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(MNT),\twhich\tultimately\tlinks\tclients\tto\tinterventions\tthat\tsupport\timproved\thealth\tand\twell-being,\nand\treduce\tmedical\tcare\tcosts\t(\nParkhurst\tet\tal,\t2013\n).\nAs\tillustrated\tin\t\nFig.\t4.2\n,\timbalances\tin\tnutritional\tstatus\tdevelop\tover\ttime\twhen\tintake\tis\thigher | [
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or\tlower\tthan\tan\tindividual\tcan\tphysiologically\tadapt\tto.\tIn\tminor\tor\tearly\tnutritional\tdeficits\tsuch\tas\nstage\t1\tiron\tdeficiency,\tthe\tbody\tadapts\tby\tincreasing\tabsorption\tof\tdietary\tiron\tto\tregain\tbalance\n(see\t\nChapter\t31\n).\tIf\tthe\tiron\tdeficiency\tis\tdetected\tin\tthe\tearly\tstages\tthrough\tdetailed\tassessment\tof\na\tfood\tand\tnutrition | [
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a\tfood\tand\tnutrition\n\thistory\tand\ta\tferritin\ttest,\tthe\timpact\tmay\tbe\tlimited\tto\tdepletion\tof\tstores.\tIf\tthe\ndeficit\tis\tsubstantial\tor\tif\tthe\trequirement\tfor\tiron\tis\tsubstantially\thigher\tthan\tnormal,\tthe\tbody’s\nability\tto\tadapt\tcan\tbe\texceeded,\tand\ta\tdeficiency\twill\tensue.\tOver\ttime,\tthe\timbalance\twill\tlead\tto | [
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FIG.\t4.2\nDevelopment\tof\tclinical\tnutritional\tdeficiency\tand\tdetection\tby\tnutrition\tassessment\tdata.\nWhile\tit\tis\ttheoretically\tpossible\tto\tobtain\ta\treasonable\testimate\tof\tan\tindividual’s\tintake\tof\ncalories,\tmicronutrients,\tand\tmacronutrients,\tnutrition\tprofessionals\tare\tunlikely\tto\tbe\table\tto | [
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] |
estimate\tan\tindividual’s\tactual\tnutrient\trequirements\tunder\tmost\tconditions.\tThus\tto\taccurately\nassess\n\tnutritional\tstatus\t(i.e.,\ta\tdeficiency\tor\texcess),\tthe\tassessment\tof\tnutrient\tintake\tis\tcombined\nwith\tadditional\tdata\tin\torder\tto\tsupport\ta\tconclusion\tthat\ta\tclient’s\testimated\tintake\tis\ttoo\thigh\tor\ntoo\tlow\tto\tsupport\toptimal\thealth\t(see | [
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] |
too\tlow\tto\tsupport\toptimal\thealth\t(see\t\nFig.\t4.2\n).\tIn\ta\t“prototypical”\tnutritional\tdeficiency,\tthe\tfive\ndomains\tof\tassessment\tdata\tin\tthe\t\nnutrition\tcare\tprocess\t(NCP)\n\tshown\tin\t\nBox\t4.1\n\tcan\tprovide\tthe\nsupportive\tdata\tneeded\tto\testablish\tand\treveal\tthe\tseverity\tof\ta\tnutritional\timbalance.\t\nBox\t4.2\n\tshows\nexamples\tof | [
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Box\t4.2\n\tshows\nexamples\tof\t\nproblem,\tetiology,\tsigns\tand\tsymptoms\t(PES)\tstatements\n\tcreated\tduring\tthe\tNCP\nthat\tdemonstrate\thow\tdifferent\tassessment\tdomain\tdata\tcan\tbe\tused\tto\tdescribe\tdifferent\ttypes\tof\nnutritional\tstatus\tconcerns.\nBOX\t4.1\nNutrition\tCare\tProcess:\tNutrition\tAssessment\t(Step\tOne)\nData\tsources\n•\t\nScreening\tor\treferral\tform\n• | [
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•\t\nUsing\tappropriate\tstandards\tor\tcriteria,\tinterpret\tthe\tdata\tto\tidentify\tdiscrepancies\tthat\naffect\tnutrition\tand\thealth\tstatus\n•\t\nDetermine\twhether\tthe\tdata\tpatterns\tmatch\tthe\tdefining\tcharacteristics\tof\tparticular\nnutrition\tdiagnoses\nCritical\tthinking\n•\t\nWhich\tdata\tare\tvital,\timportant,\tand\trelevant?\n• | [
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] |
•\t\nWhich\tdata\tare\tvital,\timportant,\tand\trelevant?\n•\t\nAre\tmore\tdata\tpoints\tneeded\tto\tcomplete\tthe\tassessment?\n•\t\nWhich\tassessment\tmethods\tare\tvalid\tand\treliable?\n•\t\nWhich\tdiscrepancies\tmatter?\nAdapted\tfrom\tAcademy\tof\tNutrition\tand\tDietetics.\tNutrition\tTerminology\tReference\tManual\t(eNCPT):\nDietetics\tLanguage\tfor\tNutrition\tCare. | [
