A nutrition strategy to reduce the burden of diet related disease: access to dietician services must complement population health approaches

Frontiers in Pharmacology
Leonie Segal, Rachelle S Opie

Abstract

Poor diet quality is implicated in almost every disease and health issue. And yet, in most advanced market economies diet quality is poor, with a minority meeting guidelines for healthy eating. Poor diet is thus responsible for substantial disease burden. Societies have at their disposal a range of strategies to influence diet behaviors. These can be classified into: (i) population level socio-educational approaches to enhance diet knowledge; (ii) pricing incentives (subsidies on healthy foods, punitive taxes on unhealthy foods); (iii) regulations to modify the food environment, and (iv) the provision of clinical dietetic services. There is little evidence that societies are active in implementing the available strategies. Advertising of "junk foods" is largely unchecked, contrasting with strict controls on advertising tobacco products, which also attract punitive taxes. Access to dieticians is restricted in most countries, even in the context of universal health care. In Australia in 2011 there were just 2,969 practicing dieticians/nutritionists or 1.3 clinicians per 10,000 persons, compared with 5.8 physiotherapists per 10,000 persons, 14.8 general practitioners (family physicians) per 10,000 persons or 75 nurses per 10,000 p...Continue Reading

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Citations

Jul 18, 2018·Canadian Journal of Dietetic Practice and Research : a Publication of Dietitians of Canada = Revue Canadienne De La Pratique Et De La Recherche En Diététique : Une Publication Des Diététistes Du Canada·Michele MacDonald Werstuck, Jennifer Buccino
Jul 9, 2020·International Journal of Environmental Research and Public Health·Carolina BassulJohn M Kearney
Aug 24, 2019·Health Education & Behavior : the Official Publication of the Society for Public Health Education·Victoria L MayerCarol R Horowitz

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