Objective: Weight management appears to be multidimensional and complex, and registered nutritionists might work to educate, promote and provide weightmanagement services to communities, groups and individuals. However, nutrition education might not adequately reflect the weight-management requirements of individuals and groups. The aim of the present study was to investigate if the Association for Nutrition's undergraduate core competency framework for accredited Nutrition degrees sufficiently reflects the weight-management needs and experiences of individuals. Design: A qualitative investigation, conducted within critical realist ontology, was performed to understand the weight-management experiences of dieters and compare these with the Association for Nutrition's accreditation criteria for undergraduate Nutrition degrees. Setting: Framework analysis was used to identify and explain participants' experiences thematically and to compare these with the Association for Nutrition's core competency criteria. Subjects: Participants (n 8) with weight-loss (n 4) and weight-maintenance experiences (n 4) were interviewed using semi-structured interviews to understand weight management at the agential level. Results: Participants described knowledge, exercise, planning, psychological constructs and behaviour-change techniques, determinants of eating and social support as features of weight management. The competency criteria provided clear guidance on all aspects discussed by the group, apart from psychological constructs and behaviour-change techniques and social support. Conclusions: Accredited Nutrition courses might not fully reflect the weightmanagement needs and experiences of individuals. Nutritionists might require greater knowledge of psychology and behaviour change to better understand and accommodate their clients' weight-management needs.
Keywords
Weight managementWeight loss Weight maintenance Nutrition education QualitativeNutritionists work in diverse roles with groups, communities, individuals and within industry to educate about and promote good health (1) . Depending on their specialism, nutritionists might work with dietitians and other health professionals in hospitals and clinics, within public health and policy development, or provide consultancy services within private practice (2) . To become registered in the UK, nutritionists must register with the UK Voluntary Register of Nutritionists, which is regulated by the Association for Nutrition (AfN) (3) . The AfN also accredits undergraduate Nutrition degrees, which must adhere to strict professional and ethical standards, and provide evidence that the AfN's score competency criteria for undergraduate degree courses have been embedded into the curriculum (3,4) .These competencies were established to define the areas of knowledge and expertise of UK nutritionists (2) ; reflect an international drive to develop standards for practice and workforce development (5) ; and were developed from research highlighting the breadth of knowledge required...