BACKGROUND & AIM: There is abundant evidence to support the beneficial role of nutrition in the prevention, management and treatment of many health conditions including non-communicable diseases and malnutrition. Despite the increasing prevalence of these conditions around the world, research over the past decades has identified that many medical schools lack adequate nutrition education and training for medical students. With the Czech Republic not represented in these findings, this qualitative study aimed to assess and describe the perceptions of nutrition education at a Czech medical school. METHODS: Thirty-six participants, including students in all grades (n = 30) and faculty members from different disciplines (n = 6), completed individual, semi-structured interviews. Interviews were audio-recorded and transcribed verbatim. Inductive coding and thematic analysis were used to analyze data and identify key themes. RESULTS: Participants emphasized the important and wide-ranging role of nutrition, describing it as significant and essential for both prevention and treatment of many medical conditions. The first main theme, 'Nutrition in Medical Care and Health' identified support for the important role that nutrition plays in medical care and health. Participants acknowledged that doctors have an important role to promote good nutrition and thus require sufficient education in medical school to offer general nutrition information to patients. In the second theme, 'Nutrition Education in the Current Curriculum' some participants acknowledged that while the medical school offers a good theoretical education about nutrition, and training for specific populations such as pediatrics and oncology, overall, the current education about nutrition was 'inadequate,' not emphasized like other subjects and lacked practical application in clinical practice. The third main theme 'Opportunities for Nutrition Education in Medical School' identified the students' interest in learning more about nutrition to improve their knowledge in preparation for future practice and to promote healthy eating during medical school. In addition to identifying specific topics of interest, the participants shared preferred methods of learning nutrition information. CONCLUSIONS: The participants in this study recognized the importance of nutrition in medical care and perceived that nutrition education is not emphasized consistently in medical school. Students desired additional nutrition education to include current topics, promote self-care, and improve the emphasis in clinical training.
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- akademický sbor MeSH
- dítě MeSH
- kurikulum MeSH
- kvalitativní výzkum MeSH
- lidé MeSH
- školy lékařské * MeSH
- studenti lékařství * MeSH
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- dítě MeSH
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
Měření nutriční gramotnosti by mělo být důležitým nástrojem nejen pro zlepšení nutriční gramotnosti a výživového chování na populační úrovni, ale také by mělo sloužit jako nástroj pro identifikaci jednotlivců s omezenou nutriční gramotností s poten- ciálem definovat personalizované intervence. Nástroj na hodnocení nutriční gramotnosti navíc může umožnit standardizaci vědeckých výstupů intervenčních programů populačního výživového chování. V České republice však aktuálně takový nástroj neexistuje. Tato práce shrnuje dosud existující nástroje na hodnocení nutriční nebo potravinové gramotnosti ze zahraničí a představuje záměr vytvořit vhodný nástroj použitelný v podmínkách České republiky.
Measuring nutrition literacy should be an important tool to improve nutrition literacy and subsequently dietary behaviour at the population level, but also to identify individuals with limited nutrition literacy with the potential to define personalised interventions. In addition, a nutrition literacy assessment tool may allow standardisation of scientific outcomes of population-based nutritional behaviour intervention programmes. However, no such tool currently exists in the Czech Republic. This paper sum- marizes the existing tools for assessing nutrition or food literacy from abroad and introduces the intention to develop a suitable tool applicable to the Czech Republic.
Background: Food and nutrition play an essential role in human health. Evidence-based research supports the important role of dietitians providing medical nutrition therapy for the prevention, management and treatment of many diseases and conditions. Officially recognized in 1951, dietitians (formerly dietary nurses) have an important history in the Czech Republic. Aim: This narrative review aims to examine the history of nutrition care in the Czech Republic and identify future opportunities for the development and contributions of dietitians. We include information about education, relevant legislation, licensure, scope of practice, the current workforce, and existing professional organizations. The article provides an assessment of the opportunities for the future development and professionalization of dietitians. Methodology: We used licensed, electronic databases PUBMED, CINAHL, EBSCO, MEDVIK to search the professional literature as well as hand searching publications in both the Czech and English languages including current legislation and statistical information. Results: Formal dietetics training has progressed from the preparation of therapeutic meals to university level programs offering science-based training with supervised clinical practice to prepare bachelor’s and master’s level dietitians. As a nationally recognized profession there are three professional associations supporting more than 2,500 dietitians in the Czech Republic. Despite these developments, the advancement of the profession remains inadequate due to a limited scope of practice, wide variation in education amongst dietitians, no requirements for licensure and underutilized competencies. Conclusion: Despite the long history and development of this profession, dietitians in the Czech Republic remain an underutilized resource to provide a wide variety of nutrition services. Thus, in an effort to expand their scope of practice and improve nutrition care, further research is needed within the Czech Republic to demonstrate their essential role in the prevention, treatment and management of many diseases.
