Knowledge and practice among dietitians in four Western European countries regarding malnutrition, starvation, cachexia and sarcopenia

Adequate distinction between malnutrition, starvation, cachexia and sarcopenia is important in clinical care. Despite the overlap in physical characteristics, differences in etiology have therapeutical and prognostic implications. We aimed to determine whether dietitians in selected European countries have ‘proper knowledge’ of malnutrition, starvation, cachexia and sarcopenia, and use terminology accordingly

Reproducibility and validity of a diet quality index for children assessed using a FFQ

The diet quality index (DQI) for preschool children is a new index developed to reflect compliance with four main food-based dietary guidelines for preschool children in Flanders. The present study investigates: (1) the validity of this index by comparing DQI scores for preschool children with nutrient intakes, both of which were derived from 3d estimated diet records; (2) the reproducibility of the DQI for preschoolers based on a parentally reported forty-seven-item FFQ DQI, which was repeated after 5 weeks; (3) the relative validity of the FFQ DQI with 3d record DQI scores as reference. The study sample included 510 and 58 preschoolers (2-5-6.5 years) for validity and reproducibility analyses, respectively. Increasing 3d record DQI scores were associated with decreasing consumption of added sugars, and increasing intakes of fibre, water, Ca and many micronutrients. Mean FFQ DQI test-retest scores were not significantly different: 72 (so 11) v. 71 (Si) 10) (P-=0-218) out of a maximum of 100. Mean 3d record DQI score (66 (so 10)) was significantly lower than mean FFQ DQI (71 (so 10); P<0.001). The reproducibility correlation was 0.88. Pearsons correlation (adjusted for within-person variability) between FFQ and 3d record DQI scores was 0.82. Cross-classification analysis of the FFQ and 3d record DQI classified 60% of the subjects in the same category and 3% in extreme tertiles. Cross-classification of repeated administrations classified 62% of the subjects in the same category and 3% in extreme categories. The FFQ-based DQI approach compared well with the 3d record approach, and it can be used to determine diet quality among preschoolers

Woonzorgcentrum in beweging:onderzoeksdesign (presentatie)

status: publishe

Woonzorgcentrum in beweging: onderzoeksdesign

status: publishe

Evidence-based handelen in de dieetpraktijk

status: publishe

EVIDENCE-BASED HANDELEN DIËTETIEK

Evidence-based practice (EBP) diëtetiek combineert actuele wetenschappelijke kennis met expertise van diëtisten en de inbreng van patiënten met het oog op de beste aanpak op maat van patiënten. Gezien het dynamische karakter van het wetenschappelijke onderzoek en de maatschappelijke evoluties zijn regelmatige evaluaties van EBP-richtlijnen belangrijk. • EBP diëtetiek geldt voor elk facet van het werk van de diëtist (zorg, catering, productie, gezondheidsbevordering). • De meerderheid van de Belgische diëtisten is overtuigd van het belang van EBP. • Diëtisten geven de voorkeur aan korte maar duidelijke richtlijnen met samenvattende kernboodschappen en de mogelijkheid om bijkomende informatie op te vragen. Dat kan helpen om een richtlijn verder op maat van de patiënt te vertalen. • EBP-richtlijnen voor diëtisten worden gebundeld op het platform www.ebpnet.be, het referentieplatform voor EBP voor alle Belgische zorgactoren in de eerstelijnszorg. Daarnaast worden diverse projecten opgezet om de implementatie van klinische evidence-based dieetrichtlijnen en de toepassing van EBP diëtetiek te bevorderen.status: publishe

Low-Residue and Low-Fiber Diets in Gastrointestinal Disease Management

Recently, low-residue diets were removed from the American Academy of Nutrition and Dietetics' Nutrition Care Manual due to the lack of a scientifically accepted quantitative definition and the unavailability of a method to estimate the amount of food residue produced. This narrative review focuses on defining the similarities and/or discrepancies between low-residue and low-fiber diets and on the diagnostic and therapeutic values of these diets in gastrointestinal disease management. Diagnostically, a low-fiber/low-residue diet is used in bowel preparation. A bowel preparation is a cleansing of the intestines of fecal matter and secretions conducted before a diagnostic procedure. Therapeutically, a low-fiber/low-residue diet is part of the treatment of acute relapses in different bowel diseases. The available evidence on low-residue and low-fiber diets is summarized. The main findings showed that within human disease research, the terms "low residue" and "low fiber" are used interchangeably, and information related to the quantity of residue in the diet usually refers to the amount of fiber. Low-fiber/low-residue diets are further explored in both diagnostic and therapeutic situations. On the basis of this literature review, the authors suggest redefining a low-residue diet as a low-fiber diet and to quantitatively define a low-fiber diet as a diet with a maximum of 10 g fiber/d. A low-fiber diet instead of a low-residue diet is recommended as a diagnostic value or as specific therapy for gastrointestinal conditions.status: publishe