Nutrition Dietetics Research Articles

A bibliometric analysis and visualization of literature on the relationship between vitamin D and obesity over the last two decades

ObjectiveThe purpose of this study was to employ bibliometric analysis to visualize hot spots and evolving trends in the studies on the relationship between vitamin D and obesity. MethodsFrom the Web of Science Core Collection database, articles on vitamin D and obesity from 2001 to 2021 were retrieved. For the bibliometric visualization analysis, CiteSpace was employed. Some of the figures were created using GraphPad software. Results4454 pieces of articles and reviews were found, with an average citation of 30.68 times. There are many more published papers in the area of "nutrition dietetics" (1166, 26.179 %). The United States possesses the largest number of publications (1297, 29.12 %) and demonstrates definitive leadership in this field. The League of European Research Universities generates a higher percentage of publications (256, 5.748 %) than other institutions. Major studies are funded by the United States Department of Health and Human Services (531, 11.922 %) and the National Institutes of Health, USA (528, 11.855 %). The top five keywords with the highest co-occurrence frequency are “obesity” (1260), “vitamin d” (943), “insulin resistance” (651), “risk” (642), and “d deficiency” (636). The biggest keyword cluster was #0 "adolescent" among the 18 keyword clusters. The three latest keywords in the keyword burst were "mineral density"、"d insufficiency" and "25 hydroxyvitamin d concentration". ConclusionThis bibliometric analysis shows an overview of the current status of the research on the association between vitamin D and obesity. The prevalence of vitamin D deficiency and the relationship between vitamin D and metabolic syndrome in obese individuals remains hot topics. We speculate that the effect of obesity on vitamin D levels and bone mineral density, and the influence of vitamin D insufficiency on various body systems in obese populations will be future trends.

Expanding the Professional Growth of the Nutrition Dietetic Technician Registered Through the Development of a Career Ladder

Expanding the Professional Growth of the Nutrition Dietetic Technician Registered Through the Development of a Career Ladder

Unused, leftover and expired medicine and disposal practices among health sciences faculty students in Burdur, Turkey.

To evaluate the opinions of university-level Health Sciences students about unused, leftover and expired medicine, as well as their disposal practices, and to classify the medicines. The cross-sectional study was conducted from April 1 to May 31, 2023, at the Faculty of Health Sciences, Burdur Mehmet Akif Ersoy University, Turkey, and comprised those studying at the Nursing, Nutrition Dietetics and Physical Therapy and Rehabilitation departments. Data was collected using Google Forms. The Anatomical Therapeutic Chemical classification was used for classifying pharmaceutical active ingredients. Data was analysed using SPSS 24. Of the 373 participants, 272(73%) were females and 101(27%) were males. The overall mean age was 20.8±2.8 years. There were 348(93.3%) subejcts who reported having a total of 845 boxes of leftover and unused medicines in their homes (2.3±1.9 per capita), while 25(6.7%) participants had none. The medicines were stored in the kitchen 261(61.5%) as the storage area, and in the refrigerator 181(40.2%) as the storage unit. The expired medicine was disposed of in the garbage in 328(86.1%) cases. Self-medication was prevalent in 325(87.1%) cases. Anatomical Therapeutic Chemical classification analysis showed that paracetamol, acetylsalicylic acid, paracetamol+caffeine and metamizole sodium was the most common group of leftover and unused medicines 283(81.3%). High prevalence of unused and leftover medicine, disposal of medicine in household garbage, and selfmedication behaviour indicated a serious public health and environmental problem.

