Physician Nutrition Advice and Referrals to Registered Dietitians

Abstract

Purpose. This study aims to examine the frequency and content of healthcare providers’ nutrition recommendations and referrals Registered Dietitian Nutritionists (RDN). Methods. Physicians, physician assistants, nurses, and other providers (> 18 years of age) currently practicing primarily in the United States received an email survey that assessed dietary recommendations for diabetes, hypertension, dyslipidemia, overweight/obesity, and general wellbeing, frequency and comfort level of providing nutrition advice, and RDN referrals. Chi-square and Student’s t-tests were used for analysis. Results. 154 physicians (61%), registered nurses/nurse practitioners/physician assistants (19.5%), and other providers (19.5%) were included. Those with nutrition education gave nutrition advice more than those without for some, but not all, conditions (P =.01). The Mediterranean diet was most frequently recommended, except for hypertension. The DASH diet was recommended to 47.7% of patients with hypertension. More providers gave dietary advice than referred to RDNs. Dietary advice was associated with RDN referrals for diabetes (P =.01) and wellbeing (P =.05). Providers with an RDN in their practice provided advice for diabetes more than those without (P =.01). Conclusion. Healthcare providers gave nutrition recommendations consistent with evidence-based guidance. RDN referrals occur in conjunction with dietary recommendations, not as replacement.