Dietary Prescription Research Articles

What is happening with the clinical nutritionist? Realities and challenges

BackgroundAt hospital level, clinical nutritionists play a fundamental role in health recovery, contributing to shorter hospital stays and addressing hospital malnutrition. However, in Latin America no studies have been conducted on the activities of the nutritionist and the factors influencing their performance. Aims: to describe the activities of the clinical nutritionist in public and private hospital settings in Latin America and to determine the factors associated with disciplinary practice. Methods: A cross-sectional analytical, quantitative study was conducted. Participants consisted of hospital nutritionists from 13 Latin American countries who had participated in a previously validated online survey on the activities performed during their daily work, obtaining a Professional Activities Score (PAS). Results: 1222 nutritionists participated. Of the activities associated with the professional role, the only ones who reached over 75% of execution were: performing nutritional intervention; performing nutritional assessment and diagnosis; providing counseling and dietary prescription; developing nutritional care plans for patients with nutritional problems; and performing the monitoring and evaluation of results of priority patients. The least frequent activities were: university teaching and collaborating in research. Regarding the reasons for not performing activities: 34.0% reported not being included in the activities, 24.5% mentioned lack of time, and 13.6% indicated that the activities were conducted by another professional. Variables positively associated with an increase in the PAS were: having spent more years exercising the profession (Beta: 0.028, 95% CI: 0.004; 0.051), and having a greater number of specialties (4 or more, Beta: 2.294, 95% CI: 1.031; 3.557). Working in lower-complexity facilities (Low: Beta: -1.037, 95% CI: -1.443; -0.630), and having more reasons for not performing the activities (3 or more: Beta: -3.105, 95% CI: -4.111; -2.099) were inversely associated. From the sample, 1.8% held a doctorate in clinical nutrition, 43.9% had a specialty, and 64.4% had a diploma or postgraduate degree in clinical nutrition. ConclusionNone of the activities related to the nutritionist work was performed on a 100% basis. In Latin America, Ministries of Health should standardize and regulate the functions of the clinical nutritionist, as well as quantifying understaffing and proposing solutions to alleviate the shortage of these professionals, acknowledging the positive impact that they have on the recovery of hospital patients.

Nutritional Strategies for the Management of Type 2 Diabetes Mellitus: A Narrative Review.

Thinking about greater adherence to dietary planning, it is extremely important to be aware of all nutritional strategies and dietary prescriptions available in the literature, and of which of them is the most efficient for the management of T2DM. A search was carried out in 2023 for randomized clinical trials, systematic reviews, meta-analyses, and guidelines in the following databases: Pubmed, Scielo, Web of Science, CrossRef and Google Scholar. In total, 202 articles were collected and analyzed. The period of publications was 1983-2023. There is still no consensus on what the best nutritional strategy or ideal dietary prescription is, and individuality is necessary. In any case, these references suggest that Mediterranean Diet may of greater interest for the management of T2DM, with the following recommended dietary prescription: 40-50% carbohydrates; 15-25% proteins; 25-35% fats (<7% saturated, 10% polyunsaturated, and 10% monounsaturated); at least 14 g of fiber for every 1000 kcal consumed; and <2300 mg sodium. Individuality is the gold standard for dietary prescriptions, however, the Mediterranean diet with low levels of carbohydrates and fats seems to be the most promising strategy for the management of T2DM.

Impact of cardiac rehabilitation on pre- and post-operative transcatheter aortic valve replacement prognoses.

Transcatheter aortic valve replacement (TAVR) is a relatively new treatment method for aortic stenosis (AS) and has been demonstrated to be suitable for patients with varying risk levels. Indeed, among high-risk patients, TAVR outcomes are comparable to, or even better, than that of the traditional surgical aortic valve replacement (SAVR) method. TAVR outcomes, with respect to post-surgical functional capacity and quality of life, have also been found to be improved, especially when combined with cardiac rehabilitation (CR). CR is a multidisciplinary system, which integrates cardiology with other medical disciplines, such as sports, nutritional, mind-body, and behavioral medicine. It entails the development of appropriate medication, exercise, and diet prescriptions, along with providing psychological support, ensuring the cessation of smoking, and developing risk factor management strategies for cardiovascular disease patients. However, even with CR being able to improve TAVR outcomes and reduce post-surgical mortality rates, it still has largely been underutilized in clinical settings. This article reviews the usage of CR during both pre-and postoperative periods for valvular diseases, and the factors involved in influencing subsequent patient prognoses, thereby providing a direction for subsequent research and clinical applications.