Bibliometric analysis of “sarcopenia” in Web of Science

SummaryBackgroundSarcopenia is defined as age-related muscle wasting defined by the combination of appendicular muscle mass, muscle strength, and physical performance measures. Here, we made a bibliometric analysis of the publications published in the Web of Science (WoS) between 2018 and 2023 in terms of “sarcopenia.” In total, 12,461 articles were analyzed. The authors, publication year, title, publishing country/journal/institution, keywords, Web of Science categories, publishers, indexes, citation topics, and reports were reviewed for each article. All digital researches were done on January 03, 2023.ResultsAmong 12,461 articles, according to documents types, 8855 were research articles, 1793 were reviews, 1028 were meeting abstracts, 3963 were early accesses, 364 were letters, and others (proceeding paper, correction, book chapter, etc.). A total of 7446 was open accesses.According to the number of papers and according to publication year, 3537 were in 2021 (highest), 3349 were in 2022, 3024 were in 2020, 2532 were in 2019, and 19 were in 2023. According to the top 5 Web of Science categories list, 2792 were in Geriatrics Gerontology, 1857 were in Nutrition Dietetics, 1575 were in Medicine General Internal, 983 were in Oncology, and 914 were in Endocrinology and Metabolism. Additionally, 243 papers were in Sport Sciences, 201 were in Rehabilitation, 196 were in Rheumatology, and 187 were in Clinical Neurology.Top citation topics were Nutrition and Dietetics (6225), Musculoskeletal Disorders (803), Bone Disease (251), Urology & Nephrology-General (236), and Hepatitis (163) (respectively). The number of citing articles, between 2019 and 2023 years, was 39,534 (with self-citations) and 39,088 (without self-citations); times cited was 94,584 (with self-citations) and 69,585 (without self-citations).ConclusionOur study highlights the characteristics of researches in sarcopenia and provides an objective insight into the importance of sarcopenia in elderly and patients with chronic rheumatic diseases.

A bibliometric analysis of global research on vitamin D and reproductive health between 2012 and 2021: Learning from the past, planning for the future.

BackgroundVitamin D plays an invaluable role in reproductive health, but vitamin D insufficiency and deficiency are generally common among couples of childbearing age and pregnant women. This study aimed to evaluate the evolution, development trend, and research hotspot of publications on vitamin D and reproductive health.MethodsThe literature on vitamin D and reproductive health between 2012 and 2021 was retrieved from the Web of Science Core Collection (WoSCC). We used VOSviewer and CiteSpace to analyze publication years, countries, institutions, journals, highly cited authors and publications, and co-occurrence and citation bursts of keywords.ResultsA total of 1,828 articles and reviews on vitamin D and reproductive health published between 2012 and 2021 were identified. The annual publication outputs showed steady growth, with the most publications (272) and citations (7,097) in 2021. The United States contributed the most publications (458) and had the highest h-index (58). In terms of the number of publications and h-index, the journal named Nutrients ranked first. Nutrition dietetics, obstetrics gynecology, and endocrinology metabolism were three well-represented disciplines in research on vitamin D and reproductive health. Hollis BW, Wagner CL, and Litonjua AA were the top three most productive authors in this field during the last decade. Apart from vitamin D, the five keywords with the most frequent occurrence were vitamin D deficiency, pregnancy, risk, vitamin D supplementation, and 25-hydroxyvitamin D. Keyword citation burst analysis revealed that low birth weight, adipose tissue, marker, and embryo had a citation burst lasting until 2021.ConclusionIn conclusion, vitamin D has received continuous attention in the field of reproductive health, and there appears to have a higher level of research in North America. Multidisciplinary intersection contributed to the in-depth exploration in this field. And the effect of maternal vitamin D levels on fetal lipid metabolism and the prediction of fertility by vitamin D-related markers might be hotspots for the research.

Academy of Nutrition and Dietetics: Revised 2022 Standards of Practice and Standards of Professional Performance for Registered Dietitian Nutritionists (Competent, Proficient, and Expert) in Public Health and Community Nutrition

Awareness of the social determinants of health has been increasing in recent years. These include equitable access to health care and foods that support healthy eating patterns. A wide range of issues related to these determinants influence practice in the public health and community nutrition field. In response to these evolving needs, the Public Health and Community Nutrition Dietetic Practice Group, with guidance from the Academy of Nutrition and Dietetics Quality Management Committee, has developed Standards of Practice and Standards of Professional Performance as a tool for Registered Dietitian Nutritionist (RDNs) currently in practice or interested in working in public health and community nutrition, to assess their current skill levels and to identify areas for professional development. The Standards of Practice address the four steps of the Nutrition Care Process for community and public health RDNs: assessment, diagnosis, intervention, and evaluation/monitoring. The Standards of Professional Performance consists of six domains of professional performance for community and public health RDNs: Quality in Practice, Competence and Accountability, Provision of Services, Application of Research, Communication and Application of Knowledge, and Utilization and Management of Resources. Within each standard, specific indicators provide measurable action statements that illustrate the ways in which RDNs can address population nutrition and health. The indicators describe three skill levels (Competent, Proficient, and Expert) for RDNs. These tools highlight the unique scope of expertise that RDNs provide to the field of public health and community nutrition.

