The authoritative guide for dietetic students and both new and experienced dietitians – endorsed by the British Dietetic Association Now in its sixth edition, the bestselling Manual of Dietetic ...Practice has been thoroughly revised and updated to include the most recent developments and research on the topic. Published on behalf of the British Dietetic Association, this comprehensive resource covers the entire dietetics curriculum, and is an ideal reference text for healthcare professionals to develop their expertise and specialist skills in the realm of dietetic practice. This important guide includes: * The latest developments and scientific evidence in the field. * New data on nutrition and health surveillance programs. * Revised and updated evidence-based guidelines for dietetic practice. * An exploration of how Public Health England has influenced the field. * Practical advice on public health interventions and monitoring. * A companion website with helpful materials to support and develop learning. Written for dietitians, clinical nutritionists, and other healthcare professionals by leading dietitians and other professionals, the Manual of Dietetic Practice continues to provide a crucial resource for experts and novices alike.
Good hydration is vital for good health and well-being. Until recently, there was little interest in collecting data on water and drink and beverage intake. However, there is increasing evidence that ...a low water intake or mild dehydration may be linked with the risk of chronic diseases. Accurate estimates of intake in populations are essential to explore these relationships. This will enable the identification of specific populations at the risk of low water intake and allow exposure assessment of potential contaminates and specific nutrients present in drinks and beverages. In addition, data from these population studies are used as the basis of national and international recommendations on water intake and to set and evaluate national health policies. For example, EFSA based their recommendations on data from population studies from 13 European countries. The range of intakes varied from 720 to 2621 mL/day; this diversity cannot be explained by environmental differences alone. However, this variability may, at least partially, be explained by the inconsistency in methodologies used as none of surveys used a dietary assessment tool validated for total water intake or beverage and drink intake. It is reasonable to suggest that this may result in incomplete data collection and it raises questions on the validity of the recommendations. The relationship between water consumption and health warrants further investigation, and robust methodologies are essential to ensure that these data are accurate and useful for setting public health priorities and policies.
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DOBA, EMUNI, FIS, FSPLJ, FZAB, GEOZS, GIS, IJS, IMTLJ, IZUM, KILJ, KISLJ, MFDPS, NLZOH, NUK, OILJ, PILJ, PNG, SAZU, SBCE, SBJE, SBMB, SBNM, SIK, UILJ, UKNU, UL, UM, UPUK, VKSCE, VSZLJ, ZAGLJ
Little has been published on the contribution of food moisture (FM) to total water intake (TWI); therefore, the European Food Safety Authority assumed FM to contribute 20%-30% to TWI. The aim of the ...present analysis was to estimate and compare TWI, the percentage of water from FM and from fluids in population samples of France and UK. Data from 2 national nutrition surveys (Enquête Comportements et Consommations Alimentaires en France (CCAF) 2013 and the National Diet and Nutrition Survey (NDNS) 2008/2009-2011/2012) were analyzed for TWI and the contribution of water from FM and fluids. Children and adults TWI were significantly lower in France than in the UK. The contribution of water from foods was lower in the UK than in France (27% vs. 36%). As TWI increased, the proportion of water from fluids increased, suggesting that low drinkers did not compensate by increasing intake of water-rich foods. In addition, 80%-90% of the variance in TWI was explained by differences in water intake from fluids. More data on the contribution of FM to TWI is needed to develop more robust dietary recommendations on TWI and guidance on fluid intake for the general public.
The ideal companion resource to 'Manual of Dietetic Practice', this book takes a problem-based learning approach to dietetics and nutrition with cases written and peer reviewed by registered ...dietitians, drawing on their own experiences and specialist knowledge * Each case study follows the Process for Nutrition and Dietetic Practice published by the British Dietetic Association in 2012 * Includes case studies in public health, an increasingly important area of practice
About the EditorJoan Gandy is a freelance dietitian and visiting researcher, Dietetics Department, School of Life and MedicalSciences, University of Hertfordshire, Hatfield, Hertfordshire, UK.