Dietary prescriptions in a group of patients with obesity: Low caloric diet versus intermitting fasting

Dietary prescriptions in a group of patients with obesity: Low caloric diet versus intermitting fasting

Factors Associated with Nonadherence to Dietary Prescriptions among Hemodialysis Patients, Makkah, Saudi Arabia.

The nonadherence of hemodialysis (HD) patients correlates with morbidity and mortality. Despite severe consequences, noncompliance with their medical regimen is the norm for HD patients rather than the exception. Factors associated with nonadherence to dietary restrictions among HD patients have been explored in many studies; however, most were in Western countries and there is a remarkable paucity of studies in Saudi Arabia. HD patients have several features that put them at an increased risk of nonadherence to dietary restrictions, including prolonged, intensive treatment, and their medical regimens are easily determined with objective measures. This crosssectional study aimed to determine factors related to nonadherence to dietary restrictions among 361 HD patients randomly selected from HD centers in Makkah, Saudi Arabia. Individuals were assessed for adherence using the End-Stage Renal Disease - Adherence Questionnaire in addition to clinical examinations and laboratory investigations. Female patients were more likely to be nonadherent to dietary restrictions. Adherence to dietary restrictions was relatively higher among non-Saudi patients, older people, those who are married, those with university qualifications, those who are employed, and those with higher monthly incomes; nevertheless, these differences were not statistically significant. Despite the relatively higher frequency of adherence to dietary restrictions among patients with a duration of dialysis of <60 months, hypertensive patients, patients with a previous kidney transplant, and those with a previous history of psychiatric illnesses, these differences were not statistically significant. Patients with factors associated with nonadherence to dietary restrictions deserve special attention and support to improve their adherence.

P035 Investigating the Relationship Between Dietary Timing and Obstructive Sleep Apnoea.

Abstract Introduction Late night eating is associated with obstructive sleep apnoea (OSA) and may increase obesity risk. Time Restricted Eating (TRE) involves shifting the eating window to 8-12 continuous hours per day, prompting energy intake to earlier in the day without any complex dietary prescription, and has metabolic benefits. We aimed to investigate timing of food intake in patients with OSA and assess their openness to trial TRE. Methods Adults undergoing in-laboratory diagnostic polysomnography (PSG, n=138, 67 male) completed a dietary questionnaire outlining typical eating habits, including timing of meals, frequency of getting up overnight, and frequency of eating/drinking overnight. Questionnaire responses were reviewed with demographics and PSG variables. Proportions of responses were compared across categories of OSA severity using z-tests. Results Patients with moderate/severe OSA (AHI&amp;gt;15events/h, n=77) were more likely to report getting up at night “often” or “always” compared to patients with no/mild OSA (n=61) (63.6% v 47.5%, p=0.08), more likely to report getting up multiple times (66.2% v 47.5%, p=0.04), and more likely to report eating/drinking overnight (42.9% v 18.0%, p=0.003). 71.0% of all patients indicated they would consider trying a TRE diet, and 71.7% could incorporate a TRE diet into their lifestyle. Conclusion Moderate/severe OSA is associated with an increased likelihood of getting up multiple times overnight, and getting up to eat and drink. Patients in this clinical cohort reported a willingness to trial TRE. Future research should investigate the efficacy of implementing TRE in OSA and evaluating its effect on weight loss and sleep quality.

Carbohydrate Counting vs. Fixed Meal Plan in Indian Children with Type 1 Diabetes Mellitus: A Randomized Controlled Trial.

