Advancements in Personalized Nutrition Technologies: Guiding Principles for Registered Dietitian Nutritionists

Rozga, Mary; Latulippe, Marie E.; Steiber, Alison

doi:10.1016/j.jand.2020.01.020

Cited by 29 publications

(28 citation statements)

References 45 publications

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“…Sikand and colleagues conducted a systematic review and meta-analysis of 5704 patients (34 primary studies) with dyslipidemia and cardiometabolic risk factors and reported that multiple visits with a RDN led to significant improvements in LDL-C, TG, body mass index (BMI), BP and glycosylated hemoglobin (HbA1c) and subsequent cost savings from a reduction in medications for dyslipidemia, BP and diabetes. Similar outcomes have been reported in several dietitian intervention outcome studies [ [2] , [3] , [4] , 9 , 10 , [12] , [13] , [14] ].…”

Section: Strategy 1: Incorporate Nutrition Screening Into Medical Visits To Assess Dietary Quality and Determine Need For Referral To A Rsupporting

confidence: 83%

“…Evidence is strong that patients referred to the RDN for medical nutrition therapy for the treatment of dyslipidemia and cardiometabolic risk factors achieve significant improvements [ [2] , [3] , [4] , [9] , [10] , [11] , [12] , [13] , [14] ]. Sikand and colleagues conducted a systematic review and meta-analysis of 5704 patients (34 primary studies) with dyslipidemia and cardiometabolic risk factors and reported that multiple visits with a RDN led to significant improvements in LDL-C, TG, body mass index (BMI), BP and glycosylated hemoglobin (HbA1c) and subsequent cost savings from a reduction in medications for dyslipidemia, BP and diabetes.…”

Section: Strategy 1: Incorporate Nutrition Screening Into Medical Visits To Assess Dietary Quality and Determine Need For Referral To A Rmentioning

confidence: 99%

“…In addition to an indication of poor dietary quality based on the results of a validated screening tool, the following criteria should generate a referral to an RDN for medical nutrition therapy to improve cardiometabolic risk factors for prevention of ASCVD [ 4 , 9 , 10 , [12] , [13] , [14] , [24] , [25] , [26] , [27] ]: Excess weight, defined as: Overweight body mass index (BMI) 24.9–29.9 kg/m 2 BMI Class 1 obesity 30–34.9 kg/m 2 , Class II obesity 35–39.9 kg/m 2 and Class III obesity >40 kg/m 2 Abdominal obesity: waist circumference >35 inches in men, >32 inches in women Abnormal LDL-C, TG and/or non-HDL-C Uncontrolled hypertension Poorly-controlled diabetes, defined by HbA1c > 7 mg/dL Pre-diabetes, defined by abnormal fasting glucose ≥100 mg/dL …”

Section: Strategy 2: Refer Patients To An Rdn For Medical Nutrition Therapy When Appropriate For Prevention Of Ascvdmentioning

confidence: 99%

“…Medical nutrition therapy, or personalized nutrition counseling, is a cornerstone of practice for RDNs as they target diet and lifestyle behavior change while providing support and accountability for long-term success [ [2] , [3] , [4] , [9] , [10] , [11] , [12] , [13] , [14] ]. While RDNs use the standardized systematic framework of the nutrition care process (NCP) to guide nutrition care [ 9 ], nutrition care decisions are made on an individual basis according to specific individual needs, values and clinical experience in combination with the best available evidence.…”

Section: Strategy 2: Refer Patients To An Rdn For Medical Nutrition Therapy When Appropriate For Prevention Of Ascvdmentioning

confidence: 99%

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Top 10 dietary strategies for atherosclerotic cardiovascular risk reduction

Sikand

Severson

2020

American Journal of Preventive Cardiology

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Poor dietary quality has surpassed all other mortality risk factors, accounting for 11 million deaths and half of CVD deaths globally. Implementation of current nutrition recommendations from the American Heart Association (AHA), American College of Cardiology (ACC) and the National Lipid Association (NLA) can markedly benefit the primary and secondary prevention of atherosclerotic cardiovascular disease (ASCVD). These include: 1) incorporate nutrition screening into medical visits; 2) refer patients to a registered dietitian nutritionist (RDN) for medical nutrition therapy, when appropriate, for prevention of ASCVD; 3) follow ACC/AHA Nutrition and Diet Recommendations for ASCVD prevention and management of overweight/obesity, type 2 diabetes and hypertension; 4) include NLA nutrition goals for optimizing low-density lipoprotein cholesterol (LDL-C) and non-high-density lipoprotein cholesterol (non-HDL-C) and reducing ASCVD risk; 5) utilize evidence-based heart-healthy eating patterns for improving cardiometabolic risk factors, dyslipidemia and ASCVD risk; 6) implement ACC/AHA/NLA nutrition and lifestyle recommendations for optimizing triglyceride levels; 7) understand the impact of saturated fats, trans fats, omega-3 and omega-6 polyunsaturated fats and monounsaturated fats on ASCVD risk; 8) limit excessive intake of dietary cholesterol for those with dyslipidemia, diabetes and at risk for heart failure; 9) include dietary adjuncts such as viscous fiber, plant sterols/stanols and probiotics; and 10) implement AHA/ACC and NLA physical activity recommendations for the optimization of lipids and prevention of ASCVD. Evidence on controversies pertaining to saturated fat, processed meat, red meat, intermittent fasting, low-carbohydrate/very-low-carbohydrate diets and caffeine are discussed.

