Journal articles: 'Dietitians Australia'

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Rushton, Alita, Adrienne Young, Heather Keller, Judith Bauer, and Jack Bell. "Delegation Opportunities for Malnutrition Care Activities to Dietitian Assistants—Findings of a Multi-Site Survey." Healthcare 9, no. 4 (April 10, 2021): 446. http://dx.doi.org/10.3390/healthcare9040446.

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Approximately one-third of adult inpatients are malnourished with substantial associated healthcare burden. Delegation frameworks facilitate improved nutrition care delivery and high-value healthcare. This study aimed to explore knowledge, attitudes, and practices of dietitians and dietitian assistants regarding delegation of malnutrition care activities. This multi-site study was nested within a nutrition care implementation program, conducted across Queensland (Australia) hospitals. A quantitative questionnaire was conducted across eight sites; 87 dietitians and 37 dietitian assistants responded and descriptive analyses completed. Dietitians felt guidelines to support delegation were inadequate (agreement: <50% for assessment/diagnosis, care coordination, education, and monitoring and evaluation); dietitian assistants perceived knowledge and guidelines to undertake delegated tasks were adequate (agreement: >50% food and nutrient delivery, education, and monitoring and evaluation). Dietitians and dietitian assistants reported confidence to delegate/receive delegation (dietitian agreement: >50% across all care components; dietitian assistant agreement: >50% for assessment/diagnosis, food and nutrient delivery, education, monitoring and evaluation). Practice of select nutrition care activities were routinely performed by dietitians, rather than assistants (p < 0.001 across all nutrition care components). The process for care delegation needs to be improved. Clarity around barriers and enablers to delegation of care prior to implementing reforms to the current models of care is key.

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Tran, Georgie, Rachel C. Brown, and Elizabeth P. Neale. "Perceptions of Nut Consumption amongst Australian Nutrition and Health Professionals: An Online Survey." Nutrients 14, no. 8 (April 15, 2022): 1660. http://dx.doi.org/10.3390/nu14081660.

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Habitual nut consumption is associated with reduced risk of chronic diseases; however, consumption levels in Australia are below recommendations. This study examined perceptions and knowledge regarding nut consumption among Australian healthcare professionals and their provision of nut consumption recommendations. A cross-sectional online survey of Australian health professionals was conducted in February–April 2020. Questions in the survey included demographic details, participants’ perceptions of nut consumption, and nut consumption recommendations they may make to clients and patients. A total of 204 health professionals completed the survey, of which 84% were dietitians or nutritionists. Health professionals demonstrated basic nutritional knowledge regarding nut consumption; however, non-dietitians/nutritionists lacked knowledge of long-term benefits of nut consumption. Dietitians/nutritionists were more likely to agree that nuts are healthy and do not cause weight gain when compared to non-dietitians/nutritionists (p = 0.021). A total of 63% of health professionals advised at least some of their clients to eat more nuts, and this was higher among dietitians/nutritionists (68%) than non-dietitians/nutritionists (31%). While basic nutritional knowledge regarding nut consumption was observed among all health professionals, there is scope for further education, particularly for non-dietitians/nutritionists, to ensure that nutrition information provided to patients and clients is accurate and reflects the current evidence base.

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Kelly, Jaimon T., Margaret Allman‐Farinelli, Juliana Chen, Stephanie R. Partridge, Clare Collins, Megan Rollo, Rebecca Haslam, Tara Diversi, and Katrina L. Campbell. "Dietitians Australia position statement on telehealth." Nutrition & Dietetics 77, no. 4 (June 28, 2020): 406–15. http://dx.doi.org/10.1111/1747-0080.12619.

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Braakhuis, Andrea J., Kelly Meredith, Gregory R. Cox, William G. Hopkins, and Louise M. Burke. "Variability in Estimation of Self-reported Dietary Intake Data from Elite Athletes Resulting from Coding by Different Sports Dietitians." International Journal of Sport Nutrition and Exercise Metabolism 13, no. 2 (June 2003): 152–65. http://dx.doi.org/10.1123/ijsnem.13.2.152.

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A routine activity for a sports dietitian is to estimate energy and nutrient intake from an athlete’s self-reported food intake. Decisions made by the dietitian when coding a food record are a source of variability in the data. The aim of the present study was to determine the variability in estimation of the daily energy and key nutrient intakes of elite athletes, when experienced coders analyzed the same food record using the same database and software package. Seven-day food records from a dietary survey of athletes in the 1996 Australian Olympic team were randomly selected to provide 13 sets of records, each set representing the self-reported food intake of an endurance, team, weight restricted, and sprint/power athlete. Each set was coded by 3–5 members of Sports Dietitians Australia, making a total of 52 athletes, 53 dietitians, and 1456 athlete-days of data. We estimated within- and between- athlete and dietitian variances for each dietary nutrient using mixed modeling, and we combined the variances to express variability as a coefficient of variation (typical variation as a percent of the mean). Variability in the mean of 7-day estimates of a nutrient was 2- to 3-fold less than that of a single day. The variability contributed by the coder was less than the true athlete variability for a 1-day record but was of similar magnitude for a 7-day record. The most variable nutrients (e.g., vitamin C, vitamin A, cholesterol) had ~3-fold more variability than least variable nutrients (e.g., energy, carbohydrate, magnesium). These athlete and coder variabilities need to be taken into account in dietary assessment of athletes for counseling and research.

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Condo, Dominique, and Janelle Gifford. "Celebrating 25 years of Sports Dietitians Australia." Nutrition & Dietetics 78, S2 (October 2021): 5–6. http://dx.doi.org/10.1111/1747-0080.12708.

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Yaxley, Alison, and Michelle D. Miller. "The Challenge of Appropriate Identification and Treatment of Starvation, Sarcopenia, and Cachexia: A Survey of Australian Dietitians." Journal of Nutrition and Metabolism 2011 (2011): 1–6. http://dx.doi.org/10.1155/2011/603161.

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Malnutrition is an umbrella term that includes starvation, sarcopenia, and cachexia; however, differentiating between these terms is infrequent in clinical practice. Given that the effectiveness of treatment depends on the aetiology of unintentional weight loss, it is important that clinicians are aware of the defining characteristics. The aim of this study was to determine whether Australian dietitians understand and use the terms starvation, sarcopenia, and cachexia and provide targeted treatment strategies accordingly. Members of the Dietitians Association of Australia were surveyed to gain information on practices and attitudes to diagnosis and treatment of adult malnutrition. In addition, three case studies were provided to examine understanding of starvation, sarcopenia, and cachexia. 221 dietitians accessed the survey. 81 respondents (43%) indicated the use of at least one alternate term (starvation, sarcopenia, and/or cachexia). Muscle wasting was the most commonly used diagnostic criterion. High-energy high-protein diet was the most common therapy prescribed. Correct diagnoses for case studies were recorded by 6% of respondents for starvation, 46% for sarcopenia, and 21% for cachexia. There is a need for increased awareness of the existence of starvation, sarcopenia, and cachexia amongst Australian dietitians and research into appropriate methods of identification and treatment for each condition.

