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Consensus of the Nutrition Screening Initiative: risk factors and indicators of poor nutritional status in older Americans.

Dietetics professionals must become even more proactive in taking the lead in the nutritional screening and assessment of older Americans. They can do so by encouraging all health care providers to become familiar with each older American's circumstances and needs. In addition, as individuals and as a professional health care association, we should urge our colleagues and institutions to establish regular longitudinal surveillance and continuity of care in nutrition services delivery. The timely, appropriate, and cost-effective delivery of nutritional screening, assessment, and care will improve the health and well-being of this valued segment of the US population. Dietetics professionals are a vital part of this process.

Activities of Daily Living↗

[Nutrition team. Units of nutritional support].

During the VIII National Congress of the Spanish Society of Parenteral and Enteral Nutrition (SENPE) held in Santander on 5th, 6th and 7th of June last, a subject was raised among several others, which for us was of great current interest and not often found in scientific affairs, related to the organizational affairs of the discipline of Artificial Nutrition, namely the Nutritional Teams or Nutritional Support Units. The aim was to respond to the many problems raised by this discipline: What does it consist of? Is it necessary? What is its purpose? Who is involved in it? What qualifications must these people have? Does it enter into competition with Nutritional, Clinical and Dietetic Services? To reply to these and many other questions, we invited a number of professionals with wide experience in nutritional and other fields, in an attempt to form a group of experts in different specialties with interests in the subject. We were also lucky enough to be able to invite Doctor Rombeau, an internationally-recognized expert, in whose country there exists great experience in the organization of these units. This summary of our Round Table was prepared by the organizer, Doctor Ordóñez, and an attempt was made to respect the spirit of each author's contribution.

Enteral Nutrition↗

[New techniques in nutritional surveys and food educational programs: volumetric dietetics for portion size assessment].

Data in literature show that body weight in adults and children seems to be related to portion sizes more than to food choices and people are more reluctant to give up favourite foods than to reduce portions. So several scientific societies in USA have recently emphastzied the need to select appropriate portion sizes. At the same time, studies on cognitive strategies show that the best method to help people to remember how much they eat is visualisation/comparison to tridimensional visual aids. So a new technique for evaluating portion sizes, based on comparison of portions to volume of usual objects (baseball, dice, deck of cards) appeared in the last years, in nutritional surveys and food educational projects. Our team, since 1990, appointed a volumetric assessment based on comparison of foods to the fist, palm, fingers of the examined subject; this system has been experienced with success for a long time both in individual dietetics and in food educational projects or surveys. Since the interest for this new technique is rising, the aim of this review is to introduce the method and to delineate the applications in nutritional surveys or educational projects in national and international literature. This method, simple practical and intelligible, seems to be addressed to a wide development in the future.

Diet↗

[Dietetic management of cystic fibrosis: intervention strategies].

Cystic fibrosis is a systemic disease whose prognosis has improved thanks multidisciplinary researches and above all better knowledges and care of nutritional problems. It is important, for a good therapy, considering each case singularly, with a differentiated and individualized dietetic approach, which focuses on its specific needs and features. A "step by step" process could be useful to manage patient suffering from cystic fibrosis; it is based on 5 different patterns of possible nutritional dietetic methods. The development of the nutritional techniques of treatment for this kind of desease both with the individualized and differentiated approach have led to improve prognosis and especially the patient's standard of life.

Cystic Fibrosis↗

Paucity of nutrition and food safety 'news you can use' reveals opportunity for dietetics practitioners.

The media is consistently ranked by the public as their primary source of nutrition and food information. To address the question of what the public is hearing about food, nutrition, and health through the news media, the International Food Information Council Foundation commissioned the Center for Media and Public Affairs to conduct a content analysis of nutrition and food safety stories. The study examined media coverage from 53 print and electronic news outlets during a 3-month period from May through July 1995. Specific criteria were applied to select the sample of food and nutrition stories (n = 979) by length of coverage during the reporting period. Coverage related to food policy or regulation, food programs, individual food companies or products, advertising or marketing, and economic adulteration or tampering were excluded from the sample. The analysis of media coverage of food and nutrition topics revealed a twofold emphasis on dietary fat over other topics. Consumption of dietary fat was mentioned in almost half of all reports, apart from discussions of body fat, weight, or obesity as a health issue. The content analysis also showed an inverse relationship between media stories of foods by food group compared with the recommended number of servings in the Food Guide Pyramid. During an era in which Americans receive their health, nutrition, and food messages from the media rather than from health professionals such as physicians and dietitians, there are multiple challenges for communicating with the public. Our media research and its findings offer approaches for dietetics practitioners to use when providing nutrition and food recommendations and education for clients and the public. These include communicating science, providing context, reinforcing basic messages and guidelines, and promoting action and behavior change to clients and consumers.

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