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Pages: 1 - 1 Abstract: Canadian Journal of Dietetic Practice and Research, Volume 83, Issue 1, Page 1-1, March 2022.
Citation: Canadian Journal of Dietetic Practice and Research PubDate: 2022-03-15T05:55:27Z DOI: 10.3148/cjdpr-2022-001 Issue No:Vol. 83, No. 1 (2022)
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Authors:Anne Cross, Suzanne Galesloot, Sheila Tyminski, Diane Hoy Pages: 41 - 45 Abstract: Canadian Journal of Dietetic Practice and Research, Volume 83, Issue 1, Page 41-45, March 2022. The Prenatal Nutrition Tool was created for care providers that work with pregnant clients and aims to support focused conversations on nutrition topics that influence maternal and infant health outcomes. A systematic 9-step product development process that combined findings from the literature with perspectives of nutrition experts and care providers was used to develop the tool. The results of a literature review and a modified Delphi Process (to obtain expert opinion) laid the foundation for the tool content. The final tool incorporated client feedback. More specifically, client feedback helped to refine tool questions. The tool consists of 2 parts: a questionnaire (written survey) and a conversation guide. The questionnaire covers 4 key themes (pregnancy weight gain, multivitamins, life circumstances, overall food intake) in 13 questions. The conversation guide utilizes public health nutrition guidance documents to lead care providers in focused discussions with clients. The tool is not intended to be a screening tool for medical conditions or replace an in-depth prenatal nutrition assessment. The tool can be accessed by any care provider in Canada on the Alberta Health Services website at Prenatal Nutrition Tool Alberta Health Services. Citation: Canadian Journal of Dietetic Practice and Research PubDate: 2022-01-11T08:00:00Z DOI: 10.3148/cjdpr-2021-031 Issue No:Vol. 83, No. 1 (2022)
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Authors:Kelsey Van, David M. Beauchamp, Hiba Rachid, Marina Mansour, Brooklyne Buckley, Debora Choi, Alexia Prescod, Jennifer M. Monk Pages: 1 - 3 Abstract: Canadian Journal of Dietetic Practice and Research, Ahead of Print. Purpose: A pilot study to investigate the impact of the COVID-19 pandemic and shift to online learning and practicum training on dietetics students’ perceptions of Partnership for Dietetic Education and Practice (PDEP) competency acquisition and mental health.Methods: Dietetics students (n = 19) at the University of Guelph (2020–2021) were invited to complete an anonymous online survey to assess self-reported online dietetics practicum training experiences including (i) benefits and challenges, (ii) PDEP competency acquisition, and (iii) impact on mental health.Results: The benefits of online dietetics training included schedule flexibility (42.1%), reduced commute time (31.6%), and acquiring virtual counselling experience (21.1%). Reported challenges were insufficient communication with preceptors (36.8%), increased project workload (57.9%), and technology (15.8%). In online practicum placements, 52.6% of dietetics students reported adequately acquiring all PDEP competencies, with Nutrition Care identified as the most challenging to obtain (63.2%). A negative impact on mental health and increased levels of stress/anxiety were reported in 94.7% of trainees. Notably, 63.2% of students favoured continuation of online dietetics training through a hybrid or entirely online format.Conclusion: Online dietetics training has the potential to complement the traditional in-person model; however, further adaptation is required to optimize PDEP competency acquisition and students’ mental health. Citation: Canadian Journal of Dietetic Practice and Research PubDate: 2022-05-03T07:00:00Z DOI: 10.3148/cjdpr-2022-002
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Authors:Rhea D’Costa, Sandra Fucile, Brittany Dickson, Alessia Gallipoli, Kimberly E Dow Pages: 1 - 4 Abstract: Canadian Journal of Dietetic Practice and Research, Ahead of Print. Purpose: To compare nutrition and health outcomes before and after implementing a standardized enteral feeding protocol on nutrition and health outcomes in very low birth weight preterm infants.Methods: A retrospective chart review was performed evaluating preterm infants, born less than 34 weeks gestation and weighing less than 1500 g, before and after the implementation of a standardized enteral feeding protocol. Outcomes included weaning of parenteral nutrition, initiation and advancement of enteral feeds, initiation of human-milk fortifier (HMF), change in weight z-score and neonatal morbidities.Results: Fifty-six infants (30 in pre-group, 26 in post-group) met the inclusion criteria. Infants in the standardized enteral feeding protocol group started enteral feeds earlier (p = 0.039) and received full HMF fortification at lower weights (p = 0.033) than those in the pre-group. Fewer days on continuous positive airway pressure (p = 0.021) and lower rates of bronchopulmonary dysplasia (p = 0.018) were also observed in the post-group. Weaning of parenteral nutrition and weight z-score were not significantly different between groups. There were no differences in other morbidities.Conclusion: Study results suggest that adopting a standardized enteral feeding protocol may promote early initiation of enteral feeds and fortification. Citation: Canadian Journal of Dietetic Practice and Research PubDate: 2022-05-03T07:00:00Z DOI: 10.3148/cjdpr-2022-003