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Harper, Claudia, Radhika V. Seimon, Amanda Sainsbury, and Judith Maher. "“Dietitians May Only Have One Chance”—The Realities of Treating Obesity in Private Practice in Australia." Healthcare 10, no. 2 (February 21, 2022): 404. http://dx.doi.org/10.3390/healthcare10020404.

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Introduction: Overweight and obesity are the leading contributors to non-fatal burden of disease in Australia. Very low energy diets (VLEDs) comprising of meal replacement products (MRP) effectively induce substantial weight loss in people with obesity, yet they are rarely used as a first line treatment. Dietitians in private practice are perfectly placed to administer treatments for obesity; however, little is known about the preferred interventions used or their attitudes to incorporating VLEDs and MRPs into their treatments for overweight and obesity. Methods: This study used descriptive qualitative methods to explore accredited practicing dietitians’ (APDs’) perspectives and practices regarding obesity and obesity interventions, including the use of VLEDs and MRPs. Qualitative in-depth semi-structured interviews were conducted with 20 dietitians who had experience in private practice and in treating obesity. Transcribed interviews were analysed thematically using the technique of template analysis. Results: In the context within which dietitians’ practice was found to be a barrier to using evidence-based practice (EBP) for obesity treatment, four overarching themes were found. These were: (1) patient-centred care is the dietitians’ preferred intervention model; (2) VLEDs promote weight loss in specific situations; (3) systemic barriers constrain effective dietetic practice and equitable access to all, and (4) successful outcomes are predicated on working outside of systemic barriers. Conclusion: Dietitians in private practice are well placed and able to provide life-enhancing and evidence-based treatments for overweight and obesity and associated chronic disease in the community. However, systemic barriers need to be addressed to provide equitable access to effective care irrespective of socio-economic status.

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Hanks, Amber J., Clare Hume, Siew Lim, and Jessica A. Grieger. "The Perspectives of Diabetes Educators and Dietitians on Diet and Lifestyle Management for Gestational Diabetes Mellitus: A Qualitative Study." Journal of Diabetes Research 2022 (June 22, 2022): 1–11. http://dx.doi.org/10.1155/2022/3542375.

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This study explores the knowledge and practice of diabetes educators and dietitians on diet and lifestyle management in women with gestational diabetes mellitus (GDM). Diabetes educators and dietitians were recruited from three maternity hospitals in Adelaide (Australia), through snowball and purposive sampling. Thirteen semistructured interviews were conducted, audio recorded, transcribed verbatim, and analysed for codes and themes. Four themes emerged: guidelines and resources, dietary intervention, management delivery, and communication. Diabetes educators and dietitians demonstrated consistent knowledge of nutritional management for GDM and uniform delivery methods. However, a lack of culturally diverse resources was highlighted, along with a lack of continuity of care across the multidisciplinary team. Barriers towards uptake of dietary intervention were reflected by diabetes educators and dietitians as women showing signs of guilt and stress and disengaging from the service. Further exploration on the knowledge and practice of diabetes educators and dietitians for GDM to best inform implementation strategies for knowledge translation of nutritional management is needed. The indication of language and cultural barriers and resources highlight an ongoing key priority area to support the care of women of ethnic minorities.

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Barbour, Liza, Ellyn Bicknell, Julie Brimblecombe, Stefanie Carino, Molly Fairweather, Mark Lawrence, Juliet Slattery, Julie Woods, and Elizabeth World. "Dietitians Australia position statement on healthy and sustainable diets." Nutrition & Dietetics 79, no. 1 (February 2022): 6–27. http://dx.doi.org/10.1111/1747-0080.12726.

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Palermo, Claire, Jane Conway, Eleanor J. Beck, Janeane Dart, Sandra Capra, and Susan Ash. "Methodology for developing competency standards for dietitians in Australia." Nursing & Health Sciences 18, no. 1 (March 2016): 130–37. http://dx.doi.org/10.1111/nhs.12247.

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Patterson-Norrie, Tiffany, Lucie Ramjan, Mariana S. Sousa, and Ajesh George. "Dietitians’ Experiences of Providing Oral Health Promotion to Clients with an Eating Disorder: A Qualitative Study." International Journal of Environmental Research and Public Health 19, no. 21 (October 30, 2022): 14193. http://dx.doi.org/10.3390/ijerph192114193.

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(1) Background: Eating disorders (EDs) can seriously impact oral health, leading to irreversible dental damage. Dietitians play a key role in the care of people with an ED and are well-placed to promote oral health. However, there is currently little understanding of how dietitians perceive their role in this space. This study aimed to explore the perceptions and role of dietitians in providing oral health promotion to their clients in an ED clinical setting. (2) Methods: This descriptive qualitative study used semi-structured interviews to explore the perceptions of 14 registered dietitians practicing across seven states in Australia. Participants were recruited using a combination of purposive and snowball sampling. A hybrid thematic analysis approach was undertaken to identify and describe the key themes generated from the data. (3) Results: Generally, dietitians were insightful and knowledgeable of the oral health issues that clients with an ED may be experiencing. However, dietitians’ practices across education, screening, and referrals were inconsistent. Challenges such as inadequate training, unknown referral pathways, and clear guidelines were cited as significant barriers to practice. (4) Conclusions: The results reinforce the need for education and the development of targeted strategies that address challenges to oral health promotion in dietetic practice.

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Rattray, Megan, and Shelley Roberts. "Dietitians’ Perspectives on the Coordination and Continuity of Nutrition Care for Malnourished or Frail Clients: A Qualitative Study." Healthcare 10, no. 6 (May 26, 2022): 986. http://dx.doi.org/10.3390/healthcare10060986.

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Malnutrition and frailty are common conditions that impact overall health and function. There is limited research exploring the barriers and enablers to providing coordinated nutrition care to malnourished or frail clients in the community (including transitions from hospital). This study aimed to explore dietitians’ experiences and perspectives on providing coordinated nutrition care for frail and malnourished clients identified in the community or being discharged from hospital. Semi-structured interviews with clinical/acute, community, and aged care dietitians across Australia and New Zealand were conducted. Interviews were 23–61 min long, audio recorded and transcribed verbatim. Data were analysed using inductive thematic analysis. Eighteen dietitians participated in interviews, including five clinical, eleven community, and two residential aged care dietitians. Three themes, describing key factors influencing the transition and coordination of nutrition care, emerged from the analysis: (i) referral and discharge planning practices, processes, and quality; (ii) dynamics and functions within the multidisciplinary team; and (iii) availability of community nutrition services. Guidelines advising on referral pathways for malnourished/frail clients, improved communication between acute and community dietitians and within the multidisciplinary team, and solutions for community dietetic resource shortages are required to improve the delivery of coordinated nutrition care to at-risk clients.

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Wood, Beverley, and Virginia Fazio. "Appointment of the first dietitians in Australia: The 90th anniversary." Nutrition & Dietetics 77, no. 4 (September 2020): 477–78. http://dx.doi.org/10.1111/1747-0080.12639.

