Nutrition in Patient Care: Second Edition

A special issue of Healthcare (ISSN 2227-9032).

Deadline for manuscript submissions: 31 July 2026 | Viewed by 2398

Special Issue Editors


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Guest Editor
Laboratory of Dietetics and Quality of Life, Department of Food Science and Human Nutrition, Agricultural University of Athens, 11855 Athens, Greece
Interests: malnutrition; nutritional assessment; renal nutrition; sarcopenia; nutritional risk screening
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Guest Editor

Special Issue Information

Dear Colleagues,

We are pleased to announce the launch of the second edition of the Special Issue entitled “Nutrition in Patient Care.” Nutrition plays an increasingly recognized role in patient outcomes across all clinical settings—from prevention and treatment to recovery and rehabilitation. As healthcare systems face evolving challenges, the integration of evidence-based nutritional strategies remains essential for improving care quality and patient well-being. This Special Issue seeks to showcase innovative, interdisciplinary, and evidence-based approaches that place nutrition at the center of patient care.

We invite researchers, clinicians, dietitians, and healthcare professionals to contribute original research articles, reviews, case studies, and practice-based insights that explore the complex interactions between nutrition and clinical outcomes in hospitalized, outpatient, and community-dwelling populations. Topics of interest include, but are not limited to, the following: clinical nutrition interventions, malnutrition screening, nutritional support in disease management, interdisciplinary approaches, and innovations in personalized nutrition.

Dr. Kalliopi Anna Poulia
Dr. Odysseas Androutsos
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • nutritional support
  • malnutrition
  • clinical nutrition
  • nutritional screening
  • diet therapy

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Related Special Issue

Published Papers (3 papers)

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Research

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19 pages, 644 KB  
Article
Dietitians’ Knowledge, Attitudes, and Practices Regarding Food–Drug and Drug–Nutrient Interactions in Saudi Arabia: A Cross-Sectional Study
by Howeida Abusalih, Maha M. Alsobhi, Buthaina M. Aljehany, Rowida Khader Allily, Haya Aljadani, Eman A. Abduljawad, Manal M. S. Mansoury, Sarah A. Alasmari, Afnan H. Saaty, Dalal A. Alkhudhayri, Abeer A. Aljehani and Nada Benajiba
Healthcare 2026, 14(11), 1595; https://doi.org/10.3390/healthcare14111595 (registering DOI) - 5 Jun 2026
Abstract
Background: Dietitians play a critical role in preventing food–drug interactions (FDIs) and drug–nutrient interactions (DNIs); however, evidence regarding their knowledge, attitudes, and practices (KAP) in Saudi Arabia remains limited. Objective: The aim of this study was to assess dietitians’ KAP regarding FDIs and [...] Read more.
Background: Dietitians play a critical role in preventing food–drug interactions (FDIs) and drug–nutrient interactions (DNIs); however, evidence regarding their knowledge, attitudes, and practices (KAP) in Saudi Arabia remains limited. Objective: The aim of this study was to assess dietitians’ KAP regarding FDIs and DNIs and examine their associations with socio-demographic and professional characteristics. Methods: A national cross-sectional study was conducted among 353 dietitians using a validated and modified questionnaire. Knowledge was assessed via 15 multiple-choice items (score range 0–15) and categorized as poor (0–5), moderate (6–10), or good (11–15). Attitudes were assessed using 8 Likert-scale statements (score range 8–40) and classified as negative (8–19), neutral (20–29), or positive (30–40). Practices were assessed via 6 frequency-scale items (score range 6–30) and categorized as poor (6–14), moderate (15–23), or good (24–30). Associations were analyzed using chi-square tests. Results: In total, 65.2% of participants demonstrated poor knowledge. Knowledge level was significantly associated with nationality (p = 0.011), educational qualification (p = 0.042), attendance at FDI/DNI training courses (p = 0.003), and inclusion of related topics during university education (p = 0.013). Higher knowledge levels were also associated with managing digestive diseases (p = 0.001), cardiovascular diseases (p = 0.020), and cancer (p = 0.031). Positive attitudes were reported by 77.6% of participants and were significantly associated with managing cardiovascular disease (p < 0.001) and obesity (p = 0.008). Good practices were observed in 36.3% of dietitians and were significantly associated with younger age (p = 0.024), more recent graduation (p = 0.006), fewer years of professional experience (p = 0.002), and managing obesity (p = 0.016). Knowledge was positively associated with practice (p < 0.001). Conclusions: Despite generally positive attitudes, substantial gaps in knowledge and practice regarding FDIs and DNIs exist among dietitians in Saudi Arabia. Strengthening academic curricula and continuing professional education is essential to enhance competency and improve patient safety. Full article
(This article belongs to the Special Issue Nutrition in Patient Care: Second Edition)

