Nutritional Sciences

营养科学
  • 文章类型: Editorial
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  • 文章类型: Journal Article
    将全面的营养教育纳入医学教育和培训对于使医生具备增强患者健康和预后所必需的知识和技能至关重要。然而,在医学教育中仍然存在营养教育的缺陷,使医生没有准备好解决营养在健康和疾病中的重要作用。本文总结了在营养医学教育峰会期间提出的关键主题和建议,2023年3月由研究生医学教育认证委员会与美国骨科医学院协会和美国医学院协会合作主办。
    The incorporation of comprehensive nutrition education into medical education and training is essential for equipping physicians with the knowledge and skills necessary to enhance patient health and outcomes. However, a deficiency in nutrition education persists in medical education, rendering physicians ill-prepared to address the vital role of nutrition in health and disease. This article summarizes the key themes and recommendations generated during the Summit on Medical Education in Nutrition, hosted in March 2023 by the Accreditation Council for Graduate Medical Education in collaboration with American Association of Colleges of Osteopathic Medicine and Association of American Medical Colleges.
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  • 文章类型: Journal Article
    背景:营养不良是可预防死亡的主要原因,但在医学教育中教授不一致,在医疗保健中讨论不充分。为了克服这个问题,我们开发了一种以营养团队为基础的混合学习/烹饪医学方法,将实用营养知识和基本烹饪技能融入未来卫生专业人员的培训中。
    方法:营养被整合到整骨医学院的基于系统的课程中,辅以基于健康满足食品课程(HmF;culinarymedicine.org)的烹饪医学课程。学生参加了该计划一年,该分析包括两组学生。结果是通过在线食物频率问卷(FFQ,Viosscreen,Viocare,Inc)和通过Qualtrics在线调查软件进行的调查。饮食质量使用健康饮食指数(HEI)-2015年进行测量。使用SAS9.4分析数据。
    结果:一百九十五名一年级学生完成了基线FFQ(97.5%的响应率)。学生的平均年龄是26岁,47%为女性(n=92/195)。参与者的平均BMI为24.8kg/m2(范围17-45.4),大多数参与者报告活跃。75名学生(38%)完成了年度FFQ。基线时学生的饮食质量较差(n=195;67.59(SD10.54)),在第1年结束时略有改善,但显着改善(n=75,69.63(SD:12.42),p=0.04)。该调查仅对第二组进行;63名学生回答(回答率为53%)。受访者认为与患者谈论营养比与患者谈论安全性行为更与未来的实践相关。体重,烟草,酒精,其他药物滥用和家庭暴力。
    结论:本研究评估了一所新的骨科医学院的营养和烹饪医学课程。学生对该计划的评价很高,出勤率很高,即使不是必需的。在医学院的第一年,学生的饮食质量没有下降。学生们认为与病人谈论营养是高度相关的,鼓励他们在未来的实践中这样做。我们相信我们的工作表明,营养可以融入未来医生的培训中,它可能会带来好处,特别是随着人们对预防保健重要性的认识不断提高。
    BACKGROUND: Poor nutrition is a leading cause of preventable death, but is inconsistently taught in medical education and inadequately discussed in medical care. To overcome this problem, we developed a hybrid nutrition team-based learning/culinary medicine approach to integrate practical nutrition knowledge and basic cooking skills into the training of future health professionals.
    METHODS: Nutrition was integrated into the systems-based courses at a college of osteopathic medicine, complemented by culinary medicine sessions based on the Health meets Food curriculum (HmF; culinarymedicine.org). Students participated in the program for one year and two cohorts of students were included in this analysis. Outcomes were measured via online food frequency questionnaire (FFQ, Vioscreen, Viocare, Inc) and surveys administered via Qualtrics online survey software. Diet quality was measured using the Healthy Eating Index (HEI)-2015. Data were analyzed using SAS 9.4.
    RESULTS: One hundred and ninety-five first year students completed a baseline FFQ (97.5% response rate). Mean age of students was 26 years, 47% were female (n = 92/195). The average BMI of participants was 24.8 kg/m2 (range 17-45.4) and the majority of participants reported being active. Seventy-five students (38%) completed an end of year FFQ. Diet quality was poor among students at baseline (n = 195; 67.59 (SD 10.54)) and improved slightly but significantly at the end of year 1 (n = 75, 69.63 (SD: 12.42), p = 0.04). The survey was administered to the second cohort only; 63 students responded (53% response rate). Talking to patients about nutrition was seen as more relevant to future practice among respondents than talking to patients about safe sex, weight, tobacco, alcohol, other substance abuse and domestic violence.