Global research on vitamin D and coronavirus disease 2019: A bibliometric and visualized study.

Background and aim:Vitamin D play a substantial role in immune function, but little is known about its prevention in coronavirus disease 2019 (COVID-19). A detail bibliometric analysis of the published scientific literature indexed in Web of Science on vitamin D as a therapeutic option for the COVID-19 patients’ treatment is lacking. Thus, the current study was conducted to determine the key bibliometric indices and plot the global research on vitamin D and COVID-19.Methods:The Web of Science Core Collection database was utilized to retrieve publications on vitamin D and COVID-19. A Boolean search strategy was applied and the obtained data were exported to Microsoft Excel to generate relevant graphs. Furthermore, VOSviewer software version 1.6.17 for Windows was used to generate co-authorship countries, bibliographic coupling sources and co-occurrence keyword network visualization mapping. In addition, RStudio and Bibliometric online tool were used to generate WordCloud and thematic map, and intercountries relation map, respectively.Results:A total of 818 publications on vitamin D and COVID-19 were included in the final analysis. These publications were cited 10,713 times, with an H-index of 50. The number of publications and citations score from 2020 to November 2021 increased from 317 (2423 citations) to 501 (8290 citations). Delanghe JR and Speeckaert MM were the most prolific authors with 13 publications each. The most productive journal was Nutrients (n = 63). The most studied research area is nutrition dietetics. The most widely used author keywords were COVID-19 (n = 444), Vitamin D (n = 312), and SARS-CoV-2 (n = 190). The National Institute of Health and US Department of Health and Human Services were the leading funding agencies. Harvard University was the most active institution with 25 publications. The United States of America was the highly contributing and influential country in terms of publications (n = 203) and total link strength (n = 185).Conclusion:It was concluded that an increasing trend in the number of publications on vitamin D and COVID-19 has been observed. Significantly, the majority of the research has been conducted in developed countries. Most importantly, over the time, the direction of research has been changed and the recent trend topics are vitamin D deficiency, risk and infection, and vitamin D supplementation based on KeyWords Plus. The use of vitamin D supplement is one of the promising therapeutic options for COVID-19 treatment. Therefore, the current study not only highlight the global research trends but also provide standard bibliographic information for future studies.

The 100 top-cited articles on childhood obesity: a bibliometric analysis

BackgroundChildhood obesity (CHO) is a serious global health challenge affecting both developed and developing nations. The feats attained in addressing this global health challenge can be reflected through the top-cited studies. The study's aim was to analyze the features of the 100 top-cited articles concerning CHO. MethodsWe used a bibliometric analysis, and searched for relevant articles from the Web of Science (December 1, 2021), using an appropriate keyword search-strategy ((child OR childhood OR children OR adolescent) AND (obese OR obesity OR overweight)). The retrieved documents were analysed based on the citation number, publication year, authorship, institution, journal and country. The analyses were performed mainly by the Bibliometrix application (using R-studio cloud) and HistCite. ResultsThe 100 top-cited articles were published between 1976 and 2018, their citations ranged from 365 to 10 789, with a mean citation of 1 146.2 and 31 studies had more than 1 000 citations. The articles were published in 31 journals, with the “Pediatrics” journal having the most publications (n = 18). The studies were from 12 countries, with the most-productive being the USA (n = 68), followed by the United Kingdom (n = 12) and France (n = 3). The leading institution was the University of Bristol (n = 8), while Dietz WH (n = 12), and Flegal KM (n = 8) were the most productive authors. The most common research fields covered by these articles were; “General Internal Medicine” (n = 34), “Pediatrics” (n = 29), and “Nutrition Dietetics” (n = 18). The study noted significant correlations between the total article citation and the number of authors (R = 0.203), countries involved (R = 0.407), institutions (R = 0.407), and the publication year (R = 0.847), all with P < 0.001. ConclusionsThrough these top-cited articles, this analysis provides discernment into the historical advancements, including the prime roles performed by various stakeholders in addressing the issue of CHO. However, Asian countries’ contribution is not adequately reflected in these articles, and thus more focus and funding for CHO research are needed for effectual prevention and control.

