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Recommendations Summary

AWM: Assess Energy Intake and Nutrient Content of the Diet 2014

Click here to see the explanation of recommendation ratings (Strong, Fair, Weak, Consensus, Insufficient Evidence) and labels (Imperative or Conditional). To see more detail on the evidence from which the following recommendations were drawn, use the hyperlinks in the Supporting Evidence Section below.


  • Recommendation(s)

    AWM: Assess Energy Intake and Nutrient Content of the Diet

    The registered dietitian nutritionist (RDN) should assess the energy intake and nutrient content of the diet. Any nutrient inadequacy and the nutrients affected are dependent on the composition of the diet followed, as well as on the nutritional needs of the individual.

    Rating: Strong
    Imperative

    • Risks/Harms of Implementing This Recommendation

      None.

    • Conditions of Application

      Energy intake and nutrient content may be assessed through the use of one of the following tools, for example:

      • Three-day, four-day or seven-day food records (including weekdays and weekend days)
      • Food frequency questionnaires
      • 24-hour dietary recalls
      • Typical daily dietary intake.

    • Potential Costs Associated with Application

      Costs of medical nutrition therapy (MNT) sessions vary, however MNT sessions are essential for improved outcomes.

    • Recommendation Narrative

      • Several studies report changes in nutrient adequacy with caloric restriction, however the extent of nutrient inadequacy and the nutrients affected are dependent on the composition of the diet followed, as well as on the nutritional needs of the individual (Ma et al, 2007; Truby et al, 2008)
      • Limited research reports reductions in nutrient adequacy with weight loss through an energy restriction of at least 500kcal per day or daily consumption below 1, 200kcal per day (Ashley et al, 2007; Noakes et al, 2004; Gardner et al, 2010)
      • Additional long-term studies in this area are needed.

    • Recommendation Strength Rationale

      The Conclusion Statement in support of this recommendation received Grade II.

    • Minority Opinions

      Consensus reached.