    CONCLUSIONS: This study evaluated the nutrition and culinary medicine curriculum at a new college of osteopathic medicine. Students rated the program highly and attendance was excellent, even though not required. Student diet quality did not decline over the first year of medical school. Students rated talking to patients about nutrition as highly relevant, providing encouragement that they will do so in future practice. We believe our work shows that nutrition can be integrated into the training of future physicians and that it may pay dividends, particularly with the increasing awareness of the importance of preventive care.
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  • 文章类型: Journal Article
    这篇综述探讨了将营养和体育活动教育纳入医学院课程的多样化景观,关注医生在通过改变生活方式促进健康方面的重要作用。通过研究全球医学教育结构,我们发现了营养和身体活动训练的差异,并强调需要一个共同的框架来应对国际和区域挑战。尽管承认营养和身体活动的重要性,研究不断发现医学院课程的缺陷,特别是与提供生活方式建议和行为咨询相关的技能。医学生的调查研究揭示了各种看法和知识差距,强调需要更全面和强制性的营养和身体活动训练。在承认进展的同时,挑战,例如时间限制,资源可用性,和教师的专业知识,坚持。融入生活方式教育会导致阻力,对战略沟通的需求,和教师购买。这些发现强调了平衡理论知识的整体方法的重要性,实用技能,以及对医学生需要在医疗保健中促进有效营养和身体活动的信心。
    This review explores the diverse landscape of integrating nutrition and physical activity education into medical school curricula, focusing on the imperative role of physicians in promoting health through lifestyle changes. By examining global medical education structures, we uncovered disparities in nutrition and physical activity training, and highlighted the need for a shared framework to address international and regional challenges. Despite acknowledging the importance of both nutrition and physical activity, studies have consistently uncovered deficiencies in medical school curricula, especially in skills related to providing lifestyle advice and behavioral counseling. Survey studies among medical students have illuminated various perceptions and knowledge gaps, emphasizing the need for more comprehensive and mandatory nutrition and physical activity training. While acknowledging progress, challenges, such as time constraints, resource availability, and faculty expertise, persist. Integrating lifestyle education results in resistance, a demand for strategic communication, and faculty buy-ins. These findings underscore the importance of a holistic approach that balances theoretical knowledge, practical skills, and confidence that medical students need to promote effective nutrition and physical activity in healthcare.
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  • 文章类型: Journal Article
    神经退行性疾病显著影响个体的营养状况。因此,营养教育在提高对食物和营养的理解方面发挥着至关重要的作用,预防或减少营养不良,促进福祉,并赋予患者和护理人员权力。教育沟通是一种利用沟通作为教学工具的方法,有可能积极加强教学过程。这项研究旨在确定和绘制旨在教育护理人员和神经退行性疾病患者食物和营养的教育策略。
    方法:此范围审查遵循JBIInstituteReviewer手册。搜索是在2022年6月至2023年3月之间在包括PubMed/MEDLINE在内的数据库中进行的,Embase,Scopus,和WebofScience。
    结果:在确认的189项研究中,29符合资格标准,只有3个适合纳入本综述.
    结论:在食品和营养教育中使用educommunication的研究很少。尽管纳入本综述的研究数量有限,使用了各种利用通信和信息技术的educommunication策略。教育传播策略可以促进食物和营养方面的知识获取,并改变行为,为参与者带来健康益处。需要对这个问题进行更多的研究。
    Neurodegenerative diseases significantly impact individuals\' nutritional status. Therefore, nutritional education plays a crucial role in enhancing the understanding of food and nutrition, preventing or minimizing malnutrition, promoting well-being, and empowering patients and caregivers. Educommunication is a methodology that utilizes communication as a pedagogical tool, with the potential to positively enhance the teaching-learning process. This study aims to identify and map educommunication strategies designed to educate caregivers and patients with neurodegenerative diseases about food and nutrition.
    METHODS: This scoping review followed the JBI Institute Reviewer\'s Manual. The search was conducted between June 2022 and March 2023 in databases including PubMed/MEDLINE, Embase, Scopus, and Web of Science.
    RESULTS: Out of 189 studies identified, 29 met the eligibility criteria, and only 3 were suitable for inclusion in this review.
    CONCLUSIONS: Studies using educommunication for food and nutrition education are scarce. Despite the limited number of studies included in this review, various educommunication strategies utilizing communication and information technologies were used. Educommunication strategies can facilitate knowledge acquisition in food and nutrition and change behaviors, resulting in health benefits for the participants. More studies on this subject are needed.