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Faruquie, Sahrish Sonia, Elizabeth Kumiko Parker, and Peter Talbot. "An evaluation of current home enteral nutrition services at principal referral hospitals in New South Wales, Australia." Australian Health Review 40, no. 1 (2016): 106. http://dx.doi.org/10.1071/ah15029.

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Objective This cross-sectional study investigates the home enteral nutrition (HEN) services of public principal referral hospitals in NSW, Australia, comparing their services to best practice guidelines for HEN. Methods HEN service processes were investigated using an online questionnaire and telephone interview with the dietitian primarily working with HEN at each hospital. Results Participating hospitals reported a total of approximately 3200 HEN patients, 76% required oral nutrition support. Only 69% of hospitals had a dietitian allocated to their HEN service and no hospitals had established multidisciplinary teams to manage HEN patients. Post-discharge follow-up, as recommended for tube fed and oral patients, was achieved by 8% and 15% of hospitals respectively. Forty-six per cent of dietitians were satisfied and 46% of dietitians were dissatisfied with current HEN services provided, and reported the following improvements were required: increased clinical resources allocated to HEN dietitian/coordinator; increased outpatient services (home visits, outpatient clinic, multidisciplinary clinic); and an efficient registration process and database. Conclusions HEN services among participating hospitals are inconsistent, demonstrating gaps in service provision. Baseline assessment scores varied, with an average of 61% of recommendations currently in use. Best practice guidelines are not firmly adhered to due to limited funding and allocated resources for HEN. What is known about the topic? HEN is recognised as a cost-effective and reliable way of treating patients requiring nutrition support post hospital discharge. There are best practice guidelines available to ensure quality care is provided to HEN patients in the community or home setting. As there is no national framework in place for HEN in Australia, currently total patient numbers are unknown and each state and territory provides different levels of service delivery and funding for HEN. It is unknown how guidelines in Australia have been implemented and practiced, as no studies were found that have audited HEN services in Australia. What does this paper add? From the participating hospitals we were able to obtain updated data on HEN patient numbers (~3200). This paper reports on baseline scores in meeting best practice HEN guidelines for tertiary referral hospitals in NSW, Australia and identifies gaps in service provision. It is essential to identify reasons that limit adherence to HEN guidelines, as consequences may include unnecessary re-admissions to emergency departments or hospitals, increasing healthcare costs. Our study found notable differences in service provision ranging from 29% to 86% of recommendations of HEN guidelines achieved, and identified a lack of multidisciplinary teams to manage HEN patients. What are the implications for practitioners? We found HEN services among principal referral hospitals are inconsistent and best practice guidelines are currently not adhered to. National guidelines together with local health policies assist in defining the required standard of care, enhance service delivery and promote clinical excellence. We found the NSW Health Agency for Clinical Innovation HEN Implementation Checklist to be a practical tool for obtaining baseline scores for adherence to best practice guidelines. Regulation of HEN will be positive for HEN users by ensuring a more equitable service is available by introducing consistent funding for HEN nationally. However, it is the responsibility of states and local health districts to implement guidelines, contributing to better health and quality of care provided to patients.

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Hall-McMahon, Emma J., and Katrina L. Campbell. "Have Renal Dietitians Successfully Implemented Evidence-Based Guidelines Into Practice? A Survey of Dietitians Across Australia and New Zealand." Journal of Renal Nutrition 22, no. 6 (November 2012): 584–91. http://dx.doi.org/10.1053/j.jrn.2011.09.004.

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Desbrow, Ben, Joanna McCormack, Louise M. Burke, Gregory R. Cox, Kieran Fallon, Matthew Hislop, Ruth Logan, et al. "Sports Dietitians Australia Position Statement: Sports Nutrition for the Adolescent Athlete." International Journal of Sport Nutrition and Exercise Metabolism 24, no. 5 (October 2014): 570–84. http://dx.doi.org/10.1123/ijsnem.2014-0031.

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It is the position of Sports Dietitians Australia (SDA) that adolescent athletes have unique nutritional requirements as a consequence of undertaking daily training and competition in addition to the demands of growth and development. As such, SDA established an expert multidisciplinary panel to undertake an independent review of the relevant scientific evidence and consulted with its professional members to develop sports nutrition recommendations for active and competitive adolescent athletes. The position of SDA is that dietary education and recommendations for these adolescent athletes should reinforce eating for long term health. More specifically, the adolescent athlete should be encouraged to moderate eating patterns to reflect daily exercise demands and provide a regular spread of high quality carbohydrate and protein sources over the day, especially in the period immediately after training. SDA recommends that consideration also be given to the dietary calcium, Vitamin D and iron intake of adolescent athletes due to the elevated risk of deficiency of these nutrients. To maintain optimal hydration, adolescent athletes should have access to fluids that are clean, cool and supplied in sufficient quantities before, during and after participation in sport. Finally, it is the position of SDA that nutrient needs should be met by core foods rather than supplements, as the recommendation of dietary supplements to developing athletes over-emphasizes their ability to manipulate performance in comparison with other training and dietary strategies.

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McCubbin, Alan J., Bethanie A. Allanson, Joanne N. Caldwell Odgers, Michelle M. Cort, Ricardo J. S. Costa, Gregory R. Cox, Siobhan T. Crawshay, et al. "Sports Dietitians Australia Position Statement: Nutrition for Exercise in Hot Environments." International Journal of Sport Nutrition and Exercise Metabolism 30, no. 1 (January 1, 2020): 83–98. http://dx.doi.org/10.1123/ijsnem.2019-0300.

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It is the position of Sports Dietitians Australia (SDA) that exercise in hot and/or humid environments, or with significant clothing and/or equipment that prevents body heat loss (i.e., exertional heat stress), provides significant challenges to an athlete’s nutritional status, health, and performance. Exertional heat stress, especially when prolonged, can perturb thermoregulatory, cardiovascular, and gastrointestinal systems. Heat acclimation or acclimatization provides beneficial adaptations and should be undertaken where possible. Athletes should aim to begin exercise euhydrated. Furthermore, preexercise hyperhydration may be desirable in some scenarios and can be achieved through acute sodium or glycerol loading protocols. The assessment of fluid balance during exercise, together with gastrointestinal tolerance to fluid intake, and the appropriateness of thirst responses provide valuable information to inform fluid replacement strategies that should be integrated with event fuel requirements. Such strategies should also consider fluid availability and opportunities to drink, to prevent significant under- or overconsumption during exercise. Postexercise beverage choices can be influenced by the required timeframe for return to euhydration and co-ingestion of meals and snacks. Ingested beverage temperature can influence core temperature, with cold/icy beverages of potential use before and during exertional heat stress, while use of menthol can alter thermal sensation. Practical challenges in supporting athletes in teams and traveling for competition require careful planning. Finally, specific athletic population groups have unique nutritional needs in the context of exertional heat stress (i.e., youth, endurance/ultra-endurance athletes, and para-sport athletes), and specific adjustments to nutrition strategies should be made for these population groups.

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Gifford, Janelle, and Robynne Snell. "Barriers and enablers to applying for the Dietitians Association of Australia Advanced Accredited Practising Dietitian credential: A qualitative analysis." Nutrition & Dietetics 72, no. 2 (November 27, 2014): 132–42. http://dx.doi.org/10.1111/1747-0080.12151.