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Dietetics\tLanguage\tfor\tNutrition\tCare.\t\nhttps://www.ncpro.org/pubs/idnt-en/?\n. | [
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] |
BOX\t4.2\nExample\n\t\nNutrition\tDiagnosis\t(PES)\tStatements\tfor\tNutritional\nStatus\tProblems\nConcept:\tNutrient\tdeficiencies\tcan\tbe\tdue\tto\tlow\tdietary\tintake\nInadequate\tmineral\tintake\t(Iron,\tNI-5.10.1.3)\trelated\tto\tknowledge\tdeficit\tregarding\tfoods\thigh\tin\niron\tas\tevidenced\tby\tconsumption\tof\t30%\tof\tthe\tRDA\tfor\tiron\tand\tlow\tferritin,\tHct,\tand\tMCHC\nvalues. | [
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] |
values.\nConcept:\tNutrient\tdeficiencies\tcan\tbe\tdue\tto\tpoor\tabsorption\n\tof\tnutrients\nAltered\tgastrointestinal\t(GI)\tfunction\t(NC-1.4)\trelated\tto\t\nHelicobacter\tpylori\n\tinfection-induced\ngastritis\tas\tevidenced\tby\trefractory\tiron\tdeficiency\tanemia\tdespite\t6\tweeks\tof\toral\tiron\ttherapy. | [
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Concept:\tNutrient\tdeficiencies\tcan\tbe\tdue\tto\thigh\tnutrient\trequirements\nIncreased\tnutrient\tneeds\t(Iron,\tNI-5.1)\trelated\tto\theavy\tmenstrual\tblood\tlosses\tas\tevidenced\tby\niron\tdeficiency\tanemia\n\t(low\tferritin,\tHct,\tand\tMCHC\tvalues)\tdespite\tadequate\tintake\tof\thighly\nbioavailable\theme\tiron\t(120%\tRDA).\nNutrition\tscreening | [
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identifiable\tnutrition\tproblem\t(diagnosis)\tthat\tcan\tbe\taddressed\tor\tameliorated\n\twith\tnutrition\nintervention(s)\tdelivered\tby\ta\tnutrition\tprofessional\t(\nAND,\t2018a\n).\tThus\tscreening\tis\ttechnically\nconsidered\tto\tbe\toutside\tof\tthe\tNCP.\nFIG.\t4.3\nThe\tnutrition\tcare\tprocess.\n\tSource:\t\n(Copyright\t2018\tAcademy\tof\tNutrition\tand\tDietetics.\tReprinted\twith | [
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Box\t4.3\n\tshows\tthe\tcharacteristics\tof\toptimal\tscreening\ttools.\tWhen\tavailable,\thealth\tcare\npractitioners\tshould\tutilize\tpopulation-specific,\tvalidated\tscreening\n\ttools\tsuch\tas\tthe\tNutritional\tRisk\nScreening\t(NRS\t2002),\tthe\tSimple\tTwo-Part\tTool,\tthe\tMalnutrition\tScreening\tTool\t(MST),\tthe\tMini | [
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Nutritional\tAssessment\t(MNA),\tand\tthe\tMalnutrition\tUniversal\tScreening\tTool\t(MUST).\tThe\tmost\nrecent\tEvidence\tAnalysis\tLibrary\t(EAL)\treview\tfrom\tthe\tAcademy\tof\tNutrition\tand\tDietetics\nregarding\tthe\tperformance\tof\tscreening\ttools\tfor\tadults\thospitalized\tin\tacute\tcare\n\tand\tambulatory | [
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and\tambulatory\nsettings\tsuggests\tthat\tthe\tscreening\ttools\tlisted\tabove\thave\thigh\tsensitivity\t(>90%)\tand\tspecificity\n(>90%);\tbut\tonly\tthe\tMST\thad\tboth\tthe\tvalidity\tand\treliability\tdata\tto\tearn\ta\tGrade\tI\t(good\tevidence)\nrating\t(\nAND,\t2018b\n).\tAn\texample\tscreening\tform\tdeveloped\tfor\tsubacute\tand\tambulatory\telderly | [
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populations,\tthe\tMNA\tShort\tForm\tis\tshown\tin\t\nFig.\t4.4\n.\nFIG.\t4.4\nMini\tNutritional\tAssessment\tshort\tform.\n\tSource:\t\n(Permission\tby\tNestlé\tHealthcare\tNutrition.)\nBOX\t4.3\nCharacteristics\tof\tan\tIdeal\tNutrition\tScreening\tTool\nSimple,\tquick,\tand\teasy\tto\tuse\tby\ta\tvariety\tof\thealth\tcare\tproviders | [
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•\t\nSpecificity:\tpercentage\tof\tclients\twithout\tnutrition\tdiagnoses\tidentified\tas\tnot\tat\trisk\nAdapted\tfrom\tNSCR:\tDefinitions\n\tand\tCriteria\t(2009).\tAcademy\tof\tNutrition\tand\tDietetics\t(AND).\nhttps://www.andeal.org/topic.cfm?\tmenu=3584&cat=3958\n.\nFor\tmany\tsettings\tand\tpatient\tpopulations,\tthere\tare\tno\tpublished\tscreening\ttools\tor,\tif\ttools\tdo | [
