A Deficiency of Nutrition Education and Practice in Cardiology

Devries, Stephen; Agatston, Arthur; Aggarwal, Monica; Aspry, Karen; Esselstyn, Caldwell B.; Kris-Etherton, Penny M.; Miller, Michael; O’Keefe, James H.; Ros, Emilio; Rzeszut, Anne; White, Beth; Williams, Kim A.; Freeman, Andrew M.

doi:10.1016/j.amjmed.2017.04.043

Cited by 83 publications

(58 citation statements)

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“…As a consequence, physicians often lack the necessary knowledge, skills and confidence to counsel their patients effectively 6. For example, a survey among cardiologists showed that 90% reported that they did not receive adequate nutrition education during fellowship, even though 95% believed that their role includes providing patients with at least basic nutrition information 7…”

Section: Introductionmentioning

confidence: 99%

Impact of nutrition education on nutritional knowledge and intentions towards nutritional counselling in Dutch medical students: an intervention study

2020

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ObjectiveManagement of diet-related chronic diseases may benefit from improved nutrition education of medical students. This study aims to investigate the effects of a nutrition education course on nutritional knowledge and intentions towards nutritional counselling in Dutch medical students.DesignThis is a pre–post intervention study with a comparison group. Participants completed self-reported questionnaires on nutritional knowledge and intentions towards nutritional counselling.ParticipantsIn total, 118 medical students (64.4% undergraduate, 73.2% women) were recruited from two medical schools in the Netherlands (n=66 intervention group, n=52 comparison group).InterventionThe intervention group completed a 25-hour course in nutritional counselling (the Students Experienced in Lifestyle and Food (SELF) course) in addition to the standard medical curriculum. The comparison group followed the standard medical curriculum.Outcome measuresSelf-reported nutritional knowledge and intentions towards nutritional counselling, including attitude, self-efficacy and social support.ResultsNutritional knowledge (B: 2.42, 95% CI 1.81 to 3.02), attitude in men (B: 0.50, 95% CI 0.13 to 0.87) and self-efficacy (B: 0.78, 95% CI 0.62 to 0.95) significantly increased in the intervention group compared with the comparison group. No significant differences were found for social support (B: 0.20, 95% CI −0.02 to 0.43) and attitude in women (B: 0.08, 95% CI −0.24 to 0.31) between the two groups.ConclusionsThe SELF course increased medical students’ nutritional knowledge and stimulated their intentions towards nutritional counselling. Future research is needed to evaluate the long-term impact of nutrition education interventions on physician practice patterns and patient outcomes.

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Section: Introductionmentioning

confidence: 99%

Impact of nutrition education on nutritional knowledge and intentions towards nutritional counselling in Dutch medical students: an intervention study

2020

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“…In a recent survey of North American cardiologists, 90% reported receiving no or minimal nutrition education during fellowship training, 59% reported no nutrition education during internal medicine training and 31% reported receiving no nutrition education in medical school [62]. Consider the specialty of early-life care where multi-generational health is on the line-pediatrics.…”

Section: Lifestyle In Training and Practicementioning

confidence: 99%

From Authoritarianism to Advocacy: Lifestyle-Driven, Socially-Transmitted Conditions Require a Transformation in Medical Training and Practice

Prescott

Logan²

2018

Challenges

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The epidemic of socially-rooted, lifestyle-driven non-communicable diseases (NCDs; also referred to as socially-transmitted conditions) has now overtaken infectious diseases as the leading cause of human mortality. Despite this reality, physician education, training and practice within industrialized nations is heavily slanted toward the biopharmaceutical (and away from the psychosocial) aspects of prevention and treatment. As we underscore, the current state of physician training and practical application of guidelines pertaining to lifestyle is paltry and untenable. However, the solution is not a few more hours of nutritional biochemistry to check off the curricula box. Physician readiness for the current NCD crisis will require a philosophical shift in medicine-at-large, including candidate pooling. Recent elections in the United States and Europe have cast a spotlight on the public health consequences of political authoritarianism. However, we highlight that authoritarianism-and its related facets of social dominance orientation and Machiavellianism-are not exclusive to political candidates. Here, we open a dialogue on authoritarianism in westernized medicine as a starting point in order to encourage the development of critical research and to explore its potential as a barrier to patient care. We suggest that authoritarianism and its prejudices act as a border wall to the World Health Organization's broad vision of global health, cultural competency and patient autonomy. Moreover, the evidence reviewed here would suggest that in the context of the NCDs crisis, westernized medicine is long overdue a Flexner Report for the 21st Century.

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“…Generally, information about the benefits of nutritional interventions has not adequately been translated into action in medical training or practice [2]. In a 2017 online survey of 646 cardiologists in the US [3], 90% reported that they had not received adequate nutrition education to be able to counsel their patients, even though 95% believed it was their personal responsibility to do so.…”

Section: Introductionmentioning

confidence: 99%

Effects and Issues of Diet Fat on Cardiovascular Metabolism

Nishikawa¹

2021

New Insights Into Metabolic Syndrome

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Diet is a foundation of treatment for lifestyle-related diseases, such as high blood pressure, diabetes, and dyslipidemia. For these diseases, diet therapy has been disregarded in management of hyperlipidemia. Fat has more diversity of biological effects compared to those of protein and carbohydrate. New emerging evidences have resulted in a clear shift of recognition of fatty acids in diet therapy. The PREDIMED study has shown recently the amazing result that a calorie-unlimited, high-fat Mediterranean diet caused about 30% reduction in cardiovascular disease in obese subjects compared with a low-fat diet. Many authorities have removed restriction of intake of fat from their guidelines. The important, new message from recent medical and nutritional science is that people need to consume more “good fat” rather than limiting intake of fat to prevent cardiometabolic diseases. In this chapter, I would like to focus on the role of fatty acids with special relation on their effects on blood lipids and cardiovascular events.

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A Deficiency of Nutrition Education and Practice in Cardiology

Abstract: A large proportion of cardiovascular specialists have received minimal medical education and training in nutrition, and current trainees continue to experience significant education and training gaps.

Cited by 83 publications

References 15 publications

Impact of nutrition education on nutritional knowledge and intentions towards nutritional counselling in Dutch medical students: an intervention study

Impact of nutrition education on nutritional knowledge and intentions towards nutritional counselling in Dutch medical students: an intervention study

From Authoritarianism to Advocacy: Lifestyle-Driven, Socially-Transmitted Conditions Require a Transformation in Medical Training and Practice

Effects and Issues of Diet Fat on Cardiovascular Metabolism

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