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An Examination of the Sex-Specific Nature of Nutrition Assessment within the Nutrition Care Process: Considerations for Nutrition and Dietetics Practitioners Working with Transgender and Gender Diverse Clients
The Nutrition Care Process (NCP) is the standardized process for nutrition and dietetics practitioners to deliver care.1,2 Nutrition assessment is the first step of the NCP and is utilized to gather and synthesize client data that will ultimately inform a nutrition diagnosis. This step is considered an ongoing process of initial data collection, reassessment, and analysis against reference standards. The eight domains of nutrition assessment are: food/nutrition-related history; anthropometric measure; biochemical data, medical tests, and procedures; nutrition-focused physical findings; client history; assessment, monitoring, and evaluation tools; etiology category; and progress evaluation.The Need to Incorporate Diversity, Equity, and Inclusion: Reflections from a National Initiative Measuring Fruit and Vegetable Intake
Dietary patterns that include fruits and vegetables (F/V) greatly reduce chronic disease risk, but 90% of all adults in the United States do not consume enough F/V.1 Further, long-standing systemic inequities that produce multiple barriers have contributed to low F/V intake (F/VI) among individuals who report low-income or belong to a racial and/or ethnic minority group.2–5 Subsequently, these populations are less likely to meet recommended levels of F/VI and tend to have higher rates of food insecurity, or a lack of ability to access safe, nutritious, and affordable food.Differences in Dietary Quality by Sexual Orientation and Sex in the United States: NHANES 2011-2016
There are persistent disparities in weight- and diet-related diseases by sexual orientation. Lesbian and bisexual females have a higher risk of obesity and cardiovascular disease compared with heterosexual females. Gay and bisexual males have a higher risk of diabetes and cardiovascular disease compared with heterosexual males. However, it remains unknown how sexual orientation groups differ in their dietary quality.Advancing Equity: The Academy's Commitment to Supporting Inclusion, Diversity, Equity, and Access
The Academy of Nutrition and Dietetics (Academy) has made inclusion, diversity, equity, and access (IDEA) a cornerstone of its organization-wide strategic plan to create lasting, sustainable change within the Academy and the dietetics profession. By fostering inclusive, welcoming environments for all practitioners and clients, the Academy is positioned to lead the profession by ensuring uninhibited access to food and nutrition information, as well as advocating for health care equity that serves the nutrition needs of every community.Conducting the Nutrition Focused Physical Exam (NFPE) on Diverse Populations: Are Practice Guidelines Needed for RDNs?
Describe why NPFE guidelines are needed for diverse populations and identify the gaps in practice in assessing varying skin tones and hair types.Validation of the Nine-Item Avoidant/Restrictive Food Intake Disorder Screen among Transgender and Nonbinary Youth and Young Adults
Identify the estimated prevalence of avoidant/restrictive food intake disorder among transgender and nonbinary youth and young adults.Providing Access Is a Key to a Diverse Academy and Profession: The Academy of Nutrition and Dietetics’ newly refreshed Strategic Plan includes areas where we will “focus efforts to accelerate progress toward achieving the vision and mission through impact goals that help focus, set priorities and assign resources.” In addition to well-being and prevention, nutrition care, and health systems and nutrition security and food safety, the board added a new impact goal: diversity and inclusion.
For the second straight year, the COVID-19 pandemic converted virtually all meetings of Academy affiliates, dietetic practice groups, member interest groups, and other groups and organizations to virtual events. With my fellow members of the board of directors, I participated in many of these groups’ spring 2021 meetings.Social Determinants of Health: Enhancing Health Equity
Nutrition and dietetics practitioners traditionally focus on modifying behavior to improve patient outcomes, but the Academy of Nutrition and Dietetics (Academy) also recognizes the role of social determinants of health (SDOH) when examining root causes of chronic diseases, such as high blood pressure, coronary heart disease, hepatitis, and stroke, particularly for minority and underserved populations.1
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