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Authors:Jensen Skinner, Kaila A. Vento, Carol S. Johnston, Floris C. Wardenaar Pages: 1 - 6 Abstract: Canadian Journal of Dietetic Practice and Research, Ahead of Print. The purpose of this study was to evaluate nutrition knowledge and diet quality in collegiate athletes to determine if referral to a sports registered dietitian (RD) is warranted. This cross-sectional study analyzed four sections of the Nutrition for Sport Knowledge Questionnaire and the Rapid Eating Assessment for Patients Questionnaire, both validated in athletic populations. The relationship between nutrition knowledge and diet quality was evaluated. Significance was set at P ≤ 0.05. One hundred and twenty athletes reported a median nutrition score of 52 (45–61), and a dietary quality score of 53 (46–58), with a weak, positive association between both (r = 0.28 (95% CI: 0.11–0.44), P Citation: Canadian Journal of Dietetic Practice and Research PubDate: 2022-05-03T07:00:00Z DOI: 10.3148/cjdpr-2022-004
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Authors:Nicholas Hickens, Duygu Gunaydin, Drew Burchell, Phillip Joy Pages: 1 - 8 Abstract: Canadian Journal of Dietetic Practice and Research, Ahead of Print. Purpose: Our aim was to explore Canadian dietitians’ knowledge, beliefs, and values relating to the nutritional care of Two-Spirit, lesbian, gay, bisexual, trans, and other queer groups (2SLGBTQ+).Methods: The research was qualitative and used a poststructural theoretical lens. Interviews were conducted with 16 Canadian dietitians. Data were analyzed using thematic analysis.Results: Three themes were noted: (i) moving away from the binary; (ii) systemic discrimination and 2SLGBTQ+ experiences; and (iii) professional organizations and advocacy. The participants discussed structural, professional, and cultural barriers that affect the nutrition and health experiences of sexual and gender diverse groups.Conclusion: Dietetic institutions and regulatory bodies must provide sexual and gender diversity resources and engage in activities that acknowledge the lives and nutritional concerns of sexual and gender diverse people. Such advocacy is a means to provide more inclusive and equitable care. Key recommendations for structural changes within the profession include using an intersectional lens and a critical dietetic approach to nutritional care. Citation: Canadian Journal of Dietetic Practice and Research PubDate: 2022-05-03T07:00:00Z DOI: 10.3148/cjdpr-2022-005
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Authors:Mylène Rosa, Isabelle Giroux Pages: 1 - 5 Abstract: Canadian Journal of Dietetic Practice and Research, Ahead of Print. In nursing and medicine, taking part in simulation activities has been shown to be beneficial for students’ learning; however, little has been documented in dietetics. This study aimed to document the perceived effect of 4 simulations on development of professional competencies by dietetic students. A mixed-method convergent approach was used with pre- and post-questionnaires, interviews, and a focus group discussion to look at dietetic students’ perceptions of learning as part of a Nutrition Assessment course. Nonparametric tests for questionnaires and theme analysis for transcripts were used to examine data. After analysis, data were compared and merged for interpretation. Results showed that participants perceived a significant increase in comprehension of various competencies with simulations. In interviews and a focus group, a participant subgroup (n = 7) perceived an enriched understanding of some dietetic competencies compared with pre-simulations. Simulations seemed to have transformed classroom concepts to a more practical understanding of dietetic practice. More studies are needed to identify if these results could be replicated in different settings. Simulations had a positive effect on students’ perception of competencies development and may be an andragogical tool of choice to support preparing future dietitians for entry to practice. Citation: Canadian Journal of Dietetic Practice and Research PubDate: 2022-05-03T07:00:00Z DOI: 10.3148/cjdpr-2022-006
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Authors:Béatrice Dagenais, Annie Marquez, Josée Lavoie, Beth Hunter, Geneviève Mercille Pages: 1 - 8 Abstract: Canadian Journal of Dietetic Practice and Research, Ahead of Print. Purpose: The healthcare sector is an important area for sustainable food initiatives, given its inherent mission to heal and its substantial impact on the food system. Foodservice managers can take part in these initiatives by using sustainable menu practices (SMPs). This study aimed to explore managerial perceptions of barriers and facilitators to adopting SMPs in Québec healthcare institutions.Methods: Seventeen foodservice managers were recruited through purposeful sampling to participate in a qualitative semi-structured interview. The Diffusion of Innovations theory was used to assess the main determinants of the diffusion of an innovation (SMPs) through a complex social system (healthcare organization).Results: Participants reported more barriers than facilitators. Lack of support at many levels was recognized as a major hindrance to SMP adoption, as were shortfalls in political directives. Increased collaboration between all food system actors and better communication in healthcare were perceived as needed for increased SMP adoption.Conclusions: This research contributes to an in-depth understanding of managerial experiences in SMP adoption in various regional and healthcare settings. Findings suggest the need for support and strategies that would remove important barriers for foodservice managers and contributed to the development of a guide to support foodservice managers in implementing SMPs. Citation: Canadian Journal of Dietetic Practice and Research PubDate: 2022-05-03T07:00:00Z DOI: 10.3148/cjdpr-2022-007
