Nutritional Management Program Research Articles

Micronutrition and diabetes: a new view at prevention and treatment

Worldwide, millions of people suffer from diabetes. Our study aimed to describe the sample’s weight status and the effects of providing individualized micronutrient prescriptions and nutritional counseling to individuals with diabetes. Of the 46 patients (26 women and 20 men) enrolled in this study between 2014 and 2021, 41% had insulin-resistant diabetes and were over the age of 18. In compliance with the World Health Organization guidelines, anthropometric measurements were taken. The impedencemeter was used to measure the visceral fat. Diabetes affected 41% of the patients, with women making up the majority (74%). An impedencemeter’s average measurement of 6 for visceral fat loss was encouraging, and a glycated hemoglobin analysis of diabetics revealed an average loss of 1.6%. A good sign for lowering the therapeutic load is that 16% of diabetic patients were able to stop taking any medication at all, and 79% of patients were able to reduce their dosage. This study served as a strong foundation for the creation of customized nutritional management programs in Morocco to enhance the metabolic health of patients who are obese and insulin-resistant.

독거노인 대상 재활프로그램의 효과: 체계적 고찰

Objective: This study aimed to comprehensively analyze the effects of home visits and rehabilitation programs for the elderly living alone, focusing on domestic and international literature. Methods: We searched PubMed, Embase, and Research Information Sharing Service databases for articles published between January 2013 and December 2022. We used a search strategy combining the terms “living alone” AND “old adults” AND “rehabilitation” OR “home visit” OR “program.” Six studies were selected based on their relevance to the research question and were evaluated for methodological quality, intervention program method, and effects of home visits and rehabilitation programs. Results: The average PEDro Scale of the papers was 6.6 points, indicating good quality. The home visit and rehabilitation programs included interventions such as exercise programs with telephone counseling and nutrition management programs, integrated play programs, and home visits. Analysis of the six articles revealed significant improvements in mental and physical health in the experimental group compared to the control group. Conclusion: This study provides evidence that home visits and rehabilitation programs can improve mental and physical health in older adults living alone, emphasizing the importance of these interventions tailored to the individual needs of this population. Future research is needed to provide more robust evidence to guide the planning and selection of these customized programs.

Nutritional Management of Infertility in Patients with Polycystic Ovary Syndrome

To investigate the role of the Internet-based and health care cluster model in the nutritional management of infertile patients with polycystic ovary syndrome, we compared the body mass index, insulin resistance index, serum testosterone level, anxiety level, depression level, and disease-related quality of life status of the control group with those receiving regular healthy lifestyle guidance and management. Lifestyle management was carried out through assessment, screening, status analysis, setting body mass management goals, diet management, exercise management, behavior management, and health guidance. After the intervention, the body mass index, insulin resistance index, and serum testosterone levels of the intervention group were lower (P < 0.05) than those of the control group. The scores of the generalized anxiety scale and patient health questionnaire were lower than those of the control group; the scores of the revised patient survival quality scale were higher than those of the control group, and the differences were statistically significant (P < 0.05). The life nutrition management program based on the Internet and healthcare group model is beneficial in modifying the patients’ endocrine metabolic status, relieving anxiety and depression, and improving their quality of life.

Pregnancy post-bariatric surgery: Improved outcomes with telephonic nutritional management program

BackgroundPregnancies post-bariatric surgery are increasingly common. It is important to understand how to manage prenatal care in this high-risk population to optimize perinatal outcomes. ObjectiveTo determine among pregnancies post-bariatric surgery whether participation in a telephonic nutritional management program was associated with improved perinatal outcomes and nutritional adequacy. Study designRetrospective cohort study of pregnancies post-bariatric surgery from 2012 to 2018. Participation in a telephonic management program with nutritional counseling, monitoring and nutritional supplement adjustment. Modified Poisson Regression estimated the relative risk using propensity score methods to account for baseline differences between the patients who participated in the program and patients who did not. Results1575 pregnancies occurred post-bariatric surgery, of which 1142 (72.5 % of pregnancies) participated in the telephonic nutritional management program. Participants in the program were less likely than non-participants to have a preterm birth (aRR 0.48, 95 % CI 0.35–0.67), preeclampsia (aRR 0.43, 95 % CI (0.27–0.69)), gestational hypertension (aRR 0.62, 95 % CI 0.41–0.93), and to have neonates admitted to a Level 2 or 3 (aRR 0.61, 95 % CI0.39–0.94; aRR 0.66, 95 % CI 0.45–0.97, respectively), after adjusting for the propensity score to account for baseline differences. Risk of cesarean delivery, gestational weight gain, glucose intolerance and birthweight did not differ by participation. Among 593 pregnancies with nutritional labs available, participants in the telephonic program were less likely to have nutritional inadequacy in late pregnancy (aRR 0.91, 95 % CI 0.88–0.94). ConclusionParticipation in a telephonic nutritional management program post-bariatric surgery was associated with improved perinatal outcomes and nutritional adequacy.