Diversity demographics are needed to enhance accurate assessment of diversity in the nutrition and dietetics profession

A diverse workforce is vitally important to ensure that our nation has quality, affordable, and accessible health care. Diversity, equity, and inclusion are crucial to the nutrition/dietetics profession. As the Academy of Nutrition and Dietetics (Academy) strives to increase and better target its efforts in these areas, assessment will be required to measure progress. Evaluation of progress hinges on the cooperation of individual nutrition/dietetics practitioners — registered dietitians (RDs) or registered dietitian nutritionists (RDNs) and dietetic technicians registered (DTRs) and nutrition dietetics technicians, registered (NDTRs) to report race/ethnicity and/or gender to the Academy and/or the Commission on Dietetic Registration (CDR). Furthermore, accurate assessment and reporting of diversity demographics of the profession rely on the Academy and/or the CDR to use the full de-identified database of practitioners rather than smaller surveys. This article 1) summarizes reports on practitioners in health occupations by race/ethnicity and gender diversity from the CDR, U.S. government, and other professional organizations, 2) summarizes data collection standards issued by the U.S. government on race and ethnicity, 3) provides a recommended action step to encourage nutrition/dietetics practitioners to self-report race/ethnicity and gender to the Academy and/or the CDR, and 4) provides recommended action steps to encourage the Academy and/or the CDR to use the full de-identified database of nutrition/dietetics practitioners rather than smaller surveys to report diversity demographics of RDs/RDNs and DTRs/NDTRs by Academy groups, and to make several revisions to the CDR Registry Statistics and surveys to enhance future diversity and more accurate assessment of diversity in the profession.

Analysis for policy to overcome barriers to reducing the prevalence of vitamin a deficiency among children (15\u201323\u2009months) in Iran

BackgroundAbout 30% of children < 5 years old are estimated to experience vitamin A deficiency worldwide. Globally, vitamin A deficiency can be reduced by five major interventions: supplementation, dietary modification, fortification, promotion of both public health, and breastfeeding. This prospective policy analysis (Prospective policy analysis focuses on the future outcomes of a proposed policy. Adapted from Patton, CV, and Sawicki DS. Basic Methods of Policy Analysis and Planning, Prentice-Hall, Inc. New Jersey,1993). (Patton A, Carl V, and David S. Basic methods of policy analysis and planning, prentice-hall, 3th ed. 2012) aimed to identify evidence-based policy options to minimize prevalence (VAD) among 15–23 months-children in Iran.MethodsThirty-eight semi-structured face-to-face interviews were held with experts at high, middle, and low managerial levels in Iran’s health system, as well as at Schools of Nutrition Sciences and dietetics, using purposive and snowball sampling. All interviews were recorded by a digital voice recorder and then transcribed, codified, and eventually analyzed using a mixed approach (inductive-deductive) by MAXQDA software version 10.ResultsMost policies related to VAD reduction in this age group are supplementation, expansion of education, and awareness. Three main factors affecting VAD reduction policies emerged from the analysis: basic factors (governance, infrastructure, and organization), underlying factors (social factors, economy), and immediate factors (services). Due to its cross-sectoral nature, evaluating the results of the implementation of this policy requires strong and coherent inter-sectoral cooperation. The existing primary healthcare network (PHC) is a crucial means for successful implementation of policies to address VAD in Iran.ConclusionsIn addition to supplementation and assistance in this age group, other policies should be also planned to reduce VAD in various regions. In addition to the Ministry of Health & Medical Education (MoHME), other actors need to be involved, we advocate, throughout the entire policymaking process of policy-making to reduce VAD in Iran.