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HART, Susan, Suzanne ABRAHAM, Georgina LUSCOMBE, and Janice RUSSELL. "Eating disorder management in hospital patients: Current practice among dietitians in Australia." Nutrition & Dietetics 65, no. 1 (March 2008): 16–22. http://dx.doi.org/10.1111/j.1747-0080.2007.00174.x.

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Nowson, Caryl A. "28th National Dietitians Association of Australia: Lecture in Honour of Audrey Cahn." Nutrition & Dietetics 67, no. 3 (August 25, 2010): 190–94. http://dx.doi.org/10.1111/j.1747-0080.2010.01454.x.

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Stubbs, Christina. "Dietitians Association of Australia 31stNational Conference: Lecture in honour of Judith Walker OAM." Nutrition & Dietetics 71, no. 4 (October 13, 2014): 295–98. http://dx.doi.org/10.1111/1747-0080.12141.

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Scott, Jane. "Dietitians Association of Australia 32nd national conference: Lecture in honour of Nancy Hitchcock." Nutrition & Dietetics 72, no. 4 (December 2015): 377–80. http://dx.doi.org/10.1111/1747-0080.12245.

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Bourne, Ruth, Judith Tweedie, and Fiona Pelly. "Preoperative nutritional management of bariatric patients in Australia: The current practice of dietitians." Nutrition & Dietetics 75, no. 3 (September 15, 2017): 316–23. http://dx.doi.org/10.1111/1747-0080.12384.

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Goodyer, Leah, Leanne J. Brown, and Elesa Crowley. "Celiac Disease Knowledge and Practice of Dietitians in Rural New South Wales, Australia." Food and Nutrition Sciences 07, no. 10 (2016): 874–83. http://dx.doi.org/10.4236/fns.2016.710087.

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Brindal, Emily, Carlene Wilson, Philip Mohr, and Gary Wittert. "Perceptions of portion size and energy content: implications for strategies to affect behaviour change." Public Health Nutrition 15, no. 2 (June 23, 2011): 246–53. http://dx.doi.org/10.1017/s1368980011001236.

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AbstractObjectiveTo assess Australian consumers’ perception of portion size of fast-food items and their ability to estimate energy content.DesignCross-sectional computer-based survey.SettingAustralia.SubjectsFast-food consumers (168 male, 324 female) were asked to recall the items eaten at the most recent visit to a fast-food restaurant, rate the prospective satiety and estimate the energy content of seven fast-food or ‘standard’ meals relative to a 9000 kJ Guideline Daily Amount. Nine dietitians also completed the energy estimation task.ResultsRatings of prospective satiety generally aligned with the actual size of the meals and indicated that consumers perceived all meals to provide an adequate amount of food, although this differed by gender. The magnitude of the error in energy estimation by consumers was three to ten times that of the dietitians. In both males and females, the average error in energy estimation for the fast-food meals (females: mean 3911 (sd 1998) kJ; males: mean 3382 (sd 1957) kJ) was significantly (P < 0·001) larger than for the standard meals (females: mean 2607 (sd 1623) kJ; males: mean 2754 (sd 1652) kJ). In women, error in energy estimation for fast-food items predicted actual energy intake from fast-food items (β = 0·16, P < 0·01).ConclusionsKnowledge of the energy content of standard and fast-food meals in fast-food consumers in Australia is poor. Awareness of dietary energy should be a focus of health promotion if nutrition information, in its current format, is going to alter behaviour.

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Marino, L. V., K. L. Bell, J. Woodgate, and A. Doolan. "An international survey of the nutrition management of chylothorax: a time for change." Cardiology in the Young 29, no. 09 (September 2019): 1127–36. http://dx.doi.org/10.1017/s1047951119001525.

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AbstractIntroduction:Although chylothorax is an uncommon complication following paediatric cardiothoracic surgery, it has significant associated morbidities and increased in-hospital mortality, as well as results in higher costs. A lack of prospective evidence or consensus guidelines for management of chylothorax further hinders optimal management. The aim of this survey was to characterise variations in practice in the management of chylothorax and to identify areas for future research.Materials and methods:A descriptive, observational survey investigating conservative management practices of chylothorax was distributed internationally to health-care professionals in paediatric intensive care and cardiology units. The survey investigated five domains: the first providing general information about health-care professionals and four domains focusing on clinical practice including diet composition and duration.Results:In total, sixty-four health-care professionals completed the survey, representing 38 organisations from 16 countries. The respondents were dietitians (80%), physicians (19%), and nurses (1%). In Australia and New Zealand, management was most commonly directed by physicians’ preference (67%) as compared to unit protocols in Europe (67%), United States of America (67%), and Other regions (55%). Dietitians in Australia/New Zealand, United Kingdom, and Ireland followed the most restrictive diet therapy recommending <5 g long chain triglyceride fat per day (p < 0.00001). The duration of diet therapy significantly varied between regions: Australia/New Zealand: 4 weeks (36%) and 6 weeks (43%); Europe: 4 weeks (25%) and 6 weeks (57%); and North America: 4 weeks (18%) and 6 weeks (75%) (p < 0.00001).Conclusions:This survey highlights international variations in practice in the management of chylothorax, particularly with respect to treatment duration and dietary fat restriction. Future research should include a multi-centre randomised controlled trial to inform evidence-based practice and reduce morbidity, particularly poor growth.

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Tapsell, Linda. "24th National Dietitians Association of Australia: Lecture in honour of Joan Mary Woodhill OBE." Nutrition & Dietetics 63, no. 4 (November 17, 2006): 240–43. http://dx.doi.org/10.1111/j.1747-0080.2006.00105.x.

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Marx, Wolfgang, Nicole Kiss, Daniel McKavanagh, and Elisabeth Isenring. "Attitudes, beliefs and behaviours of Australia dietitians regarding dietary supplements: A cross-sectional survey." Complementary Therapies in Clinical Practice 25 (November 2016): 87–91. http://dx.doi.org/10.1016/j.ctcp.2016.09.002.

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Craven, Dana L., Fiona E. Pelly, Elisabeth Isenring, and Geoff P. Lovell. "Barriers and enablers to malnutrition screening of community-living older adults: a content analysis of survey data by Australian dietitians." Australian Journal of Primary Health 23, no. 2 (2017): 196. http://dx.doi.org/10.1071/py16054.

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Many older adults living in their own homes are at nutrition risk which, left untreated, can lead to the state of malnutrition. To reduce the prevalence of malnutrition among community-living older adults (CLOAs), risk factors should be identified and addressed early via malnutrition screening. The aim of this study was to identify barriers and enablers to malnutrition screening of CLOAs from the perspective of dietitians. Ninety-two dietitians working for government, not-for-profit and private organisations in Australia provided written comments to open-ended survey questions. Textual data were analysed using content analysis, resulting in four key categories of organisational, staff, screening and CLOA factors. Insufficient time to screen and lack of knowledge by non-dietetic staff and CLOAs about malnutrition were identified as the strongest barriers. Organisational factors of screening policy and procedures and the provision of education and training emerged as the strongest enablers. The findings from this study can provide guidance to organisations and healthcare practitioners considering the implementation of routine malnutrition screening of CLOAs. Increased awareness about malnutrition and the associated outcomes may help to reduce nutrition risk among CLOAs.