Prevalence of overweight and obesity and associated factors among people living with HIV attending a tertiary care clinic in Uganda

Background:Overweight and obesity are significantly increasing among people living with HIV (PLWH), contributing to the risk of major adverse cardio-metabolic events. However, little is known on its prevalence among PLWH in sub-Saharan Africa. In this study, we report the prevalence and factors associated with overweight and obesity among PLWH in a large tertiary HIV clinic in Kampala, Uganda.Methods:A cross-sectional, retrospective review of electronic database of all PLWH that attended the Adult Infectious Diseases Institute clinic between November 2018 and April 2019 was conducted. Demographic, body mass index (BMI) [kg/m2] and clinical variables were extracted. Based on BMI, nutritional status was classified as undernutrition (< 18.5kg/m2), normal (≥ 18.5 < 25kg/m2), overweight (≥ 25 < 30kg/m2) and obesity (≥ 30kg/m2). Poisson regression analysis was performed to determine factors associated with overweight and obesity.Results:Overall, 7,818 participants were included in the analysis, 64% (n = 4,976) were female, with a median age of 44 years (interquartile range (IQR): 36–51) and a median BMI of 24.2 (IQR: 21.2–28.1). The prevalence of overweight and obesity combined was 46% (55% female versus 30% male), obesity 18.2% (24.6% female versus 7.1% male) and overweight 27.8% (30.4% female versus 22.9% male). Factors associated with overweight and obesity were: Females (adjusted prevalence ratio [aPR]: 1. 8, 95%CI:1.69–1.87), age category 25—59 years (aPR: 1.9, 95%CI: 1.63–2.24) and ≥ 60 years (aPR: 1.8, 95%CI:1.49–2.12); duration on antiretroviral therapy (ART) for 6—10 years (aPR: 1.1, 95%CI:1.08–1.18), CD4 count 200–500 (aPR:0.08, 95%CI:0.01–0.15) and > 500 (aPR:0.46, 95%CI:0.39–0.54) and having at least one noncommunicable disease (NCD) (aPR: 1.1, 95%CI:1.07–1.18).ConclusionThere is a high burden of overweight and obesity among PLWH in Uganda. Nutrition and weight management programs particularly targeting high risk groups such as females and persons with underlying NCDs should be integrated into HIV care.

Impact of Home Monitoring Program and Early Gastrostomy Tube on Interstage Outcomes following Stage 1 Norwood Palliation.

Nutritional management and home monitoring programs (HMPs) may be beneficial for improving interstage morbidity and mortality following stage I Norwood palliation (S1P) for hypoplastic left heart syndrome (HLHS). We recognized an increasing trend towards early feeding gastrostomy tube (GT) placement prior to discharge in our institution, and we aimed to investigate the effect of HMPs and GTs on interstage mortality and growth parameters. Single-institutional review at a tertiary referral center between 2008 and 2018. Individual patient charts were reviewed in the electronic medical record. Those listed for transplant or hybrid procedures were excluded. Baseline demographics, operative details, and interstage outcomes were analyzed in GT and non-GT patients (nGT). Our HMP was instituted in 2009, and patients were analyzed by era: I (early, 2008-2012), II (intermediate, 2013-2016), and III (recent, 2017-2018). 79 patients were included in the study: 29 nGTs and 50 GTs. GTs had higher number of preoperative risk factors more S1P complications, longer ventilation times, longer lengths of stay, and shorter times to readmission. There were no differences in interstage mortality or overall mortality between groups. There was one readmission for a GT-related issue with no periprocedural complications in the group. Weight gain doubled after GT placement in the interstage period while waiting periods for placement decreased across Eras. HMPs and early GTs, especially for patients with high-risk features, provide a dependable mode of nutritional support to optimize somatic growth following S1P.

