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Proposed Changes to Nutrition Curricula in Higher Education

  • Elizabeth Nix
    Correspondence
    Address for correspondence: Elizabeth Nix, PhD, RDN, Health and Human Kinetics Department, Ohio Wesleyan University, 61 S Sandusky St, Delaware, OH 43015
    Affiliations
    Health and Human Kinetics Department, Ohio Wesleyan University, Delaware, OH
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Published:September 30, 2022DOI:https://doi.org/10.1016/j.jneb.2022.08.005

      Abstract

      Although the field of nutrition has shifted to holistic approaches to dietary health, introductory nutrition courses have primarily focused on a reductionist approach. From my perspective, there is a need for radical changes in nutrition curricula to emphasize the importance of whole foods, complex dietary behavior, and food systems that align with the progress made within the field of nutrition. This holistic perspective of food and dietary patterns can help future dietitians and those not pursuing dietetics to understand the complex realities of nutrition while also learning transferable skills, such as systems-thinking, communication, and evaluation and critique of current research.

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      REFERENCES

      1. Scrinis G. Nutritionism: The Science and Politics of Dietary Advice. 1st ed. Routledge; 2020.

        • Fardet A
        • Rock E.
        Toward a new philosophy of preventive nutrition: from a reductionist to a holistic paradigm to improve nutritional recommendations.
        Adv Nutr. 2014; 5: 430-446
        • Rajakumar K.
        Pellagra in the United States: a historical perspective.
        South Med J. 2000; 93: 272-277
        • Gorstein JL
        • Bagriansky J
        • Pearce EN
        • Kupka R
        • Zimmermann MB.
        Estimating the health and economic benefits of universal salt iodization programs to correct iodine deficiency disorders.
        Thyroid. 2020; 30: 1802-1809
        • Crider KS
        • Bailey LB
        • Berry RJ.
        Folic acid food fortification-its history, effect, concerns, and future directions.
        Nutrients. 2011; 3: 370-384
        • Zhang Y
        • Li X
        • Wang S
        • et al.
        A global North-South division line for portraying urban development.
        Iscience. 2021; 24: 102729
        • Reilly JJ
        • El-Hamdouchi A
        • Diouf A
        • Monyeki A
        • Somda SA.
        Determining the worldwide prevalence of obesity.
        Lancet. 2018; 391: 1773-1774
        • Abdalla SM
        • Yu S
        • Galea S.
        Trends in cardiovascular disease prevalence by income level in the United States.
        JAMA Netw Open. 2020; 3e2018150
        • Cheng YJ
        • Kanaya AM
        • Araneta MRG
        • et al.
        Prevalence of diabetes by race and ethnicity in the United States, 2011–2016.
        JAMA. 2019; 322: 2389-2398
        • Kwon O.
        A big picture view of precision nutrition: from reductionism to holism.
        J Nutr Health. 2019; 52: 1-5
        • Mozaffarian D
        • Rosenberg I
        • Uauy R.
        History of modern nutrition science-implications for current research, dietary guidelines, and food policy.
        BMJ. 2018; 361: k2392
      2. US Department of Agriculture, US Department of Health and Human Services. Dietary Guidelines for Americans, 2020–2025. 9th ed. USDA, US Department of Health and Human Services; 2020. https://www.dietaryguidelines.gov.

        • Bergman K
        • Lövestam E
        • Nowicka P
        • Eli K.
        A holistic approach’: incorporating sustainability into biopedagogies of healthy eating in Sweden's dietary guidelines.
        Sociol Health Illn. 2020; 42: 1785-1800
        • Monteiro CA
        • Cannon G
        • Moubarac JC
        • et al.
        Dietary guidelines to nourish humanity and the planet in the twenty-first century. A blueprint from Brazil.
        Public Health Nutr. 2015; 18: 2311-2322
        • Lei L
        • Shimokawa S.
        Promoting dietary guidelines and environmental sustainability in China.
        China Econ Rev. 2020; 59101087
        • Seed B.
        Sustainability in the Qatar national dietary guidelines, among the first to incorporate sustainability principles.
        Public Health Nutr. 2015; 18: 2303-2310
        • Lawrence M
        • Naude C
        • Armstrong R
        • et al.
        A call to action to reshape evidence synthesis and use for nutrition policy.
        Cochrane Database Syst Rev. 2016; 11ED000118
        • Fardet A
        • Rock E.
        Perspective: reductionist nutrition research has meaning only within the framework of holistic and ethical thinking.
        Adv Nutr. 2018; 9: 655-670
        • Fardet A
        • Lebredonchel L
        • Rock E.
        Empirico-inductive and/or hypothetico-deductive methods in food science and nutrition research: which one to favor for a better global health?.
        Crit Rev Food Sci Nutr. 2021; 0: 1-14
        • Nestle M.
        Food Politics: How the Food Industry Influences Nutrition and Health. Vol 3.
        University of California Press, 2013
      3. Society for Nutrition Education and Behavior. Divisions. https://www.sneb.org/1369-2/. Accessed January 7, 2022.