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population\tunder\ttheir\tcare.\tExamples\tof\tpotential\tscreening\tdata\tthat\tcould\tbe\tincorporated\tinto\ta\ncustom-made\tscreening\ttool\tfor\teither\tpediatric\tor\tadult\tpatient\tgroups\tare\tshown\tin\t\nBox\t4.4\n.\nBOX\t4.4\nNutritional\tRisk\tFactors\nFood-\tand\tnutrition-related\thistory\n• | [
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Nutritional\tRisk\tFactors\nFood-\tand\tnutrition-related\thistory\n•\t\nCalorie,\tfood\tgroup,\tbreastmilk,\tformula,\tenteral,\tor\tparenteral\tintake\tbelow\testimated\nneeds\n•\t\nMacro-\tor\tmicronutrient\tintake\tbelow\testimated\tneeds\n•\t\nDiet\tquality\tor\tvariety\tbelow\tstandards\n•\t\nExcessive\talcohol\tor\tdrug\tuse\n•\t\nPoor\teating\tenvironment\n• | [
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•\t\nExcessive\talcohol\tor\tdrug\tuse\n•\t\nPoor\teating\tenvironment\n•\t\nMedications:\tpolypharmacy,\tfood-drug\tinteractions\n•\t\nSupplements:\texcessive\tintake,\tfood-supplement\tinteractions\n•\t\nFood\tbeliefs,\tattitudes,\tbehaviors,\tknowledge:\tpica,\tdisordered\teating,\trestrictive\teating,\npicky\teating,\tinability\tor\tunwillingness\n\tto\tconsume\tfood,\tknowledge\tdeficit | [
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to\tconsume\tfood,\tknowledge\tdeficit\n•\t\nAccess:\tlimited\tavailability\tof\tsafe\tand\tnutritious\tfoods/beverages,\tlimited\taccess\tto\tfood\npreparation\tfacilities\tor\tsupplies,\tlimited\taccess\tto\tresources\tand\tprograms\n•\t\nCognitive\tor\tphysical\timpairment\tthat\taffects\teating\tand\tfood\tpreparation\n•\t\nExcessive\tor\tinadequate\tphysical\tactivity | [
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Biochemical\tdata,\tmedical\ttests\tand\tprocedures\n•\t\nAbnormal\tlaboratory\tvalues:\tanemia,\tlipid\tprofile,\tliver\tprofile,\tGI\tprofile,\tkidney\tfunction,\ncirculating\tproteins\n•\t\nMedical\ttests:\tGI\tfunction,\tswallow\tstudy,\tbiopsies,\tultrasound,\n\tendoscopy\tresults\nNutrition-focus\tphysical\tfindings\n• | [
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identify\tnutrition-related\tproblems,\ttheir\tcauses,\n\tand\tsignificance”\t(\nAND,\t2018a\n).\tThe\tpurpose\tof\ncompleting\ta\tnutrition\tassessment\tis\tto\tdetermine\twhether\ta\tclient\thas\tone\tor\tmore\tnutrition-related\nproblems\t(diagnoses).\tIn\tthe\tNCP,\tthe\tnutrition\tdiagnoses\tare\tdocumented\tin\tstep\ttwo\tof\tthe\tNCP\tin\nPES\tstatement\tformat\t(see\t\nBox\t4.2\n\tand | [
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] |
PES\tstatement\tformat\t(see\t\nBox\t4.2\n\tand\t\nChapter\t9\n).\tAfter\tidentification\tof\tthe\tnutrition\tdiagnoses,\nthe\tRDN\tcan\tintervene\t(NCP\tstep\tthree)\tto\taddress\n\tthe\tnutrition\tproblem\tand\tthen\tevaluate\tand\nmonitor\tprogress\t(NCP\tstep\tfour)\tto\tdetermine\twhether\tthe\tinterventions\thave\tbeen\teffective\tin\nachieving\tkey\toutcomes\tfor\tthe\tclient\t(see\t\nChapter\t9\n). | [
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achieving\tkey\toutcomes\tfor\tthe\tclient\t(see\t\nChapter\t9\n).\nNutrition\tassessment\tis\ta\tcomprehensive\tevaluation\tthat\toften\tincludes\tdata\tfrom\tthe\tfive\tNCP\ndomains\tand\ta\tvariety\tof\tsources\t(see\t\nBox\t4.1\n).\tOn\tan\tinitial\tassessment\t(first\tvisit),\tthe\tnutrition\nprofessional | [
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] |
through\t\n10\n,\tfocuses\ton\tthe\tknowledge\tand\tskills\tneeded\tto\ncomplete\ta\tcomprehensive\tnutrition\tassessment\tinvolving\tthe\tfive\tdomains\tof\tassessment\tdata.\tThis\nchapter\twill\tfocus\ton\tassessment\tof\tthe\tdomain\tFood-\tand\tNutrition-Related\tHistory,\ta\tbroad\tand\nvaried\tcategory\tof\tdata\tthat\tincludes\tthe\tsubdomains\tand\tdata\tscope\tshown\tin\t\nTable\t4.1\n\t( | [