To study the impact of carbohydrate counting vs. fixed-meal plan on glycemic control, quality of life (QoL) and diabetes-related emotional distress in children with Type 1 diabetes mellitus (T1DM). Children aged 6-18 y with T1DM of duration >1 y were eligible for the study if they were on multiple daily injections of insulin and regularly monitoring blood glucose. Those with celiac disease, hypothyroidism, any underlying chronic renal/liver/systemic disease or HbA1c >13% were excluded. Both groups received education on diabetes management and healthy diet. In the intervention arm, parents were taught to quantify carbohydrate content and modify insulin doses according to insulin-carbohydrate ratio. The control arm had dietary prescription according to recommended dietary allowance and food exchange list. Standard validated questionnaires were used to assess the QoL and emotional distress related to diabetes. One hundred twenty five patients (61 intervention, 64 controls) were enrolled and 91.8% and 84.3%, respectively, completed 6-mo follow-up. There was a reduction in HbA1c in both the groups, but was not statistically significant within or between groups {Intervention: 8.9 (1.4) to 8.6 (1.5) vs. control: 9.1 (1.6) to 8.8 (1.9), [95% CI 8.3-9.3 vs. 8.3-9.0, intention to treat (ITT), p= 0.63]}. There was a significant reduction in diabetes distress in the intervention group; DAWN Problem Areas in Diabetes Questionnaire (PAID) score with a median (interquartile range) of 21 (11-33) vs. control: 27 (20-40), (p=0.04). Patients in the carbohydrate-counting group demonstrated lower diabetes distress scores and less emotional burnout compared to fixed-meal plan over a 6 mo period though overall glycemic control was comparable between groups.

Childbirth and Pollution: Exploring the politics of Prasava Raksha through food practices in Kerala

Women’s body has been the site of patriarchal control and the formation of gendered ideologies, often subjecting it to multiple cultural interventions, especially while experiencing pregnancy and childbirth. Childbirth is considered a state of ritual pollution for a woman that starts from the day of birth and lasts up to several weeks or months, depending on regional and religious contexts. Prasava Raksha is a traditional practice in Kerala where massages, herbal baths, and a specific diet are prescribed for the health and well-being of the mother and child. Prasava Raksha can be considered the culturally appropriated version of the practice of pollution, practised by women belonging to Hindu, Christian and Muslim religious sects in Kerala. The purpose of this qualitative ethnographic study is to investigate the cultural context of how women’s body has been subjected to patriarchal control, particularly during pregnancy and childbirth, with food at the centre of analysis. This article aims to explore the practice of Prasava Raksha, its process and dietary prescriptions, to identify and analyse the cultural politics behind this practice that normalises the patriarchal exploitation of reproductive women. The study uses in-depth semi-structured interviews of 12 women from Kerala who have experienced childbirth and practised Prasava Raksha during the postnatal period, in addition to the interviews of a Prasava Raksha helper and an OB-GYN.

Experience and perceptions among rheumatoid arthritis patients following a telehealth-delivered dietary intervention: a qualitative study

The effects of dietary modifications have been assessed in people living with rheumatoid arthritis (RA) with consistent benefits reported from clinical trials. However, the lived experience of making and sustaining positive dietary changes for people with RA remains unknown. The aim of this qualitative study was to explore the experiences of adults with RA and their perceptions of a 12-week telehealth-delivered dietary intervention and to assess the acceptability of the programme. Qualitative data was collected via four online focus groups with participants who had just completed a 12-week dietary intervention programme delivered through telehealth methods. Thematic analysis was used to code and summarize the identified key themes. Twenty-one adults with RA (47.5 ± 12.3 years, 90.5% females) were included in this qualitative study. Overarching themes included: (a) motivation to join the programme, (b) benefits of the programme, (c) factors influencing adherence to dietary prescription, and (d) advantages and disadvantages of telehealth. The study demonstrated that a dietary intervention delivered through telehealth methods by a Registered Dietitian (RD) appears to be well-accepted and may be used to complement face-to-face care for people with RA. The identified factors influencing the adoption of a healthier eating pattern will aid in the development of future dietary interventions for a RA population.

What is central to renal nutrition: protein or sodium intake?

Historically, nutrition intervention has been primarily focused on limiting kidney injury, reducing generation of uraemic metabolites, as well as maintaining nutrition status and preventing protein-energy wasting in patients with chronic kidney disease (CKD). This forms an important rationale for prescribing restricted protein diet and restricted salt diet in patients with CKD. However, evidence supporting a specific protein intake threshold or salt intake threshold remains far from compelling. Some international or national guidelines organizations have provided strong or 'level 1' recommendations for restricted protein diet and restricted salt diet in CKD. However, it is uncertain whether salt or protein restriction plays a more central role in renal nutrition management. A key challenge in successful implementation or wide acceptance of a restricted protein diet and a restricted salt diet is patients' long-term dietary adherence. These challenges also explain the practical difficulties in conducting randomized trials that evaluate the impact of dietary therapy on patients' outcomes. It is increasingly recognized that successful implementation of a restricted dietary prescription or nutrition intervention requires a highly personalized, holistic care approach with support and input from a dedicated multidisciplinary team that provides regular support, counselling and close monitoring of patients. With the advent of novel drug therapies for CKD management such as sodium-glucose cotransporter-2 inhibitors or non-steroidal mineralocorticoid receptor antagonist, it is uncertain whether restricted protein diet and restricted salt diet may still be necessary and have incremental benefits. Powered randomized controlled trials with novel design are clearly indicated to inform clinical practice on recommended dietary protein and salt intake threshold for CKD in this new era.

