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Nutrition and Physical Activity Interventions Provided by Nutrition and Exercise Practitioners for the General Population: An Evidence-Based Practice Guideline From the Academy of Nutrition and Dietetics and American Council on Exercise - 19/07/23

Doi : 10.1016/j.jand.2023.04.004 
Justin Robinson, MA, RDN, CSSD 1, Erin Nitschke, EdD, MS 2, Ashley Tovar, PhD, RDN 3, Lama Mattar, PhD 4, Kimberly Gottesman, DCN, RDN, LDN 5, Peggy Hamlett, PhD 6, Mary Rozga, PhD, RDN 7,
1 Kinesiology Department, Point Loma Nazarene University, San Diego, California 
2 Department of Exercise Science, Laramie County Community College, Cheyenne, Wyoming 
3 Gilead Sciences, Foster City, California 
4 Department of Natural Sciences, School of Arts and Sciences, Lebanese American University, Lebanon 
5 Department of Nutrition and Food Science, California State University Los Angeles, Los Angeles, California 
6 Department of Kinesiology, Washington State University Pullman, Washington 
7 Evidence Analysis Center, Academy of Nutrition and Dietetics, Chicago, Illinois 

Address correspondence to: Mary Rozga, PhD, RDN, Evidence Analysis Center, Academy of Nutrition and Dietetics, 120 S Riverside Plaza, Suite 2190, Chicago, IL 60606-6995.Evidence Analysis CenterAcademy of Nutrition and Dietetics120 S Riverside PlazaSuite 2190ChicagoIL60606-6995

Abstract

A nutritious diet and adequate physical activity vitally contribute to disease prevention, but most adults do not meet population-based dietary and physical activity recommendations. Qualified nutrition and exercise practitioners can address challenges to adopting healthy lifestyle behaviors by providing consistent, individualized, and evidence-based education and programming within their professional scopes of practice to improve client outcomes. The objective of this evidence-based practice guideline is to inform practice decisions for nutrition and exercise practitioners providing nutrition and physical activity interventions for adults who are healthy or have cardiometabolic risk factors, but no diagnosed disease. Evidence from a systematic review was translated to practice recommendations using an evidence-to-decision framework by an interdisciplinary team of nutrition and exercise practitioners and researchers. This evidence-based practice guideline does not provide specific dietary or physical activity recommendations but rather informs nutrition and exercise practitioners how they may utilize existing guidelines for the general population to individualize programming for a range of clients. This evidence-based practice guideline provides widely applicable recommendation statements and a detailed framework to help practitioners implement the recommendations into practice. Common barriers and facilitators encountered when delivering nutrition and physical activity interventions, such as adherence to professional scopes of practice; methods to support behavior change; and methods to support inclusion, diversity, equity, and access, are discussed. Nutrition and exercise practitioners can consistently provide individualized, practical, and evidence-based interventions by seeking to understand their clients’ needs, circumstances, and values and by co-creating interventions with the client and their allied health team.

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 Supplementary materials: Table 1 and Table 2 and Figure 10 are available at www.jandonline.org
 STATEMENT OF POTENTIAL CONFLICTS OF INTEREST J. Robinson has received payment from the American Council on Exercise for development of educational presentations. This potential conflict did not have any influence on guideline development or recommendations. E. Nitschke has received payment from the American Council on Exercise for development of educational materials and presentations as well as the authorship of commissioned articles. This potential conflict did not have any influence on guideline development or recommendations.
 FUNDING/SUPPORT This evidence-based practice guideline and its supporting systematic review were funded by the Academy of Nutrition and Dietetics and the American Council on Exercise (no grant number). Funders had no role in the design, execution, interpretation, or writing of the guideline.
 ACKNOWLEDGEMENTS The authors thank Kathy Keim, who worked as an analyst on this systematic review, as well as the information specialist who conducted the literature searches. In addition, the authors thank the evidence analysts who extracted data and rated risk of bias of the included articles for the supporting systematic review.
 AUTHOR CONTRIBUTIONS J. Robinson was the chair of the guideline development team. J. Robinson, E. Nitschke, A. Tovar, K. Gottesman, P. Hamlett, and L. Mattar served as content experts and M. Rozga served as the methodologist and project manager. All authors drafted some portions of the guideline and approved of the final guideline.


© 2023  Academy of Nutrition and Dietetics and American Council on Exercise. Publié par Elsevier Masson SAS. Tous droits réservés.
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Vol 123 - N° 8

P. 1215 - août 2023 Retour au numéro
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