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Sulda, Heidi, John Coveney, and Michael Bentley. "An investigation of the ways in which public health nutrition policy and practices can address climate change." Public Health Nutrition 13, no. 3 (June 23, 2009): 304–13. http://dx.doi.org/10.1017/s1368980009990334.

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AbstractObjectiveTo develop a framework to guide action in the public health nutrition workforce to develop policies and practices addressing factors contributing to climate change.DesignAction/consultative research.SettingInterviews – South Australia, questionnaire – Australia.SubjectsInterviews – key informants (n 6) were from various government, academic and non-government positions, invited through email. Questionnaire – participants were members of the public health nutrition workforce (n 186), recruited to the study through emails from public health nutrition contacts for each State in Australia (with the exception of South Australia).ResultsSupport by participants for climate change as a valid role for dietitians and nutritionists was high (78 %). However, climate change was ranked low against other public health nutrition priorities. Support of participants to conduct programmes to address climate change from professional and work organisations was low. The final framework developed included elements of advocacy/lobbying, policy, professional recognition/support, organisational support, knowledge/skills, partnerships and programmes.ConclusionsThis research demonstrates a need for public health nutrition to address climate change, which requires support by organisations, policy, improved knowledge and increased professional development opportunities.

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Hazelton, Jenny. "30th National Dietitians Association of Australia Conference: Lecture in honour of Elizabeth (Bettie) Richardson OAM." Nutrition & Dietetics 70, no. 3 (September 2013): 247–49. http://dx.doi.org/10.1111/1747-0080.12071.

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Nagy, Annaliese, Anne McMahon, Linda Tapsell, and Frank Deane. "How is the client‐dietitian relationship embedded in the professional education of dietitians? An analysis of curriculum documentation and program coordinators' perspectives in Australia." Nutrition & Dietetics 78, no. 2 (January 22, 2021): 218–31. http://dx.doi.org/10.1111/1747-0080.12657.

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Oliver, Colleen, Caitlin Watson, Elesa Crowley, Melissa Gilroy, Denise Page, Katrina Weber, Deanna Messina, and Barbara Cormack. "Vitamin and Mineral Supplementation Practices in Preterm Infants: A Survey of Australian and New Zealand Neonatal Intensive and Special Care Units." Nutrients 12, no. 1 (December 23, 2019): 51. http://dx.doi.org/10.3390/nu12010051.

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Preterm infants are at increased risk of micronutrient deficiencies as a result of low body stores, maternal deficiencies, and inadequate supplementations. The aim of this survey was to investigate current vitamin and mineral supplementation practices and compare these with published recommendations and available evidence on dosages and long-term outcomes of supplementations in preterm infants. In 2018, a two-part electronic survey was emailed to 50 Australasian Neonatal Dietitians Network (ANDiN) member and nonmember dietitians working in neonatal units in Australia and New Zealand. For inpatients, all units prescribed between 400 and 500 IU/day vitamin D, compared to a recommended intake range of 400–1000 IU/day. Two units prescribed 900–1000 IU/day at discharge. For iron, 83% of respondents prescribed within the recommended intake range of 2–3 mg/kg/day for inpatients. Up to 10% of units prescribed 6 mg/kg/day for inpatients and at discharge. More than one-third of units reported routine supplementations of other micronutrients, including calcium, phosphate, vitamin E, and folic acid. There was significant variation between neonatal units in vitamin and mineral supplementation practices, which may contribute to certain micronutrient intakes above or below recommended ranges for gestational ages or birth weights. The variations in practice are in part due to differences in recommended vitamin and mineral intakes between expert groups and a lack of evidence supporting the recommendations for supplementations.

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M. Grant, Shannan, Andrea J. Glenn, Thomas M. S. Wolever, Robert G. Josse, Deborah L. O’Connor, Alexandra Thompson, Rebecca D. Noseworthy, et al. "Evaluation of Glycemic Index Education in People Living with Type 2 Diabetes: Participant Satisfaction, Knowledge Uptake, and Application." Nutrients 12, no. 8 (August 12, 2020): 2416. http://dx.doi.org/10.3390/nu12082416.

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The glycemic index (GI) has been included in the Canadian clinical practice guidelines for type 2 diabetes (T2D) management since 2003, and even longer in other parts of the world (e.g., Australia). Despite this, dietitians have reported that GI is “too difficult for patients to understand and apply.” They have called for diverse GI-utility data and evidence-informed education materials. To address these concerns, we developed and evaluated a GI education workshop and supporting materials, using the Kirkpatrick Model, for a T2D population. Participants (n = 29) with T2D attended a dietitian-facilitated workshop and received education materials. A mixed-form questionnaire (GIQ) and 3-day-diet-record were used to capture patient demographics, satisfaction, knowledge, and application, prior to and immediately after the workshop, 1-week, and 4-weeks post-education. Dietary GI was significantly lower at 1 and 4 weeks post-education (mean ± SEM; both 54 ± 1), compared to pre-education (58 ± 1; p ≤ 0.001). Participants (28/29) were satisfied with the intervention. The GI knowledge score was significantly higher post-education at baseline (83.5 ± 3.4%; p ≤ 0.001), week one (87.5 ± 2.6%; p = 0.035), and week four (87.6 ± 3.8%; p = 0.011) when compared to pre-education (53.6 ± 5.1%). A significant reduction in dietary GI was achieved by participants living with T2D, after completing the workshop, and they were able to acquire and apply GI knowledge in a relatively short period.

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Pearce-Brown, Carmen L., Laurie Grealish, Ian S. McRae, Kirsty A. Douglas, Laurann E. Yen, Robert W. Wells, and Susan Wareham. "A local study of costs for private allied health in Australian primary health care: variability and policy implications." Australian Journal of Primary Health 17, no. 2 (2011): 131. http://dx.doi.org/10.1071/py10029.

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Multidisciplinary approaches to primary health care improve outcomes for individuals living with chronic conditions. However, emerging evidence suggests access to allied health professionals in Australia is problematic. This paper reports findings of a telephone survey of allied health professionals’ billing practices in one urban area. The survey was undertaken as a quality improvement project in response to the affordability queries raised by patients and carers in the clinical setting. The aim was to determine financial cost of access to allied health professionals in one urban primary health care setting. Participant practices included: physiotherapy (n = 21), podiatry (n = 8) and dietitians (n = 3). Fees were variable, with cost of the initial (assessment) appointment higher than subsequent (follow-up) appointments in 92% of practices. The average out of pocket expenses for assessment and three follow-up appointments ranged from $258 to $302. When available, the Medicare rebate reduced this to $58–106. Bulk billing was not offered. Variable costs, minimal concessions and absence of bulk billing in this confined geographical area creates a cost barrier to access for patients from lower socioeconomic groups and has implications for access to multidisciplinary care in Australian primary health care.