Cardiovascular disease in South Asian Canadians: using risk factors to target primary and secondary prevention

Cardiovascular disease incidence and risk profiles vary substantially across ethnicities within Canada, with South Asians carrying a disproportionately high burden of disease. South Asians exhibit high incidences of modifiable risk factors that predispose them to cardiovascular disease: dyslipidemia, hypertension, diabetes, and physical inactivity. As well as a genetic predisposition through elevated lipoprotein(a) levels. Dietary and physical activity prescriptions must consider South Asian culture and barriers they face. These include culturally tailored dietary guidelines and women-only fitness centres. Lipoprotein(a), an atherogenic molecule, is genetically determined and elevated in South Asians but may be modified with antisense oligonucleotide therapy. This therapy warrants consideration as part of the treatment algorithms for South Asians with elevated lipoprotein(a) levels. Introducing these practices into primary and secondary prevention guidelines may reduce the cardiovascular disease burden seen in South Asians.

Nutritional aspects in the sportsman’s functional rehabilitation program

The adoption of a proper dietary regimen is of vital importance in the sports practice of athletes, as it is able to ensure an adequate turn-over of all those substances that are consumed with exercise. Our purpose was to demonstrate how adequate protein intake can favorably influence the post-injury rehabilitation phase. Our work is presented as a case-control study on a group of 16 competitive athletes recovering from sports injuries who were prescribed a balanced diet with, to 8 of them, oral supplementation with a pool of amino acids in optimal composition in the dose of 1g/kg/day. In the two groups, recovery time, muscle strength, and injured limb diameter were taken as variables. It was observed that the group treated with amino acid supplementation had statistically significant benefits compared with the group treated with diet prescription alone.

Obesity prevalence and variability in management practices for patients with symptomatic peripheral artery disease

Obesity has been associated with poor disease outcomes in patients with lower extremity peripheral arterial disease (PAD). Given evolving treatments for obesity, evaluating its prevalence and treatment practices are key to develop a holistic management of PAD. We aimed to examine prevalence of obesity and variability of management strategies in symptomatic PAD patients enrolled in the international multicenter PORTRAIT registry from 2011 to 2015. Obesity management strategies studied included weight and/or dietary counseling and prescription of weight loss medications (orlistat, lorcaserin, phentermine-topiramate, naltrexone-buproprion, and liraglutide). Use frequency of obesity management strategies were calculated by country and compared across centers using adjusted median odds ratios (MOR). Of 1002 patients included, 36 % had obesity. No patients received weight loss medications. Weight and/or dietary counseling was prescribed in only 20 % of patients with obesity with significant variability in practices between centers (range 0.0–39.7 %; MOR 3.6, 95 % CI 2.04–9.95, p = < 0.001). In conclusion, obesity is a prevalent modifiable comorbidity in PAD that is hardly addressed during PAD management, with significant variability across practices. As obesity prevalence rates are growing, along with treatment modalities to treat it, especially in those with PAD, building systems to integrate systematic evidence-based weight and dietary management strategies in PAD are essential to close this gap in care.

Factors Associated With Resident Intake of Thickened Liquids in Long-Term Care

Purpose: Hydration is essential for health; however, long-term care (LTC) residents consume less fluid than is recommended, which may contribute to dehydration. Residents who drink thickened liquids likely consume even less than peers. Therefore, the aims of this study were to (a) determine if LTC residents who drink thickened liquids consume less fluid compared to those consuming thin liquids and (b) determine factors associated with fluid intake of residents who drink thickened liquids. Method: Participants who drank thickened liquids ( n = 68) were compared with participants who drank thin liquids ( n = 68). Fluid intake, cognition, diet prescription, and mealtime challenges were compared between groups. A stepwise multiple regression model assessed variables associated with fluid intake of residents who consumed thickened fluids. Results: All participants consumed less than recommended fluid volumes. No statistically significant difference was found in fluid intake between groups; however, the group consuming thickened liquids drank less than those consuming thin liquids. The thickened liquid group was also more likely to eat a modified diet, had higher levels of cognitive impairment, and had more mealtime challenges requiring more assistance. As age increased, thickened liquid intake decreased across study participants. Conclusion: These results highlight the need for interventions in LTC to support fluid intake in this vulnerable population.