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0.05976163595914841,
0.021112091839313507,
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0.06626325845718384,
0.00015514364349655807,
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0.01632075197994709,
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0.024567805230617523,
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0.10138062387704849,
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0.023707902058959007,
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0.013664345256984234,
0.0872562974691391,
0.031297121196985245,
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0.040325827896595,
0.07064853608608246,
0.09661892801523209,
0.030394192785024643,
-0.01388385146856308
] |
Table\t4.1\n\t(\nAND,\n2018a\n).\tIn\tbrief,\tFood-\tand\tNutrition-Related\tHistory\n\tincludes\tassessments\tof\tthe\ttype\tof\tdiet\ncurrently\tand\thistorically\tconsumed\tby\tthe\tclient,\thow\tthe\tdiet\tis\tconsumed,\tclient\tcharacteristics\nthat\taffect\tdietary\tneeds,\tand\timportant\tfactors\tthat\tdetermine\tunderlying\tdietary\tchoices\tand | [
0.052457667887210846,
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0.02600124105811119,
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0.03466499596834183,
0.08712361007928848,
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0.07226424664258957,
0.10779918730258942,
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0.05278504639863968,
0.008050269447267056,
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0.012351409532129765,
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0.020919835194945335,
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0.007136228494346142,
0.08130867779254913,
0.056972816586494446,
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0.011046194471418858,
0.04085284471511841,
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0.014606690034270287,
0.022086389362812042,
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0.014354992657899857,
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0.12690021097660065,
0.0334114134311676,
0.013167304918169975,
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0.013119435869157314,
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0.008190927095711231,
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0.055215053260326385,
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0.12921744585037231,
0.02282135933637619,
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0.007020179182291031,
0.09441307187080383,
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2.4141068708119777e-33,
0.046340059489011765,
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0.033445097506046295,
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0.07633296400308609,
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0.003722876077517867,
0.0031973908189684153,
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0.07396788895130157,
0.018427971750497818,
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0.004677011165767908,
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0.034582484513521194,
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0.09421335905790329,
0.004011938814073801,
0.04226290434598923,
0.008496463298797607,
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0.014475103467702866,
0.010040726512670517,
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0.06605313718318939,
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0.047326747328042984,
0.001588031300343573,
0.03543692082166672,