The relationship between social media use, eating attitude and body mass index among nutrition and dietetic female students: A cross-sectional study

Introduction: This study aimed to investigate the relationship between media using habits, frequency and duration, and body mass index on eating attitudes. Material and methods: The cross-sectional study was conducted with female students who received nutrition and dietetics education in Istanbul. A questionnaire consisting of a socio-demographic questionnaire, Eating Attitude Test (EAT-40), and Social Media Attitude Scale was applied to 1248 female volunteers by the face-to-face interview method.Results: It was found that 35.7% of the participants had abnormal eating attitudes and 89.6% showed a positive attitude towards social media. 93.7% of the group with abnormal eating attitudes indicated a positive attitude towards social media, 0.4% had a negative attitude and the difference was statistically significant (p=0.001). It was observed that a significant difference between EAT-40 and thought of an eating problem, having a social media membership, and spending time on social media (p&lt;0.05).Conclusions: Social media have an effect on nutrition dietetics students on abnormal eating attitude; it did not show a significant effect on BMI.

Supply Analysis of Supplementary Products in Poland

Purpose: The paper aims to conduct studies that will enable identifying the supplementary products' categories offered in the market and, in consequence, determining the structure of the supplementary product's market in terms of the supply of supplementary products in the market. Methodology: The elaboration authors conducted studies in Poland covering all 86,849 products in the market from 2007 to 2019*. The studies featured a statistical analysis of the type, quantity, and dynamics of product registration in the market. The Kruskal-Wallis test was also conducted to demonstrate the distribution of submissions in terms of the identified supplementary product categories and structural similarity index. Findings: The structure of the Polish supplementary products market was determined based on the conducted analysis. The distributions were determined, and the structural similarity indices were designated. Thereby, it was possible to obtain answers to the manufacturer's reactions to the demand for supplementary products reported by individual consumers. Practical Implications: For many years, it is possible to observe increasing demand among individual consumers worldwide for such products as dietary supplements, fortified foods, and special purpose foods. There is a justified need to produce and consume such products. Hys has conducted studies that allowed to determine that the subject literature mainly presents the results of research on nutrition dietetics and medical dietetics and derivative. On the other hand, the subject literature on management sciences features results mainly concerning individual reasons and preferences of consumer decisions related to these products' consumption. Due to the above, the authors of the paper, by analysing the widespread phenomenon of supplementary products' consumption, propose expanding analyzing areas with a new perspective. Originality/Value: The authors, by analyzing the widespread phenomenon of supplementary products' consumption, proposed expanding the research area with a new perspective. This especially concerns the manufacturers' perspective, including the analysis of the supplementary product market's growth dynamics.

Academy of Nutrition and Dietetics: Revised 2020 Standards of Practice and Standards of Professional Performance for Registered Dietitian Nutritionists (Competent, Proficient, and Expert) in Eating Disorders

Eating disorders (ED) are complex mental illnesses and are not a result of personal choice. Full recovery from an ED is possible. The severity and inherent lethality of an ED is undisputed, and the role of the registered dietitian nutritionist (RDN) is essential. Clinical symptomology presents at varying developmental milestones and is perpetuated through a sociocultural evaluation of beauty and drive for ascetic idealism. ED are globally prevalent in 4.4% of the population aged 5 to 17 years, yet affect individuals across the entire lifespan, including all cultures and genders. The Behavioral Health Nutrition Dietetic Practice Group, along with the Academy of Nutrition and Dietetics Quality Management Committee, revised the Standards of Practice (SOP) and Standards of Professional Performance (SOPP) for RDNs in Eating Disorders. Including the RDN in ED treatment is vital for all levels of care. The RDN must be perceptive to negative symptoms indicative of psychological triggers when exploring food belief systems, patterns of disinhibition, and nutrition misinformation with clients. Through a conscious awareness of medical, psychological, and behavioral strategies, the implementation of the SOP and SOPP supports a dynamic and holistic view of ED treatment by the RDN. The SOP and SOPP are complementary resources for RDNs and are intended to be used as self-evaluation tools for assuring competent practice in ED and for determining potential education, training, supervision, and mentorship needs for advancement to a higher practice level in a variety of settings.