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Archer, Claire, Danielle Gallegos, and Rebecca McKechnie. "Developing measures of food and nutrition security within an Australian context." Public Health Nutrition 20, no. 14 (July 31, 2017): 2513–22. http://dx.doi.org/10.1017/s1368980017001288.

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AbstractObjectiveTo develop a measure of food and nutrition security for use among an Australian population that measures all pillars of food security and to establish its content validity.DesignThe study consisted of two phases. Phase 1 involved focus groups with experts working in the area of food security. Data were assessed using content analysis and results informed the development of a draft tool. Phase 2 consisted of a series of three online surveys using the Delphi technique. Findings from each survey were used to establish content validity and progressively modify the tool until consensus was reached for all items.SettingAustralia.SubjectsPhase 1 focus groups involved twenty-five experts working in the field of food security, who were attending the Dietitians Association of Australia National Conference, 2013. Phase 2 included twenty-five experts working in food security, who were recruited via email.ResultsFindings from Phase 1 supported the need for an Australian-specific tool and highlighted the failure of current tools to measure across all pillars of food security. Participants encouraged the inclusion of items to measure barriers to food acquisition and the previous single item to enable comparisons with previous data. Phase 2 findings informed the selection and modification of items for inclusion in the final tool.ConclusionsThe results led to the development of a draft tool to measure food and nutrition security, and supported its content validity. Further research is needed to validate the tool among the Australian population and to establish inter- and intra-rater reliability.

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Kirk, Katherine M., Felicity C. Martin, Amy Mao, Richard Parker, Sarah Maguire, Laura M. Thornton, Gu Zhu, et al. "The Anorexia Nervosa Genetics Initiative: Study description and sample characteristics of the Australian and New Zealand arm." Australian & New Zealand Journal of Psychiatry 51, no. 6 (April 5, 2017): 583–94. http://dx.doi.org/10.1177/0004867417700731.

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Objectives: Anorexia nervosa is a severe psychiatric disorder with high mortality rates. While its aetiology is poorly understood, there is evidence of a significant genetic component. The Anorexia Nervosa Genetics Initiative is an international collaboration which aims to understand the genetic basis of the disorder. This paper describes the recruitment and characteristics of the Australasian Anorexia Nervosa Genetics Initiative sample, the largest sample of individuals with anorexia nervosa ever assembled across Australia and New Zealand. Methods: Participants completed an online questionnaire based on the Structured Clinical Interview Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV) eating disorders section. Participants who met specified case criteria for lifetime anorexia nervosa were requested to provide a DNA sample for genetic analysis. Results: Overall, the study recruited 3414 Australians and 543 New Zealanders meeting the lifetime anorexia nervosa case criteria by using a variety of conventional and social media recruitment methods. At the time of questionnaire completion, 28% had a body mass index ⩽ 18.5 kg/m2. Fasting and exercise were the most commonly employed methods of weight control, and were associated with the youngest reported ages of onset. At the time of the study, 32% of participants meeting lifetime anorexia nervosa case criteria were under the care of a medical practitioner; those with current body mass index < 18.5 kg/m2 were more likely to be currently receiving medical care (56%) than those with current body mass index ⩾ 18.5 kg/m2 (23%). Professional treatment for eating disorders was most likely to have been received from general practitioners (45% of study participants), dietitians (42%) and outpatient programmes (42%). Conclusions: This study was effective in assembling the largest community sample of people with lifetime anorexia nervosa in Australia and New Zealand to date. The proportion of people with anorexia nervosa currently receiving medical care, and the most common sources of treatment accessed, indicates the importance of training for general practitioners and dietitians in treating anorexia nervosa.

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Allman-Farinelli, Margaret, Annette Byron, Clare Collins, Janelle Gifford, and Peter Williams. "Challenges and lessons from systematic literature reviews for the Australian dietary guidelines." Australian Journal of Primary Health 20, no. 3 (2014): 236. http://dx.doi.org/10.1071/py13016.

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In 2009–10 the Dietitians Association of Australia conducted a series of systematic reviews for the National Health and Medical Research Council to generate evidence statements to inform the revision of the Dietary Guidelines for Australians. In total 202 body of evidence statements were constructed and assigned a grading detailing the certainty with which each could be used to inform policy. This paper describes some of the challenges and insights gained from the process, specifically related to: study type, study quality assessment, the lack of quantified data, diet exposure, definition of a healthy population, generalisability and applicability, and resource allocation. It is clear that there is still a need for further refinement of the methods for evaluating evidence for nutrition policy, but the current dietary guidelines are now much more robustly evidence informed than ever before.

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Truby, Helen. "Dietitians Association of Australia 33rd National Conference: Lecture in honour of Dr Fiona Cumming-Life, Leadership and Landing." Nutrition & Dietetics 74, no. 4 (September 2017): 423–27. http://dx.doi.org/10.1111/1747-0080.12373.

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Morgan, K. F., and R. Hughes. "Who Is Preparing Our Dietitians of the Future? A Professional Profile of the Dietetic Educator Workforce in Australia." Journal of the Academy of Nutrition and Dietetics 115, no. 9 (September 2015): A10. http://dx.doi.org/10.1016/j.jand.2015.06.020.

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Shaw, Gregory, Gary Slater, and Louise M. Burke. "Supplement Use of Elite Australian Swimmers." International Journal of Sport Nutrition and Exercise Metabolism 26, no. 3 (June 2016): 249–58. http://dx.doi.org/10.1123/ijsnem.2015-0182.

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This study examined the influence the Australian Institute of Sport (AIS) Sport Supplement Program had on supplement practices of elite Australian swimmers, comparing those guided by the Program with others in the same national team. Thirty-nine elite swimmers (13 AIS, 26 Other; 20 female, 19 male; age 21.8 ± 3.3 y) completed a questionnaire investigating supplement use. Ninety-seven percent of swimmers reported taking supplements or sports foods over the preceding 12 months. AIS swimmers reported using more total brands (p = .02) and supplements considered Ergogenic (p = .001) than Other swimmers who used more supplements considered to be lacking scientific support (p = .028). Swimmers rated the risk of a negative outcome from the use of supplements available in Australia (Mdn = 3.0) as less than the risk of supplements from international sources (Mdn = 4.0; p < .001). AIS swimmers were more likely to report dietitians (p < .001) and sports physicians (p = .017) as advisors of their supplement use. Other swimmers more frequently reported fellow athletes as a source of supplement advice (p = .03). AIS swimmers sourced a greater percentage of their supplements from an organized program (94 ± 16%) compared with Other (40 ± 32%; p < .001) who sourced a greater percentage (30 ± 30%) of their dietary supplements from supermarkets. These findings suggest that swimmers influenced by this sport supplement program more frequently use supplements that are recommended by allied health trained individuals, classified as evidence based and provided by the program.

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Grammatikopoulou, Maria G., Tonia Vassilakou, Dimitrios G. Goulis, Xenophon Theodoridis, Meletios P. Nigdelis, Arianna Petalidou, Konstantinos Gkiouras, et al. "Standards of Nutritional Care for Patients with Cystic Fibrosis: A Methodological Primer and AGREE II Analysis of Guidelines." Children 8, no. 12 (December 14, 2021): 1180. http://dx.doi.org/10.3390/children8121180.

