1Department of Human Nutrition,University of Otago,PO Box 56,Dunedin,New Zealand.
2Department of Preventive and Social Medicine,University of Otago,Dunedin,New Zealand.
Public Health Nutr. 2018 Apr;21(6):1065-1074. doi: 10.1017/S1368980017003469. Epub 2017 Dec 4.
Despite evidence linking regular nut consumption with reduced chronic disease risk, population-level intakes remain low. Research suggests nut-promoting advice from doctors facilitates regular nut consumption. However, there is no information on current nut recommendation practices of health professionals. The aim of the present study was to examine the advice provided by health professionals regarding nut consumption.
In this cross-sectional study, participants were invited to complete a survey including questions about their nut recommendation practices.
New Zealand (NZ).
The NZ Electoral Roll was used to identify dietitians, general practitioners and practice nurses.
In total 318 dietitians, 292 general practitioners and 149 practice nurses responded. Dietitians were more likely (82·7 %) to recommend patients increase consumption of nuts than general practitioners (55·5 %) and practice nurses (63·1 %; both P<0·001). The most popular nuts recommended were almonds, Brazil nuts and walnuts, with most health professionals recommending raw nuts. The most common recommendation for frequency of consumption by dietitians and practice nurses was to eat nuts every day, while general practitioners most frequently recommended 2-4 times weekly, although not statistically significantly different between professions. Dietitians recommended a significantly greater amount of nuts (median 30 g/d) than both general practitioners and practice nurses (20 g/d; both P<0·001).
Dietitians were most likely to recommend consumption of nuts in accordance with current guidelines, but there are opportunities to improve the adoption of nut consumption recommendations for all professions. This may be a viable strategy for increasing population-level nut intakes to reduce chronic disease.
尽管有证据表明经常食用坚果可降低慢性病风险，但人群摄入量仍然较低。研究表明，医生提供促进坚果消费的建议有助于人们经常食用坚果。然而，目前尚不清楚卫生专业人员推荐坚果的做法。本研究旨在调查健康专业人员提供的坚果食用建议。
在这项横断面研究中，邀请参与者完成一份包括有关其坚果推荐做法的问题的调查。
新西兰（NZ）。
使用 NZ 选举名单来识别营养师、全科医生和执业护士。
共有 318 名营养师、292 名全科医生和 149 名执业护士做出了回应。营养师（82.7%）比全科医生（55.5%）和执业护士（63.1%；均 P<0.001）更有可能建议患者增加坚果摄入量。推荐最多的坚果是杏仁、巴西坚果和核桃，大多数卫生专业人员推荐食用生坚果。营养师和执业护士推荐的最常见食用频率是每天食用坚果，而全科医生最常推荐每周食用 2-4 次，尽管不同专业之间没有统计学上的显著差异。营养师推荐的坚果量（中位数 30 g/d）明显高于全科医生和执业护士（20 g/d；均 P<0.001）。
营养师最有可能根据当前指南推荐食用坚果，但所有专业都有机会改进坚果食用建议的采纳。这可能是增加人群坚果摄入量以降低慢性病风险的可行策略。