0.07527554780244827,
0.021671507507562637,
0.02493482455611229,
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0.006395710166543722,
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0.0502777136862278,
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0.0051909200847148895,
0.05107450857758522,
0.023257387802004814,
0.0914585143327713,
0.010545548982918262,
0.03163280710577965,
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0.033725474029779434,
0.08551016449928284,
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0.07758445292711258,
0.040330372750759125,
0.03527381271123886,
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0.03729438781738281,
0.08341965079307556,
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0.08778393268585205,
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0.00621032016351819,
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0.06180182844400406,
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0.020650997757911682,
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0.08271269500255585,
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0.03555170074105263,
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0.044938310980796814,
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0.00523218372836709,
0.05917052924633026,
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0.0073954383842647076,
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0.08553027361631393,
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0.06772401183843613,
0.11799827963113785,
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0.07908570021390915,
0.012228336185216904,
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0.04176056757569313,
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0.07318346947431564,
0.09442822635173798,
0.06565168499946594,
0.02691137045621872,
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0.06225704029202461,
0.11141717433929443,
0.07418323308229446,
-0.0014343984657898545
] |
potential\tresponses\tto\tfuture\tdietary\tchanges.\nTABLE\t4.1\nNutrition\tCare\tProcess:\tFood-\tand\tNutrition-Related\tHistory\tData\nSubdomain\nScope\nFood\tand\n\tNutrient\tIntake\nTotal\tamount,\ttiming,\tand\tpatterns\tof\tintake\tof\tfoods,\tbeverages,\nnutrients,\tand\tfood\tcomponents\nFood\tand\tNutrient\tAdministration | [
0.0006177150062285364,
-0.05287684127688408,
-0.011453096754848957,
0.023969607427716255,
0.017222199589014053,
0.053220927715301514,
0.09245602786540985,
0.0461677722632885,
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0.14660049974918365,
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0.005602382123470306,
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0.014603081159293652,
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0.049343764781951904,
0.023445747792720795,
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0.07773428410291672,
0.08297758549451828,
0.004123082384467125,
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0.11570530384778976,
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0.027217060327529907,
0.0013964885147288442,
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0.024353310465812683,
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0.06741295009851456,
0.02676359936594963,
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0.006144808605313301,
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0.02564849518239498,
0.058614976704120636,
0.010330665856599808,
0.033129338175058365,
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0.015926988795399666,
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0.05345405265688896,
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0.008228438906371593,
