Potentials and pitfalls for nutrition counselling in general practice

Verheijden, Marieke W.; Bakx, J.C.; Weel, Chris van; Staveren, W.A. van

doi:10.1038/sj.ejcn.1602185

Cited by 12 publications

(16 citation statements)

References 55 publications

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“…When examining the barriers that Croatia’s GPs encounter during nutrition counselling, participants most frequently identified the lack of time (81.6%), patient non-compliance (8.4%), a lack of education in the subject matter field (8.1%), and finally, lack of compensation (1.9%). These results are similar to those reported elsewhere in the world, but certain proportion differences exist that are attributed to the previously mentioned patient, and possible barriers encountered during nutrition counselling [ 8 , 10 , 23 , 24 , 25 , 26 , 27 ]. These results differ from the results of an earlier study among Croatia’s GPs where the most significant barrier, which was four times as frequent from the determined proportions in this study, was patient non-compliance [ 19 ].…”

Section: Discussionsupporting

confidence: 90%

Nutrition Counselling Practices among General Practitioners in Croatia

Dumić

Miškulin

Ličanin

et al. 2017

IJERPH

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Chronic non-communicable diseases are a significant public health problem and imbalanced nutrition is one of the most significant risk factor for them. The objective of this study was to examine Croatia’s general practitioners’ nutrition counselling practice and determine the factors that influence such practice. A cross-sectional study was conducted among 444 (17.0%) randomly selected general practitioners (GPs) in Croatia from May to July 2013 via a 32-item anonymous questionnaire. Study showed that 77.0% of participants had provided nutrition counselling exclusively to patients with specific health risks; 18.7% participants had provided nutrition counselling for all patients, regardless of their individual risks, while 4.3% had not provide nutrition counselling. As the most significant stimulating factor for implementing nutrition counselling in their daily work with patients, 55.6% of the participants identified personal interest regarding nutrition and the effects it has on health. The latter factor was more frequently emphasized among female general practitioners (p < 0.001) and general practitioners without chronic diseases (p < 0.001). The most significant barrier for nutrition counselling was lack of time (81.6%). It is necessary to make additional efforts to increase the frequency of nutrition counselling provided by general practitioners in Croatia. The majority of Croatian general practitioners could increase their nutrition counselling practice in order to promote balanced nutrition and improve the overall health status of their patients.

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Section: Discussionsupporting

confidence: 90%

Nutrition Counselling Practices among General Practitioners in Croatia

Dumić

Miškulin

Ličanin

et al. 2017

IJERPH

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show abstract

“…At this point it should be underlined the crucial role of dietician, primary care physician and other health professionals (like nurses, psychologists) regarding the implementation of effective strategies for diabetes prevention. The collaboration of all these health care professionals is essential for better preventing diabetes at individual as well as population level [80][81][82][83].…”

Section: Implementation Into Daily Clinical Practicementioning

confidence: 99%

Dietary Patterns and Prevention of Type 2 Diabetes: From Research to Clinical Practice; A Systematic Review

Kastorini¹,

Panagiotakos²

2009

CDR

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The prevalence of type 2 diabetes, a disease difficult to treat and expensive to manage, is increasing rapidly worldwide. It is also known that lifestyle, and particularly dietary habits, play an important role in the development of diabetes. Adherence to a healthy dietary pattern, like the Mediterranean diet, exerts a beneficial role regarding the development of diabetes. Additionally certain individual food groups and components of the diet, such as monounsaturated fatty acids, fruits, vegetables, whole grain cereals, dietary fiber, fish and moderate consumption of alcohol, also may protect against the development of diabetes, possibly through the amelioration of insulin sensitivity and their anti-inflammatory actions. Unfortunately, dietary habits in the developed world are changing towards an unhealthier direction. Consequently, emphasis should be given on encouraging at population and individual level for adopting a healthier lifestyle, including dietary habits, in order to prevent the development of type 2 diabetes.

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“…The title of the fourth Heelsum workshop (2004) (64,(86)(87)(88)(89)(90)(91)(92)(93)(94)(95)(96) showed that we were aware that empowering and support were needed for both family doctors and patients. The disease-based evidence in primary care, the individual strategy of change, and the population interface of primary care were central themes in this workshop.…”

Section: International Workhops Of the Heelsum Collaboration On Nutrmentioning

confidence: 99%

“…The doctor has the medical knowledge, patients know their food habits and beliefs. We discussed the role of empowerment in making healthy choices easy choices (87); public health impact of community-based nutrition and lifestyle interventions (88); influencing patients` nutrition patterns through communication (89); potentials and pitfalls for nutrition counselling in general practice (90); the role of social support in lifestyle-focused weight management interventions (91); PCPs`different communication styles (92), and the rarity of reported nutritional deficiency in general practice (97).…”

Section: International Workhops Of the Heelsum Collaboration On Nutrmentioning

confidence: 99%