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Authors:Lindsay Goodridge, Liesel Carlsson, Edith G. Callaghan Pages: 1 - 5 Abstract: Canadian Journal of Dietetic Practice and Research, Ahead of Print. Current food systems drive environmental damage, social injustices, and undermine health, and these challenges are complex and seemingly intractable. Collaboration is required to transition to more sustainable food systems (SFS). Registered Dietitians and Nutritionists (RDs) are an under-leveraged and well-positioned group to contribute to addressing food systems challenges because of their locations in the system and their existing skillsets. Drawing on research with dietitians, this perspective paper presents both a theoretical proposal as well as collective expertise in supporting sustainable development of the global food system. It highlights where RDs work in food systems with the aim to reveal multiple points of entry where RDs can and do contribute to SFS across food systems, approaches to apply, as well as opportunities for collaboration within and beyond the profession. Educational and societal barriers exist that prevent systematic RD engagement; however, examples of established work provide models to follow. Citation: Canadian Journal of Dietetic Practice and Research PubDate: 2022-05-03T07:00:00Z DOI: 10.3148/cjdpr-2022-008
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Authors:Kelly Picard, Peter A. Senior, Ashley Wilmott, Kailash Jindal, Caroline Richard, Diana R. Mager Pages: 1 - 6 Abstract: Canadian Journal of Dietetic Practice and Research, Ahead of Print. There is no specific diet quality tool recommended for adults living with chronic kidney disease (CKD). Identifying how diet quality tools assess nutritional adequacy and correlate with potassium and phosphorus (nutrients of interest in CKD) is warranted. Our aim was to compare Mediterranean Diet Scores (MDS), Healthy Eating Index (HEI), and Healthy Food Diversity (HFD) to determine their correlation with nutrient intake in adults living with diabetes and CKD. Using data from a longitudinal study of 50 participants with diabetes and CKD, diet quality was assessed at baseline and 1 or more times at annual visits up to 5 years (complete diet records n = 178). Diet quality was investigated for correlation with nutrient intake. Compared with HEI and HFD, MDS was poorly correlated with nutrient intake (all r values Citation: Canadian Journal of Dietetic Practice and Research PubDate: 2022-05-03T07:00:00Z DOI: 10.3148/cjdpr-2022-009
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Authors:Rachel Prowse, Natalie Doan, Anne Philipneri, Justin Thielman, Salma Hack, Dan W. Harrington, Mahsa Jessri Pages: 1 - 8 Abstract: Canadian Journal of Dietetic Practice and Research, Ahead of Print. Purpose: Explore Canadians’ dietary intake in relation to the 2019 Canada’s Food Guide (CFG) Plate using novel volume-based food analyses, by age and meal occasion.Methods: Foods reported in 24-hour recalls by 20,456 Canadians in the 2015 Canadian Community Health Survey – Nutrition were classified as: Vegetables and Fruits, Whole Grain Foods, Protein Foods, Non-Whole Grain Foods or Other Foods (high in fat, sugar, sodium). Food volumes were used to calculate percent contributions of each grouping to total intake, stratified by age (1–6; 7–12; 13–17; 18–64; 65+years) and meal (breakfast, lunch, supper, snack), applying sample survey weights and bootstrapping.Results: By volume, the Canadian population diet included: 29% Vegetables and Fruits, 22% Protein Foods, 7% Whole Grains, 24% Non-Whole Grain Foods, and 18% Other Foods. Intakes of Protein Foods (1–6 years) and Other Foods (7–12; 13–17 years) were higher in children than adults by volume, relative to total intake. Whole Grains intake was highest at breakfast. Other Foods intake was highest at snack.Conclusions: The volume-based population diet of Canadians reported on a single day includes a substantial proportion of non-recommended foods. There are opportunities to design interventions that target specific foods, ages, and meals to align intake with recommendations. Citation: Canadian Journal of Dietetic Practice and Research PubDate: 2022-05-03T07:00:00Z DOI: 10.3148/cjdpr-2022-010
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Authors:Samantha Cyrkot, Dominica Gidrewicz, Sven Anders, Margaret Marcon, Justine M. Turner, Diana R. Mager Pages: 1 - 7 Abstract: Canadian Journal of Dietetic Practice and Research, Ahead of Print. A gluten-free (GF) food guide for children and youth (4–18 years) living with celiac disease (CD) has been developed and extensively evaluated by stakeholders, including registered dietitians. A case study analysis was conducted on data from 16 households of youth with CD to examine how factors related to parental food literacy, the home food environment, and food purchasing patterns may influence food guide uptake by Canadian youth with CD and their families. Households were of higher socioeconomic status, parents had good food literacy, and the home food availability of fruits, vegetables and GF grains was diverse. However, households also had a diverse supply of convenience foods and snack options. Youth reported consuming a larger proportion of these foods (>35% dietary intake) and had suboptimal diet quality. Dietary intake of fruits and vegetables were below GF plate model recommendations by over 30%. Despite limited economical barriers, good parental food literacy, and diverse food availability, meeting fruit and vegetable recommendations based on the pediatric GF food guide remains a major challenge. Findings inform that effective strategies and healthy public policies to support the uptake of GF food guide recommendations are needed to improve the health outcomes of youth with CD. Citation: Canadian Journal of Dietetic Practice and Research PubDate: 2022-05-03T07:00:00Z DOI: 10.3148/cjdpr-2022-011