Implementation and evaluation of an individualized physical exercise promotion program in people with manifested risk factors for multimorbidity (MultiPill-Exercise): a study protocol for a pragmatic randomized controlled trial

BackgroundMultimorbidity is a major problem in Europe, increasing the need for prevention and rehabilitation programs. In Germany no guidelines have been developed that focus on patients with multiple chronic non-communicable diseases (NCDs). Benefits of physical activity (PA) and exercise in NCDs have been proven, but most interventions focus on single conditions. The evaluation of the effectiveness, efficiency and safety of PA programs in patients suffering from multiple NCDs and the feasibility of the implementation within the health care service remain open research questions.MethodsThe multi-site randomized controlled pragmatic trial includes 320 sedentary subjects with at least two of the following NCDs, either manifested or in a pre-stage with evident risk factors: Cardio-vascular disease, Diabetes mellitus type 2, knee/ hip osteoarthritis and obesity. Participants will be recruited from general practitioners and medical specialists and randomized to standard care of a statutory health insurance or MultiPill-Exercise. Standard care includes a choice of one or a maximum of two 8- to 12-week health programs, including nutrition, exercise, relaxation or special disease management programs. MultiPill-Exercise is based on the bio-psycho-social health model, considering a person-oriented perspective in light of given individual characteristics and context factors. The 24-weeks intervention focuses on aerobic and strengthening exercises in line with the WHO PA recommendations. Psychological and pedagogical elements along with behavior change techniques are implemented to ease the initiation and maintenance of exercise participation and lifestyle change, including nutrition. Primary outcome will be short- and long-term PA measured with the European Health Interview Survey-Physical Activity Questionnaire (EHIS-PAQ). Secondly, the effectiveness of the program on generic, disease specific, economic, and exercise behavioral parameters, as well as program adherence and safety will be evaluated.DiscussionResults of this trial evaluate the PA intervention program in people with multiple NCDs in a real-life scenario. It will serve as a proof of concept with the opportunity of translation into routine practice. This approach, as a multi-site RCT with its rigorous methods and standardized operating procedures for the conduction of the intervention, will allow valid conclusions for the implementation of PA interventions in people with multimorbidity.Trial registrationThe trial was registered at www.drks.de (ID: DRKS00025033) on 30th September 2021.

Cultural Challenges to Weight Management: A Qualitative Study of Saudi Women’s Experiences

ABSTRACT Purpose To explore and describe the experiences of Saudi women with obesity regarding cultural barriers that prevent them from following dietary and physical activity recommendations. Design Phenomenological qualitative study. Methods A focus group (4 participants) and individual interviews (13 participants) were conducted from seventeen women participating in a nutrition and weight management program. Findings Several themes were identified based on experiences and consequences of cultural restraints. Conclusions Findings provide an understanding of how cultural factors impede Saudi women with obesity from achieving effective weight management. Clinical Evidence Designing weight management programs that are individualized and consider the differences in how women are culturally affected provide more effective interventions for women with obesity.

Barriers to Healthy Eating and Diabetes Diet Education: Divergent Perspectives of Patients and Their Providers.

Patients report that adhering to diet is the most challenging aspect of diabetes management. Provision of diet education is often delegated to health care providers, despite a lack of nutrition education and training and limited awareness of environmental and cultural challenges faced by patients. Aim. We examined perceived barriers to diet self-management among low-income minority patients with type 2 diabetes and their health care providers within a single ecosystem, to test whether providers understood patient barriers. Method. We surveyed 149 members of a safety-net clinic (99 patients, 50 providers), using barriers derived from the literature. Binomial logistic regression was applied to investigate relationships between barriers and patients' sociodemographic variables and Pearson's χ2 was used to compare differences in perceived barriers between patients and providers. Results. Providers expressed divergent perceptions of patients' barriers to healthy eating, including more total barriers and little agreement with patients on their relative importance. Largest differences in providers' perceptions of patient barriers included poor motivation, high use of fast food, inadequate family support, and lack of cooking skills-all suggesting patient inadequacy. In contrast, patients showed evidence of high motivation-in rate of blood glucose measurement and desire for diet education. Patients identified primary care providers as a main source of nutrition education, yet providers indicated lack of time for diet discussion and preferred other staff do the teaching. Conclusion. The findings from this study strongly suggest that health systems need to consider patient, provider, and system barriers when implementing nutrition education and management programs.

