School of Health Sciences, Faculty of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, NSW 2308, Australia.
Hunter Medical Research Institute Food and Nutrition Research Program, New Lambton Heights, NSW 2305, Australia.
Nutrients. 2024 Feb 5;16(3):462. doi: 10.3390/nu16030462.
People with neurological conditions may face barriers to meal preparation. Culinary nutrition interventions aim to facilitate the building of knowledge and skills for meal preparation. This scoping review aims to map the available evidence for culinary nutrition interventions for people with neurological conditions and evaluate the quality of these interventions based on program design, delivery and evaluation. After a systematic search of online databases (MEDLINE, CINAHL, Embase, Scopus and Proquest) and reference lists, a total of ten publications describing nine interventions were included. Most interventions were designed for people with stroke and/or Transient Ischemic Attack ( = 3) and Multiple Sclerosis ( = 3); others were for traumatic brain injury ( = 1), mild dementia ( = 1) and Parkinson's Disease ( = 1). Overall, the included culinary nutrition interventions had good program delivery (inclusion of motivational experiences, delivered by appropriate health providers) but needed improvements in program design (lack of consumer engagement and neurological symptom accommodations) and evaluation (lack of complete process, outcome and impact evaluations). In conclusion, the evidence base for culinary nutrition interventions for people with neurological conditions remains sparse. To bridge the gap between theory and practice, it is important to consider the following aspects in culinary nutrition intervention planning/improvement: (I) the involvement of consumers; (II) the accommodation/tailoring for post-condition effects; and (III) the coverage of all disease-specific culinary nutrition aspects.
患有神经疾病的人可能在准备膳食方面面临障碍。烹饪营养干预旨在促进建立准备膳食的知识和技能。本范围综述旨在绘制针对神经疾病患者的烹饪营养干预措施的现有证据,并根据方案设计、实施和评估来评估这些干预措施的质量。在对在线数据库(MEDLINE、CINAHL、Embase、Scopus 和 Proquest)和参考文献进行系统搜索后,共纳入了描述九个干预措施的十篇出版物。大多数干预措施是为中风和/或短暂性脑缺血发作患者(=3)和多发性硬化症患者(=3)设计的;其他干预措施是为创伤性脑损伤患者(=1)、轻度痴呆症患者(=1)和帕金森病患者(=1)设计的。总体而言,纳入的烹饪营养干预措施在方案实施方面较好(包括激励体验,由适当的卫生提供者提供),但在方案设计(缺乏消费者参与和神经症状适应)和评估(缺乏完整的过程、结果和影响评估)方面需要改进。总之,针对神经疾病患者的烹饪营养干预措施的证据基础仍然薄弱。为了缩小理论与实践之间的差距,在烹饪营养干预措施规划/改进中需要考虑以下方面:(I)消费者的参与;(II)针对疾病后影响的适应/调整;和(III)涵盖所有特定于疾病的烹饪营养方面。