Time for food - Training physiatrists in nutritional prescription

Abstract

Introduction: Sub-optimal nutrition is a leading factor in all-cause mortality, the preponderance of noncommunicable chronic diseases, and various health conditions that are treated by physiatrists, such as stroke and musculoske letal disorders. Furthermore, patients with chronic pain have a high prevalence of nutritional deficiencies, and malnutrition has been associated with limited rehabilitation outcomes in elderly patients with hospital-associated deconditioning. Thus, physiatrists may find it valuable to include nutrition in their patient services. However, discussion of nutritional counselling in the physiatry literature is rare. Objective: To inform physiatrists about including nutritional counselling as part of the treatment they provide. Methods: The paper reviews recommended communication skills, behavioural change strategies, and opportunities for inter-professional collaboration. Further resources to educate physiatrists both in nutritional prescription and in improving their own personal health behaviours are provided. Conclusion: Training physiatrists to address nutrition is a step-wise process, described here.