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  • 文章类型: Journal Article
    背景:在波兰,有许多教育和健康计划以更小或更大的规模实施。其中许多解决了不同年龄组的超重和肥胖问题。每个这样的活动都被认为是有价值和重要的,由于身体脂肪过多的问题越来越严重,此外,由于其他疾病的发展,构成健康风险,包括糖尿病和高血压.该研究的目的是测试在7周内实施的营养教育的有效性,并评估来自弗罗茨瓦夫的32名20-21岁学生的营养状况。
    方法:研究小组的学生参加了人类营养课程,包括30小时的讲座和30小时的练习。在研究小组中,使用包含13个封闭问题的问卷对知识水平进行了两次(教育前后)评估,使用InBody270分析仪进行两次身体成分分析(教育前后)。
    结果:研究组在营养教育后,在营养知识问卷上正确答案的数量有统计学上的显着增加(平均9.7分与11.4分;p<0.05)。在营养教育之前和之后进行的研究人体测量参数中没有发现统计学上的显着差异。
    结论:在营养教育中获得的知识使被调查学生在人类营养课程后的问卷中给出了更正确的答案。被调查学生的营养状况没有统计学上的显著变化,但是在研究期间,两名学生的体重减少了1.5-2公斤。
    BACKGROUND: There are many educational and health programs implemented on a smaller or larger scale in Poland. Many of them address the problem of overweight and obesity in different age groups. Each such activity is considered valuable and important, since the problem of excessive body fat is growing and, in addition, poses a health risk due to the development of other diseases, including diabetes and hypertension. The aim of the study was to test the effectiveness of nutrition education implemented over a 7-week period and to assess the nutritional status of 32 students aged 20-21 from Wroclaw.
    METHODS: The study group of students participated in a Human Nutrition course that included 30 hours of lectures and 30 hours of exercises. In the study group, the level of knowledge was assessed twice (before and after education) using a questionnaire with 13 closed questions, and body composition analysis was performed twice (before and after education) using an InBody270 analyser.
    RESULTS: The study group showed a statistically significant increase in the number of correct answers on the nutrition knowledge questionnaire after the nutrition education (average 9.7 points vs. 11.4 points; p<0.05). No statistically significant differences were noted in the studied anthropometric parameters performed before and after nutrition education.
    CONCLUSIONS: The knowledge gained during nutrition education allowed the surveyed students to give more correct answers in the questionnaire after the Human Nutrition course. The nutritional status of the surveyed students did not change statistically significantly, but two students achieved a weight reduction of 1.5-2 kg during the study period.
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  • 文章类型: Journal Article
    目的:本研究将青少年(18-35岁)短期营养素养量表翻译成中文,检查了其信度和效度,分析了其影响因素。
    方法:使用改进的Brislin翻译模型翻译量表。选取了508例方便样本进行调查。内容有效性,结构有效性,克朗巴赫的α系数,采用重测信度和重测信度评价量表的信度和效度。目的筛选影响青少年营养素养的因素。
    结果:中文版项目级内容有效性指数(I-CVI)为0.833~1,量表级内容有效性指数/平均值(S-CVI/Ave)为0.908。量表的累积方差贡献率为51.029%,并且该模型通常很适合。量表的Cronbachα系数和重测信度分别为0.826和0.818。结果显示,受教育程度,母亲的教育,营养相关课程,和关注营养健康信息的频率是影响青少年营养素养的因素。
    结论:中文版的S-NutLit量表可以有效评估中国年轻人的营养素。教育水平低,母亲受教育程度低,缺乏接触营养相关课程,对营养健康信息的关注频率低可能导致年轻人的营养素养水平较低。
    OBJECTIVE: This study translated the short nutrition literacy scale for young adults (18-35 years) into Chinese, examined its reliability and validity, and analyzed its influencing factors.
    METHODS: The scale was translated using a modified Brislin translation model. A convenience sample of 508 cases was selected for the survey. Content validity, structural validity, Cronbach\'s alpha coefficient, and test-retest reliability were used to evaluate the scale\'s reliability and validity. To screen the factors influencing nutrition literacy in young people.
    RESULTS: The Chinese version of the Item-Level Content Validity Index (I-CVI) was 0.833 ~ 1, and the Scale-Level Content Validity Index/Average (S-CVI/Ave) was 0.908. The cumulative variance contribution of the scale was 51.029%, and the model was generally well-fitted. The Cronbach\'s alpha coefficient and retest reliability of the scale were 0.826 and 0.818. The results showed that the level of education, mother\'s education, nutrition-related courses, and frequency of attention to nutritional health information were the factors influencing the nutritional literacy of young people.
    CONCLUSIONS: The Chinese version of the S-NutLit Scale can effectively assess the nutrients of young Chinese people. Low levels of education, low levels of education of mothers, lack of exposure to nutrition-related courses, and low frequency of attention to nutritional health information can lead to lower levels of nutritional literacy among young people.
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