The effect of micronutrient supplementation on spermatozoa DNA integrity in subfertile men and subsequent pregnancy rate

Background Male infertility has been related to an increased sperm DNA fragmentation index (DFI). Nutritional factors may improve sperm nuclear DNA integrity and thus pregnancy rates. Objective: To evaluate the effect of micronutrient supplementation on sperm DNA integrity in subfertile men and subsequent pregnancy rates. Methods In this retrospective comparative study 339 subfertile males were included on whom a sperm chromatin dispersion test (SCD) was performed as a method to detect DNA fragmentation, as well as an initial semen analysis. Of all, n = 162 received a nutritional management program for three months, consisting of two daily capsules of a standardized combined micronutrient formulation together with a guidance to diet modification and to lifestyle changes (study group). Each capsule contained L-carnitine, L-arginine, coenzyme Q10, zinc, vitamin E, folic acid, glutathione, and selenium. The control group consisted of those patients who did not receive the active treatment (n = 177), yet were instructed to engage in a healthy lifestyle, including a modification of their regular diet. The SCD test was repeated for both groups after three months. As part of the routine follow up, pregnancy rate was assessed six months after the second SCD test. Males with complete follow up and healthy female partners (aged 18 to 40 years) where included. Results Data of men with an initial mean DFI of >15% were analyzed first (n = 81;46 study and 35 control patients). After three months, both groups displayed a significant decrease of mean DFI values; however, the mean percent difference was higher in the study group (10.46 ± 1.20 % vs. 5.29 ± 0.57 %; p < .001). Then, the entire population was considered (n = 339). After three months, only the study group displayed a significant decrease of mean DFI initial values (10.48 ± 7.76 % to 6.51 ± 4.61%; p < .001); and the percent difference was higher in the study group (3.97 ± 0.28 % vs. 0.91 ± 0.28 %; p < .001). At six months follow-up, pregnancy rate was higher in the study group (27.78% vs. 15.25%, p = .002). Conclusion Both regimes significantly reduced sperm DNA fragmentation among subfertile men with a DFI >15%; however, when any baseline DFI value was considered, only micronutrient supplementation achieved a better result on DFI and thus pregnancy rate was higher.

Current practices in nutrition management and disease incidence of common marmosets (Callithrix jacchus).

A survey was developed to characterize disease incidence, common pathology lesions, environmental characteristics, and nutrition programs within captive research marmoset colonies. Seventeen research facilities completed the electronic survey. Nutritional management programs varied amongst research institutions housing marmosets; eight primary base diets were reported. The most common clinical syndromes reported were gastrointestinal disease (i.e. inflammatory bowel disease like disease, chronic lymphocytic enteritis, chronic malabsorption, chronic diarrhea), metabolic bone disease or fracture, infectious diarrhea, and oral disease (tooth root abscesses, gingivitis, tooth root resorption). The five most common pathology morphologic diagnoses were colitis, nephropathy/nephritis, enteritis, chronic lymphoplasmacytic enteritis, and cholecystitis. Obesity was more common (average 20% of a reporting institution's population) than thin body condition (average 5%). Through review of current practices, we aim to inspire development of evidence-based practices to standardize husbandry and nutrition practices for marmoset research colonies.

259 Telephonic nutritional management program is associated with improved outcomes in pregnancy post-bariatric surgery

259 Telephonic nutritional management program is associated with improved outcomes in pregnancy post-bariatric surgery

Rehabilitation Nutrition and Exercise Therapy for Sarcopenia.

Sarcopenia is an age-related loss of skeletal muscle associated with adverse outcomes such as falls, fractures, disability, and increased mortality in older people and hospitalized patients. About half of older male nursing home residents have sarcopenia. The diagnostic criteria by the European Working Group on Sarcopenia in Older People (EWGSOP) and the Asian Working Group for Sarcopenia (AWGS) have led to increased interest in sarcopenia. Exercise and nutritional management are crucial for the prevention and treatment of sarcopenia. Nutritional therapy for sarcopenia that includes 20 g of whey protein and 800 IU of vitamin D twice a day improves lower limb strength. Exercise therapy for sarcopenia, such as resistance training and 6 months of home exercises, improves muscle strength and physical function. Combination therapy that includes both nutritional and exercise therapy improves gait speed and knee extension strength more than either exercise alone or nutrition therapy alone. Excessive bedrest and mismanagement of nutrition in medical facilities can lead to iatrogenic sarcopenia. Iatrogenic sarcopenia is sarcopenia caused by the activities of health care workers in health care facilities. Appropriate nutritional management and exercise programs through rehabilitation nutrition are important for prevention and treatment of iatrogenic sarcopenia. Nutritional and exercise therapy should be started very early after admission and adjusted to the level of inflammation and disease status. Repeated assessment, diagnosis, goal setting, interventions, and monitoring using the rehabilitation nutrition care process is important to maximize treatment effectiveness and improve patients' functional recovery and quality of life.