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0.0018308010185137391,
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0.025879573076963425,
0.04009207710623741,
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0.04601430892944336,
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0.047372013330459595,
0.015600111335515976,
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0.09987416118383408,
0.007453517988324165,
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0.030638864263892174,
2.3475547887722354e-33,
0.008570758625864983,
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0.038199231028556824,
0.05760633572936058,
0.022672846913337708,
0.0231010839343071,
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nutrients,\tand\tfood\tcomponents\nFood\tand\tNutrient\tAdministration\nOverall\tdietary\tpractices,\tfood\trestrictions,\tfasting,\tor\tfood\nmodifications;\teating\tenvironment;\troute\tof\tadministration\t(oral,\nenteral,\tparenteral)\nMedication\tand\nComplementary/Alternative\nMedicine\tUse\nCurrent\tand\thistorical\tuse\tof\tprescription\n\tdrugs,\tover-the-counter | [
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quality\tof\tlife\nAdapted\tfrom\n\tAcademy\tof\tNutrition\tand\tDietetics.\tNutrition\tTerminology\tReference\tManual\t(eNCPT):\tDietetics\tLanguage\tfor\tNutrition\tCare.\nhttps://www.ncpro.org/pubs/idnt-en/?\n.\nFood\tand\tnutrient\tintake\nThe\tFood\tand\tNutrient\tIntake\tsubdomain\tof\tFood-\tand\tNutrition-Related\tHistory\tincludes\tboth | [
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assessment\tof\tthe\tquantity\tand\tquality\tof\tfoods\tand\tbeverages\tin\tthe\tdiet\tas\twell\tas\tthe\ttiming\tand\npatterns\tof\n\tfood\tand\tbeverage\tintake\t(see\t\nTable\t4.1\n).\t\nDietary\tintake\tdata\n\tmay\tbe\tassessed\teither\tby\nasking\tclients\twhat\tthey\thave\tconsumed\tin\tthe\tpast\t(retrospective\tintake\tdata)\tor\tby\thaving\tclients | [
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support\tperson)\tprospectively\n\trecords\tthe\tfoods\tand\tbeverages\tconsumed\tover\ta\tperiod\tof\tseveral\ndays\tor\tweeks.\tA\tfood\tdiary\tform\tis\tshown\tin\t\nFig.\t4.5\n.\tAnalysis\tof\tthe\tfood\tdiary\t(discussed\tbelow)\ncan\tprovide\tdetailed\tinformation\ton\tthe\tquantity\tand\tquality\tof\tfoods,\tbeverages,\tnutrients,\tand\tfood | [
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patterns,\tthe\toptimal\tbalance\tof\tclient\tburden\tand\tdata\taccuracy\tis\tobtained\twith\t3\tto\t4\tcomplete\ndays\tof\tdata\tcollection\twith\tat\tleast\n\t2\tweekdays\tand\t1\tweekend\tday\t(\nThompson\tand\tByers,\t1994\n;\nNational\tInstitutes\tof\tHealth\t[NIH],\t2018a\n).\tFor\tsome\tpurposes,\tsuch\tas\tmonitoring\tof\tfood\tallergy\tor | [
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] |
intolerance\tsymptoms\tin\tresponse\tto\tfood\tintake,\tclients\tmay\tneed\tto\trecord\tdata\tfor\tseveral\tweeks\n(see\t\nChapter\t25\n\tand\t\nFig.\t25.5\n).\nFIG.\t4.5\nFood\tdiary.\n\tSource:\t\n(Permission\tby\tBastyr\tUniversity.)\nTABLE\t4.2\nComparison\tof\tFood\tand\tNutrient\tIntake\tAssessment\tMethods\nMethod\nAdvantages\nDisadvantages\nBest\tUses\nFood\tRecord\n(Food\tDiary)\n• | [
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Method\nAdvantages\nDisadvantages\nBest\tUses\nFood\tRecord\n(Food\tDiary)\n•\t\nQuantitative\tand\nqualitative\tdata\ton\nfoods\tand\nbeverages\nconsumed\n•\t\nCan\tprovide\tdata\non\tfood\tpreparation\nmethods,\ttiming,\nsetting,\tsource,\tetc.\n•\t\nIf\titems\nweighed/measured,\ncan\tprovide\tmore\naccurate\tportion\nsize\tdata\n•\t\nReal-time\nrecording/less\nreliance\ton\nmemory\n• | [
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] |