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Authors:Justin Sheremeta, David W.L. MA, Jess Haines, Alison M. Duncan, Gerarda Darlington, Genevieve Newton, Andrea C. Buchholz Pages: 1 - 4 Abstract: Canadian Journal of Dietetic Practice and Research, Ahead of Print. Purpose: To determine if intake (servings/day) of total dairy and/or dairy subtypes (milk, cheese, and yogurt) were associated with biomarkers related to dyslipidemia, insulin sensitivity and inflammation in a sample of cardio-metabolically healthy young children from the Guelph Family Health Study at the University of Guelph, Guelph, Ontario, Canada.Methods: Baseline data from 42 children (aged 2.0–6.2 years) from 33 families who provided a dietary assessment and a fasted blood sample were included in this cross-sectional analysis. Linear and logistic regressions using generalized estimating equations were used for analysis and models were adjusted for age, gender, and household income.Results: In total, 42 children (3.74 ± 1.23 years old; mean (± SD)) consumed median (25th percentile, 75th percentile) servings/day of 1.70 (1.16, 2.81) for total dairy, 0.74 (0.50, 1.70) for milk, 0.63 (0.00, 1.16) for cheese, and 0.00 (0.00, 0.38) for yogurt. Cheese intake was significantly inversely associated with LDL cholesterol (−0.16 (95% CI: −0.29, −0.03) mmol/L per serving; P = 0.02)). No other associations between dairy intake and biomarkers were significant.Conclusions: Cheese intake was inversely associated with LDL cholesterol in this preliminary study of cardio-metabolically healthy young children, thereby warranting further research on dairy intake and cardiometabolic risk factors. Citation: Canadian Journal of Dietetic Practice and Research PubDate: 2022-05-03T07:00:00Z DOI: 10.3148/cjdpr-2022-012
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Authors:Clare E. Ramsahoi, Sasha S. Sonny, Jennifer M. Monk Pages: 1 - 7 Abstract: Canadian Journal of Dietetic Practice and Research, Ahead of Print. Upon moving to a new country and new food environment, 2 important public health issues may be experienced by immigrants as they adapt to their new country of residence, namely a higher prevalence of food insecurity and/or a decline in overall health over time postimmigration. Therefore, improving the food environment experienced by new migrants may be an effective strategy to reduce long-term health complications and improve well-being postimmigration. The aim of this paper is to discuss the potential barriers experienced by new immigrants in the access, availability, and utilization of familiar culturally appropriate foods and the subsequent impact on their food security status. Culturally appropriate foods are foods commonly consumed as part of cultural food traditions and are often staples within the diet; however, limited availability of and/or access to these foods can reduce food security. By understanding the barriers to food security and challenges that may be faced by immigrants and refugees, dietitians will be better equipped to assist these individuals in accessing culturally familiar foods and improve quality of life. In this capacity, dietitians can play a critical public health nutrition role by serving as a conduit for new immigrants to access community resources and navigate a new food environment. Citation: Canadian Journal of Dietetic Practice and Research PubDate: 2022-01-11T08:00:00Z DOI: 10.3148/cjdpr-2021-032
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Authors:Justine R Keathley, Amélie Arbour, Marie-Claude Vohl Pages: 1 - 6 Abstract: Canadian Journal of Dietetic Practice and Research, Ahead of Print. Various definitions have been proposed to describe Medical Nutrition Therapy (MNT). Broadly, MNT encompasses the provision of nutrition information and advice aimed to prevent, treat, and/or manage health conditions. In Canada, the provision of such information and advice is unregulated, thus allowing anyone to provide MNT services regardless of their education and training. This inevitably poses risks of harm such as the provision of unsafe and/or ineffective nutrition advice as well as delayed evidence-based treatment. Canadian research has further demonstrated that the general public is unable to properly differentiate between regulated, evidence-based nutrition providers (registered dietitians) and those who are unregulated. Therefore, the public is at risk. To reduce nutrition misinformation and ultimately improve the health and well-being of the public, the objective of this paper is, first, to propose a standardized definition of MNT for use across Canada and, second, to propose province- and territory-specific legislative amendments for the regulation of MNT throughout the country. We also present an opposing perspective to the proposed viewpoint. Ultimately, health care regulation across the country requires an overhaul before we expect that nutrition information and advice communicated to the public may be consistently evidence based. Citation: Canadian Journal of Dietetic Practice and Research PubDate: 2022-01-11T08:00:00Z DOI: 10.3148/cjdpr-2021-033
