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Nutritional Assessment in Preventing and Managing Obesity

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Nutrition Methodology & Assessment".

Deadline for manuscript submissions: closed (25 April 2024) | Viewed by 8158

Special Issue Editors


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Guest Editor
Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, 17671 Athens, Greece
Interests: nutrition; lifestyle; public health; screening; obesity; type 2 diabetes

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Co-Guest Editor
Department of Sport, Health Sciences and Social Work, Faculty of Health and Life Sciences, Oxford Brookes University, Oxford, UK
Interests: obesity prevention; eating behaviour; taste hedonics; dietary assessment; malnutrition

Special Issue Information

Dear Colleagues,

Termed a global epidemic, obesity and its associated health conditions are a major concern worldwide, and the problem currently shows no remarkable signs of abating. As such, the obesity prevention and treatment strategies used to date need to be challenged.

Nutritional assessment, defined as ‘the interpretation of information from dietary, laboratory, anthropometric and clinical studies’ (Gibson, 2005), is a core component of any lifestyle intervention including approaches that aim at reducing the level of obesity in the population. Further, as advances in personalised nutrition continue to emerge, more individualised approaches in nutritional assessment may disentangle obesity aetiology, and could in turn inform what needs to be done to reverse that trend.

For example, meta-analyses in children/adolescents and adults have confirmed that, on an absolute basis and when mostly traditional dietary assessment methods are utilised, greater underreporting is identified in those with obesity; this edges unfavourably for individuals that diet must be measured more accurately. From a public health perspective, the emerging picture of the ageing population is difficult to reconcile with the long-evidenced limitations of body mass index as a measure of adiposity. Likewise, reliable nutritional risk screening tools sensitive to identify sarcopenic obesity remain elusive. In non-clinical settings, although prior genome-wide association studies propose that genetics alone can only partly explain individual variability in diet and lifestyle behaviours, epigenetics including interactions among nutritional status indices and eating behaviour traits and/or food preferences may provide an impetus for a new scope in obtaining and interpreting personal and familial medical and dieting/weight history. Regarding laboratory data, the key role of both established nutritional biomarkers and the emerging metabolomics may allow additional opportunities in obesity assessment. Finally, in a more holistic view, the field warrants systematic efforts towards the development of tools and frameworks that could address the evidence that has recently put nutritional epidemiology in the spotlight.

We therefore welcome studies that use, evaluate, or critically discuss traditional and/or novel nutritional assessment methodologies in relation to obesity prevention and treatment. We hope that this Special Issue will share valuable knowledge and encourage discussions on nutritional assessment, including but not limited to papers on methodologies that facilitate a timely and scientifically substantiated assessment of nutritional status, as well as papers on anthropometric, laboratory, clinical, and/or dietary nutritional assessment methods that are tailored to the obese child and adult population.

Dr. Christina Mavrogianni
Dr. Vasiliki Iatridi
Guest Editors

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Keywords

  • obesity
  • overweight
  • nutrition assessment
  • nutritional epidemiology
  • new technologies in dietary assessment
  • personalised nutrition
  • nutrigenetics
  • nutritional risk screening tool
  • eating behaviour
  • anthropometry
  • nutritional biomarkers

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Published Papers (3 papers)

