Hamiel Uri, Landau Nitsan, Eshel Fuhrer Audelia, Shalem Tzippora, Goldman Michael
Department of Pediatrics, Shamir Medical Center (Assaf Harofeh), Zerifin.
Sackler School of Medicine, Tel-Aviv University, Tel Aviv.
J Pediatr Gastroenterol Nutr. 2020 Jul;71(1):119-124. doi: 10.1097/MPG.0000000000002721.
Pediatricians have an important role in the dietary education of children, and in the nutritional health of their patients. We aimed to assess nutritional knowledge, familiarity with guidelines, and attitudes of pediatricians regarding vegetarian diets.
A cross-sectional study using a previously implemented questionnaire, distributed amongst a convenience sample of pediatricians in Israel. For each participant, scores of knowledge and of attitudes towards vegetarian diets were calculated. Scores were analyzed and compared between various categorizations of the respondents.
Of 270 respondents (60.4% female individuals), 14.1% were following a vegetarian or semi-vegetarian diet. The overall mean scores for knowledge and attitude were 37.9 ± 16.0% and 38.1 ± 20.7%, respectively. Among pediatricians currently following a vegetarian or semi-vegetarian diet, mean knowledge and attitude scores were higher by 12.2% (95% confidence interval [CI] 6.8-17.6, P < 0.001) and 17.4% (95% CI 10.5-24.2, P < 0.001), respectively, compared with nonvegetarians. Knowledge scores were found to be positively correlated with attitude scores. Only 13.4% of pediatricians felt that their medical degree studies prepared them well to deal with vegetarian patients. A higher knowledge score was correlated with inquiring of patients eating habits, and counseling on vegetarian diets.
Pediatricians possess a low average knowledge base in vegetarian nutrition. The majority of pediatricians do not hold positive attitudes concerning vegetarian diets. We show a positive correlation between overall knowledge and overall attitude for individual participants. Increasing the knowledge base of pediatricians regarding vegetarian diets may lead them to conceive meatless diets in a more positive light and better counsel their patients.
儿科医生在儿童饮食教育及其患者的营养健康方面发挥着重要作用。我们旨在评估儿科医生关于素食饮食的营养知识、对指南的熟悉程度以及态度。
采用一项先前实施的问卷进行横断面研究,该问卷分发给以色列儿科医生的便利样本。为每位参与者计算关于素食饮食的知识得分和态度得分。对受访者的不同分类之间的得分进行分析和比较。
在270名受访者(60.4%为女性)中,14.1%遵循素食或半素食饮食。知识和态度的总体平均得分分别为37.9±16.0%和38.1±20.7%。与非素食儿科医生相比,目前遵循素食或半素食饮食的儿科医生的平均知识得分和态度得分分别高出12.2%(95%置信区间[CI]6.8 - 17.6,P<0.001)和17.4%(95%CI 10.5 - 24.2,P<0.001)。发现知识得分与态度得分呈正相关。只有13.4%的儿科医生认为他们的医学学位学习使他们有充分准备来应对素食患者。较高的知识得分与询问患者饮食习惯以及提供素食饮食咨询相关。
儿科医生在素食营养方面的平均知识基础较低。大多数儿科医生对素食饮食没有积极态度。我们显示个体参与者的总体知识与总体态度之间存在正相关。增加儿科医生关于素食饮食的知识基础可能会使他们更积极地看待无肉饮食,并更好地为患者提供咨询。