Undergraduate Student Thriving: An Assessment and Comparison of Nutrition Science and Dietetics Students

This study utilizes the Thriving Quotient to determine the factors of student thriving for students in a nutrition and dietetics program at a large university in Southern California. Additionally, the study compared these students to the national averages for the factors of thriving. The Thriving Quotient assesses student levels of engagement, academic determination, positive perspective, social connectedness, and diverse citizenship. The largest influence on thriving for the sample population were engagement and academic determination. Comparisons to the national average and implications on practice are discussed.

P151 Eye to the Future: Developing the Next Generation of Childhood Obesity Prevention Educators

<h3>Background</h3> Latinx minorities are critically underrepresented in the nutrition/dietetics (ND) profession. The Eye to the Future (ETTF) internship aims to increase the diversity of the ND and healthcare field by providing an internship experience that offers obesity prevention and treatment training, mentoring, and career/professional development for Latinx undergraduate students. <h3>Objective</h3> The objective of this study was to examine whether the ETTF internship improved nutrition knowledge, health career readiness, and professional development. <h3>Study Design, Setting, Participants</h3> Quasi-experimental one-group design study conducted at university setting. The sample consisted of 24 Latinx undergraduate students with 21 students (87.5%) completing the internship program. Interns' mean age was 23.9 (SD = 6.9). Most of interns reported a major in Nutrition. Interns participated in 20 weekly sessions that included: 1) didactic and experiential learning activities related to the development, implementation, and evaluation of a community-based lifestyle program for minority adolescents; and 2) mentoring, career/professional development workshops and career fairs. <h3>Analysis</h3> Health career readiness was assessed with an 8-item self-report survey, rated on a 5-point scale ranging from 1 (not at all confident) to 5 (extremely confident), at baseline (Cronbach's α = .82) and post-practicum (Cronbach's α = .87). Interns also completed a 72-item nutrition knowledge exam at baseline and post-internship. Paired samples t-tests were conducted to compare career readiness and nutrition knowledge pre- and post-internship. Qualitative interviews were recorded and coded for major themes. <h3>Results</h3> Students reported a significant increase in career readiness from baseline (M = 3.53, SD = 0.63) to post-practicum (M = 4.22, SD = 0.56) [t(7) = 3.06, <i>P</i> = .018]. Moreover, students significantly improved their nutrition knowledge from baseline (M = 37.60, SD = 7.49) to post-practicum (M = 44.00, SD = 6.66) [t(9) = 3.70, <i>P</i> = .005]. Students also reported that they gained better communication skills from their participation in the internship program. <h3>Conclusions</h3> The Eye to the Future internship serves as a model for educators to encourage underrepresented students to enter the ND profession.

Abstract A050: Oncology Registered Dietitians’ knowledge, attitudes and practices related to food insecurity among cancer patients: A qualitative study

