Towards a Standardized Definition of Medical Nutrition Therapy and Regulatory Reform in Canada

Keathley, Justine; Arbour, Amélie; Vohl, Marie‐Claude

doi:10.3148/cjdpr-2021-033

Cited by 5 publications

(4 citation statements)

References 31 publications

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“…Nutritional counseling is actively practiced in hospitals. Although a significant amount of accumulated data and information is available, it is currently institution-specific and lacks standardization ( 8 , 9 ). Therefore, in this study, we conducted research on the application and role of AI in this particular area.…”

Section: Discussionmentioning

confidence: 99%

Qualitative evaluation of artificial intelligence-generated weight management diet plans

Kim,

Park,

Sharma

et al. 2024

Front. Nutr.

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ImportanceThe transformative potential of artificial intelligence (AI), particularly via large language models, is increasingly being manifested in healthcare. Dietary interventions are foundational to weight management efforts, but whether AI techniques are presently capable of generating clinically applicable diet plans has not been evaluated.ObjectiveOur study sought to evaluate the potential of personalized AI-generated weight-loss diet plans for clinical applications by employing a survey-based assessment conducted by experts in the fields of obesity medicine and clinical nutrition.Design, setting, and participantsWe utilized ChatGPT (4.0) to create weight-loss diet plans and selected two control diet plans from tertiary medical centers for comparison. Dietitians, physicians, and nurse practitioners specializing in obesity medicine or nutrition were invited to provide feedback on the AI-generated plans. Each plan was assessed blindly based on its effectiveness, balanced-ness, comprehensiveness, flexibility, and applicability. Personalized plans for hypothetical patients with specific health conditions were also evaluated.Main outcomes and measuresThe primary outcomes measured included the indistinguishability of the AI diet plan from human-created plans, and the potential of personalized AI-generated diet plans for real-world clinical applications.ResultsOf 95 participants, 67 completed the survey and were included in the final analysis. No significant differences were found among the three weight-loss diet plans in any evaluation category. Among the 14 experts who believed that they could identify the AI plan, only five did so correctly. In an evaluation involving 57 experts, the AI-generated personalized weight-loss diet plan was assessed, with scores above neutral for all evaluation variables. Several limitations, of the AI-generated plans were highlighted, including conflicting dietary considerations, lack of affordability, and insufficient specificity in recommendations, such as exact portion sizes. These limitations suggest that refining inputs could enhance the quality and applicability of AI-generated diet plans.ConclusionDespite certain limitations, our study highlights the potential of AI-generated diet plans for clinical applications. AI-generated dietary plans were frequently indistinguishable from diet plans widely used at major tertiary medical centers. Although further refinement and prospective studies are needed, these findings illustrate the potential of AI in advancing personalized weight-centric care.

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Section: Discussionmentioning

confidence: 99%

Qualitative evaluation of artificial intelligence-generated weight management diet plans

Kim,

Park,

Sharma

et al. 2024

Front. Nutr.

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“…This can be achieved by providing adequate calories to prevent catabolism of body tissues during the patient’s hospital stay. Therefore, many studies related to nutrition care highlight inadequate nutritionist and lack of consistency in hospital access to nutrition care and the negative consequences on patients’ hospital stay and cost savings [ 73 , 78 ].…”

Section: Discussionmentioning

confidence: 99%

Mapping the global research landscape on malnutrition for patients with chronic kidney disease: a visualization analysis