Background: Food and nutrition play an essential role in human health. Evidence-based research supports the important role of dietitians providing medical nutrition therapy for the prevention, management and treatment of many diseases and conditions. Officially recognized in 1951, dietitians (formerly dietary nurses) have an important history in the Czech Republic. Aim: This narrative review aims to examine the history of nutrition care in the Czech Republic and identify future opportunities for the development and contributions of dietitians. We include information about education, relevant legislation, licensure, scope of practice, the current workforce, and existing professional organizations. The article provides an assessment of the opportunities for the future development and professionalization of dietitians. Methodology: We used licensed, electronic databases PUBMED, CINAHL, EBSCO, MEDVIK to search the professional literature as well as hand searching publications in both the Czech and English languages including current legislation and statistical information. Results: Formal dietetics training has progressed from the preparation of therapeutic meals to university level programs offering science-based training with supervised clinical practice to prepare bachelor’s and master’s level dietitians. As a nationally recognized profession there are three professional associations supporting more than 2,500 dietitians in the Czech Republic. Despite these developments, the advancement of the profession remains inadequate due to a limited scope of practice, wide variation in education amongst dietitians, no requirements for licensure and underutilized competencies. Conclusion: Despite the long history and development of this profession, dietitians in the Czech Republic remain an underutilized resource to provide a wide variety of nutrition services. Thus, in an effort to expand their scope of practice and improve nutrition care, further research is needed within the Czech Republic to demonstrate their essential role in the prevention, treatment and management of many diseases.
Základním terapeutickým nástrojem v případě potravinových alergií je eliminační dieta. Vyloučení některých skupin potravin však může pro pacienta znamenat vysoké nutriční riziko s ohledem na snížení přívodu některých živin, zejména mikronutrientů. Tomuto riziku lze předejít spoluprací s nutričním terapeutem. Ten se může podílet na diagnostice, sběru antropometrických dat a zejména na edukaci pacienta v oblastech sestavení bezpečné a plnohodnotné diety, rizikových potravin či čtení potravinových obalů. Zároveň může pomocí nutričního softwaru zhodnotit přívod mikronutrientů a případně doporučit suplementaci. Spolupráce alergologa a nutričního terapeuta však v českém prostředí není běžná. Proto Česká asociace nutričních terapeutů a Pracovní skupina potravinové alergie připravuje standard, který by měl zajistit všem pacientům s potravinovou alergií adekvátní nutriční péči.
The essential means of food allergy therapy is the elimination diet. However, the exclusion of some food groups could pose a nutrition risk to the patient, mainly in terms of a limited intake of micronutrients. This can be prevented by cooperating with a dietitian. The dietitian can take part in diagnosis, anthropometrical data collection and mainly in the education of the patient in terms of safe and nutritionally adequate diet, risky foods, or food labelling. The dietitian can also use a nutrition software to assess the intake of micronutrients. However, the liaison of allergists and dietitians is not frequent in the Czech Republic. For this reason, the Czech Association of Dietitians, together with the Food Allergy Workgroup, is currently working on a guideline in an effort to guarantee an adequate nutrition care for all the food allergy patients.
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- lidé MeSH
- mezioborová komunikace MeSH
- nutriční poradci normy organizace a řízení trendy MeSH
- potravinová alergie dietoterapie terapie MeSH
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- lidé MeSH
- Publikační typ
- práce podpořená grantem MeSH
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- alergologie a imunologie dějiny MeSH
- dějiny 20. století MeSH
- imunoterapie dějiny MeSH
- kožní testy dějiny MeSH
- lidé MeSH
- potravinová alergie * dějiny MeSH
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- dějiny 20. století MeSH
- lidé MeSH
- Publikační typ
- historické články MeSH
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- kongresy jako téma MeSH
- nutriční terapie * MeSH
- Publikační typ
- zprávy MeSH
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- dietoterapie MeSH
- fyziologie výživy MeSH
- lidé MeSH
- studium vysokoškolské * MeSH
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- lidé MeSH
- Geografické názvy
- Belgie MeSH
