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Spotlight on... awareness weeks

Awareness weeks guide

National nutrition week

National nutrition week

15 - 21 October 2023

Try for 5 is an annual awareness campaign by Nutrition Australia during National Nutrition Week in October that celebrates vegetables and the important role they can play in our health and wellbeing.

  • Our health is our most important asset.
  • Life is complicated enough, so lets keep it simple…try for 5
  • Every day, just try for a little more veg.
  • Some is better than none but try for 5

Nutrition Australia

UpToDate

Adults

Paediatrics

Special populations

Cochrane Library

Articles

Coronary Heart Disease

Chronic Kidney Disease

Diabetes

Paediatrics

Research

E-books

E-journals

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Articles

Coronary Heart Disease

Comparison of seven popular structured dietary programmes and risk of mortality and major cardiovascular events in patients at increased cardiovascular risk: systematic review and network meta-analysis
Moderate certainty evidence shows that programmes promoting Mediterranean and low fat diets, with or without physical activity or other interventions, reduce all cause mortality and non-fatal myocardial infarction in patients with increased cardiovascular risk. Mediterranean programmes are also likely to reduce stroke risk. Generally, other named dietary programmes were not superior to minimal intervention. BMJ 23 February 2023

Artificial sweeteners and risk of cardiovascular diseases: results from the prospective NutriNet-Santé cohort
The findings from this large scale prospective cohort study suggest a potential direct association between higher artificial sweetener consumption (especially aspartame, acesulfame potassium, and sucralose) and increased cardiovascular disease risk. Artificial sweeteners are present in thousands of food and beverage brands worldwide, however they remain a controversial topic and are currently being re-evaluated by the European Food Safety Authority, the World Health Organization, and other health agencies. BMJ 7 September 2022

Associations of fat and carbohydrate intake with cardiovascular disease and mortality: prospective cohort study of UK Biobank participants
Many associations between macronutrient intake and health outcomes are non-linear. Thus dietary advice could be tailored to current intake. Dietary guidelines on macronutrients (eg, carbohydrate) should also take account of differential associations of its components (eg, sugar and starch). BMJ 18 March 2020

Associations of cereal grains intake with cardiovascular disease and mortality across 21 countries in Prospective Urban and Rural Epidemiology study: prospective cohort study
High intake of refined grains was associated with higher risk of mortality and major cardiovascular disease events. Globally, lower consumption of refined grains should be considered. BMJ 3 February 2021

Red meat intake and risk of coronary heart disease among US men: prospective cohort study
Substituting high quality plant foods such as legumes, nuts, or soy for red meat might reduce the risk of coronary heart disease (CHD). Substituting whole grains and dairy products for total red meat, and eggs for processed red meat, might also reduce this risk. BMJ 2 December 2020

Dietary intake of total, animal, and plant proteins and risk of all cause, cardiovascular, and cancer mortality: systematic review and dose-response meta-analysis of prospective cohort studies
Higher intake of total protein was associated with a lower risk of all cause mortality, and intake of plant protein was associated with a lower risk of all cause and cardiovascular disease mortality. Replacement of foods high in animal protein with plant protein sources could be associated with longevity. BMJ 22 July 2020

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Chronic Kidney Disease

Association of omega 3 polyunsaturated fatty acids with incident chronic kidney disease: pooled analysis of 19 cohorts
Higher seafood derived n-3 PUFA levels were associated with lower risk of incident CKD, although this association was not found for plant derived n-3 PUFAs. These results support a favourable role for seafood derived n-3 PUFAs in preventing CKD. BMJ 19 January 2023

Mapping the global research landscape on malnutrition for patients with chronic kidney disease: a visualization analysis
This study is the first of its kind to analyze CKD and malnutrition research using data from Scopus for visualization and network mapping. Recent trends indicate an increasing focus on protein-energy wasting/malnutrition in hemodialysis patients and predicting factors, dietary protein intake, and malnutrition in CKD. These topics have gained significant attention and reflect the latest scientific advances. Intervention studies are crucial to examining diet therapy's impact on patients with stages 1 to 5 CKD. Journal of health, population and nutrition 23 September 2023

Recommended calcium intake in adults and children with chronic kidney disease – a European consensus statement
A calcium intake below a certain threshold may be as problematic as a high intake, worsening the   mineral and bone disorders (MBD) syndrome of CKD, but is not addressed in current clinical practice guidelines. Nephrology dialysis transplantation 11 September 2023

