Investigating Whether the Mediterranean Dietary Pattern Is Integrated in Routine Dietetic Practice for Management of Chronic Conditions: A National Survey of Dietitians

Mayr, Hannah L.; Kostjasyn, Sarah P.; Campbell, Katrina L.; Palmer, Michelle; Hickman, Ingrid J.

doi:10.3390/nu12113395

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Investigating Whether the Mediterranean Dietary Pattern Is Integrated in Routine Dietetic Practice for Management of Chronic Conditions: A National Survey of Dietitians

^{1,2,3,4,*,†}

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and

Ingrid J. Hickman

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Nutrition and Dietetics Department, Princess Alexandra Hospital, Brisbane, QLD 4102, Australia

Bond University Nutrition and Dietetics Research Group, Faculty of Health Sciences and Medicine, Bond University, Gold Coast, QLD 4226, Australia

School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, VIC 3086, Australia

⁴

Faculty of Medicine, University of Queensland, Brisbane, QLD 4072, Australia

⁵

Nutrition and Dietetics Department, Logan Hospital, Meadowbrook, QLD 4131, Australia

Author to whom correspondence should be addressed.

^†

Both authors contributed equally to this work.

Nutrients 2020, 12(11), 3395; https://doi.org/10.3390/nu12113395

Received: 13 October 2020 / Revised: 1 November 2020 / Accepted: 2 November 2020 / Published: 4 November 2020

(This article belongs to the Section Clinical Nutrition)

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Abstract

Evidence supports recommending the Mediterranean dietary pattern (MDP) in the management of cardiovascular disease (CVD), type 2 diabetes (T2D), non-alcoholic fatty liver disease (NAFLD) and solid organ transplant (SOT). However, the evidence-practice gap is unclear within non-Mediterranean countries. We investigated integration of MDP in Australian dietetic practice, and barriers and enablers to MDP implementation for chronic disease management. Dietitians managing CVD, T2D, NAFLD and/or SOT patients (n = 182, 97% female) completed an online survey in November 2019. Fewer than 50% of participants counsel patients with CVD (48%), T2D (26%), NAFLD (31%) and SOT (0–33%) on MDP in majority of their practice. MDP principles always recommended by >50% of participants were promoting vegetables and fruit and limiting processed foods and sugary drinks. Principles recommended sometimes, rarely or never by >50% of participants included limiting red meat and including tomatoes, onion/garlic and liberal extra virgin olive oil. Barriers to counselling on MDP included consultation time and competing priorities. Access to evidence, professional development and education resources were identified enablers. An evidence-practice gap in Australian dietetic practice exists with <50% of participants routinely counselling relevant patient groups on MDP. Strategies to support dietitians to counsel complex patients on MDP within limited consultations are needed. View Full-Text

Keywords: Mediterranean diet; chronic disease; online survey; dietitian; barriers and facilitators; health services research

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MDPI and ACS Style

Mayr, H.L.; Kostjasyn, S.P.; Campbell, K.L.; Palmer, M.; Hickman, I.J. Investigating Whether the Mediterranean Dietary Pattern Is Integrated in Routine Dietetic Practice for Management of Chronic Conditions: A National Survey of Dietitians. Nutrients 2020, 12, 3395. https://doi.org/10.3390/nu12113395

AMA Style

Mayr HL, Kostjasyn SP, Campbell KL, Palmer M, Hickman IJ. Investigating Whether the Mediterranean Dietary Pattern Is Integrated in Routine Dietetic Practice for Management of Chronic Conditions: A National Survey of Dietitians. Nutrients. 2020; 12(11):3395. https://doi.org/10.3390/nu12113395

Chicago/Turabian Style

Mayr, Hannah L., Sarah P. Kostjasyn, Katrina L. Campbell, Michelle Palmer, and Ingrid J. Hickman. 2020. "Investigating Whether the Mediterranean Dietary Pattern Is Integrated in Routine Dietetic Practice for Management of Chronic Conditions: A National Survey of Dietitians" Nutrients 12, no. 11: 3395. https://doi.org/10.3390/nu12113395

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Investigating Whether the Mediterranean Dietary Pattern Is Integrated in Routine Dietetic Practice for Management of Chronic Conditions: A National Survey of Dietitians

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