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Section: Strategy 1: Incorporate Nutrition Screening Into Medical Visits To Assess Dietary Quality and Determine Need For Referral To A Rsupporting

confidence: 83%

Section: Strategy 1: Incorporate Nutrition Screening Into Medical Visits To Assess Dietary Quality and Determine Need For Referral To A Rmentioning

confidence: 99%

Section: Strategy 2: Refer Patients To An Rdn For Medical Nutrition Therapy When Appropriate For Prevention Of Ascvdmentioning

confidence: 99%

Section: Strategy 2: Refer Patients To An Rdn For Medical Nutrition Therapy When Appropriate For Prevention Of Ascvdmentioning

confidence: 99%

See 2 more Smart Citations

Top 10 dietary strategies for atherosclerotic cardiovascular risk reduction

Sikand

Severson

2020

American Journal of Preventive Cardiology

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“…However, personalised nutrition approaches, such as consumer nutrigenetics testing, have come under scrutiny (2) . Such systems require robust scientific substantiation, as recently described in a set of guiding principles (3) , and outlined by the Academy of Nutrition and Dietetics for application to dietetic practise (4) . Over the past several decades, it has become increasingly clear that a complex set of interactions exist among the genetic and environmental variables affecting individual responses to diet and lifestyle behaviours.…”

Section: Accepted Manuscript Introductionmentioning

confidence: 99%

Diets, nutrients, genes and the microbiome: recent advances in personalised nutrition

et al. 2021

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As individuals seek increasingly individualised nutrition and lifestyle guidance, numerous apps and nutrition programs have emerged. However, complex individual variations in dietary behaviours, genotypes, gene expression and composition of the microbiome are increasingly recognised. Advances in digital tools and artificial intelligence can help individuals more easily track nutrient intakes and identify nutritional gaps. However, the influence of these nutrients on health outcomes can vary widely among individuals depending upon life stage, genetics and microbial composition. For example, folate may elicit favourable epigenetic effects on brain development during a critical developmental time window of pregnancy. Genes affecting vitamin B12 metabolism may lead to cardiometabolic traits that play an essential role in the context of obesity. Finally, an individual’s gut microbial composition can determine their response to dietary fibre interventions during weight loss. These recent advances in understanding can lead to a more complete and integrated approach to promoting optimal health through personalised nutrition, in clinical practise settings and for individuals in their daily lives. The purpose of this review is to summarise presentations made during the DSM Science and Technology Award Symposium at the 13th European Nutrition Conference, which focused on personalised nutrition and novel technologies for health in the modern world.

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Academy of Nutrition and Dietetics and American Society for Parenteral and Enteral Nutrition: Revised 2021 standards of practice and standards of professional performance for registered dietitian nutritionists (competent, proficient, and expert) in nutrition support

Corrigan

Bobo²,

Rollins³

et al. 2021

Nut in Clin Prac

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Nutrition support is a therapy that crosses all ages, diseases, and conditions as health care practitioners strive to meet the nutrition requirements of individuals who are unable to meet nutrition and/or hydration needs with oral intake alone. Registered dietitian nutritionists (RDNs), as integral members of the nutrition support team provide needed information, such as identification of malnutrition risk, macro‐ and micronutrient requirements, and type of nutrition support therapy (eg, enteral or parenteral), including the route (eg, nasogastric vs nasojejunal or tunneled catheter vs port). The Dietitians in Nutrition Support Dietetic Practice Group, American Society for Parenteral and Enteral Nutrition, along with the Academy of Nutrition and Dietetics Quality Management Committee, have updated the Standards of Practice (SOP) and Standards of Professional Performance (SOPP) for RDNs working in nutrition support. The SOP and SOPP for RDNs in Nutrition Support provide indicators that describe the following 3 levels of practice: competent, proficient, and expert. The SOP uses the Nutrition Care Process and clinical workflow elements for delivering patient/client care. The SOPP describes the 6 domains that focus on professional performance. Specific indicators outlined in the SOP and SOPP depict how these standards apply to practice. The SOP and SOPP are complementary resources for RDNs and are intended to be used as a self‐evaluation tool for assuring competent practice in nutrition support and for determining potential education and training needs for advancement to a higher practice level in a variety of settings.

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Advancements in Personalized Nutrition Technologies: Guiding Principles for Registered Dietitian Nutritionists

Cited by 29 publications

References 45 publications

Top 10 dietary strategies for atherosclerotic cardiovascular risk reduction

Top 10 dietary strategies for atherosclerotic cardiovascular risk reduction

Diets, nutrients, genes and the microbiome: recent advances in personalised nutrition

Academy of Nutrition and Dietetics and American Society for Parenteral and Enteral Nutrition: Revised 2021 standards of practice and standards of professional performance for registered dietitian nutritionists (competent, proficient, and expert) in nutrition support

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