The effect of dietary protein on the progression of polycystic kidney disease- a review on current evidences
Available evidence is inadequate to draw strict conclusions on the role of protein-restricted diets in the management of patients with ADPKD. However, these patients can be advised to stick to low-protein dietary regimens as recommended for patients suffering from non-ADPKD chronic renal diseases. It should be noticed that in patients with ADPKD, protein restriction should accompany receiving adequate calories. It is also recommended to conduct interventional studies to investigate the role of plant proteins, especially soy, in these patients. Clinical nutrition open science 26 September 2023

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Diabetes

Beverage consumption and mortality among adults with type 2 diabetes: prospective cohort study
Individual beverages showed divergent associations with all cause mortality and cardiovascular disease (CVD) outcomes among adults with type 2 diabetes. Higher intake of sugar sweetened beverages (SSBs) was associated with higher all cause mortality and CVD incidence and mortality, whereas intakes of coffee, tea, plain water, and low fat milk were inversely associated with all cause mortality. These findings emphasize the potential role of healthy choices of beverages in managing the risk of CVD and premature death overall in adults with type 2 diabetes. BMJ 19 April 2023

Global burden of type 2 diabetes in adolescents and young adults, 1990-2019: systematic analysis of the Global Burden of Disease Study 2019
Early onset type 2 diabetes is a growing global health problem in adolescents and young adults, especially in countries with a low-middle and middle sociodemographic index. A greater disease burden in women aged <30 years was found. Specific measures are needed in countries with different levels of socioeconomic development because of the variable attributable risk factors for type 2 diabetes in adolescents and young adults. BMJ 7 December 2022

Modifiable risk factors and long term risk of type 2 diabetes among individuals with a history of gestational diabetes mellitus: prospective cohort study
Among women with a history of gestational diabetes mellitus, each additional optimal modifiable factor was associated with an incrementally lower risk of type 2 diabetes. These associations were seen even among individuals who were overweight/obese or were at greater genetic susceptibility. BMJ 21 September 2022

Efficacy and safety of low and very low carbohydrate diets for type 2 diabetes remission: systematic review and meta-analysis of published and unpublished randomized trial data
On the basis of moderate to low certainty evidence, patients adhering to an low carbohydrate diets (LCDs)  for six months may experience remission of diabetes without adverse consequences. Limitations include continued debate around what constitutes remission of diabetes, as well as the efficacy, safety, and dietary satisfaction of longer term LCDs. BMJ 31 January 2021

Intake of whole grain foods and risk of type 2 diabetes: results from three prospective cohort studies
Higher consumption of total whole grains and several commonly eaten whole grain foods, including whole grain breakfast cereal, oatmeal, dark bread, brown rice, added bran, and wheat germ, was significantly associated with a lower risk of type 2 diabetes. These findings provide further support for the current recommendations of increasing whole grain consumption as part of a healthy diet for the prevention of type 2 diabetes. BMJ 8 July 2020

Effect of low glycaemic index or load dietary patterns on glycaemic control and cardiometabolic risk factors in diabetes: systematic review and meta-analysis of randomised controlled trials
This synthesis suggests that low GI/GL dietary patterns result in small important improvements in established targets of glycaemic control, blood lipids, adiposity, blood pressure, and inflammation beyond concurrent treatment with hyperglycaemia drugs or insulin, predominantly in adults with moderately controlled type 1 and type 2 diabetes. The available evidence provides a good indication of the likely benefit in this population BMJ 5 August 2021

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Paediatrics

Health and nutrition claims for infant formula: international cross sectional survey
Most infant formula products had at least one health and nutrition claim. Multiple ingredients were claimed to achieve similar health or nutrition effects, multiple claims were made for the same ingredient type, most products did not provide scientific references to support claims, and referenced claims were not supported by robust clinical trial evidence. BMJ 15 February 2023

Impact of a package of health, nutrition, psychosocial support, and WaSH interventions delivered during preconception, pregnancy, and early childhood periods on birth outcomes and on linear growth at 24 months of age: factorial, individually randomised controlled trial
An intervention package delivered during preconception, pregnancy, and early childhood substantially reduced low birth weight and stunting at 24 months. Pregnancy and early childhood interventions alone had lower but important effects on birth outcomes and 24 month outcomes. Preconception interventions alone had an important effect on birth outcomes but not on 24 month outcomes. BMJ 26 October 2023

Maternal consumption of ultra-processed foods and subsequent risk of offspring overweight or obesity: results from three prospective cohort studies
Maternal consumption of ultra-processed food during the child rearing period was associated with an increased risk of overweight or obesity in offspring, independent of maternal and offspring lifestyle risk factors. Further study is needed to confirm these findings and to understand the underlying biological mechanisms and environmental determinants. These data support the importance of refining dietary recommendations and the development of programs to improve nutrition for women of reproductive age to promote offspring health. BMJ 5 October 2023