Summary Palmar–plantar erythrodysesthesia (PPE) or hand–foot syndrome (HFS) is a relatively common side effect of cytotoxic chemotherapy. Many cytotoxic drugs have been reported to cause the ...condition but it is more frequently associated with 5 fluorouracil (5FU), liposomal doxorubicin and cytarabine. The oral 5FU precursor, capecitabine is frequently associated with PPE and with the recent extension of its use to adjuvant treatment, the incidence of PPE is likely to increase. The initial symptoms are dysesthesia and tingling in the palms, fingers and soles of feet and erythema, which may progress to burning pain with dryness, cracking, desquamation, ulceration and oedema. Palms of the hands are more frequently affected than soles of the feet. This condition is painful and distressing to patients and in some incidences it results in patients not being able to work or perform normal daily activities. It can also result in treatment interruptions which impact on the efficacy of the treatment regimen. Effective and appropriate patient education from a specialist nurse prior to treatment is an essential part of patient management which will facilitate early identification of the symptoms and therefore prevent treatment delays and PPE progression. This article reviews current knowledge of the condition, including classification, and discussion of the findings of a clinical audit in a cancer centre. It includes the incidence, grading, management and impact of PPE on normal daily activities.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UL, UM, UPCLJ, UPUK
Water has been described as a forgotten nutrient. Looking into the history of the dietary advices of USDA since 1947 water has not been included in the any of the nutritional advices including ...myPlate or different versions of the dietary pyramids. Interestingly even in nutrition conferences or scientific journals you rarely find any section related to water intake and health. Majority of what we know regarding water balance comes from dehydration, temperature regulation and exercise performance. Total body water that account approximately 60% of body weight is distributed inside (intracellular) and out of cells (extracellular). Extracellular water is the water between cells called interstitial water and the water contained as part of the blood known as plasma water. Osmoreceptors and baroreceptor in circulation are primarily responsible for body water regulation by activating thirst and the fluid regulating hormones. Increase in osmolality activates the hormone vasopressin (also known as anti-diuretic) that decreased urinary output. What is interested is that this hormone gets activated well before thirst is activated. People who consume low amount of water have higher levels of vasopressin which has been associated with many negative health outcomes, like diabetes and chronic kidney diseases. On the other side adequate water intake decreases vasopressin.
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BFBNIB, NMLJ, NUK, PNG, UL, UM, UPUK
Abstract Research involvement among registered dietitians (RDs) is important in advancing dietetics practice and ensuring high-quality and cost-effective health care. There are no standardized ...approaches to measuring levels of research involvement. The aim of the study was to develop a standardized measure of research involvement and test its validity and reliability among RDs. The Research Involvement Questionnaire (RIQ) was developed and underwent content validation, resulting in a content validity index of 0.92. A postal questionnaire survey of RDs was undertaken at two time points. RDs were purposively selected and, based on their number of publications and grants, were assigned by the authors to one of four levels of research involvement: evidence-based practice, collaborating on research, leading research, and leadership in research. Of 192 questionnaires mailed, 111 RDs (58%) returned the first RIQ, of whom 82 (74%) also returned the second RIQ. Total scores and scores for each level were higher for RDs with higher levels of research involvement ( P <0.001). RDs assigned by the RIQ to higher levels of research involvement had higher qualifications; were qualified for longer; and had greater evidence of research output, including journal publications and grants ( P <0.001). There was excellent internal consistency as measured using Cronbach's coefficient (α=.98). The level of research involvement assigned by the RIQ and by the purposive selection process agreed on 76% of occasions, indicating substantial agreement beyond chance (κ=0.67; P <0.001). The level of research involvement assigned by the RIQ at two time points agreed on 86% of occasions, indicating almost perfect agreement beyond chance (κ=0.81; P <0.001). A valid and reliable questionnaire has been developed to measure research involvement among RDs, providing a useful tool for evaluating and supporting members of the profession to become more involved in research.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UL, UM, UPCLJ, UPUK
Many factors influence the rising levels of obesity including changes in activity and dietary patterns. National dietary surveys are valuable tools for identifying sources of energy, including sugar, ...in a population. However, these surveys use diaries that aim to capture food intake rather than fluid intake and may underestimate beverage and therefore energy intakes. A study of 1456 children and adults was conducted in the United Kingdom using a 7-day fluid specific intake diary. Total daily intakes of beverages were higher in all ages compared with previous surveys. However, 30% of adults and more than 50% of children did not meet European adequate intake for total water. Children consumed on average 175 kcal/d as still or carbonated soft drinks. This fluid-specific survey raises concerns about the total and type of fluids consumed by both adults and children in the United Kingdom.
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