size\tdata\n•\t\nReal-time\nrecording/less\nreliance\ton\nmemory\n•\t\nModest\ttime\tand\neffort\tfor\tnutrition\nprofessional\n\tto\nreview\n•\t\nClient\ttraining\nneeded\tfor\taccuracy\n•\t\nMultiple\tdays\nneeded\tto\ncharacterize\tdiet\nvariety\n•\t\nHigh\tclient\tburden\n•\t\nMay\tnot\tcapture\nepisodically\nconsumed\titems\n•\t\nPotential\tfor\nreactivity\t(clients\nchange\teating | [
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data\tpossible\n•\t\nLimited\tdata\ton\tfood\npreparation\nmethods;\tno\tdata\ton\nsettings\tor\ttiming\tof\nintake\n•\t\nIncomplete—not\tall\npossible\tfoods\tlisted\n•\t\nIntensive\tcognitive\nand\tmemory\tskills\nrequired\n•\t\nTime\n\tconsuming\tor\ncostly\tto\tanalyze\nwith\tsoftware\n•\t\nLong-term,\tholistic\tview\tof\ntypes\tof\tfoods\tconsumed\tin\tpast\n•\t\nMany\ttools\tavailable\tto\tassess | [
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24-Hour\tRecall\n•\t\nQuantitative\tand\nqualitative\tdata\ton\nfoods\tand\nbeverages\nconsumed\n•\t\nCan\tprovide\tdata\non\tfood\tpreparation\nmethods,\ttiming,\nsetting,\tsource,\tetc.\n•\t\nQuick\t(20\tminutes)\nand\teasy\tto\ncomplete\tin\toffice\nsetting\n•\t\nLow\ttime\tand\neffort\tfor\tnutrition\nprofessional\tto\nreview\n•\t\nLow\tclient\nreactivity\n•\t\nLow\tclient\tburden\n•\t\nMultiple\tdays | [
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Relies\ton\tclient\nmemory,\n\thonesty,\nskill\tin\treporting\nfood\ttypes\tand\nportions\n•\t\nShort-term\tview\tof\tthe\tcurrent\ndiet\n•\t\nClient\twith\tlimited\tmotivation,\nskills,\tor\tliteracy\n•\t\nAnalysis\tof\tcalories,\nmacronutrients,\tmicronutrients,\nand\tcomponents\tof\tthe\tdiet\n•\t\nAnalysis\tof\tfood\tpreparation\nmethods,\tfood\tquality,\ningredients\nCalorie\tCount\n• | [
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methods,\tfood\tquality,\ningredients\nCalorie\tCount\n•\t\nActual\tobservation\nof\tfood\tintake\n•\t\nQuick\t(20\tminutes)\nand\teasy\tto\ncomplete\tin\n\toffice\nsetting\n•\t\nLow\ttime\tand\neffort\tfor\tnutrition\nprofessional\tto\nreview\n•\t\nLow\tclient\nreactivity\tand\nburden\n•\t\nMay\tnot\trepresent\ntypical\tintake\npatterns\tor\tfood\npreferences\n•\t\nTime\tconsuming\tfor\nnutrition | [
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patterns\tor\tfood\npreferences\n•\t\nTime\tconsuming\tfor\nnutrition\nprofessional\tto\nanalyze\twith\nsoftware\n•\t\nShort-term\tview\tof\tthe\tcurrent\ndiet\n•\t\nAnalysis\tcalorie\tand\nmacronutrient\tintake\tin\nrelation\tto\tpatient\thealth\tstatus\n•\t\nClient\twith\tlimited\tmotivation,\nskills,\tor\tliteracy\nAdapted\tfrom\tThompson\tFE,\tByers\tT.\tDietary\tAssessment\tResource\tManual. | [
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J\tNutr.\n\t1994\tNov;124(11\tSuppl):2245S-2317S.\tdoi:\n10.1093/jn/124.suppl_11.2245s\tand\tDietary\tAssessment\tPrimer.\tNational\tInstitutes\tof\tHealth,\tNational\tCancer\tInstitute.\nhttps://dietassessmentprimer.cancer.gov\n.\nA\t\nfood\tfrequency\tquestionnaire\t(FFQ)\n\tis\ta\tsurvey\tcompleted\tby\tthe\tclient\tto\tretrospectively | [
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is\ta\tsurvey\tcompleted\tby\tthe\tclient\tto\tretrospectively\nassess\tthe\ttypes\tof\tfoods\tand\tbeverages\tconsumed\tover\ta\tspecified\tinterval\tof\ttime\t(e.g.,\tpast\t1\nmonth,\t6\tmonths,\t12\tmonths).\tIn\ta\ttraditional\tFFQ,\tclients\tindicate\tthe\tfrequency\twith\twhich\tthey\nconsume\tvarious\tfood\titems\tof\tinterest—ranging\tfrom\t“never”\tto\tmultiple\ttimes\tper\tday\t(\nFig.\t4.6 | [
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] |
Fig.\t4.6\n).\nThis\tmethod\tis\tideal\tfor\tproviding\tinformation\ton\ttypical\tfoods\tconsumed,\tquality\tof\tfoods\tconsumed,\nand\n\tdiet\tvariety\tover\ta\tprior\tperiod\tof\ttime\t(see\t\nTable\t4.2\n).\tSemiquantitative\tFFQs\talso\tinclude\nassessments\tof\tportion\tsizes\tor\tamounts\tconsumed\t(\nFig.\t4.7\n),\tbut\tquestions\tremain\tabout\tthe\tvalidity | [