Abstract Introduction: Food insecurity (FI) has been associated with negative health outcomes, including poor quality of life (QOL) and chronic diseases such as cardiovascular disease and diabetes. However, the association between FI and cancer is largely unknown. No comprehensive practice guidelines or consensus criteria currently exist regarding screening for and addressing FI in oncology clinics. Registered Dietitian Nutritionists (RDNs) are on the front lines of nutritional care provided to patients across the cancer continuum, but it is unknown if and how oncology RDNs address FI with their patients. The purpose of this study was to assess oncology RDNs’ knowledge, attitudes and practices related to FI among cancer patients. Methods: One-on-one, semi-structured interviews were conducted with 41 oncology RDNs working at various types of cancer centers across the U.S. and recruited through the Oncology Nutrition Dietetics Practice Group of the Academy of Nutrition and Dietetics. Interviews were conducted by telephone using Microsoft Lync and recorded using the audio software program, Audacity®. Interviews lasted an average of 60 minutes and were conducted by a research specialist trained according to the Ecocultural Family Interview protocol. The interviews were coded by research specialists using a semantic approach to thematic analysis. Data were analyzed using Dedoose. Results: Findings revealed that oncology RDNs are generally aware of the term “food insecurity” and can accurately define it. RDNs believe that FI is a problem for many of their patients and that cancer patients are more likely to be negatively affected by FI compared to healthy adults. RDNs identified potential adverse consequences of FI for cancer outcomes such as poor nutritional status, QOL and tolerance to treatment. Few RDNs reported that they regularly ask their patients about their ability to afford necessary food. Further, the vast majority of RDNs had not heard of or used a validated assessment tool to identify food insecure cancer patients. Conclusions: Most oncology RDNs are knowledgeable about FI and are concerned about the potential negative impact on cancer outcomes. However, most do not use a validated assessment tool to identify cancer patients who may be food insecure. These findings can inform observational or intervention work focused on screening for and addressing FI in oncology settings. Citation Format: Amirah A Burton-Obanla, Stephanie Sloane, Brenda Koester, Craig Gundersen, Barbara H Fiese, Anna E Arthur. Oncology Registered Dietitians’ knowledge, attitudes and practices related to food insecurity among cancer patients: A qualitative study [abstract]. In: Proceedings of the Twelfth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2019 Sep 20-23; San Francisco, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2020;29(6 Suppl_2):Abstract nr A050.

Enteral and Parenteral Order Writing Survey—A Collaborative Evaluation Between the Academy of Nutrition and Dietetics’ Dietitians in Nutrition Support Dietetics Practice Group and the American Society for Parenteral and Enteral Nutrition (ASPEN) Dietetics Practice Section

IntroductionIn 2014 and 2017, the Centers for Medicare and Medicaid Services authorized nutrition-related ordering privileges for registered dietitian nutritionists (RDNs) in hospital and long-term care settings, respectively. Despite this practice advancement, information describing current parenteral nutrition (PN) and enteral nutrition (EN) ordering practices is lacking. Dietitians in Nutrition Support, a dietetic practice group of the Academy of Nutrition and Dietetics and the Dietetics Practice Section of the American Society of Parenteral and Enteral Nutrition (ASPEN) utilized a survey to describe PN and EN ordering practices among RDNs in the United States. MethodsA cross-sectional study design was utilized to describe RDN PN and EN ordering privileges. Respondents were asked to describe PN and EN ordering privileges, primary practice setting, primary patient population served, nutrition specialty certification, highest degree earned, career length, and, if applicable, the nature of prior denials for ordering privileges or reasons for not applying for ordering privileges. ResultsSeven hundred two RDNs completed the survey (12% response rate), with 664 RDNs providing complete data. The majority of respondents (n=558) cared for adult/geriatric patients. Among this subset, 47% had no PN ordering privileges; 14% could order and sign PN; 28% could order PN with provider cosignature; and 10% could order partial PN with provider cosignature. Nineteen percent of RDNs had no EN ordering privileges; 37% could order and sign EN; and 44% could order EN with provider cosignature. RDNs with ordering privileges were more likely to have a nutrition specialty certification and work in an academic or community hospital setting. ConclusionPN and EN ordering privileges are varied because of institution and state requirements. Future research describing the outcomes associated with RDN ordering privileges is needed. This article has been approved by the Academy’s Research, International, and Scientific Affairs team and Council on Research and the ASPEN Board of Directors. This article has been co-published with permission in Nutrition in Clinical Practice. The articles are identical except for minor stylistic and spelling differences in keeping with each journal's style. Either citation can be used when citing this article.

Knowledge and Attitudes of Ege University Midwifery, Nutrition-Dietetic, and Nursing Students About Natural Functional Foods

Objective: This study aimed to determine the knowledge and attitudes of midwifery, nutrition-dietetic, and nursing students at Ege University about natural functional foods. Materials and Methods: This descriptive study included all senior midwifery, nutrition-dietetics, and nursing students at Ege University in the 2019–2020 academic year. Of all 442 senior students in these departments, 384 86.9% could be reached. The dependent variables were knowledge and attitude regarding functional foods. Knowledge was defined as having heard of and giving at least five examples of functional foods. The attitude was evaluated through the Attitude Towards Functional Foods Scale. The sociodemographic characteristics, health behaviors, and the perceptions of health were independent variables. Data were collected through a questionnaire and the attitude scale. Chi-square test, Student’s t-test, and one-way analysis of variance were used for the data analyses. Results: More than half of the students stated that they had never heard of the term ‘functional food’ previously; 37.5% could not give an example for functional foods. Nutrition dietetics students were able to give more examples of functional foods than nursing and midwifery students p

Inadequate Nutrition Coverage in Outpatient Cancer Centers: Results of a National Survey.