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Although many Clinical Practice Guidelines (CPGs) have been published for the care of patients with Cystic Fibrosis (CF), including a variety of nutrition recommendations, the quality of these CPGs has never been evaluated. The aim of this study was to compare, review, and critically appraise CPGs for the nutritional management of CF, throughout the lifespan. We searched PubMed, Guidelines International Network (GIN), ECRI Institute, and Guidelines Central for CPGs, with information on the nutritional management of CF. Retrieved CPGs were appraised by three independent reviewers, using the Appraisal of Guidelines, Research and Evaluation II (AGREE II) instrument and checklist. A total of 22 CPGs (seven solely nutrition oriented), by 14 different publishers, were retrieved. The Thoracic Society of Australia and New Zealand CPGs scored the highest overall quality (94.4%), while the Paediatric Gastroenterology Society/Dietitians Association of Australia CPGs had the lowest score (27.8%). Great variation in AGREE II domain-specific scores was observed in all CPGs, suggesting the existence of different strengths and weaknesses. Despite the availability of several CPGs, many appear outdated, lacking rigor, transparency, applicability, and efficiency, while incorporating bias. Considering that CPGs adherence is associated with better outcomes and the need for improving life expectancy in patients with CF, the development of CPGs of better quality is deemed necessary.

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Grimmer-Somers, Karen, Wendy Dolesj, and Joanne Atkinson. "Enhanced Primary Care pilot program benefits Type II diabetes patients." Australian Health Review 34, no. 1 (2010): 18. http://dx.doi.org/10.1071/ah09619.

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Background.The Australian Government Medicare Enhanced Primary Care (EPC) initiative for chronic disease management (CDM) supports integrated allied health (AH) and general medical practitioner (GP) care. There are limited examples of how to operationalise this initiative in private practice, and minimal evidence of expected service utilisation or acceptability to patients. This paper reports on a 2007 Australian integrated GP/private sector AH pilot program, based on Medicare EPC guidelines for Type II diabetes. Objectives.Describe how the pilot program was put in place (operationalised). Report on service utilisation and patient perspectives of the pilot program. Methods.Pilot program: patients with Type II diabetes were referred to credentialed diabetes educators (CDEs), dietitians or podiatrists by their GP, via a Medicare-approved team care arrangement (TCA). Dietitians and CDEs operated on a sessional basis from GPs’ rooms, and podiatrists operated from their own clinics. All AH providers accepted the Medicare Plus rebate only, and provided guidelines-based care (focussed on patient education, disease ownership and self-management). Service utilisation was measured by the number and type of AH attendances per patient. Patient perspectives of the pilot program, and what they perceived they had gained from participation in it, were measured by semi-structured telephone interviews. Results.An average of 2.3 AH consultations were consumed by 588 patients, of whom 59 were interviewed. Interviewed patients appreciated the ready and timely access to AH services at no additional cost, the integration of GP/AH care, and being actively involved in managing their disease. Approximately 60% of patients had never previously consulted an AH provider regarding diabetes. Interviewees perceived that collocated, integrated GP–AH care heightened their disease awareness, improved their knowledge of their disease and encouraged them to better self-manage. Most interviewees indicated that they did not require further AH assistance in the short term (having gained what assistance they needed), and ~60% interviewees indicated they would pay a gap fee for similar AH services in the future. Conclusion.Integrated AH/GP guidelines-based care provided in GP clinics appears to be cost efficient. It has the potential to improve patient access to AH care, promote the role of integrated care in the management of Type II diabetes, and improve patient education and self-management. What is known about the topic?There is a growing body of research on the effectiveness of multidisciplinary teams in the management of patients with chronic disease, in terms of promoting better health and self-management education. However little is known in Australia about the operationalisation of the Enhanced Primary Care (EPC) program by general medical practitioners (GPs) and private allied health (AH) providers, to manage any chronic disease. Service utilisation and patient perspectives of integrated GP/AH care under the EPC program are also largely unreported. What does this paper add?This paper describes how the pilot program was put in place (operationalised) within the Australian context using the Medicare EPC initiative, for the management of Type II diabetes. It describes service utilisation, and patient perspectives of integrated private AH and GP care in terms of the process, and what they gained from participating in it. What are the implications for practitioners?Integrating private AH and GP care in GPs’ rooms in Australia, under the EPC program, appears to be cost effective and readily accessible, and provides advantages for patients with Type II diabetes.

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Freene, Nicole, Sophie Cools, Danny Hills, Bernie Bissett, Kate Pumpa, and Gabrielle Cooper. "A wake-up call for physical activity promotion in Australia: results from a survey of Australian nursing and allied health professionals." Australian Health Review 43, no. 2 (2019): 165. http://dx.doi.org/10.1071/ah16240.

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Objective Nursing and allied health professionals (AHPs) are in an ideal position to promote physical activity (PA) as part of their health care provision. The aim of this study was to investigate current promotion and knowledge of PA among people in these disciplines. Methods A cross-sectional online survey of practicing Australian physiotherapists, nurses, exercise physiologists, occupational therapists, dietitians and pharmacists was conducted in 2016. Results A total of 433 nurses and AHPs completed the survey. All disciplines agreed that providing PA advice was part of their role, although nurses were less likely to agree. All disciplines felt they had the skills to promote PA but nurses were more likely to report a lack of time as a barrier. Physiotherapists and exercise physiologists were more confident giving PA advice to patients. Most health professionals (68%) were aware of the PA guidelines, although only 16% were accurately able to describe all relevant components. In logistic regression modelling, women and those working in public hospitals were less likely to encourage PA. Awareness of the PA guidelines doubled the odds of encouraging PA in patients (odds ratio 2.01, 95% confidence interval 1.18–3.43). Conclusions Australian nurses and AHPs perceive that PA promotion is part of their role, however few have specific knowledge of the PA guidelines. To increase PA promotion by nurses and AHPs awareness of the PA guidelines appears to be essential. What is known about the topic? Nurses and AHPs are in an ideal position to promote PA, although there is limited evidence of their PA promotion and knowledge. What does the paper add? Australian nurses and AHPs are confident and think it is feasible to promote PA to patients in several healthcare settings but many lack sufficient PA knowledge, limiting their PA promotion. What are the implications for practitioners? Increasing PA knowledge of nurses and AHPs could generate increased levels of PA in the Australian population and improve national health and wellbeing.

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Cuesta-Briand, Beatriz, Sherry Saggers, and Alexandra McManus. "‘It still leaves me sixty dollars out of pocket’: experiences of diabetes medical care among low-income earners in Perth." Australian Journal of Primary Health 20, no. 2 (2014): 143. http://dx.doi.org/10.1071/py12096.

