Academy of Nutrition and Dietetics: Standards of Practice and Standards of Professional Performance for Registered Dietitian Nutritionists (Competent, Proficient, and Expert) in Adult Weight Management

Jortberg, Bonnie T.; Myers, Eileen Stellefson; Gigliotti, Linda; Ivens, Barbara J.; Lebre, Monica; March, S.; Nogueira, Isadora; Nwankwo, Robin; Parkinson, Meredith Rose; Paulsen, Barbara K.; Turner, Tonya F.

doi:10.1016/j.jand.2014.12.018

Cited by 9 publications

(7 citation statements)

References 10 publications

(3 reference statements)

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“…Besides the physiological improvement, molecular biomarkers of inflammation, and oxidative stress such as TNF-α, superoxide dismutase, malondialdehyde, MCP1, or C-reactive protein were also ameliorated (Poitou et al 2015;Schmatz et al 2017). As mentioned, the main caution of this therapeutic approach is the need of a longtime postoperative follow-up carried out by a team of multidisciplinary health professionals (DiMaria-Ghalili et al 2016;Jortberg et al 2015).…”

Section: Diagnosis Of Nafldmentioning

confidence: 99%

“…However, the exact modulatory pathways are still unclear and the primary treatment against obesity is focused in dietary and lifestyle intervention. While varied hypocaloric diets may be prescribed for body weight loss, personalized diets assisted by a nutritionist in order to educate the patients on better dietary habits are beneficial (DiMaria-Ghalili et al 2016;Jortberg et al 2015). Furthermore, improving the success of these interventions, these diets should take into account current scientific knowledge on specific individual genetic (and epigenetic) background, as well as potential gene-nutrient interactions (Goni et al 2014).…”

Section: Therapeutic Approachesmentioning

confidence: 99%

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Roles of Gut Hormones in the Regulation of Food Intake and Body Weight

Castagneto-Gissey¹,

Mariolo²,

Mingrone³

2017

Endocrinology

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Within the health sciences, Endocrinology has an unique and pivotal role. This old, but continuously new science is the study of the various hormones and their actions and disorders in the body. The matter of Endocrinology are the glands, i.e. the organs that produce hormones, active on the metabolism, reproduction, food absorption and utilization, growth and development, behavior control, and several other complex functions of the organisms. Since hormones interact, affect, regulate and control virtually all body functions, Endocrinology not only is a very complex science, multidisciplinary in nature, but is one with the highest scientific turnover. Knowledge in the Endocrinological sciences is continuously changing and growing. In fact, the field of Endocrinology and Metabolism is one where the highest number of scientific publications continuously flourishes. The number of scientific journals dealing with hormones and the regulation of body chemistry is dramatically high. Furthermore, Endocrinology is directly related to genetics, neurology, immunology, rheumatology, gastroenterology, nephrology, orthopedics, cardiology, oncology, gland surgery, psychology, psychiatry, internal medicine, and basic sciences. All these fields are interested in updates in Endocrinology. The aim of the MRW in Endocrinology is to update the Endocrinological matter using the knowledge of the best experts in each section of Endocrinology: basic endocrinology, neuroendocrinology, endocrinological oncology, pancreas with diabetes and other metabolic disorders, thyroid, parathyroid and bone metabolism, adrenals and endocrine hypertension, sexuality, reproduction, and behavior.

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Section: Diagnosis Of Nafldmentioning

confidence: 99%

Section: Therapeutic Approachesmentioning

confidence: 99%

Roles of Gut Hormones in the Regulation of Food Intake and Body Weight

Castagneto-Gissey¹,

Mariolo²,

Mingrone³

2017

Endocrinology

View full text Add to dashboard Cite

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“…12 It also involves an understanding that low health literacy-limited capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions-contributes to racial/ethnic and other health disparities and is highly connected to culture. [13][14][15] Most adults have issues with health literacy, and 20% of U.S. adults perform at the lowest literacy levels. 16 However, for racial/ethnic minorities, literacy levels are much worse.…”

Section: The Intersection Of Culture and Healthmentioning

confidence: 99%

“… 11 Cultural competence in healthcare and public health involves “understanding the importance of social and cultural influences on patients’ health beliefs and behaviors; considering how these factors interact at multiple levels of the health care delivery system (eg, at the level of structural processes of care or clinical decision-making); and devising interventions that take these issues into account to assure quality health care delivery to diverse patient populations.” 12 It also involves an understanding that low health literacy—limited capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions—contributes to racial/ethnic and other health disparities and is highly connected to culture. 13 - 15 Most adults have issues with health literacy, and 20% of U.S. adults perform at the lowest literacy levels. 16 However, for racial/ethnic minorities, literacy levels are much worse.…”