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Authors:Paula Brauer, Jacqueline Bull, Katelyn Nieuwhof, Aleah J. Kirsh, Linda Dietrich, Janis Randall Simpson, Marlene Wyatt Pages: 1 - 5 Abstract: Canadian Journal of Dietetic Practice and Research, Ahead of Print. Dietetics has changed substantially; a mixed-methods project was undertaken to: (i) gauge interest in the profession history since 1993, (ii) identify preferred format(s), (iii) identify possible topics, and (iv) identify possible key informants. An online bilingual survey was conducted in 2018, with follow-up phone interviews among interested respondents. Survey content was organised as 12 major topics. Respondents were invited via a Dietitians of Canada (DC) newsletter, Facebook groups, and at the DC national conference. Survey data, including respondent-generated topics of interest and interview content, were descriptively analyzed. The online survey garnered 360 responses; 332 (92%) completed more than 10% of the survey and were interested in history. Detailed responses were analyzed (296 English; 36 French); 51 were interviewed. An online timeline was the most preferred format (79%). Review of the rise in technology and obesity, aging, supermarket registered dietitians (RDs), the local/organic movement, Practice-based Evidence in Nutrition (PEN), the changes in training models and scope of practice, public awareness of the profession, and advocacy and unique career paths were of most interest (≥ 50% of respondents). These results confirm interest in the recent history of the profession among RDs and provide guidance on preferred format and topics for further work. Citation: Canadian Journal of Dietetic Practice and Research PubDate: 2022-01-11T08:00:00Z DOI: 10.3148/cjdpr-2021-034
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Authors:Natalie A. Laframboise, Jamie A. Seabrook, June I. Matthews, Paula D. N. Dworatzek Pages: 1 - 7 Abstract: Canadian Journal of Dietetic Practice and Research, Ahead of Print. Purpose: To evaluate foods advertised in discount and premium grocery flyers for their alignment with Canada’s 2007 Food Guide (CFG) and assess if alignment differed by food category, season, page location, and price.Methods: Weekly flyers (n = 192) were collected from discount and premium grocery chains from each of 4 seasons. Health Canada’s Surveillance Tool was used to assess food items as in-line or not in-line with CFG.Results: Of 35 576 food items, 39.7% were in-line with CFG. There were no differences in proportions of foods not in-line in discount versus premium flyers (60.9% and 60.0%, respectively). Other Foods and Meat & Alternatives were advertised most (28.0% and 26.3%, respectively; P Citation: Canadian Journal of Dietetic Practice and Research PubDate: 2022-01-11T08:00:00Z DOI: 10.3148/cjdpr-2021-035
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Authors:Kelly Lambert, Jordan Stanford Pages: 1 - 11 Abstract: Canadian Journal of Dietetic Practice and Research, Ahead of Print. Understanding how patients perceive their health and the experience with the dietitian is fundamental to providing patient-centred care. The types of patient reported measures (PRMs) used by outpatient dietitians is unclear. Guidance about use of PRMs for dietitians is also lacking. The aim of this systematic review was to synthesise evidence regarding the use of PRMs by dietitians in the outpatient setting and evaluate the methodological quality of studies evaluating the psychometric properties of PRMs. Eight databases were searched systematically for studies of dietitians working in the outpatient setting and administering a PRM. Forty-four studies were evaluated and described 58 different PRMs. These included direct nutrition related (n = 12 studies), clinical (n = 21 studies), and health-related quality of life PRMs (n = 24 studies); 1 study documented use of a patient-reported experience measure. A large range of PRMs are used by outpatient dietitians. Of the most common PRMs, the majority are administered in similar populations to the original validation study. Dietitians should use a combination of 3 PRMs: a generic health-related quality of life tool, an experience measure, and at least 1 clinical or direct nutrition-related measure. This will enable dietitians to fully capture the impact of their care on patients. Citation: Canadian Journal of Dietetic Practice and Research PubDate: 2022-01-11T08:00:00Z DOI: 10.3148/cjdpr-2021-036
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Authors:Paige Colley, Jamie A. Seabrook, Sarah J. Woodruff, Jason Gilliland Pages: 1 - 9 Abstract: Canadian Journal of Dietetic Practice and Research, Ahead of Print. Purpose: Knowledge is fundamental to helping children make nutritional choices that support lifelong healthy behaviours. This study (i) investigates elementary school children’s knowledge about food and nutrition and (ii) identifies sociodemographic factors influencing children’s reported knowledge.Methods: In 2017–2019, a survey was administered to 2443 students (grades 5–8) at 60 schools across southwestern Ontario, Canada, and a parent survey was used to validate self-reported sociodemographics. Multiple regression was used to analyse children’s knowledge scores and related sociodemographic factors. A total knowledge score was calculated by summing correct responses derived from 46 individual questions in the student survey.Results: Mean total knowledge score was 29.2 out of a possible 46 points (63.5% correct). Students demonstrated some knowledge and awareness of strategies to encourage fruit and vegetable consumption, healthy food selection, nutrition, and food preparation skills, although knowledge of food guide recommendations and locally sourced produce were limited. Female sex, family income, and rurality were associated with higher knowledge scores.Conclusions: Results provide insight regarding strengths and gaps in elementary-school children’s food and nutrition knowledge. Poor performance of students on specific food guide-related questions suggests that the general guidance of the 2019 Canada’s Food Guide might be better understood by children and adolescents. Citation: Canadian Journal of Dietetic Practice and Research PubDate: 2022-01-11T08:00:00Z DOI: 10.3148/cjdpr-2021-037
