Background: The aim of a tier 3 specialist weight management service (SWMS) is to encourage patients to lose and maintain clinically significant levels (5-10%) of weight, NICE CG43 [1], through a holistic, patient centred multidisciplinary approach. The service consists of specia...
Background: According to current reports, 26% of adults in the United Kingdom are obese, Royal College of Physicians [1]. This highlights a need for practical, affordable and scalable intervention strategies that induce and effectively maintain clinically significant levels of we...
Background: According to current reports, 26% of adults in the United Kingdom are obese, Royal College of Physicians [1]. This highlights a need for practical, affordable and scalable intervention strategies that induce and effectively maintain clinically significant levels of we...
Background: The aim of this reaudit was to understand the nature of the client group in terms of diagnosis, to identify how clinical treatments were being used from the departmental clinical guideline [1,2] and to identify if the aims of treatment are being met in managing falter...
Background: The Leicestershire dietetic service developed a website (www.lnds.nhs.uk) in 2004 with three levels of access; for the public, health care professionals (HCPs) and dietitians. Over 450 resources are available on the site. The website has never been evaluated, though i...
Background: It is challenging to identify single measures appropriate to meet the needs of the whole dietetic caseload, to measure the impact of clinical interventions. This has lead to failure to identify the impact of specific dietetic services and nutritional interventions. Ha...
Background: Since the late 1990’s, public interest and use of dietary supplements has dramatically increased despite the evidence supporting the use of dietary supplements being largely inconclusive, NHS Choices [1]. Various reports indicate that the public have insufficient know...
Background: Morbid obesity has multiple negative consequences for psychological health. These patients are described as depressed, anxious, and impulsive, with low self-esteem and impaired quality of life. The severity of these psychological disorders has been related to the degr...
Background: Hyperglycaemia immediately following acute stroke increases death rates, reduces neurological outcomes in comparison with normo-glycaemic levels Clement et al. [1] as well as increasing length of stay and additional hospitalisation costs, Leverton, [2]. The aim of thi...
Background: Hypertension (high blood pressure) is a major risk factor for cardiovascular disease such as stroke, NICE [1]. Dietary nitrate supplements, including beetroot juice, may have positive effects on health: for example by reducing blood pressure (BP) Siervo et al. [2] and...
Background: An adequate intake of iodine is vital before and during pregnancy as iodine is required for fetal brain development [1]. We have shown that a low iodine status in UK pregnant women is adversely associated with cognition in the child [2]. The UK is now classified as mi...
Background: The prevalence of child obesity remains a serious public health concern in England and tackling obesity effectively has become a major government priority. Guidelines on obesity management [1] recommend the provision of multi component treatment interventions but reco...
Background: The Alzheimer’s Research Trust (2012) report that 820,000 people are currently living with dementia in the UK with prevalence increasing in line with the ageing population and a new case estimated to occur every 3.2 minutes. Whilst there is currently no cure, early di...
Background: Cardiovascular disease (CVD) is the leading cause of premature death globally (WHO, 2010).For over 50 years saturated fatty acids (SFA) have been implicated as a main dietary risk factor for CVD. Therefore national guidelines recommend limiting SFA to <10% of total...
Background: A plant-based diet (PBD) consists of ‘an eating pattern dominated by fresh or minimally processed plant foods and decreased consumption of meat, eggs and dairy products’. (Lea, Crawford and Worsley, [1]). There is evidence to suggest that a PBD is one of substantial h...