“…The lack of education was also represented in a survey question asking how participants would describe the quality of their instruction regarding nutrition and diet, to which 76.1% of participants indicated 'average' to 'extremely poor' or 'none' on the Likert scale provided by the survey. Alzate, Dárdano, Olivares, and Álvarez (2012) conducted an evaluation of the training of nutritionists in eight South American countries, and found there are significant gaps in their curriculum model. It showed that less than half of the institutions provided instruction on "design and validation of nutrition education materials" (Alzate et al, 2012, p. S63), and that there is no clear standard of education in these professions.…”