ADA Position Statements
Clinicians deliver timely interpretations of key research developments, translate the latest findings into clinical practice. NDAP hopes to improve the quality of care provided to patients and nurture partnership within the health community to better serve the patient.
- The role of dietetics professionals in health promotion and disease preventionJ Am Diet Assoc.2002;102:1680-1687
It is the position of the American Dietetic Association that health promotion and disease prevention endeavors are the best population strategies for reducing the current burden of chronic disease. Dietetics professionals should be actively involved in promoting optimal nutrition in community settings and should advocate for the inclusion of healthy eating, in addition to other health-promoting behaviors, in programs and policy initiatives at local, state, or federal levels.
NOTE: This position will be updated and published in the November 2006 issue of the Journal of the American Dietetic Association
- Ethical and legal issues in nutrition, hydration, and feedingJ Am Diet Assoc. 2002;102:716-726 (Expires December 2007)
Registered dietitians’ unique education in nutritional, medical, psychosocial and behavioral sciences, as well as philosophy and ethics, provides them with expertise in nutrition, hydration and routes of feeding individuals. Across the life span, there are multiple instances when providing, withdrawing, or withholding nutrition and hydration creates ethical dilemmas. The registered dietitian, as a member of the health care team, has the responsibility to identify the nutritional and hydration needs of each individual patient.
- Vegetarian dietsJ Am Diet Assoc 2003; 103:748 – 765
Appropriately planned vegetarian diets are healthful, nutritionally adequate and provide health benefits in the prevention and treatment of certain diseases. Poorly planned vegetarian diets may sometimes fall short of these nutrients: vitamin B12, D, calcium, iron, zinc, n-3 fatty acids.
- Integration of medical nutrition therapy and pharmacotherapyJ Am Diet Assoc. 2003;103:1363-1370
The application of medical nutrition therapy (MNT) and lifestyle counseling as a part of the Nutrition Care Process is an integral component of the medical treatment for management of specific disease states and conditions and should be the initial step in the management of these situations. If optimal control cannot be achieved with MNT alone and concurrent pharmacotherapy is required, then a team approach to care for clients and active collaboration among dietetics professionals and other members of the health care team are recommended.
Even after the initiation of pharmacotherapy, MNT should be continued because concurrent use with pharmacotherapy may decrease the amount and/or number of medications necessary to achieve optimal disease control. MNT involves an in-depth nutrition assessment of the patient or client; nutrition diagnosis; nutrition intervention, which includes diet therapy, counseling, or use of specialized nutrition supplements; and nutrition monitoring and evaluation . Lifestyle counseling, as a part of the dietetics professional's application of the Nutrition Care Process, enhances MNT by providing insight into the behaviors and/or events that are associated with appropriate as well as inappropriate eating and exercise behaviors.
- Health implications of dietary fiberJ Am Diet Assoc 2002;102:993-1000
Dietary fiber consists of the structural and storage polysaccharides and lignin in plants that are not digested in the human stomach and small intestine. The public should consume adequate amounts of dietary fiber from a variety of plant foods. Recommended intakes, ≥20-35g/day for healthy adults and age plus ≥5g/day for children, are not being met, because intakes of good sources of dietary fiber, fruits, vegetables, whole and high-fiber grain products, and legumes are low. A fiber-rich diet is lower in energy density, often has a lower fat content, is larger in volume, and is richer in micronutrients, all of which have a significant impact on the prevention and treatment of obesity, cardiovascular disease, and type 2 diabetes, as well as constipation.
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