The Medical clinics of North America
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This article serves as an overview for selecting appropriate nutrition education resources for patients, families, caregivers, and care providers. Registered Dietitians provide high-quality, evidence-based nutrition care and serve an integral role in multidisciplinary teams. ⋯ Recommendations and considerations for health care practitioners providing individualized nutrition education or for providing disease and language-specific patient education materials are detailed. In addition, a brief review of insurance coverage for nutrition support services, as well as considerations to make when selecting a qualified nutrition provider for patient referrals is specified.
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Med. Clin. North Am. · Sep 2022
ReviewHow Physicians Can Assess and Address Dietary Behaviors to Reduce Chronic Disease Risk.
With the growing burden of diet-related chronic disease impacting the public's health, nutrition counseling in a primary care setting is essential and can be accomplished through brief and creative approaches. This article reviews an example of a brief dietary assessment and counseling tool and counseling strategies focusing on dietary behavior changes that emphasize impact on health outcomes, ease of behavior change, and affordability. ⋯ Collaborative efforts in nutrition care, particularly through collaboration with registered dietitians, present a valuable opportunity to meet the nutrition care needs of patients. Additionally, this article reviews screening for eating disorders, food insecurity, and dietary supplement use.
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Both scientific evidence and popular diet trends have sought to identify the ideal diet for weight loss with strategies focused on either restricting carbohydrates or fat. While there is a strong physiologic rationale for either carbohydrate restriction or fat restriction to achieve a calorie deficit needed for weight loss, evidence from randomized controlled trials suggest either type of diet is effective for weight loss. The level of adherence, rather than macronutrient content, is the driver of successful weight loss.
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Two of the leading chronic diseases are cardiovascular disease (CVD) and cancer. A cornerstone of prevention for CVD and cancer is a healthy dietary pattern throughout the lifespan. ⋯ This article summarizes recent evidence on the relationship of diet quality as measured by adherence to healthy dietary patterns and CVD and cancer risk reduction. Optimal adherence to a healthy dietary pattern decreases CVD and cancer risk; even small changes in diet quality are beneficial.