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Authors:Chrissa Karagiannis, Allison Cammer, Emily Andreiuk, Nicole Caron, Michele Sheikh, Rochelle Anthony, Karen Davis Pages: 1 - 5 Abstract: Canadian Journal of Dietetic Practice and Research, Ahead of Print. There is limited data on the effects of cooking classes on male participants. The LiveWell Chronic Disease Management program’s Men’s Cooking Class (MCC) aims to help participants gain skills and confidence with food to manage chronic diseases more independently and improve their health. This paper evaluates whether, and how, the program is effective in achieving its goals.A qualitative process was used to collect data from past program participants. Data collection included telephone interviews conducted with a sample of 27 past MCC attendees and a focus group held with a subsample of seven participants. Thematic analysis was performed on collected data.Five major themes emerged, including (i) practical and applicable content, (ii) kinesthetic teaching and learning, (iii) catering to the interests of participants, (iv) tailoring to the demographic, and (v) enjoyment and engagement. Findings indicate the current LiveWell MCC program is effective in meeting its goals. The themes identified are aspects of the program that contribute to this effectiveness.The thematic findings indicate areas in which to continuously adapt and monitor the effectiveness of this program and serve as recommendations for other programming. Further research on the long-term impact of MCC for self-management of chronic disease is needed. Citation: Canadian Journal of Dietetic Practice and Research PubDate: 2022-01-11T08:00:00Z DOI: 10.3148/cjdpr-2021-038
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Authors:Christina Gillies, Rosanne Blanchet, Rebecca Gokiert, Anna Farmer, Noreen D. Willows Pages: 1 - 5 Abstract: Canadian Journal of Dietetic Practice and Research, Ahead of Print. Comprehensive school-based nutrition interventions offer a promising strategy to support healthy eating for First Nations children. A targeted strategic review was performed to identify nutrition interventions in 514 First Nation-operated schools across Canada through their websites. Directed content analysis was used to describe if interventions used 1 or more of the 4 components of the Comprehensive School Health (CSH) framework. Sixty schools had interventions. Nearly all (n = 56, 93%) schools offered breakfast, snack, and (or) lunch programs (social and physical environment). About one-third provided opportunities for students to learn about traditional healthy Indigenous foods and food procurement methods (n = 18, 30%) (teaching and learning) or facilitated connections between the school and students’ families or the community (n = 16, 27%) (partnerships and services). Few schools (n = 10, 17%) had a nutrition policy outlining permitted foods (school policy). Less than 1% (n = 3) of interventions included all 4 CSH components. Results suggest that most First Nation-operated schools provide children with food, but few have nutrition interventions that include multiple CSH components. First Nation-operated schools may require additional financial and (or) logistical support to implement comprehensive school-based nutrition interventions, which have greater potential to support long-term health outcomes for children than single approaches. Citation: Canadian Journal of Dietetic Practice and Research PubDate: 2022-01-11T08:00:00Z DOI: 10.3148/cjdpr-2021-039
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Authors:Lydia Tegwyn Mosher, Jamie A. Seabrook, Jasna Twynstra Pages: 1 - 8 Abstract: Canadian Journal of Dietetic Practice and Research, Ahead of Print. Purpose: To estimate the percentage of a sample of pregnant women in Canada following a vegetarian, vegan, low-carbohydrate, gluten-free, Mediterranean, or well-balanced diet, before and during pregnancy and to explore if pregnant women received and were satisfied with nutrition information received from health care providers (HCPs).Methods: Participants were conveniently sampled through Facebook and Twitter. An online survey collected data on sociodemographic characteristics, maternal diet, and whether women received and were satisfied with nutrition information from their HCPs. The McNemar test assessed changes in the proportion of diets followed before and during pregnancy.Results: Of 226 women, most followed a well-balanced diet before (76.9%) and during (72.9%) pregnancy (p = 0.26). Vegetarian, gluten-free, vegan, and low-carbohydrate diets were the least followed diets before and during pregnancy (vegetarian: 7.6% vs 5.3%; gluten-free: 4.9% vs 4.0%; vegan: 2.7% vs 2.2%; low-carbohydrate:4.0% vs 0.4%). Overall, the number of women following restrictive diets before pregnancy was significantly reduced throughout pregnancy (19.1% vs 12.0%, p Citation: Canadian Journal of Dietetic Practice and Research PubDate: 2022-01-11T08:00:00Z DOI: 10.3148/cjdpr-2021-040