Shakhshir,

Vanoh,

Hassan

et al. 2023

J Health Popul Nutr

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Background Chronic kidney disease (CKD) is seen as a diverse disease and a primary contributor to global mortality. Malnutrition arises within chronic illness, which involves protein energy depletion and inadequate levels of essential nutrients. These factors increase the likelihood of death and the overall impact of the disease on affected individuals. Consequently, this study aims to utilize bibliometric and visual analysis to assess the current state of research, the latest advances and emerging patterns in the fields of CKD and malnutrition. Methods Extensive research was conducted using the Scopus database, which is the most authoritative database of research publications and citations, to focus on CKD research between 2003 and 2022, as indicated by title and author keywords. Then, within this vast collection of academic publications, a notable subset of articles was exclusively dedicated to investigating the relationship between CKD and malnutrition. Finally, we performed bibliometric analysis and visualization using VOSviewer 1.6.19 and Microsoft Excel 2013. Results Large global research between 2003 and 2022 resulted in 50,588 documents focused on CKD, as indicated by title and author keywords. In this extensive collection of scientific publications, a staggering portion of 823 articles is devoted exclusively to investigating the link between CKD and malnutrition. Further analysis reveals that this body of work consists of 565 articles (68.65%), 221 reviews (26.85%), and 37 miscellaneous entries (4.50%), which encompass letters and editorials. The USA was found to be the most productive country (n = 173; 21.02%), followed by Italy (n = 83; 10.09%), Sweden (n = 56; 6.80%), Brazil (n = 54; 6.56%) and China (n = 51; 6.20%). The most common terms on the map include those related to the topic of (a) malnutrition in hemodialysis patients and predicting factors; terms associated with the (b) impact of malnutrition on cardiovascular risk and complications in CKD patients; and terms related to the (c) dietary protein intake and malnutrition in CKD. Conclusions This study is the first of its kind to analyze CKD and malnutrition research using data from Scopus for visualization and network mapping. Recent trends indicate an increasing focus on protein-energy wasting/malnutrition in hemodialysis patients and predicting factors, dietary protein intake, and malnutrition in CKD. These topics have gained significant attention and reflect the latest scientific advances. Intervention studies are crucial to examining diet therapy's impact on patients with stages 1 to 5 CKD. We hope this study will offer researchers, dietitians and nephrologists valuable information.

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“…. .provision of nutrition information/advice (dietary or supplemental) for the assessment/reassessment, diagnosis, intervention or monitoring of a disease or condition, to treat or manage symptoms and/or medical conditions" [1].…”

Section: Translation Of Findings Into Clinical Practicementioning

confidence: 99%

“…The role of nutrition in health and disease is well established [1]. Indeed, the need for all clinicians to possess knowledge of nutritional interventions for conditions within their specialty is essential in today's healthcare delivery system [2].…”

Section: Introductionmentioning

confidence: 99%

Nutritional Considerations for Bladder Storage Conditions in Adult Females

Gordon

2023

IJERPH

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Background: Clinical guidelines developed by urologic, urogynecologic, and gynecologic associations around the globe include recommendations on nutrition-related lifestyle and behavioral change for bladder storage conditions. This study identified and compared clinical guidelines on three urological conditions (interstitial cystitis/bladder pain syndrome (IC/BPS), overactive bladder, and stress urinary incontinence) affecting adult women. Methods: A three-step process was employed to identify the guidelines. Next, a quality assessment of the guidelines was conducted employing the Appraisal of Guidelines Research and Evaluation (AGREE II) International tool. (3) Results: Twenty-two clinical guidelines, prepared by seventeen groups spanning four continents, met the inclusion criteria. The AGREE II analyses revealed that most of the guideline development processes complied with best practices. The most extensive nutrition recommendations were for women with IC/BPS. Dietary manipulation for the other two storage LUTS primarily focused on the restriction or limitation of specific beverages and/or optimal fluid intake. (4) Conclusion: Clinical guidelines for IC/BPS, overactive bladder, and stress urinary incontinence include nutrition recommendations; however, the extent of dietary manipulation varied by condition. The need to ensure that clinicians are informing patients of the limitations of the evidence supporting those recommendations emerged. Furthermore, given the need to treat nutrition-related comorbid conditions as a strategy to help mitigate these three urological disorders, the value of referral to a dietitian for medical nutrition therapy is apparent.

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Towards a Standardized Definition of Medical Nutrition Therapy and Regulatory Reform in Canada

Cited by 5 publications

References 31 publications

Qualitative evaluation of artificial intelligence-generated weight management diet plans

Qualitative evaluation of artificial intelligence-generated weight management diet plans

Mapping the global research landscape on malnutrition for patients with chronic kidney disease: a visualization analysis

Nutritional Considerations for Bladder Storage Conditions in Adult Females

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