200, 2400, and 2600 kcal/day)...

BACKGROUND: In the aftermath of the COVID-19 public health emergency, it is important to understand the extent of socioeconomic burdens of long COVID, defined as continuation of symptoms after initial infection, including food insecurity. OBJECTIVE: This study aimed to assess the association between long COVID and family food insecurity among low-income individuals (or any of their family members living with them) who were participants and non-participants of public food assistance programs (SNAP, WIC, and NSLP) in the United States...

BACKGROUND: Little is known about text messaging's impact on child retention in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC). OBJECTIVE: This study aimed to evaluate the impact of WICBuzz, a WIC agency drip marketing texting campaign, on retention and participation compared to a comparison WIC agency and to assess WIC participants' perceptions of the campaign's added value. DESIGN: A quasi-experimental design, with pre- and post-implementation measurement, was used to compare innovation and comparison groups' outcomes...

No abstract text is available yet for this article.