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Fig.\t4.7\n),\tbut\tquestions\tremain\tabout\tthe\tvalidity\nof\tquantitative\tdietary\tintake\tdata\tresulting\tfrom\tFFQs\t(\nThompson\tand\tByers,\t1994\n;\t\nNIH,\t2018a\n). | [
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FIG.\t4.7\nBEVQ-15\tbeverage\tfrequency\tquestionnaire.\n\tSource:\t\n(Copyright\t2012\tAcademy\tof\tNutrition\tand\tDietetics.\nReprinted\twith\tpermission.)\n\u2002\u200b\nReference:\tHedrick\tVE,\tSavla\tJ,\tComber\tDL,\tet\tal.\tDevelopment\tof\ta\tBrief\tQuestionnaire\tto\tAssess\nHabitual\tBeverage\tIntake\t(BEVQ-15):\tSugar-Sweetened\tBeverages\tand\tTotal\tBeverage\tEnergy\tIntake. | [
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J\tAcad\tNutr\tDiet.\n\t2012\nJun;112(6):840-9.\tdoi:\t10.1016/j.jand.2012.01.023.\nNutrition\tprofessionals\tcan\tselect\tfrom\ta\twide\tvariety\tof\tvalidated\tFFQs\tthat\tare\tbroad\tor\tnarrow\nin\tscope,\tor\tpotentially\tadapt\tan\texisting\tFFQ\tto\tcollect\tinformation\ton\tjust\tthe\tfoods,\tbeverages,\tor | [
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In\ta\t\n24-hour\trecall\n,\tthe\tnutrition\tprofessional\tleads\tthe\tclient\tthrough\ta\tstructured\tinterview\nprocess\tto\tcapture\tinformation\ton\tthe\tquantity\tand\tquality\tof\tfoods\tand\tbeverages\tconsumed\tin\tthe\nprevious\t24\thours,\tincluding\tdetails\ton\tthe\ttiming,\tamounts,\tpreparation\tmethods,\tand\tbrands\n(\nThompson\tand\tByers,\t1994\n;\t\nNIH,\t2018a\n).\tIn | [
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anchoring\tactivities\t(while\tdriving,\tat\twork,\twatching\tTV,\tetc.).\nTo\timprove\tvalidity,\tthe\tnutrition\tprofessional\tcan\tuse\tprompts\tto\thelp\tthe\tclient\tremember\tall\nfoods\tconsumed\tand\task\tquestions\tin\ta\tneutral\tand\tunbiased\tway\t(“What\twas\tthe\tfirst\ttime\tyou\tate\nor\tdrank\tanything\tafter\tyou\twoke\tup?”\tversus\t“What\tdid\tyou\teat\tfor\tbreakfast?”).\tCarefully | [
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] |
administered\ttools,\tsuch\tas\tthe\tNational\tCancer\tInstitute’s\tAutomated\tSelf-Administered\t24-Hour\nDietary\tAssessment\tTool\t(ASA24)\tfor\tboth\tadults\tand\tchildren\t(\nNIH,\t2018a\n;\t\nNIH,\t2018b\n).\nA\t\ncalorie\tcount\n\tis\ta\tmethod\tprimarily\tused\tin\tinpatient\tsettings\tsuch\tas\thospitals\tand\tnursing\nhomes\t(see\t\nTable\t4.2 | [
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homes\t(see\t\nTable\t4.2\n).\tOver\tthe\tcourse\tof\tseveral\tweekdays\tand\tweekend\tdays,\ta\thealth\tcare\npractitioner\treviews\tthe\tclient’s\tfood\ttrays\tbefore\tand\tafter\teach\teating\toccasion\tand\testimates\tthe\npercentage\tof\teach\tfood\n\tand\tbeverage\tconsumed.\tUsing\tfacility\tsoftware,\twhich\tincludes\tinformation | [
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contributing\tto\tan\temerging\n\tpattern\tof\tweight\tloss\tand\tmalnutrition\tso\tearly\tintervention\tcan\toccur.\nEach\tof\tthe\ttraditional\tretrospective\tand\tprospective\tmethods\tcurrently\tused\tin\tclinical\tand\nresearch\tsettings\thas\tspecific\tpurposes,\tstrengths,\tand\tweaknesses\t(see\t\nTable\t4.2\n).\tIn\tall\tmethods | [
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Table\t4.2\n).\tIn\tall\tmethods\nexcept\tthe\tcalorie\tcount,\tintentional\tunder-\tand\toverreporting\tof\tfoods\tand\tbeverages\tso\tthe\tdiet\nappears\t“healthier”\tis\ta\tconcern\t(\nThompson\tand\tByers,\t1994\n;\t\nNIH,\t2018a\n).\tThrough\tsetting\ta\ncomfortable\tenvironment\twith\tpatients,\tasking\tneutral\tquestions,\tand\trefraining\tfrom\tcomments\tthat | [
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