Influence of Living Arrangements and Eating Behavior on the Risk of Metabolic Syndrome: A National Cross-Sectional Study in South Korea.

Studies on the relationships between health, different living arrangements, and eating behaviors across age groups are limited. Therefore, we investigated these associations, focusing on metabolic syndrome, among 16,015 South Koreans aged ≥19 years who completed the Korean National Health and Nutrition Examination Survey (2013–2016). Multivariate logistic regression revealed that younger adults (<65 years) who lived and ate alone consumed more carbohydrates than those who lived and ate with others (p < 0.01). The odds of metabolic syndrome in younger adults increased with eating alone (adjusted odds ratio (aOR) 2.11, 95% confidence interval (CI) 1.10–4.02) and living and eating alone (2.39, 1.25–4.58). Older adults (≥65 years) did not differ in dietary intake or prevalence of metabolic syndrome according to their living and eating situations. Younger adults living and eating alone may benefit from customized nutrition and health management programs to reduce their risk of metabolic syndrome.

Physical Activity and Daily Nutrient Intake for Prevention of Lifestyle-Related Diseases in Individuals with Spinal Cord Injury

In recent years, tailored training and nutrition management programs have been implemented for top-level athletes with physical disabilities, such as those competing in the Paralympic Games.

Effect of early and intensive nutrition care, delivered via telephone or mobile application, on quality of life in people with upper gastrointestinal cancer: study protocol of a randomised controlled trial

BackgroundA major challenge for those living with cancers of the upper gastrointestinal tract (oesophagus, stomach and pancreas), is the impact of the disease and treatment on nutritional status and quality of life. People with cancer and malnutrition have a greater risk of morbidity and mortality. Nutrition intervention is recommended to commence immediately in those who are malnourished or at risk of malnutrition. Novel cost-effective approaches that can deliver early, pre-hospital nutrition intervention before usual hospital dietetic service is commenced are needed. Linking clinicians and patients via mobile health (mHealth) and wireless technologies is a contemporary solution not yet tested for delivery of nutrition therapy to people with cancer. The aim of this study is to commence nutrition intervention earlier than usual care and evaluate the effects of using the telephone or mHealth for intervention delivery. It is hypothesised that participants allocated to receive the early and intensive pre-hospital dietetic service will have more quality-adjusted life years lived compared with control participants. This study will also demonstrate the feasibility and effectiveness of mHealth for the nutrition management of patients at home undergoing cancer treatment.MethodsThis study is a prospective three-group randomised controlled trial, with a concurrent economic evaluation. The 18 week intervention is provided in addition to usual care and is delivered by two different modes, via telephone (group 1) or via mHealth (group 2), The control group receives usual care alone (group 3). The intervention is an individually tailored, symptom-directed nutritional behavioural management program led by a dietitian. Participants will have at least fortnightly reviews. The primary outcome is quality adjusted life years lived and secondary outcomes include markers of nutritional status. Outcomes will be measured at three, six and 12 months follow up.DiscussionThe findings will provide evidence of a strategy to implement early and intensive nutrition intervention outside the hospital setting that can favourably impact on quality of life and nutritional status. This patient-centred approach is relevant to current health service provision and challenges the current reactive delivery model of care.Trial registration27th January 2017 Australian and New Zealand Clinical Trial Registry (ACTRN12617000152325).