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Research

What the clinician needs to know about medical nutrition therapy in critically ill patients in 2023: A narrative review
This narrative review aims to summarize the most recent evidence relevant to clinical practice on selected aspects of MNT in adult patients in the ICU and to provide guidance for implementing evidence-based approaches for adequate energy and nutrient supply in the ICU setting. Nutrition in clinical practice 5 April 2023

Dietary sugar consumption and health: umbrella review
High dietary sugar consumption is generally more harmful than beneficial for health, especially in cardiometabolic disease. Reducing the consumption of free sugars or added sugars to below 25 g/day (approximately 6 teaspoons/day) and limiting the consumption of sugar sweetened beverages to less than one serving/week (approximately 200-355 mL/week) are recommended to reduce the adverse effect of sugars on health. BMJ 5 April 2023

Tools and resources used to support implementation of workplace healthy food and drink policies: A scoping review of grey literature
This study aimed to identify and evaluate tools and resources used to support the implementation of workplace healthy food and drink policies, primarily in Australia and New Zealand. Nutrition and dietetics 23 September 2023

Association of ultra-processed food consumption with colorectal cancer risk among men and women: results from three prospective US cohort studies
In the three large prospective cohorts, high consumption of total ultra-processed foods in men and certain subgroups of ultra-processed foods in men and women was associated with an increased risk of colorectal cancer. Further studies are needed to better understand the potential attributes of ultra-processed foods that contribute to colorectal carcinogenesis. BMJ 31 August 2022

Effect of dietary sources of calcium and protein on hip fractures and falls in older adults in residential care: cluster randomised controlled trial
Improving calcium and protein intakes by using dairy foods is a readily accessible intervention that reduces the risk of falls and fractures commonly occurring in aged care residents. BMJ 21 October 2021

Food and mood: how do diet and nutrition affect mental wellbeing?
Key messages

  • Healthy eating patterns, such as the Mediterranean diet, are associated with better mental health than “unhealthy” eating patterns, such as the Western diet
  • The effects of certain foods or dietary patterns on glycaemia, immune activation, and the gut microbiome may play a role in the relationships between food and mood
  • More research is needed to understand the mechanisms that link food and mental wellbeing and determine how and when nutrition can be used to improve mental health

BMJ 29 June 2020

Food is medicine: actions to integrate food and nutrition into healthcare
Key messages

  • In the face of the global epidemic of diet related chronic disease, there is increased experimentation with the use of “food is medicine” interventions to prevent, manage, and treat illness
  • Interventions used with increasing frequency in the US and piloted to some extent in other countries include medically tailored meals, medically tailored groceries, and produce prescription programmes
  • Scaled integration of these and other emerging nutrition interventions into healthcare would require significant investment in rigorous research to test different approaches and address knowledge gaps
  • Clinicians need more and better education and training on the appropriateness and use of these interventions
  • We also need to identify sustained funding streams to ensure equitable access and availability for patients

BMJ 29 June 2020

Current food labelling practices in online supermarkets in Australia
Food product labelling varies in online supermarkets in Australia overall and between supermarkets, while the design of online stores resulted in differences in labelling visibility. The near-complete display of country-of-origin labels and differential application of Health Star Ratings (HSRs) to higher-scoring products may reflect their use as marketing tools. Our findings highlight an urgent need for food labelling regulations to be updated to better account for online retail food environments. International journal of behavioral nutrition and physical activity 26 September 2023

Australian dietitians' confidence in their knowledge and skills working with older adults in aged care: A national survey
Aged care dietitians are confident in most aspects of their role but have opportunities to be better supported. Developing the confidence of higher-level systems and communication in early career dietitians is warranted. Nutrition and dietetics 6 September 2023

Dietitian-led micronutrient management in a public bariatric surgery outpatient clinic
An extended scope dietitian-led model of care for micronutrient management after bariatric surgery improves clinical care. Challenges such as succession planning must be considered in design of extended scope services. Nutrition and dietetics 6 August 2023

A scoping review of the dietary information needs of people with inflammatory bowel disease
This review highlights limited literature describing the dietary information needs of people with inflammatory bowel disease. Importantly, the limited access to specialised dietary advice for this cohort is concerning. Future studies are required to explore not only the nuances in the needs of those with active disease and in remission, but to further understand issues of access to specialised dietary advice to provide holistic person-centred care desired by this cohort. Nutrition & dietetics 8 October 2023

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E-books

This is just a sample of the e-books the library subscribes to – you will need your library login

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E-Journals

This is just a sample of the journals the library subscribes to – you will need your library login

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