Cancer-related malnutrition is associated with poor health outcomes, including decreased tolerance to cancer therapy, greater treatment toxicities, and increased mortality. Medical nutrition therapy (MNT) optimizes clinical outcomes, yet registered dietitian nutritionists (RDNs), the healthcare professionals specifically trained in MNT, are not routinely employed in outpatient cancer centers where over 90% of all cancer patients are treated. The objective of this study was to evaluate RDN staffing patterns, nutrition services provided in ambulatory oncology settings, malnutrition screening practices, and referral and reimbursement practices across the nation in outpatient cancer centers. An online questionnaire was developed by the Oncology Nutrition Dietetic Practice Group (ON DPG) of the Academy of Nutrition and Dietetics and distributed via the ON DPG electronic mailing list. Complete data were summarized for 215 cancer centers. The mean RDN full-time equivalent (FTE) for all centers was 1.7 ± 2.0. After stratifying by type of center, National Cancer Institute-Designated Cancer Centers (NCI CCs) employed a mean of 3.1 ± 3.0 RDN FTEs compared to 1.3 ± 1.4 amongst non-NCI CCs. The RDN-to-patient ratio, based on reported analytic cases, was 1 : 2,308. Per day, RDNs evaluated and counseled an average of 7.4 ± 4.3 oncology patients. Approximately half (53.1%) of the centers screened for malnutrition, and 64.9% of these facilities used a validated malnutrition screening tool. The majority (76.8%) of centers do not bill for nutrition services. This is the first national study to evaluate RDN staffing patterns, provider-to-patient ratios, and reimbursement practices in outpatient cancer centers. These data indicate there is a significant gap in RDN access for oncology patients in need of nutritional care.

Inadequate Nutrition Services in Outpatient Cancer Centers (P05-036-19)

ObjectivesNutritional services are a critical component of cancer care, yet Registered Dietitian Nutritionist (RDN) staffing patterns in outpatient cancer centers are poorly documented. The objective of this study was to inform availability of nutrition services by examining RDN staffing and utilization in outpatient cancer centers nationwide. MethodsAn online questionnaire was developed and approved by the Oncology Nutrition Dietetic Practice Group (a practice group of the Academy of Nutrition and Dietetics) and The Ohio State University Institutional Review Board. The deidentified survey was intended for RDNs who practice at outpatient oncology centers and distributed via Academy email in fall 2017. To avoid duplication, each respondent was prompted to submit one survey per center. Annual analytic cases, representing unique new patients diagnosed and treated at each center, were collected. Data on RDN staffing patterns, reimbursement for services, and malnutrition screening practices were analyzed. ResultsOver one year, 310 surveys were submitted and 206 provided usable data. Of those, 82% of the centers reported at least one dedicated RDN on staff with an average of 1.7 RDN full-time equivalents. The mean annual analytic cases reported were 2043, representing a RDN-to-patient ratio of 1:1202. During this time, RDNs evaluated an average of 7.5 patients per day, yet 48% of centers did not bill for nutrition services. Over half (54%) of the participating facilities screened for malnutrition using a validated or adapted screening tool, such as the Malnutrition Screening Tool. ConclusionsThis is the first comprehensive, national study to inform nutrition care provider-to-patient ratio in cancer centers which have at least one dedicated RDN. Screening for malnutrition and billing for nutritional evaluations were not widely practiced in the participating facilities. Our findings indicate that the majority of cancer centers nationally are providing inadequate RDN coverage and have low utilization of nutrition services. Funding SourcesN/A.