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Authors:Jessica Martino, Corinne Eisenbraun, Brenda Hotson, Rhona M. Hanning, Elin Lövestam, Jessica R.L. Lieffers, on Behalf of the International NCP/NCPT Implementation Study (INIS) Consortium Pages: 2 - 9 Abstract: Canadian Journal of Dietetic Practice and Research, Volume 83, Issue 1, Page 2-9, March 2022. Purpose: The purpose of this paper is to understand Canadian dietitians’ use of the Nutrition Care Process (NCP) and terminology (NCPT) nationally and by province/territory as well as facilitators, barriers, and attitudes regarding the NCP/NCPT.Methods: Canadian dietitians were invited to complete an online survey (SurveyMonkey) on the NCP/NCPT from February to April 2017 through multiple channels. Data were analyzed using descriptive statistics and nonparametric tests.Results: Overall, there were 500 eligible respondents; the analysis focused on dietitians working in clinical care who were familiar with the NCP (n = 420). In total, 87.9% and 77.5% of respondents reported always/frequently using aspects of the NCP and NCPT in their practice, respectively. There were variations in use by province/territory (P Citation: Canadian Journal of Dietetic Practice and Research PubDate: 2021-07-21T07:00:00Z DOI: 10.3148/cjdpr-2021-017 Issue No:Vol. 83, No. 1 (2021)
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Authors:Catherine Pouliot, Alyssa Biagé, Denis Prud’homme, Isabelle Giroux Pages: 10 - 16 Abstract: Canadian Journal of Dietetic Practice and Research, Volume 83, Issue 1, Page 10-16, March 2022. Purpose: To assess changes in dietary intake of adolescents following an 8-week aerobic exercise program.Methods: Twenty-six adolescents (14–18 years) participated in an 8-week aerobic exercise program on cycle ergometer at their high school in Quebec, Canada. Twenty-four hour recalls were collected pre- and post-intervention. A two-way repeated measures ANOVA and paired sample t-tests were used to assess differences in energy and dietary intake parameters (food quantity, diet quality, eating patterns) between pre- and postintervention.Results: A decrease in total daily energy intake (–287.8 kcal, P = 0.007), in meal size at lunch (–110.1 g, P = 0.02) and dinner (–143.7 g, P = 0.03), in food density at breakfast (–1.8 kcal/g, P = 0.04), in daily carbohydrate intake (–56.1 g, P = 0.005), and in percentage of energy intake consumed at school (–5.1%, P = 0.04) were observed following initiation of an aerobic exercise program. No change in healthy eating index scores or percentage of energy from processed foods was observed.Conclusions: Changes in energy intake, food quantity, and eating pattern but not diet quality (Healthy Eating Index or food processing scores) were observed following the initiation of an aerobic exercise program. Nutrition interventions may be needed, in addition to an exercise program, to target diet quality and promote healthy eating habits in adolescents. Citation: Canadian Journal of Dietetic Practice and Research PubDate: 2021-09-28T07:00:00Z DOI: 10.3148/cjdpr-2021-020 Issue No:Vol. 83, No. 1 (2021)
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Authors:Marjorie Rafaela Lima Do Vale, Anna Farmer, Rebecca Gokiert, Geoff Ball, Katerina Maximova Pages: 17 - 24 Abstract: Canadian Journal of Dietetic Practice and Research, Volume 83, Issue 1, Page 17-24, March 2022. Purpose: To describe (i) nutrition policies in childcare centres, (ii) the resources and processes used to enable policy implementation, and (iii) the association between policy implementation and childcare centres’ or administrators’ characteristics.Methods: Between October 2018 and June 2019 a web-based survey that addressed nutrition policy, policy implementation, and sociodemographic characteristics was sent to eligible childcare programs (centre-based and provided meals) in the Edmonton (Alberta) metropolitan region. The survey was pretested and pilot tested. Statistical tests examined the relationship between policy implementation with centres’ and administrators’ characteristics.Results: Of 312 childcare centres that received the survey invitation, 43 completed it. The majority of centres had a nutrition policy in place (94%). On average, centres had about 9 of the 17 implementation resources and processes assessed. Most often administrators reported actively encouraging the implementation of the nutrition policy (n = 35; 87%) and least often writing evaluation reports of the implementation of the nutrition policy (n = 9; 22%). Administrator’s education level was associated with implementation total score (p = 0.009; Kruskal-Wallis).Conclusion: Most childcare centres had a nutrition policy in place, but many lacked resources and processes to enable policy implementation. Additional support is required to improve nutrition policy development and implementation. Citation: Canadian Journal of Dietetic Practice and Research PubDate: 2021-09-28T07:00:00Z DOI: 10.3148/cjdpr-2021-021 Issue No:Vol. 83, No. 1 (2021)
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Authors:Valerie Bouzo, Hugues Plourde, Hailee Beckenstein, Tamara R Cohen Pages: 25 - 29 Abstract: Canadian Journal of Dietetic Practice and Research, Volume 83, Issue 1, Page 25-29, March 2022. Keenoa™ is a novel Canadian diet application (app) currently used by Canadian dietitians to collect diet-related data from clients. The goal of this study was to evaluate Keenoa™ based on user feedback and compare it to a conventional pen and paper method. One hundred and two participants were recruited and randomly assigned to record their diets using this application for 3 nonconsecutive days. Following this, participants were invited to complete an online “exit” survey. Seventy-two subjects responded, with 50 completing an open-ended question asking for general feedback about the app. Data were reviewed and 3 main themes emerged: strengths, challenges, and future recommendations. Strengths associated with the app consisted of picture recognition software, the additional commentary feature, and the overall pleasant data collection process. Challenges that were identified included inconsistencies with the barcode scanning features, the limited food database, time to enter food details, and software issues. Future recommendations included using a larger food database, pairing dietary intake with physical activity monitoring, and having accessible nutritional data. Despite these limitations, participants preferred using mobile apps to record diet compared with traditional written food diaries. Citation: Canadian Journal of Dietetic Practice and Research PubDate: 2021-09-28T07:00:00Z DOI: 10.3148/cjdpr-2021-022 Issue No:Vol. 83, No. 1 (2021)