      4. Academy of Nutrition and Dietetics Foundation. Future of food.https://www.eatrightfoundation.org/foundation/resources/future-of-food. Accessed July 27, 2022.

      5. University of Wisconsin Stevens Point Sustainable food and nutrition degree. https://www.uwsp.edu/programs/degree/sustainable-food-and-nutrition/. Accessed July 25, 2022.

      6. The University of Memphis. Master's degree in environmental nutrition.https://www.memphis.edu/healthsciences/graduate/environmental_nutrition.php. Accessed July 27, 2022.

        • Whitney E
        • Rolfes SR.
        Understanding Nutrition.
        15th ed. Cengage Learning, 2018
        • Thompson J
        • Manore M.
        Nutrition: An Applied Approach.
        5th ed. Pearson, 2017
        • Brown JE.
        Nutrition Now.
        8th ed. Cengage Learning, 2016
        • Calabrese A
        • Revilla MKF
        • Titchenal A
        • et al.
        Human Nutrition.
        13th ed. University of Hawaii at Manoa, Food Science and Human Nutrition Program, 2018
        • Gibney MJ
        • Lanham-New SA
        • Cassidy A
        • Vorster HH.
        Introduction to Human Nutrition.
        3rd ed. Wiley, 2013
        • Freeworth S.
        Introduction to Nutrition.
        1st ed. Kendall Hunt Publishing Company, 2017
        • Stephenson TJ
        • Schiff W.
        Human Nutrition: Science for Healthy Living.
        2nd ed. McGraw-Hill Education, 2018
        • Schiff WJ.
        Nutrition Essentials: A Personal Approach.
        2nd ed. McGraw-Hill Education, 2017
        • Dobransky K
        • Hargittai E.
        Inquiring minds acquiring wellness: uses of online and offline sources for health information.
        Health Commun. 2012; 27: 331-343
        • Joulaei H
        • Keshani P
        • Kaveh MH.
        Nutrition literacy as a determinant for diet quality amongst young adolescents: a cross sectional study.
        Prog Nutr. 2018; 20: 455-464
        • Quaidoo EY
        • Ohemeng A
        • Amankwah-Poku M.
        Sources of nutrition information and level of nutrition knowledge among young adults in the Accra metropolis.
        BMC Public Health. 2018; 18: 1323
        • Jacobs W
        • Amuta AO
        • Jeon KC.
        Health information seeking in the digital age: an analysis of health information seeking behavior among US adults.
        Cogent Soc Sci. 2017; 31302785
        • Patterson E
        • Larsson SC
        • Wolk A
        • Åkesson A.
        Association between dairy food consumption and risk of myocardial infarction in women differs by type of dairy food.
        J Nutr. 2013; 143: 74-79
        • O'Sullivan TA
        • Hafekost K
        • Mitrou F
        • Lawrence D.
        Food sources of saturated fat and the association with mortality: a meta-analysis.
        Am J Public Health. 2013; 103: e31-e42
        • Baker P
        • Machado P
        • Santos T
        • et al.
        Ultra-processed foods and the nutrition transition: global, regional and national trends, food systems transformations and political economy drivers.
        Obes Rev. 2020; 21: e13126
        • Juul F
        • Martinez-Steele E
        • Parekh N
        • Monteiro CA
        • Chang VW.
        Ultra-processed food consumption and excess weight among US adults.
        Br J Nutr. 2018; 120: 90-100
        • Steele EM
        • Batis C
        • Cediel G
        • et al.
        The burden of excessive saturated fatty acid intake attributed to ultra-processed food consumption: a study conducted with nationally representative cross-sectional studies from eight countries.
        J Nutr Sci. 2021; 10: e43
      7. Accreditation Council for Education in Nutrition and Dietetics. ACEND Accreditation Standards for Nutrition and Dietetics. Accreditation Council for Education in Nutrition and Dietetics of the Academy of Nutrition and Dietetics; 2021.https://www.eatrightpro.org/-/media/eatrightpro-files/acend/accreditation-standards/2022standardscp-82021.pdf?la=en&hash=589269482800D31D949A92D7A3C43800B7D06EAD. Accessed March 24, 2022.

        • Fernandez ML.
        Eggs and health special issue.
        Nutrients. 2016; 8: 784
        • Korte D
        • Reitz N
        • Schmidt SJ.
        Implementing student-centered learning practices in a large enrollment, introductory food science and human nutrition course.
        J Food Sci Educ. 2016; 15: 23-33
        • Schmidt SJ.
        Exploring the influence of course elements and emotional connection to content on students’ approaches to learning in an introductory food science and human nutrition course.
        J Food Sci Educ. 2020; 19: 59-73
      8. Pollan M. Voting with your fork. The New York Times. https://michaelpollan.com/articles-archive/voting-with-your-fork/. Accessed July 27, 2022.