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The Economics, Environment and Policies That Influence Nutrition Management in Healthcare

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Nutritional Policies and Education for Health Promotion".

Deadline for manuscript submissions: 5 September 2025 | Viewed by 3166

Special Issue Editor

Department of Dietetics, Changi General Hospital, Singapore 529889, Singapore
Interests: clinical nutrition; health economics; enteral and parenteral nutrition; gastrointestinal diseases; wounds and pressure injuries

Special Issue Information

Dear Colleagues,

We invite you to submit your work to be included in this Special Issue titled “The Economics, Environment and Policies That Influence Nutrition Management in Healthcare”. This Special Issue aims to explore the complex and interconnected dimensions that shape nutrition management within any healthcare settings.

We welcome the submission of both original research articles and reviews to provide a comprehensive understanding of how economic, environmental, and policy factors interact to influence nutrition management in healthcare. We also welcome studies that delve into the economic implications of nutritional interventions, offering insights into the overall economic value that these interventions provide to patient care and healthcare systems, in addition to studies utilising Patient-Reported Outcome Measures (PROMs) and Patient-Reported Experience Measures (PREMs) to measure the impact of nutritional interventions to improve the quality of care assessment.

Research work that examines how environmental factors influence nutritional care or highlights innovative solutions to environmental challenges and critical evaluations of current practices is also welcome. This includes hospital food services, the adequacy and allocation of human and physical resources, and the broader care support systems in place.

Finally, we invite contributions that investigate policies acting as enablers or barriers to effective nutritional care. This includes examining institutional, regional, and national policies, and their impact on the implementation and sustainability of nutritional interventions, programs or frameworks.

Dr. Alvin Wong
Guest Editor

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 100 words) can be sent to the Editorial Office for announcement on this website.

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. Nutrients 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 2900 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

  • nutrition economics
  • healthcare polices
  • environmental challenge
  • patient-reported measures
  • implementation science

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Published Papers (3 papers)

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Research

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17 pages, 231 KiB  
Article
Food Accessibility and Nutritional Outcomes Among Food-Insecure Pregnant Women in Singapore
by Ethel Jie Kai Lim, Chengsi Ong, Nurul Syafiqah Said Abdul Rashid, Jeannette Jen-Mai Lee, Judith Chew and Mei Chien Chua
Nutrients 2025, 17(5), 835; https://doi.org/10.3390/nu17050835 - 27 Feb 2025
Viewed by 1276
Abstract
Background/Objectives: Food insecurity during pregnancy is associated with higher risks of negative physical outcomes for both mother and child. This study aims to understand experiences of food insecurity among low-income Singaporean pregnant women and its impact on nutritional status. Methods: In [...] Read more.
Background/Objectives: Food insecurity during pregnancy is associated with higher risks of negative physical outcomes for both mother and child. This study aims to understand experiences of food insecurity among low-income Singaporean pregnant women and its impact on nutritional status. Methods: In this cross-sectional, mixed-methods study, 49 food-insecure pregnant women were recruited from KK Women’s and Children’s Hospital between November 2021 and November 2023, among which 11 in-depth interviews were conducted. Questionnaires, anthropometric measurements, 24-Hour dietary recalls, metabolic and nutritional blood tests were conducted for all subjects. Descriptive quantitative analysis was performed and integrated with qualitative thematic analysis to explain findings. Results: On average, women were overweight pre-pregnancy (body mass index 26.1 ± 6.9 kg/m2) and had low haemoglobin and 25-hydroxyvitamin D levels. Calorie intake and intake from major food groups did not meet recommendations during pregnancy, except for “Grains”. From interviews, effects of financial constraints, how participants managed their food supply and pregnancy-related symptoms, supported findings from 24-Hour dietary recalls. Conclusions: Food insecurity led to suboptimal nutritional status and diets in Singaporean pregnant women despite appearing well-nourished. Further exploration of perspectives of food-insecure mothers, healthcare providers and welfare organisations is needed to devise long-term solutions to improve food security and alleviate malnutrition. Full article