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Authors:Cindy Wei, Justin B. Wagler, Isabel B. Rodrigues, Lora Giangregorio, Heather Keller, Lehana Thabane, Marina Mourtzakis Pages: 30 - 34 Abstract: Canadian Journal of Dietetic Practice and Research, Volume 83, Issue 1, Page 30-34, March 2022. Automated Self-Administered 24-hour Dietary Assessment (ASA24) is an economical method of estimating dietary intake as nutrient analysis is automated, but its use in older adults is limited. The purpose of this work was to guide dietitians and future researchers on how to use the ASA24 with older adults, considering potential barriers encountered and strategies used to support completion based on our experience using this tool in a pilot clinical trial. ASA24 was completed by phone interview with 39 older adults. Challenges included: recalling food intake in detail, recording frequent eating occasions and complicated recipes, and general problems with communication. Strategies to support collection included making morning phone calls and suggesting that seniors write down the food consumed. Phone interviews were acceptable to older adults, but sufficient time was required. Dietitians and future researchers can use these findings to obtain dietary intake data from this hard-to-reach group. Citation: Canadian Journal of Dietetic Practice and Research PubDate: 2021-09-28T07:00:00Z DOI: 10.3148/cjdpr-2021-024 Issue No:Vol. 83, No. 1 (2021)
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Authors:Myles W. O’Brien, Christopher A. Shields, Margaret J. Dunbar, Sandra J. Crowell, Jonathon R. Fowles Pages: 35 - 40 Abstract: Canadian Journal of Dietetic Practice and Research, Volume 83, Issue 1, Page 35-40, March 2022. The purpose of this study was to assess the perceptions and practices around physical activity counselling and exercise prescription of dietitians in Nova Scotia. Dietitians (n = 95) across Nova Scotia completed an online self-reflection survey regarding their current physical activity and exercise (PAE) practices. Most (51%; n = 48) reported no previous PAE educational training. Dietitians infrequently prescribed exercise to their patients (16% ± 26% of appointments) or provided PAE referrals (17% ± 24%). Dietitians reported moderate confidence (57% ± 21%) performing PAE counselling and included PAE-related content in half of patient appointments (52% ± 31%). Almost all respondents (95%) identified interest in further PAE education or training. Open-ended responses also demonstrated the need for community-based exercise programs (28% of providers) and qualified exercise professionals to refer to (25%). Overall, dietitians report rarely providing patients with written exercise prescriptions or referrals to other professionals for PAE content but do frequently include PAE in patient appointments. Dietitians in Nova Scotia are well positioned to promote PAE, but more educational training and improved referral systems to qualified exercise professionals or community exercise programs is strongly desired. Exercise professionals and dietitians should concurrently advocate for these changes and collaborate to help more patients lead physically active lifestyles. Citation: Canadian Journal of Dietetic Practice and Research PubDate: 2021-09-28T07:00:00Z DOI: 10.3148/cjdpr-2021-025 Issue No:Vol. 83, No. 1 (2021)
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Authors:Sarah J. Hewko, Samantha Clow, Amirah Oyesegun, Charlene Vanleeuwen Pages: 46 - 48 Abstract: Canadian Journal of Dietetic Practice and Research, Volume 83, Issue 1, Page 46-48, March 2022. Purpose: To identify key attributes of Canadian clinical registered dietitian (RD) jobs associated with high rates of turnover.Methods: Managers of clinical RDs in Canada were eligible to complete a survey on the topic of turnover in clinical RD positions. Specifically, key details were sought regarding positions with the highest and lowest turnover in each manager’s portfolio.Results: High turnover (HT) positions turned over an average of 4.0 times in a 5-year period in contrast to 0.3 times in low turnover (LT) positions. Resignation was the top reason for turnover in both HT and LT positions. HT and LT positions were of analogous full-time equivalent, had comparable caseloads, and served clients/patients with similar diagnoses including diabetes and neurological conditions.Conclusions: There is significant variation in the frequency of turnover across positions in clinical dietetics in Canada. What differentiates HT positions from LT positions remains unclear. More research is required to guide managers seeking to balance turnover and preclude uneven nutrition care quality across units and programs. Citation: Canadian Journal of Dietetic Practice and Research PubDate: 2021-09-28T07:00:00Z DOI: 10.3148/cjdpr-2021-023 Issue No:Vol. 83, No. 1 (2021)
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