생활관리사를 통한 독거노인 식생활 교육자료 개발 : 포커스 그룹 인터뷰와 전문가 델파이 조사를 통하여

노인은 다른 연령에 비해 면역력이 떨어져 식중독 같은 질병에 걸릴 확률이 높고 노인들의 잘못된 식생활 및 식품 취급행동이 그 가능성을 더 높일 수 있다. 독거노인은 일반 노인보다 신체적, 정서적, 정신적인 면에서 유의적으로 취약하기 때문에 독거노인을 위한 식생활 안전관리 교육은 매우 필요하다. 생활관리사를 통한 독거노인 식생활 안전관리 교육자료 개발을 위해 서울 노인종합복지관 3곳에 소속되어 있는 생활관리사 21명을 대상으로 포커스 그룹 인터뷰를 실시하여 독거노인의 건강 및 식생활 실태와 영양 · 식생활 · 식품안전 교육 요구도를 조사하였다. 포커스 그룹 인터뷰를 통해 도출된 결과를 토대로 교육 내용의 대주제 및 소주제를 선정하고, 전문가 30인을 대상으로 델파이 조사를 진행하여 교육 주제 및 내용의 적합성을 5점 척도로 평가받았다. 1, 2차 평균 점수가 80% 이상인 항목들을 교육자료의 내용에 반영하였다. 식생활 관리의 교육 내용은 ‘올바른 식생활 관리는 건강을 위해 꼭 필요해요’, ‘잘 챙겨서 드시면 좋아요’, ‘아침밥을 꼭 드시고, 규칙적으로 식사하세요’, ‘활동량을 늘리고, 건강 체중을 유지하세요’, ‘덜 짜게 드세요(혈압관리)’, ‘덜 달게 드세요(혈당관리)’, ‘술은 적게 드세요’, ‘건강기능식품, 잘 알고 드세요’의 소주제로, 위생의 교육 내용은 ‘식중독예방’, ‘식품 구매’, ‘식품 보관’, ‘조리 준비’, ‘조리’, ‘음식섭취’의 소주제로 구성하여 개발하였다. 본 연구를 통해 개발된 교육자료는 생활관리사가 수혜자 노인의 가정에 방문하여 개개인에게 적합한 정보를 제공함으로써 독거노인의 영양 · 식생활 · 식품안전에 대한 인식을 높이고 바람직한 식습관을 가질 수 있으리라 기대된다. 독거노인을 위한 식생활 안전관리 리플릿은 독거노인에게 있어 중요한 행동 지침 7가지(‘끼니를 꼭 챙겨 드세요’, ‘다양하게, 골고루 드세요’, ‘물, 이렇게 마셔요’, ‘눈으로 확인해요’, ‘올바르게 식품 보관해요’, ‘항상 깨끗하게!’, ‘덜 짜게, 덜 달게’)를 제시하였다. 위와 같이 독거노인을 위해 개발된 교육자료의 적극적인 활용은 독거노인의 올바르고 안전한 식생활을 유지하게 하고, 이를 통해 결국엔 성공적인 노화를 경험할 수 있도록 하며, 올바른 식생활 안전관리 가이드라인을 제시하는 것에 의의가 있을 것으로 생각된다.

Cost-benefit Analysis of Nutrition Management Program for Children Aged Under 5 Years in DR Congo

Cost-benefit Analysis of Nutrition Management Program for Children Aged Under 5 Years in DR Congo

Needs for Development of IT-based Nutritional Management Program for Women with Gestational Diabetes Mellitus

Needs for Development of IT-based Nutritional Management Program for Women with Gestational Diabetes Mellitus

Nutrition Role in The Management of Psychiatric Disorders

The Aim of the current study is to investigate nutrition role in the management of psychiatric disorders. Research Design: A quasi- experimental research design was utilized for this study. Setting The study was conducted at outpatient clinic at Institute of Psychiatry affiliated to Ain Shams University hospitals, using a convenient sample of 50 psychiatric patients with depression, schizophrenia, bipolar disorders, and obsessive compulsive disorders. Tools: data were collected through; an interviewing questionnaire covering socio-demographic characteristics, ,nutrition assessment tools, nutrition risk assessment, and nutrition management program Results showed that, there were highly statistically significant improvements in modified nutritional supplements for patients with depression, schizophrenia, bipolar disorders, and obsessive compulsive disorders, after conducting the nutrition management program. Regarding psychiatric patients’ knowledge about healthy food, healthy nutritional habits, and patients’ awareness & readiness for change, there were highly statistically significant improvements. Concerning signs and symptoms of psychiatric disorders there were highly statistically significant improvements for depression, schizophrenia, bipolar disorders, and obsessive compulsive patients after conducting the management program. In conclusion, the nutrition management program was effective in improving symptoms associated with, depression, schizophrenia, bipolar disorders, and obsessive compulsive disorders. The study recommended that nurses should have more contribution in counseling psychiatric patients, and their families about healthy diet and healthy food habits. Further research should recommend studying the effectiveness of herbs on enhancing mental health for psychiatric patients.