A Deficiency of Nutrition Education in Medical Training

Devries, Stephen; Dalen, James E.; Eisenberg, David M.; Maizes, Victoria; Ornish, Dean; Prasad, Arti; Sierpina, Victor S.; Weil, Andrew; Willett, Walter C.

doi:10.1016/j.amjmed.2014.04.003

Cited by 84 publications

(71 citation statements)

References 14 publications

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“…It would be interesting to study if the patterns of referrals reflected this Our results are similar to other studies around the world where the scores obtained reflected on the average, about 48.5% scores on the nutritional knowledge quiz [2,4,5,35].…”

Section: Discussionsupporting

confidence: 76%

Adequacy of Medical and Surgical Residents' Nutritional Education

Ghanem¹,

Wehbe²

2018

IJFS

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Section: Discussionsupporting

confidence: 76%

Adequacy of Medical and Surgical Residents' Nutritional Education

Ghanem¹,

Wehbe²

2018

IJFS

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“…It could also be the case that few of the women in our sample engaged in diet and exercise habits sufficient to impact health and aging. Existing research suggests that individuals must make rather dramatic changes in their lifestyle in order to prevent or reverse the course of chronic disease(s) (Devries et al, 2014; Ornish et al, 2013). In our sample, only seven women reported exercising to the point of heavy breathing at least five times a week, and only 10 women reported eating fruits and vegetables at least eight times in the past week.…”

Section: Discussionmentioning

confidence: 99%

Economic hardship and biological weathering: The epigenetics of aging in a U.S. sample of black women

Simons

Lei

Beach

et al. 2016

Social Science & Medicine

167

156

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Background Past research has linked low socio-economic status (SES) to inflammation, metabolic dysregulation, and various chronic and age-related diseases such as type 2 diabetes, coronary heart disease, stroke, and dementia. These studies suggest that the challenges and adversities associated with low SES may result in premature aging and increased risk of morbidity and mortality. Objective Building upon this research, the present study investigates additional avenues whereby low income might accelerate biological aging. Methods Structural equation modeling and longitudinal data from a sample of 100 Black, middle-aged women residing in the United States was used to investigate the effect of income on a recently developed epigenetic measure of biological aging. This measure can be used as a “biological clock” to assess, at any point during adulthood, the extent to which an individual is experiencing accelerated or decelerated biological aging. Results Low income displayed a robust association with accelerated aging that was unaffected after controlling for other SES-related factors such as education, marital status, and childhood adversity. Further, our analyses indicated that the association between income and biological aging was not explained by health-related behaviors such as diet, exercise, smoking, alcohol consumption, or having health insurance. Rather, in large measure, it was financial pressure (difficulty paying bills, buying necessities, or meeting daily expenses) that accounted for the association between low income and accelerated aging. Conclusions These findings support the view that chronic financial pressures associated with low income exerts a weathering effect that results in premature aging.

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“…27 More surprisingly, to become a cardiologist in the United States, fellows must complete 10 cardio versions and 100 cardiac catheterizations, but requirements in nutrition counseling are not included. 28 Medical educators and licensing boards must significantly raise their requirements regarding nutrition science and lifestyle counseling if we expect the next generation of trainees to study and master this material. 29 Additionally, financial incentives to enhance diet and lifestyle choices are nearly absent at best and totally misaligned at worst.…”

Section: Introductionmentioning

confidence: 99%

Nutrition Education in an Era of Global Obesity and Diabetes

Eisenberg

Burgess

2015

Academic Medicine

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In an era when rates of obesity, diabetes, and other lifestyle-related diseases challenge medical educators and governments worldwide, it is necessary to consider novel educational strategies, both didactic and experiential, whereby current and future health professionals can be better prepared to proactively advise and teach patients enhanced self-care skills (e.g., diet, movement, stress management, and enhanced behavioral change).In this Perspective, the authors summarize current circumstances involving rising rates of obesity and diabetes worldwide, the lack of nutrition- and lifestyle-related curricular requirements for professional medical certification, societal trends regarding modern food culture and food availability in health care settings, and the misalignment of financial incentives to promote health.The authors assess what elements of self-care should or should not be required within future curricula and certification exams. They consider how best to educate trainees about diet and how to "translate" nutrition, exercise, and behavioral science knowledge into practical advice. They explore several ideas for reforming nutrition education, including "teaching kitchens" as required laboratory classes for nutrition and lifestyle instruction, wearable technologies for tracking behaviors and physiological data relating to lifestyle choices, and the prospect of hospitals and other medical venues serving as exemplars of healthy, delicious food options. Finally, the authors argue that "salutogenesis"-the study of the creation and maintenance of health and well-being-should assume its rightful position alongside the study of "pathogenesis"-disease diagnosis and treatment-in medical education and practice.

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A Deficiency of Nutrition Education in Medical Training

Cited by 84 publications

References 14 publications

Adequacy of Medical and Surgical Residents' Nutritional Education

Adequacy of Medical and Surgical Residents' Nutritional Education

Economic hardship and biological weathering: The epigenetics of aging in a U.S. sample of black women

Nutrition Education in an Era of Global Obesity and Diabetes

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