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22 pages, 807 KB  
Systematic Review
Adoption of the Nutrition Care Process in Manual and Software Formats: A Systematic Review Across International Dietetic Settings
by Elina Polydorou, Stella A. Nicolaou, Dimitrios Papandreou, Antonis Zampelas and Eleni P. Andreou
Healthcare 2026, 14(9), 1235; https://doi.org/10.3390/healthcare14091235 - 3 May 2026
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Abstract
Background/Objectives: The Nutrition Care Process (NCP) is a standardized model designed to improve the quality and consistency of nutrition care. However, its implementation remains variable across settings, influenced by factors such as time constraints, training, peer support, and technological infrastructure. This systematic review [...] Read more.
Background/Objectives: The Nutrition Care Process (NCP) is a standardized model designed to improve the quality and consistency of nutrition care. However, its implementation remains variable across settings, influenced by factors such as time constraints, training, peer support, and technological infrastructure. This systematic review aims to synthesize the available evidence on barriers and facilitators influencing the implementation of the NCP/NCPT and to explore how different documentation formats may influence its adoption. Methods: This systematic review was conducted in accordance with PRISMA 2020 guidelines and included peer-reviewed studies published between 2009 and 2024 in English or Greek. Searches were conducted in MEDLINE, EMBASE, Scopus, CINAHL, and the Cochrane Library. Study quality was assessed using the National Heart, Lung, and Blood Institute (NIH) tool. A total of 11 reports representing eight studies were included, comprising cross-sectional, cohort, qualitative, and pilot designs. Results: The most commonly reported barriers to NCP implementation were lack of training, time constraints, and limited technological infrastructure. Key facilitators included support from national dietetic associations, peer collaboration, and access to electronic health records (EHRs). Electronic formats were more frequently described as supporting improved documentation practices, practitioner confidence, and workflow efficiency, whereas manual approaches were commonly reported as time-consuming and less structured. Conclusions: Digital integration of the NCP may support more consistent documentation practices and improved workflow processes; however, the current evidence is largely observational and heterogeneous. Evidence regarding patient-level outcomes remains limited, and definitive conclusions regarding the comparative effectiveness of implementation formats cannot be drawn. Further high-quality research is needed to evaluate the long-term clinical impact of NCP implementation. Full article
(This article belongs to the Special Issue Nutrition in Patient Care: Second Edition)
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21 pages, 1686 KB  
Systematic Review
Nutritional Interventions in Head and Neck Cancer Patients Undergoing Chemoradiotherapy: A Systematic Review and Meta-Analysis
by Sneha Patnaik, Jiun-Yi Wang, Fawziyyah Usman Sadiq and Khemraj Sharma
Healthcare 2025, 13(24), 3324; https://doi.org/10.3390/healthcare13243324 - 18 Dec 2025
Cited by 6 | Viewed by 1195
Abstract
Background: Head and neck cancer patients frequently encounter nutritional deterioration, culminating in poor clinical and treatment-related outcomes and reduced quality of life. This systematic review and meta-analysis aim to examine the effects of non-invasive nutritional interventions on nutritional status and clinical, biochemical, and [...] Read more.
Background: Head and neck cancer patients frequently encounter nutritional deterioration, culminating in poor clinical and treatment-related outcomes and reduced quality of life. This systematic review and meta-analysis aim to examine the effects of non-invasive nutritional interventions on nutritional status and clinical, biochemical, and patient-reported outcomes. Methods: A comprehensive literature search across five databases (PubMed, CINAHL, ProQuest, Medline, and Scopus) was carried out to identify potentially relevant randomized control trials published in English between 2019 and 2024. Screening, extraction of data, and quality check were carried out separately by two reviewers. The Joanna Briggs Critical Appraisal tools assessed the quality of the included studies and evidence certainty was appraised using the GRADE framework. Depending on the amount of heterogeneity present, a random or fixed-effects model was used to conduct the meta-analysis. Results: Eleven studies were included, involving 1000 participants. Pooled estimates showed significant effects on weight (SMD = 0.171, 95%CI: 0.008, 0.335, p = 0.04), serum albumin (SMD = 0.539, 95%CI: 0.150, 0.927, p= 0.007), and patient-generated subjective global assessment score (SMD = −0.518, 95%CI: −0.931, −0.106, p = 0.014) in the intervention group compared to controls. Bias concerns were observed in some studies, largely stemming from inadequate blinding and deviations from intention-to-treat analysis. Evidence certainty ranged from moderate to very low. Conclusions: Non-invasive, patient-directed nutritional interventions may lead to clinically meaningful benefits in patients with head and neck cancer receiving chemoradiotherapy, particularly for the maintenance of body weight and nutritional status. However, robust, adequately powered trials with standardized reporting of intervention components and outcome measures are needed in the future to strengthen the evidence base for clinical application. Full article
(This article belongs to the Special Issue Nutrition in Patient Care: Second Edition)
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