Dietetics student contribution to addressing malnutrition in residential aged care facilities.

AIMS: To test a model of malnutrition screening and assessment conducted by dietetics students on placement in residential aged care facilities. The secondary aim was to identify possible facilitators and barriers to the implementation of the model. METHOD: The type 1 hybrid effectiveness-implementation trial study design and reporting outcomes were developed using the Consolidated Framework for Implementation Research. An innovative placement model was developed, where students on voluntary placement visited three residential aged care facilities to identify residents at risk of malnutrition using currently available screening tools for older people. Students completed malnutrition assessments for all residents using the subjective global assessment tool. RESULTS: Thirty-two students participated; 31 completed all three sessions, with malnutrition screening completed for 207 residents and malnutrition assessment for 187 residents (July and September 2022). Based on the subjective global assessment, 31% (n = 57) of residents were mildly/moderately malnourished, and 3% (n = 5) were severely malnourished. The Innovation Domain of the Framework was the most important consideration before implementation. CONCLUSION: Whilst previous research documented student learning opportunities in residential aged care facilities, this study provides the first available evidence of the direct contribution students can make to the health of aged care residents through malnutrition screening and assessment. The model enables students to conduct malnutrition screening and assessment feasibly and efficiently in facilities that do not routinely collate and act on these data. With a limited nursing aged care workforce to undertake this vital task, the potential role of student dietitians to fulfil this role must be considered.

The personal nutrition-related attitudes and behaviors of Australian optometrists: is there evidence for an evidence-based approach?

OBJECTIVE: The aim of this study was to investigate the personal nutrition-related attitudes and behaviors of Australian optometrists and, in particular, their understanding of the evidence relating to the merit of specific dietary supplements, as applicable to their own health. METHODS: An online survey was distributed to optometrists registered in Australia (N = 4242). Respondents anonymously provided information regarding their demographic characteristics (age, sex, practice location and modality), diet and lifestyle behaviors (assessment of self-perceived diet quality, smoking status), and nutritional supplement intake (including the rationale for consumption). RESULTS: Completed surveys were received from 283 practitioners. Although most respondents considered themselves to eat a healthy, balanced diet, approximately 75% indicated taking nutritional supplements in the preceding year. The four most common supplements were fish oil/ω-3 (62%), multivitamins (54%), vitamin C (30%), and vitamin D (29%). In addition to vitamin D, which was typically recommended by a general medical practitioner for an established deficiency, the other three supplement categories were consumed on the basis of the respondents' self-assessment and decision. Analyses of the motivations for taking these supplements highlighted a significant misunderstanding of the evidence; furthermore, these practitioners appeared to base their personal behaviors on this misinterpretation. CONCLUSIONS: These findings demonstrate scope for optometrists to enhance their critical thinking and/or understanding of the available evidence relating to the merit, or otherwise, of nutritional supplementation in managing their own health, and more broadly, improving their understanding of what a healthy diet is and its role in eye health.

Caffeine, cycling performance, and exogenous CHO oxidation: a dose-response study.

PURPOSE: This study investigated the effects of a low and moderate caffeine dose on exogenous CHO oxidation and endurance-exercise performance. METHODS: Nine trained and familiarized male cyclists (mean +/- SD: 29.4 +/- 4.5 yr, 81.3 +/- 10.8 kg body weight [BW], 183.8 +/- 8.2 cm, V O2peak = 61.7 +/- 4.8 mL.kg.min) undertook three trials, with training and high CHO diet being controlled. One hour before exercise, subjects ingested capsules containing placebo and 1.5 or 3 mg.kg BW of caffeine using a double-blind administration protocol. Trials consisted of 120 min steady-state cycling at approximately 70% V O2peak, immediately followed by a 7-kJ.kg BW time trial (TT). During exercise, subjects were provided with fluids containing C-glucose every 20 min to determine exogenous CHO oxidation. RESULTS: No significant TT performance improvements were observed during caffeine-containing trials (mean +/- SD: placebo = 30 min 25 s +/- 3 min 10 s; 1.5 mg.kg BW = 30 min 42 s +/- 3 min 41 s; and 3 mg.kg BW = 29 min 51 s +/- 3 min 38 s). Furthermore, caffeine failed to significantly alter maximal exogenous CHO oxidation (maximal oxidation rates: placebo = 0.95 +/- 0.2 g.min; 1.5 mg.kg BW = 0.92 +/- 0.2 g.min; and 3 mg.kg BW = 0.96 +/- 0.2 g.min). CONCLUSION: Low and moderate doses of caffeine have failed to improve endurance performance in fed, trained subjects.