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Diabetes prevalence is increasing in Australia, and there are stark inequities in prevalence and clinical outcomes experienced by Indigenous people and low socioeconomic groups compared with non-Indigenous and socioeconomically advantaged groups. This paper explores the impact of Indigenous status and socioeconomic disadvantage on the experience of diabetes care in the primary health setting. Data were collected through focus groups and interviews. The sample, comprising 38 participants (Indigenous and non-Indigenous), was recruited from disadvantaged areas in Perth, Australia. Data analysis was mainly deductive and based on a conceptual framework for the relationship between socioeconomic position and diabetes health outcomes. Most participants reported accessing general practitioners regularly; however, evidence of access to dietitians and podiatrists was very limited. Perceived need, cost, lack of information on available services and previous negative experiences influenced health care-seeking behaviour. Complexity and lack of coordination characterised the model of care reported by most participants. In contrast, Indigenous participants accessing an Aboriginal community-controlled health organisation reported a more accessible and coordinated experience of care. Our analysis suggests that Indigenous and socioeconomically disadvantaged people tailor their health care-seeking behaviour to the limitations imposed by their income and disadvantaged circumstances. To reduce inequities in care experiences, diabetes services in primary care need to be accessible and responsive to the needs of such groups in the community.

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Martin, Belinda, Geoff Knight, and Jill Sherriff. "Current enteral feeding practices in paediatric intensive care units in Australia and New Zealand: Results from a survey of dietitians." Nutrition & Dietetics 76, no. 1 (September 26, 2018): 119–20. http://dx.doi.org/10.1111/1747-0080.12476.

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Porter, Judi, Claire Bristow, Karen Charlton, Linda Tapsell, and Tammie Choi. "Changes in nutrition and dietetic research: A content analysis of the past decade of Dietitians Association of Australia conference abstracts." Nutrition & Dietetics 76, no. 5 (June 12, 2019): 634–41. http://dx.doi.org/10.1111/1747-0080.12563.

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Ebert, Tammie R., David T. Martin, Brian Stephens, Warren McDonald, and Robert T. Withers. "Fluid and Food Intake During Professional Men’s and Women’s Road-Cycling Tours." International Journal of Sports Physiology and Performance 2, no. 1 (March 2007): 58–71. http://dx.doi.org/10.1123/ijspp.2.1.58.

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Purpose:To quantify the fluid and food consumed during a men’s and women’s professional road-cycling tour.Methods:Eight men (age 25 ± 5 y, body mass ± 7.4 kg, and height 177.4 ± 4.5 cm) and 6 women (age 26 ± 4 y, body mass ± 5.6 kg, and height 170.4 ± 5.2 cm) of the Australian Institute of Sport Road Cycling squads participated in the study. The men competed in the 6-d Tour Down Under (Adelaide, Australia), and the women, in the 10-d Tour De L’Aude (Aude, France). Body mass was recorded before and immediately after the race. Cyclists recalled the number of water bottles and amount of food they had consumed.Results:Men and women recorded body-mass losses of ~2 kg (2.8% body mass) and 1.5 kg (2.6% body mass), respectively, per stage during the long road races. Men had an average fluid intake of 1.0 L/h, whereas women only consumed on average 0.4 L/h. In addition, men consumed CHO at the rate suggested by dietitians (average CHO intake of 48 g/h), but again the women failed to reach recommendations, with an average intake of ~21 g/h during a road stage.Conclusions:Men appeared to drink and eat during racing in accordance with current nutritional recommendations, but women failed to reach these guidelines. Both men and women finished their races with a body-mass loss of ~2.6% to 2.8%. Further research is required to determine the impact of this loss on road-cycling performance and thermoregulation.

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McKean, Mark R., Gary Slater, Florin Oprescu, and Brendan J. Burkett. "Do the Nutrition Qualifications and Professional Practices of Registered Exercise Professionals Align?" International Journal of Sport Nutrition and Exercise Metabolism 25, no. 2 (April 2015): 154–62. http://dx.doi.org/10.1123/ijsnem.2014-0051.

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Australia has approximately 26,000 registered exercise professionals (REP), in comparison with 3,379 accredited practicing dietitians (APD). The REP workforce has the potential to reach more than 10% of the Australian population but there is limited data on their educational background and professional behaviors with regards to nutritional counseling of clients. The purpose of this research was to determine if REPs are working within their scope of practice and if their qualifications align with their practice, specifically as it relates to nutrition advice. Using a cross sectional descriptive study design, a self-administered online survey of REPs was conducted over 5 months. REPs were recruited through electronic and social media using a snowballing technique. The study focused on education, nutrition advice, and sources of information. A total of 286 respondents completed the survey, including 13 with tertiary dietetic qualifications i.e., APDs. The nationally recognized industry Certificate III/IV in Fitness was the most common qualification. The majority of REPs responding (88%) were working outside of their professional scope of practice, offering individual nutrition advice to clients across fitness and medical issues. This was despite 40% of REPs undertaking no further training in nutrition since graduating, and primarily basing advice on use of readily accessible sources of nutrition information. It is recommended the nutrition advice provided to REPs during training be limited to general nonmedical nutrition information in accordance with nationally endorsed evidence based guidelines and that issues pertaining to scope of practice be addressed with onward referral to other health professionals be advocated.

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Stevenson, Jessica, Allison Tong, Katrina L. Campbell, Jonathan C. Craig, and Vincent W. Lee. "Perspectives of healthcare providers on the nutritional management of patients on haemodialysis in Australia: an interview study." BMJ Open 8, no. 3 (March 2018): e020023. http://dx.doi.org/10.1136/bmjopen-2017-020023.

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ObjectiveTo describe the perspectives of healthcare providers on the nutritional management of patients on haemodialysis, which may inform strategies for improving patient-centred nutritional care.DesignFace-to-face semistructured interviews were conducted until data saturation, and thematic analysis based on principles of grounded theory.Setting21 haemodialysis centres across Australia.Participants42 haemodialysis clinicians (nephrologists and nephrology trainees (15), nurses (12) and dietitians (15)) were purposively sampled to obtain a range of demographic characteristics and clinical experiences.ResultsSix themes were identified: responding to changing clinical status (individualising strategies to patient needs, prioritising acute events, adapting guidelines), integrating patient circumstances (assimilating life priorities, access and affordability), delineating specialty roles in collaborative structures (shared and cohesive care, pivotal role of dietary expertise, facilitating access to nutritional care, perpetuating conflicting advice and patient confusion, devaluing nutritional specialty), empowerment for behaviour change (enabling comprehension of complexities, building autonomy and ownership, developing self-efficacy through engagement, tailoring self-management strategies), initiating and sustaining motivation (encountering motivational hurdles, empathy for confronting life changes, fostering non-judgemental relationships, emphasising symptomatic and tangible benefits, harnessing support networks), and organisational and staffing barriers (staffing shortfalls, readdressing system inefficiencies).ConclusionsOrganisational support with collaborative multidisciplinary teams and individualised patient care were seen as necessary for developing positive patient–clinician relationships, delivering consistent nutrition advice, and building and sustaining patient motivation to enable change in dietary behaviour. Improving service delivery and developing and delivering targeted, multifaceted self-management interventions may enhance current nutritional management of patients on haemodialysis.

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Journal articles on the topic 'Dietitians Australia'

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