An Examination of the Sex-Specific Nature of Nutrition Assessment within the Nutrition Care Process: Considerations for Nutrition and Dietetics Practitioners Working with Transgender and Gender Diverse Clients

Linsenmeyer, Whitney; Garwood, Sarah; Waters, Jennifer

doi:10.1016/j.jand.2022.02.014

Cited by 12 publications

(10 citation statements)

References 22 publications

(41 reference statements)

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“…5 The NCP utilizes biological sex to inform nutrition assessment with respect to energy needs calculated using predictive energy equations, dietary reference intake values (DRIs), body fat and waist circumference, growth (for children), and complete blood count (ie, hemoglobin, hematocrit, red blood cell count, ferritin levels). 6 Gender, however, is either erroneously conflated with sex or largely unaddressed in the NCP. 1,6 Thus, the NCP is sex informed but rarely gender informed.…”

Section: Sex and Gender In Nutritionmentioning

confidence: 99%

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Should Clinicians Care About How Food Behaviors Express Gender Identity?

2023

AMA Journal of Ethics

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The nutrition care process (NCP) accounts for a person's biological sex characteristics but does not adequately address their gender. Yet dietary choices express one's social identity in ethically and clinically relevant ways. Persons identifying as men tend to eat meat more frequently, consume more meat, and are less likely to be vegetarian than persons identifying as women, for example. Research on transgender persons' diets suggests that food is one means of expressing gender identity; this article argues that an inclusive sex-and gender-informed approach can likely improve the NCP's usefulness to clinicians caring for transgender patients.

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Section: Sex and Gender In Nutritionmentioning

confidence: 99%

“…6 Gender, however, is either erroneously conflated with sex or largely unaddressed in the NCP. 1,6 Thus, the NCP is sex informed but rarely gender informed.…”

Section: Sex and Gender In Nutritionmentioning

confidence: 99%

Should Clinicians Care About How Food Behaviors Express Gender Identity?

2023

AMA Journal of Ethics

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“…However, many aspects of the nutrition assessment include sex-specific values in their calculations [ 84 – 86 ]. Currently, the field lacks clinical practice standards for gender-affirming nutrition care [ 85 ]. GAHT contributes to increased BMI, particularly for transgender women, and thus may be considered in the calculation of target weight [ 80 , 87 , 88 ].…”

Section: Additional Medical Considerationsmentioning

confidence: 99%

“…Clinicians are encouraged to collaborate with the patient and consider both cis male and cis female calculations to determine a medically stable, gender-affirming target weight [ 86 ]. Patients can benefit from target weight ranges that include both male and female values; target weight ranges may need to be adjusted up for those on GAHT [ 85 ].…”

Section: Additional Medical Considerationsmentioning

confidence: 99%

Medical considerations in the care of transgender and gender diverse patients with eating disorders

Riddle

Safer²

2022

J Eat Disord

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Transgender and gender diverse (TGD) individuals are at increased risk for the development of eating disorders, but very little has been published with regards to the unique aspects of their medical care in eating disorder treatment. Providing gender affirming care is a critical component of culturally competent eating disorder treatment. This includes knowledge of gender affirming medical and surgical interventions and how such interventions may be impacted by eating disordered behaviors, as well as the role of such interventions in eating disorder treatment and recovery. TGD individuals face barriers to care, and one of these can be provider knowledge. By better understanding these needs, clinicians can actively reduce barriers and ensure TGD individuals are provided with appropriate care. This review synthesizes the available literature regarding the medical care of TGD patients and those of patients with eating disorders and highlights areas for further research.

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“…Por las características de esta población, es necesario que se tengan ciertas consideraciones en la valoración del estado nutricional, la identificación de problemas y diagnósticos nutricionales integrales, las estrategias de intervención y el seguimiento adecuado. Dadas las implicaciones que supone la atención nutricional en la población trans o género disconforme, la Academy of Nutrition and Dietetics propone el uso adecuado de los indicadores nutricionales de acuerdo a la fase de transición en la que se encuentren, individualizando así la atención nutricional y su documentación 9,18 .…”

Section: Consideraciones Especiales En El Proceso De Atenciónunclassified