Sevilla-González Magdalena, González-Ortiz Ailema, Landa-Anell María Victoria, Melgarejo-Hernández Marco A, Arias-Marroquín Ana Teresa, Del Razo-Olvera Fabiola Mabel, Román-Calleja Berenice Monserrat, Monreal-Lugo Ana Victoria, Martin-Vences Angélica J, Haua-Navarro Karime, Espinosa-Cuevas Angeles
Clinical and Translational Epidemiology Unit, Mongan Institute, Massachusetts General Hospital, Boston, MA, United States.
Department of Medicine, Harvard Medical School, Boston, MA, United States.
Front Nutr. 2025 Jan 28;12:1513747. doi: 10.3389/fnut.2025.1513747. eCollection 2025.
The Nutrition Care Process (NCP) is a systematic framework designed to enhance the quality of nutrition care. Given the high prevalence of metabolic diseases in Mexican population, there is a critical need for tailored nutrition care strategies.
We aim to describe the adaptation of the NCP to manage metabolic diseases in Mexican individuals.
Our adaptation included a comprehensive literature review of clinical nutrition guidelines, by a structured consultation with experts to ensure clinical setting-specific and culturally appropriate modifications. A team of registered dietitians from two tier 3 hospitals, each with over five years of experience in metabolic disease management, customized the NCP's four core steps-assessment, diagnosis, intervention, and monitoring-to meet the specific needs of the Mexican population.
We adapted the NCP to manage five common metabolic disorders: obesity, type 2 diabetes, kidney disease, metabolic dysfunction-associated steatotic liver disease, and dyslipidemia. Each step of the NCP was complemented by the development of educational materials designed to (1) enhance awareness of disease risk, (2) broaden their knowledge of nutritional management, and (3) provide tailored strategies for developing personalized action plans. The adapted NCP was implemented in clinical and research settings and the materials were documented as an online publication to facilitate widespread dissemination.
Our adaptation represents a significant advancement in the use of structured tools for nutrition care in Mexican populations, who face disproportionately high rates of metabolic diseases. Further research is needed to assess the effectiveness of this approach in clinical settings.
营养照护流程（NCP）是一个旨在提高营养照护质量的系统性框架。鉴于墨西哥人群中代谢性疾病的高患病率，迫切需要量身定制的营养照护策略。
我们旨在描述NCP在管理墨西哥个体代谢性疾病方面的适应性调整。
我们的适应性调整包括对临床营养指南进行全面的文献综述，并与专家进行结构化咨询，以确保针对临床环境和文化背景进行适当修改。来自两家三级医院的一组注册营养师，每位都有超过五年的代谢性疾病管理经验，对NCP的四个核心步骤——评估、诊断、干预和监测——进行了定制，以满足墨西哥人群的特定需求。
我们对NCP进行了调整，以管理五种常见的代谢紊乱：肥胖症、2型糖尿病、肾脏疾病、代谢功能障碍相关脂肪性肝病和血脂异常。NCP的每个步骤都辅以教育材料的开发，这些材料旨在（1）提高对疾病风险的认识，（2）拓宽他们对营养管理的知识，以及（3）提供制定个性化行动计划的量身定制策略。调整后的NCP在临床和研究环境中得到实施，相关材料被记录为在线出版物以促进广泛传播。
我们的适应性调整代表了在为面临代谢性疾病发病率极高的墨西哥人群提供营养照护的结构化工具使用方面的重大进展。需要进一步研究以评估这种方法在临床环境中的有效性。