The global agenda on obesity: what does this mean for Singapore?

The global agenda on obesity: what does this mean for Singapore?

Low-protein diet supplemented with inulin lowers protein-bound toxin levels in patients with stage 3b-5 chronic kidney disease: a randomized controlled study.

this study aimed to evaluate whether low-salt low-protein diet (LPD) supplemented with 10 g of inulin could lower serum toxin levels in patients with chronic kidney disease (CKD), thereby providing evidence for adjusting dietary prescriptions of inhospital patients and outpatient nutrition consultants. we randomized 54 patients with CKD into two groups. Dietary protein intake compliance was evaluated using a 3-day dietary diary and 24-h urine nitrogen levels. The primary outcomes were indoxyl sulfate (IS) and p-cresyl sulfate (PCS), and secondary outcomes included inflammation marker levels, nutritional status, and renal function. We assessed 89 patients for eligibility, and a total of 45 patients completed the study, including 23 and 22 in the inulin-added and control groups, respectively. PCS values decreased in both groups after intervention: inulin-added group, ∆PCS -1.33 (-4.88, -0.63) μg/mL vs. LPD group, -4.7 (-3.78, 3.69) μg/mL (p = 0.058). PCS values reduced from 7.52 to 4.02 μg/mL (p < 0.001) in the inulin-added group (p < 0.001). Moreover, IS decreased from 3.42 (2.53, 6.01) μg/mL to 2.83 (1.67, 4.74) μg/mL after adding inulin; ∆IS was -0.64 (-1.48, 0.00) μg/mL, and a significant difference was observed compared with the control group (p = 0.004). The inflammation index decreased after intervention. dietary fiber supplementation may reduce serum IS and PCS levels and modulate their inflammatory status in predialysis CKD patients.

IUNS 22nd International Congress of Nutrition – Abstracts

The 22nd International Congress of Nutrition (ICN) was organized under the auspices of the International Union of Nutritional Sciences (IUNS) and was celebrated Japan, December 6-11, 2022. The IUNS-ICN is a four-yearly meeting that has been held since 1946. The 2022 IUNS- ICN edition has been conjointly organized by the Japan society of Nutrition and Food Science, The Japanese Society of Nutrition and Dietetics and the IUNS Council with the integrative collaboration of the Organizing, Scientific and Executive Committees under the motto “The Power of Nutrition: for the smiles of 10 billion people”. The aim of this IUNS 22nd ICN was to promote the global exchange of knowledge in Nutritional Sciences and to encourage communications well as capacity building. The scientific program comprised 2 Opening Lectures, 8 Plenary Lectures, 32 Special Lectures, 8 Special Symposia, 124 Symposia and 2 Panel Discussions and 1 Closing Lecture.The congress focused on every aspect of nutrition issues, going through a wide variety of topics, which were dealt with from different perspectives in order to enrich our attendees’ points of view. Let us mention the tracks of the developed program:Advances in Nutrition Research, Nutrients and Nutritional Assessment, Nutrition Through Life Course, Nutrition and Management of Diseases, Food Culture Practices and Nutrition Education, Public Health Nutrition and Environment, Functional Foods and Bioactive Compounds, Agriculture, Food Science and Safety, Additional Global NutritionalThe main goal was to offer a high-level scientific meeting focused on addressing the key aspects of nutrition in a multicultural environment, from state-of-the-art reviews to cutting edge nutritional science information. Sessions are planned to deliver latest investigations and outcomes concerning the impact of nutrition on homeostasis and body metabolism, on dietary intake and nutritional status of the population and the individual for precision nutrition as well on the role of dietary prescriptions in disease management and prevention. Translational research orientated to design and implement strategies and approaches to change dietary behaviors and to develop policies, as well as aspects related to public health issues, Nutrition Education and Climate Change, or Food and Agriculture for Health Maintenance, were included in the program. Eight plenary sessions framed the program with eminent speakers covering all health aspects in the life cycle with integrative views on food security. The present supplement accounts for 1798 abstracts from 97 countries, including the summaries of more than 500 selected guest speakers participating in the scientific symposia.

