Manual of Dietetic Practice

Incorporating the latest evidence and research in the field and endorsed by the British Dietetic Association, the Manual sets the gold standard in dietetic practice The Manual of Dietetic Practice remains the definitive reference for dietitians at every stage of their career. Now in its 7th edition, this essential text has been extensively revised and expanded to reflect the latest developments in dietetic science, clinical practice, and public health nutrition. It brings together the expertise of over 250 contributors—including input from the BDA Special Interest Groups—to deliver a comprehensive, evidence-based guide to the profession. Structured into six thematic parts, the book covers the full spectrum of dietetic practice, from foundational professional skills to advanced clinical interventions: Professional Practice–including new chapters on advancing practice and personalised nutrition Public Health and Food Provision–with expanded content on sustainable diets, global dietary cultures, and the food system Nutrition Throughout the Lifecycle–a brand-new section covering fertility and preconception, pregnancy, childhood, adolescence, plus a new chapter on neurodiversity Assessment, Diagnosis and Interventional Strategies–aligned with the nutrition and dietetic care process, including new chapters on dietetic diagnosis and texture-modified diets Adult Clinical Practice–fully updated and reorganised to reflect current knowledge, with new chapters on frailty, multimorbidity, and personalised cancer care Paediatric Clinical Practice–covering a wide range of paediatric topics and featuring new content on ARFID Whether you are a student embarking on your dietetic journey or a seasoned practitioner seeking to update your knowledge, this edition offers the most current, authoritative, and practical guidance available.

Contributors xiii Foreword xxi Preface xxiii Part 1 Professional practice 1 1 Professional practice 3 2 Dietary modification 16 3 Changing health behaviour 22 4 Medicines management and governance 35 5 Personal nutrition, genetics and nutritional genomics 45 6 Alternative and complementary therapies 56 7 Advancing practice in dietetics (UK approach) 63 8 Freelance practice 67 Part 2 Public health and food provision for diverse communities 75 9 Public health nutrition 77 10 Food environment and the food system 95 11 Sustainable diets 102 12 Principles of food service in hospitals 110 13 Food service in care homes and schools 120 14 Food service in the armed forces and in prisons 126 15 Global dietary cultures (supporting individuals to make dietary changes within their food culture and identity) 130 16 Food security and vulnerability (including people living with homelessness) 146 17 Learning disabilities 158 18 Food law and labelling 172 19 Dietary reference values and food-based dietary guidelines 182 20 Food composition tables and databases 188 21 Neurodiversity 198 22 Sport and exercise nutrition 205 Part 3 Nutrition through the lifecycle 215 23 Nutrition and fertility 217 24 Nutrition during the preconception phase 224 25 Nutrition during pregnancy 229 26 Nutrition after pregnancy 237 27 Infant and pre-school nutrition (0–4 years) 242 28 Childhood nutrition (5–11 years) 247 29 Adolescent nutrition (12–18 years) 250 30 Healthy eating and dietary approaches for prevention and management of cardiovascular disease 253 31 Menopause 262 32 Healthy ageing 266 Part 4 Assessment, diagnosis and intervention strategies 277 Assessment of Nutritional Status and Requirements 33 Introduction to assessing nutritional status and nutritional screening 279 34 Anthropometry and body composition 283 35 Biochemical assessment 294 36 Clinical assessment 305 37 Assessment of diet and dehydration 309 38 Environmental, social and psychological assessment 318 39 Functional assessment 321 40 Assessing nutritional requirements 325 Diagnosis and Intervention Strategies 41 Introduction to nutrition and dietetic diagnosis 334 42 Oral nutrition support 338 43 Texture-modified diets 349 44 Enteral nutrition 353 45 Parenteral nutrition 370 Part 5 Adult clinical practice 379 Systemic Conditions 46 Undernutrition 381 47 Multimorbidity 387 48 Endometriosis 396 Gastrointestinal Disorders 49 Oral diseases 402 50 Dysphagia 411 51 Disorders of the upper gastrointestinal tract 419 52 Disorders of the stomach and duodenum 424 53 Disorders of the pancreas 429 54 Disorders of the liver and biliary tract 438 55 Overview of malabsorptive conditions 461 56 Coeliac disease 467 57 Inflammatory bowel disease 480 58 Orofacial granulomatosis 490 59 Intestinal failure and rehabilitation 495 60 Irritable bowel syndrome 505 61 Constipation, diarrhoea, diverticulitis 514 Renal Disorders 62 Acute kidney injury 526 63 Chronic kidney disease 536 64 Nephrolithiasis (kidney stones) 557 Cardio-Metabolic Syndromes 65 Gout 566 66 Polycystic ovary syndrome 571 Overweight and Obesity 67 Overview of obesity 580 68 Dietary and behavioural management 583 69 Metabolic and bariatric surgery 589 70 Pharmacotherapy (obesity management medications) 598 Diabetes 71 Diabetes and impaired glucose metabolism 605 72 Type 1 diabetes 608 73 Type 2 diabetes 618 74 Gestational diabetes 624 75 Other types of diabetes, including lipodystrophy 628 Vascular Disease 76 Clinical management of cardiovascular disease 632 77 Heart failure 642 Respiratory Disease 78 Nutritional management of respiratory disease 651 79 Cystic fibrosis 660 80 Nutritional management for people living with long COVID 671 Immunological Disorders 81 Food hypersensitivity in adults 677 82 Human immunodeficiency virus 693 83 Sickle cell and other haemoglobinopathies 702 84 Inherited metabolic disorders 708 Neurological Disorders 85 Parkinson's disease 728 86 Motor neurone disease 736 87 Multiple sclerosis 744 88 Stroke 749 89 Myalgic encephalomyelitis (or chronic fatigue syndrome and encephalopathy) 759 90 Rare neurological conditions 766 Mental Health 91 Mental and neurocognitive conditions 774 92 Eating disorders 786 93 Dementias 804 Cancer 94 General aspects of cancer 813 95 Head and neck cancer 820 96 Gastrointestinal tract cancers 831 97 Breast cancer (including prevention strategies) 838 98 Lung cancers 848 99 Gynaecological cancers 855 100 Prostate cancer 863 101 Haematological cancers 868 102 Cancer cachexia 872 103 Personalised cancer care 879 Musculoskeletal Disorders 104 Osteoporosis 884 105 Arthritis 894 Trauma and Critical Care 106 Critical care 901 107 Traumatic brain injury 918 108 Spinal cord injury 926 109 Neurorehabilitation 937 110 Burn injury 946 111 Surgery 954 112 Wound healing, tissue viability and pressure ulcers 963 Geriatric Nutritional Medicine 113 Frailty 970 114 Palliative and end-of-life care 979 Part 6 Paediatric clinical practice 987 115 Essentials of paediatric dietetics 989 116 Nutritional care of the preterm infant 997 117 Growth faltering 1001 118 Paediatric food hypersensitivity 1008 119 Autism in children and young people 1017 120 Avoidant restrictive food intake disorder 1021 121 Special needs 1024 122 Childhood weight management 1026 123 Paediatric diabetes 1031 124 Cystic fibrosis in childhood 1035 125 Paediatric gastroenterology 1038 126 Paediatric general surgery 1043 127 Paediatric liver disease 1046 128 Paediatric nephrology 1049 129 Nutrition support in children with congenital heart defects 1052 130 Nutrition support in the critically ill child 1057 131 Paediatric neurology and the ketogenic diet 1062 132 Paediatric neurosurgery 1066 133 Inherited metabolic disorders in children 1069 134 Paediatric cancers 1072 Index 1077