Review

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27 pages, 1559 KiB  
Review
Nutrition and Exercise Knowledge, Attitude, and Practice: A Scoping Review of Assessment Questionnaires in Cancer Survivorship
by Zhi Qi Hoe, Ria Joseph, Narayanee Dick, Christina Syu Hong Thio, Matthew Wallen, Ling Di Chua, Claire Miller, Jane Lee, Raymond Javan Chan and Chad Yixian Han
Nutrients 2025, 17(9), 1412; https://doi.org/10.3390/nu17091412 - 23 Apr 2025
Viewed by 388
Abstract
Cancer survivors are encouraged to maintain a healthy diet and engage in regular exercise to improve overall physical and psychosocial health, and to reduce the likelihood of cancer recurrence and related mortality. Consequently, nutrition and exercise (the structured component of physical activity) knowledge, [...] Read more.
Cancer survivors are encouraged to maintain a healthy diet and engage in regular exercise to improve overall physical and psychosocial health, and to reduce the likelihood of cancer recurrence and related mortality. Consequently, nutrition and exercise (the structured component of physical activity) knowledge, attitude, and practice (NE-KAP) are frequently evaluated in research studies involving cancer survivors and are associated with various health outcomes. The aims of this scoping review were to (1) systematically map the types of NE-KAP assessment questionnaires used in cancer survivorship research (i.e., trend or use over the past five years), (2) provide a directory of questionnaires, and (3) identify the most frequently reported health outcomes that have been associated with them. A systematic search was conducted across four databases—Medline, Emcare, CINAHL, and Scopus—from 1 January 2019 to 9 May 2024, for studies addressing one or more aspects of NE-KAP (e.g., food frequency questionnaire for nutrition practice, attitude towards exercise scale for exercise attitude). Eligible studies were extracted, assessed, and reviewed by two independent authors, and data were summarized descriptively. Of the initial 5452 records screened, 1122 articles were screened for full text, and 852 were deemed eligible, with 262 studies included. There was an overall increasing trend in NE-KAP research in cancer survivorship research from 2019 to 2023. Of the 200 unique questionnaires aligning with at least one NE-KAP domain, 45 were untitled and created/adapted specifically for their respective studies, with limited information about their psychometric properties. Out of the 262 included studies, the most utilized questionnaires were those measuring nutrition or physical activity practices, such as study-specific food frequency questionnaires (n = 26, 10%) and the Godin–Shephard Leisure–Time Physical Activity questionnaire (n = 52, 20%). Out of studies that had reported health outcomes (nutrition, n = 23; exercise, n = 40), health-related quality of life was most commonly associated with nutrition (n = 12, 53%) and exercise (n = 9, 23%), and from cross-sectional studies (nutrition, n = 13; exercise, n = 23). An emphasis was placed on assessing nutrition and exercise practices, with limited attention towards the knowledge and attitude domains. Psychometric evaluation of questionnaires was also lacking. Full article
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12 pages, 727 KiB  
Review
A Narrative Review of Home Enteral Nutrition in Australia with a Focus on Blended Tube Feeding
by Lina Breik, Lisa A. Barker, Judy Bauer and Zoe E. Davidson
Nutrients 2025, 17(6), 931; https://doi.org/10.3390/nu17060931 - 7 Mar 2025
Viewed by 702
Abstract
Enteral nutrition, commonly known as tube feeding, is a life-sustaining intervention for individuals who cannot meet their nutritional needs orally due to medical conditions affecting swallowing, digestion, or nutrient absorption. Since its introduction in the 1970s, home enteral nutrition (HEN) has enabled the [...] Read more.
Enteral nutrition, commonly known as tube feeding, is a life-sustaining intervention for individuals who cannot meet their nutritional needs orally due to medical conditions affecting swallowing, digestion, or nutrient absorption. Since its introduction in the 1970s, home enteral nutrition (HEN) has enabled the safe delivery of complete or supplemental nutrition in community settings, enhancing both quality of life and healthcare outcomes. The HEN landscape in Australia is rapidly evolving, driven in part by the renewed interest in blended tube feeding (BTF). This narrative review explores the current state of HEN care and BTF support in Australia, focusing on prevalence, funding models, provider and client perspectives, clinical guidelines, and advocacy efforts. Full article
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