Caring for Transgender Patients and Clients: Nutrition-Related Clinical and Psychosocial Considerations

Rahman, Rabia; Linsenmeyer, Whitney

doi:10.1016/j.jand.2018.03.006

Cited by 32 publications

(18 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As transgender individuals may opt to transition from one gender to the other using hormonal therapy and/or through gender-affirming surgeries, these practices may have a marked impact on their nutritional status, weight, and body habitus, which in turn, may impact the NFPE performed on these individuals [ 47 , 48 , 49 ]. Nonetheless, gender identification differences were not discussed during the expert focus group discussions, suggesting that this may be a relatively new area for the RDNs.…”

Section: Discussionmentioning

confidence: 99%

Item Generation in the Development of an Interactive Nutrition Specific Physical Exam Competency Tool (INSPECT): A Qualitative Study Utilizing Technology-Based Focus Groups in the United States

et al. 2021

View full text Add to dashboard Cite

An alarming 30% to 50% prevalence rate of disease-related malnutrition among hospitalized patients compels the need for early diagnosis and treatment of malnutrition. Registered Dietitian Nutritionists (RDNs) can utilize the nutrition-focused physical examination (NFPE) as one of the nutrition assessment criteria to accurately diagnose malnutrition. Although RDNs are striving to employ NFPE in practice, a lack of experience and adequate training impedes full utilization of this technique. This results in wide skill variations requiring continuous evaluation of RDNs’ NFPE competency. However, a standardized, validated competency tool is not widely available and hence this study aims to develop a standardized, interactive nutrition-specific physical exam competency tool (INSPECT). As a first step in the development of INSPECT, a qualitative, technology-based focus group approach with 7 content and practice experts was utilized to generate appropriate tool items. A total of 70 NFPE items under 9 areas including 12 items for muscle loss, 4 items for subcutaneous fat loss, 31 items for micronutrient deficiencies, 1 item for fluid status, 2 items for handgrip strength, 5 items for initial preparation, 4 items for bedside manner, 8 items for swallowing, and 3 items for abdominal evaluation were generated. This study successfully utilized technology-based focus groups to generate appropriate NFPE items for the competency tool development. Using the items, an initial version of INSPECT has been developed, which is presently being investigated for content and face validity. The final version will undergo field tests and will be examined for reliability, validity, and item-level psychometric properties.

show abstract

Section: Discussionmentioning

confidence: 99%

Item Generation in the Development of an Interactive Nutrition Specific Physical Exam Competency Tool (INSPECT): A Qualitative Study Utilizing Technology-Based Focus Groups in the United States

et al. 2021

View full text Add to dashboard Cite

show abstract

“…In the United States, an estimated 0.6% of the adult population, or 1.4 million adults, identify as transgender [ 2 ]. No guidelines exist regarding nutrition assessment for transgender or gender non-conforming patients [ 3 ]. Transgender patients may opt to medically transition using hormone therapy and/or gender-affirming surgeries; these interventions may have a direct impact on nutrition related parameters such as weight status, body composition, lipid levels, blood pressure, and blood glucose levels [ 4 – 7 ].…”

Section: Introductionmentioning

confidence: 99%

Towards gender-affirming nutrition assessment: a case series of adult transgender men with distinct nutrition considerations

Linsenmeyer

Drallmeier

Thomure

2020

Nutr J

Self Cite

View full text Add to dashboard Cite

No guidelines exist regarding nutrition assessment for transgender or gender non-conforming patients. Multiple nutrition assessment methods utilize gender-specific values that provide distinct recommendations for males and females. This clinical case series depicts the food and nutrition considerations of ten adult transgender men using anthropometric, survey, and dietary recall data. Male reference values were used to analyze patient data, though multiple approaches to nutrition assessment in the transgender population are discussed. Major nutrition-related concerns were obesity, low fruit and vegetable intake and high sodium intake; disordered eating was not a prominent concern. Further research is needed to inform nutrition care for the transgender and gender nonconforming populations.

show abstract

Section: Part 3: Risks Associated With Gahtmentioning

confidence: 99%

“…99 Regarding dietary considerations for trans individuals, the literature includes specific attention to eating disorders, 129 weight gain and chronic diseases. 136 The Health Risk Questionnaire above revealed that a lower percentage of TW reported eating five or more servings of vegetables or eating three or more servings of fruits per day, and a higher percentage of TW reported drinking caloric beverages, all compared with cis women and cis men. 137 Given the lack of RCTs explaining the conflicting CV morbidity results among the available literature and the scarcity of data on older trans people, 91,93,104 the importance of ongoing large-scale prospective studies, such as STRONG, 101 the European Network for the Investigation of Gender Incongruence (ENIGI) 138 and GEnder Dysphoria Treatment in Sweden (GETS), 139 and optimal management of conventional risk factors (e.g.…”

Section: Cardiovascular Morbidity and Mortalitymentioning

confidence: 99%

Health considerations for transgender women and remaining unknowns: a narrative review

Iwamoto

Defreyne

Rothman

et al. 2019

Therapeutic Advances in Endocrinology

View full text Add to dashboard Cite

Transgender (trans) women (TW) were assigned male at birth but have a female gender identity or gender expression. The literature on management and health outcomes of TW has grown recently with more publication of research. This has coincided with increasing awareness of gender diversity as communities around the world identify and address health disparities among trans people. In this narrative review, we aim to comprehensively summarize health considerations for TW and identify TW-related research areas that will provide answers to remaining unknowns surrounding TW’s health. We cover up-to-date information on: (1) feminizing gender-affirming hormone therapy (GAHT); (2) benefits associated with GAHT, particularly quality of life, mental health, breast development and bone health; (3) potential risks associated with GAHT, including cardiovascular disease and infertility; and (4) other health considerations like HIV/AIDS, breast cancer, other tumours, voice therapy, dermatology, the brain and cognition, and aging. Although equally deserving of mention, feminizing gender-affirming surgery, paediatric and adolescent populations, and gender nonbinary individuals are beyond the scope of this review. While much of the data we discuss come from Europe, the creation of a United States transgender cohort has already contributed important retrospective data that are also summarized here. Much remains to be determined regarding health considerations for TW. Patients and providers will benefit from larger and longer prospective studies involving TW, particularly regarding the effects of aging, race and ethnicity, type of hormonal treatment (e.g. different oestrogens, anti-androgens) and routes of administration (e.g. oral, parenteral, transdermal) on all the topics we address.

show abstract

Caring for Transgender Patients and Clients: Nutrition-Related Clinical and Psychosocial Considerations

Cited by 32 publications

References 37 publications

Item Generation in the Development of an Interactive Nutrition Specific Physical Exam Competency Tool (INSPECT): A Qualitative Study Utilizing Technology-Based Focus Groups in the United States

Item Generation in the Development of an Interactive Nutrition Specific Physical Exam Competency Tool (INSPECT): A Qualitative Study Utilizing Technology-Based Focus Groups in the United States

Towards gender-affirming nutrition assessment: a case series of adult transgender men with distinct nutrition considerations

Health considerations for transgender women and remaining unknowns: a narrative review

Contact Info

Product

Resources

About