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Research

14 pages, 804 KB  
Article
Dietitians’ Adherence and Perspectives on the European Association for the Study of Obesity (EASO) and the European Federation of the Associations of Dietitians (EFAD) Recommendations for Overweight and Obesity Management: A Mixed-Methods Study
by Odysseas Androutsos, Hilda Mulrooney, Vaios Svolos, Antonis Vlassopoulos, Elisabeth Govers and Maria Hasssapidou
Nutrients 2025, 17(17), 2736; https://doi.org/10.3390/nu17172736 - 23 Aug 2025
Viewed by 754
Abstract
Introduction: Recent guidelines developed by the European Association for the Study of Obesity (EASO) and the European Federation of the Associations of Dietitians (EFAD) focused on the dietetic management of obesity in adults. The present study aimed to explore the perspectives of healthcare [...] Read more.
Introduction: Recent guidelines developed by the European Association for the Study of Obesity (EASO) and the European Federation of the Associations of Dietitians (EFAD) focused on the dietetic management of obesity in adults. The present study aimed to explore the perspectives of healthcare professionals regarding these guidelines. Methods: In total, 85 registered dietitians/nutritionists from Greece, the Netherlands, the Republic of Ireland, and the United Kingdom completed an online survey, and 10 were interviewed, in February–March 2023. Demographic data were also collected. Results: Awareness of the EASO-EFAD guidelines among registered dietitians/nutritionists was moderate (57.6%), but only 20% had read them in full. Dietitians with higher education and relevant experience were more likely to have read the guidelines. Less than half reported that key evidence-based recommendations, such as individualized medical nutrition therapy and intensive behavioral interventions, are already included in national guidance. Recommendations like portfolio or DASH diets, partial meal replacements, and calorie restriction were less commonly part of national guidance/usual practice. A small percentage of participants described their adoption of several nutritional approaches novel to them. These included the portfolio dietary pattern, partial meal replacements, and intermittent fasting or continuous calorie restriction. For some Irish dietitians, prioritizing weight as the main outcome conflicted with their emphasis on overall health and individualized nutrition therapy. Other barriers of recommendation implementation included exclusive availability in English, rapid changes in obesity management, staffing shortages, limited multidisciplinary collaboration, and inconsistent knowledge among healthcare providers. Conclusions: The present study identified gaps in the adoption of the EASO-EFAD guidelines into dietetic/clinical practice. EFAD will develop strategies to disseminate these guidelines at different levels of stakeholders (national/local authorities, dietitians/nutritionists, and patients). Full article
(This article belongs to the Special Issue Nutritional Assessment in Preventing and Managing Obesity)
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16 pages, 672 KB  
Article
The Effect of a Program to Improve Adherence to the Mediterranean Diet on Cardiometabolic Parameters in 7034 Spanish Workers
by Ignacio Ramírez Gallegos, Marta Marina Arroyo, Ángel Arturo López-González, Maria Teófila Vicente-Herrero, Daniela Vallejos, Tomás Sastre-Alzamora and José Ignacio Ramírez-Manent
Nutrients 2024, 16(7), 1082; https://doi.org/10.3390/nu16071082 - 7 Apr 2024
Cited by 12 | Viewed by 2526
Abstract
Background: Cardiovascular and metabolic diseases include a large group of pathologies and constitute one of the most serious chronic health problems facing the 21st century, with high rates of morbidity and mortality worldwide. Unhealthy diets influence the development of these pathologies. The Mediterranean [...] Read more.
Background: Cardiovascular and metabolic diseases include a large group of pathologies and constitute one of the most serious chronic health problems facing the 21st century, with high rates of morbidity and mortality worldwide. Unhealthy diets influence the development of these pathologies. The Mediterranean diet can be an important part in the treatment of these diseases. The objective of this study was to assess the effect of a program that aims to increase adherence to the Mediterranean diet on the improvement of different cardiometabolic risk parameters. Methods: A prospective intervention study was carried out on 7034 Spanish workers. Prior to the intervention, 22 cardiometabolic risk scales were evaluated. Participants in this study were informed both orally and in writing of the characteristics and benefits of the Mediterranean diet and were given the website of the Ministry of Health, Consumption and Social Welfare of Spain, which provides advice on nutrition. Adherence to the Mediterranean diet was reinforced by sending a monthly SMS to their mobile phones. After six months of follow-up, the 22 risk scales were re-evaluated to assess changes. Means and standard deviations were calculated using Student’s t test to analyse quantitative variables. Prevalence was calculated using the Chi-square test when the variables were qualitative. Results: All the cardiometabolic risk scales studied decreased after implementing a program to improve and enhance adherence to the Mediterranean diet. The number of losses in the sample was very low, standing at 4.31%. Conclusions: The Mediterranean diet is effective in reducing all cardiovascular risk scales evaluated. The mean values and prevalence of high values of the different cardiometabolic risk scales analysed led to lower values after the implementation of the program to increase adherence to the Mediterranean diet. We observed a significant positive difference in metabolic age in both sexes. We have obtained a significant improvement in the insulin resistance index, especially in the SPISE-IR index, data that we have not found in previous publications. Easy access to the Internet and new information and communication technologies facilitate adherence to a diet and can reduce the number of losses. Full article
(This article belongs to the Special Issue Nutritional Assessment in Preventing and Managing Obesity)
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18 pages, 1179 KB  
Article
The Impact of Weight Bias and Stigma on the 24 h Dietary Recall Process in Adults with Overweight and Obesity: A Pilot Study
by Erica M. Howes, Molly K. Parker, Sarah A. Misyak, Alexandra G. DiFeliceantonio, Brenda M. Davy, Letisha Engracia Cardoso Brown and Valisa E. Hedrick
Nutrients 2024, 16(2), 191; https://doi.org/10.3390/nu16020191 - 6 Jan 2024
Cited by 3 | Viewed by 3568
Abstract
People with overweight and obesity tend to both underreport dietary energy intake and experience weight stigma. This exploratory pilot study aimed to determine the relationship between weight bias and weight stigma and energy intake reporting accuracy. Thirty-nine weight-stable adults with BMI ≥ 25 [...] Read more.
People with overweight and obesity tend to both underreport dietary energy intake and experience weight stigma. This exploratory pilot study aimed to determine the relationship between weight bias and weight stigma and energy intake reporting accuracy. Thirty-nine weight-stable adults with BMI ≥ 25 completed three 24 h dietary recalls; indirect calorimetry to measure resting metabolic rate; a survey measuring weight stigma, psychosocial constructs, and physical activity; and a semi-structured qualitative interview. Multiple linear regression was used to determine if weight bias internalization, weight bias toward others, and experiences of weight stigma were predictive of the accuracy of energy reporting. A thematic analysis was conducted for the qualitative interviews. Weight stigma was reported by 64.1% of the sample. Weight stigma constructs did not predict the accuracy of energy intake reporting. People with obesity underreported by a mean of 477 kcals (p = 0.02). People classified as overweight overreported by a mean of 144 kcals, but this was not significant (p = 0.18). Participants reported a desire to report accurate data despite concerns about reporting socially undesirable foods. Future research should quantify the impact of weight stigma on energy reporting in 24 h recalls using a larger, more diverse sample size and objective measures like doubly labeled water for validation. Full article
(This article belongs to the Special Issue Nutritional Assessment in Preventing and Managing Obesity)
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