Application of machine learning to discover interactions predictive of dietary lapses.

The purpose of this study it to build a machine learning model to predict dietary lapses with comparable accuracy, sensitivity, and specificity to previous literature while recovering predictor interactions. The sample for the current study consisted of merged data from two separate studies of individuals with obesity/overweight (total N = 87). Participants completed six ecological momentary assessment surveys per day where they were asked about 16 risk factors of lapse and if they had lapsed from their dietary prescriptions since the previous survey. Alcohol consumption and self-efficacy were the most prevalent in the top 10 stable interactions. Alcohol consumption decreased the protective effect of self-efficacy, motivation, and planning. Higher planning predicted higher risk for lapse only when consuming alcohol. Low motivation, hunger, cravings, and lack of healthy food availability increased the protective effect of self-efficacy. Higher self-efficacy increased risk effect of positive mood and having recently eaten a meal on lapse. For individuals with lower levels of self-efficacy, planning increased the risk of lapse. Alcohol intake and self-efficacy interact with several variables to predict dietary lapses, and these interactions should be targeted in just-in-time adaptive interventions that deliver interventions for lapses.

Association between probiotic, prebiotic, and yogurt consumption and chronic kidney disease: The NHANES 2010-2020.

Previous studies suggested that gut dysbacteriosis may promote the occurrence of chronic kidney disease (CKD), and probiotic, prebiotic, or yogurt supplements may alleviate CKD progression. This study aims to examine the association between probiotic, prebiotic, or yogurt supplements and the risk of CKD using the data from NHANES. This study was designed to prospectively search data from the National Health and Nutrition Examination Survey (NHANES) (2011-2020). We examined dietary supplements and prescription medication labels to identify probiotic, or prebiotic product, and yogurt consumption during the dietary interview. The diagnosis of CKD was determined by the value of glomerular filtration rate (eGFR) and albumin creatinine ratio (ACR). The study enrolled a total of 6,522 individuals. The prevalence of CKD was lower in the probiotic, prebiotic, or yogurt consumption group [age-adjusted odds ratio (OR): 0.77, 95% CI: 0.62-0.95, P = 0.02; multivariable-adjusted OR: 0.86, 95% CI: 0.69-1.07, P = 0.05]. Furthermore, 32% reduced risk was observed in the older group aged 55 years or older, and 32% reduced risk was also observed in the female population. Probiotic, or prebiotic, or yogurt supplements was associated a 12% reduction in moderate risk of CKD and an 11% reduction in very high risk of CKD. Our results suggest that probiotic, prebiotic, or yogurt supplements may contribute to the prevention of CKD and relieve its progression risk, especially in the female population and older population who were aged 55 years or older.

The Effect Of Content Development On Android Applications On Knowledge Of Dietary Prescriptions On Metabolic Syndrome Risk

Metabolic syndrome is generally defined as meeting 3 (three) of 5 (five) criteria including abdominal obesity, hypertriglyceridemia, low HDL (high density lipoprotein) cholesterol, hypertension and hyperglycemia. About 20-25% of the world's adult population has the metabolic syndrome. The purpose of this study was to determine the effect of the android application on knowledge of dietary prescriptions in the community at risk for metabolic syndrome. The research design is a quasi-experimental study (quasi-experimental study), with a non-randomized control group pre-test - post-test test design that aims to determine the possibility of a causal relationship by intervening or giving treatment to one or more experimental groups, then the results (effect) of intervention was compared with a group that was subjected to different treatments (control group). Characteristics of age (p=0.172), gender (p=0.25) and education (p=0.055). Knowledge before intervention p=0,306 and after intervention p=0,009 in both groups. Knowledge before and after intervention in the case group p=0.0005 and knowledge before and after intervention in the control group p=0.0005. The types of outputs produced in this study are application systems for early detection of metabolic syndrome disease and dietary prescriptions, intellectual property rights and research journal articles. Introducing this android application so that it can be better known to the public in general and developing this android application so that it becomes more interesting and easy to understand.