Section: Introductionmentioning

confidence: 99%

Enhancing FDA’s Reach to Minorities and Under-Represented Groups through Training: Developing Culturally Competent Health Education Materials

Spinner

Haynes²,

Nunez

et al. 2021

J Prim Care Community Health

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Health communications may not reach intended populations due to cultural and language barriers. These barriers may prohibit consumers from understanding information needed to make informed health decisions. It is important to ensure everyone—especially racial and ethnic minorities and under-served and under-represented populations—has access to information on medical products. One strategy to address this issue is to develop trainings and resources to better understand how cultural competency affects the ability to communicate effectively with racial/ethnic minorities. The FDA’s Office of Minority Health & Health Equity developed a 3-module training to (1) increase staff knowledge of the role that cultural competency plays in determining health communication messages and channels and (2) provide tools to assist them in creating culturally-competent strategies and action plans. Offered on 4 occasions, the 4.5-h interactive training, grounded in adult learning and project-based learning theories, and used curricula, case studies, and multimedia to guide the discussion and group work. Participants also completed an action plan to guide their current work. Cultural competency knowledge was assessed pre- and post-training and training satisfaction was assessed post-training. Among the 53 individuals who completed the training, average knowledge increased by 13.6%. The training was a success based on anecdotal and evaluation feedback. The majority of participants indicated that they would refer their colleagues to the training and apply what they learned in their work. Participants felt the training was meaningful, applicable to their work, and provided an opportunity to learn and engage with their peers. Becoming culturally competent is a process that should be supported through ongoing training to help build a strong communications and health educator workforce with expertise in developing culturally competent messages to meet their constituents’ needs.

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“…Dietitians counsel a high proportion of clients classified as ‘overweight’ and ‘obese’ by body mass index (BMI), particularly in private practice settings . Although dietitians provide individualised dietary advice, dietetic counselling for this population has traditionally taken a weight‐centric (WC) perspective, in which weight loss is an important primary or ancillary goal. While a preference for more flexible lifestyle approaches for weight management as opposed to strict dieting has been evident in dietetics for at least the last two decades, an emerging practice variant is that of overtly weight‐neutral (WN) approaches .…”

Section: Introductionmentioning

confidence: 99%

Australian dietitians’ beliefs and attitudes towards weight loss counselling and health at every size counselling for larger‐bodied clients

Willer

Hannan-Jones

Strodl

2019

Nutrition & Dietetics

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Aim Research suggests that dietitians now employ weight‐neutral (WN) approaches (Health at Every Size (HAES), Intuitive Eating and non‐diet) as well as more traditional weight‐centric (WC) approaches (weight loss counselling) to address adult weight concerns. This study aimed to compare the knowledge of and attitudes towards WN practice compared with WC practice in Australian dietitians who work with larger‐bodied clients as delineated by practice approach. Methods A cross‐sectional web‐based knowledge, attitudes and practices survey was conducted with Australian dietitians who counsel adults with a body mass index >25 kg/m2. Based on their responses, dietitians were categorised into WC (preferring weight loss counselling), WN (preferring HAES counselling) or mixed approach (MA). Between‐group comparisons were conducted using Pearson's chi‐squared tests for knowledge and practice and independent t‐tests for attitudes. Results Of the 317 respondents, 18.3% fulfilled the criteria for WN practitioners, 30.3% for WC practitioners and the remainder were classified as providing a MA. Weight‐neutral approaches were more positively regarded generally than WC approaches (84.5% vs 53.9%) as well as considered professionally responsible (86% vs 58.7%) and perceived as more helpful for clients (61.2% vs 35%). Knowledge of WN practice goals was poor with only 36.9% (n = 117) of the participants indicating correctly that this mode of treatment is incompatible with a weight loss goal. Conclusions Weight‐neutral practice was considered acceptable by Australian dietetics professionals who counsel larger‐bodied people regardless of their personal practice preference although many displayed inaccurate knowledge of WN approaches.

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Academy of Nutrition and Dietetics: Standards of Practice and Standards of Professional Performance for Registered Dietitian Nutritionists (Competent, Proficient, and Expert) in Adult Weight Management

Cited by 9 publications

References 10 publications

Roles of Gut Hormones in the Regulation of Food Intake and Body Weight

Roles of Gut Hormones in the Regulation of Food Intake and Body Weight

Enhancing FDA’s Reach to Minorities and Under-Represented Groups through Training: Developing Culturally Competent Health Education Materials

Australian dietitians’ beliefs and attitudes towards weight loss counselling and health at every size counselling for larger‐bodied clients

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