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    • eNews - PEN eNews 11(11) November 2021
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    PEN eNews 11(11) November 2021

    PEN® eNews is a monthly e-newsletter shared with the global PEN Community and created to help dietitians position themselves as leaders in evidence-based nutrition practice. In addition, users of the PEN System will find articles on the new evidence, resources and features available and how to maximize one's use of PEN.


    Health Outcomes and Sustainable Dietary Patterns

    The Question

    What are the health outcomes of following sustainable dietary patterns?

    The Recommendation

    Data from modelling studies suggests that dietary changes towards sustainable dietary patterns (predominantly plant-based diets that meet energy needs) are associated with health benefits related to reduced mortality and chronic disease risk. The health and environmental impacts are particularly noted in high income countries. It is acknowledged that context-specific recommendations are needed to address environmental impacts in different regions (e.g. nutritional benefits derived from raising livestock in otherwise non-arable land). 

    The Evidence

    A 2016 systematic review identified that switching from usual population level diets (i.e. typical Western diet) to alternative sustainable dietary patterns (e.g. vegan, vegetarian, reducing and replacing animal with plant-based foods, pescatarian and Mediterranean) was associated with reduced all-cause mortality rate (<1 to 19%), reduced coronary heart disease risk (6 to 10%), reduced diabetes risk (7 to 12%) and reduced colorectal cancer risk (7 to 12%).  There was no association between the magnitude of environmental benefits and health benefits.  

    A 2018 modelling analysis examining the impact of sustainable dietary patterns on chronic disease in 158 countries identified that energy-balanced dietary patterns (i.e. flexitarian, pescatarian, vegetarian and vegan) were associated with 19 to 22% reduced mortality, particularly in high income countries where baseline diets were most imbalanced (i.e. excess energy intake, low in vegetables/fruit and high in red/processed meat).  

    Remarks

    In the included studies, baseline diets were obtained from average population-level intakes or food waste data and compared to theoretical alternative sustainable dietary patterns by modelling diets. The review authors described various dietary patterns that comprised ‘sustainable diets’ from exclusively plant-based to diets containing small amounts of animal-source foods; therefore, this term was retained rather than referring to plant-based diets alone. The health benefits from sustainable diets were attributed to increases in fruit, vegetable and plant-based protein consumption, reductions in red and processed meat and lower overall energy intake. 


    See Additional Content: What dietary patterns are associated with environmental benefits (e.g. reduced impacts on greenhouse gases, land and water)?


    To see the full practice question, including references, click here.

    Want to know what else is new and updated? Bookmark these pages:
    New Knowledge Pathway Content (Knowledge Pathways, Practice Questions, Summary of Recommendations and Evidence, Practice Guidance Toolkits, Backgrounds)

    Tools and Resources.

    • Sustainable Diets 

    Pregnancy: Are You Up-to-Date?


    Have you looked at the Pregnancy Knowledge Pathway lately? Here are some of the practice questions that are new or that have been updated:

    • What impact does Ramadan fasting during pregnancy have on infant and maternal health?
    • Are vitamin A supplements (including cod/fish liver oil supplements) and other rich food sources of vitamin A, such as liver, safe to consume in any amount during pregnancy?
    • What source(s) and type(s) of calcium are recommended during pregnancy?
    • Are there any concerns regarding the consumption of offal (i.e. organ meats such as stomach, kidney, gizzard) in pregnancy?
    • Is soy safe to take during pregnancy or the preconception period?
    • Is flaxseed (ground flax, flaxseed oil, flaxseed oil capsules) safe to consume during pregnancy?
    • Does the maternal consumption of nitrates during pregnancy (including cured meats containing sodium nitrate) increase health risks in children?
    • Are pregnant women more at risk for serious health outcomes when exposed to foodborne pathogens than non-pregnant women or men? If so, what steps should be taken to reduce the risk of foodborne illness?

    Looking for more pregnancy content? There are:
    5 Knowledge Pathways
    83 Practice Questions
    63 Client Handouts
    And so much more!


    Type “pregnancy” in the PEN Search as check out the results!

    • Pregnancy 

    We Need Your Expertise: PEN® Reviewers Needed 

    We need reviewers within the next few months for:

    • Allergic Disease - High Risk Infant
    • Celiac Disease
    • Cystic Fibrosis
    • Gerontology - Hydration
    • Infant Nutrition - Complementary Feeding
    • Musculoskeletal/Connective Tissue Disorders - Fibromyalgia
    • Nephrology - Kidney Stones; Acute Renal Failure; Chronic Kidney Disease

    Did you know that PEN practice questions are peer-reviewed by experts in the field, just like journal articles? There are currently more than 400 PEN Reviewers. We would love for you to join this group and share your expertise and energy. For more information, contact become a PEN Author.

    So, what do you need to be a PEN Reviewer? Take a look at this short presentation. We provide guidance and training on how to become a PEN Reviewer and can work with your interest and availability to complete the review.

    • PEN Skills, 
    • PEN Features 

    Open Access to COVID-19 Content Continues


    Although the Open Access to the entire PEN® System is now closed, we continue to make COVID-19 information, Trending Topics and PEN® eNews available to all with no PEN subscription or access credits required:
    • COVID-19
      • COVID-19 and Nutrition Background
      • COVID-19 Related Tools and Resources
    • Trending Topics
    • PEN eNews.

    If you are interested in continuing your access to the entire PEN System and you are not a current subscriber, please view the different subscription options available. Revenue from PEN subscriptions is reinvested in the system to keep the content up-to-date and constantly growing while positioning you on the leading edge in your practice. The PEN System does not accept industry revenue or advertising.

    We hope you'll be an active member of our PEN community and stay connected with us:
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    Stay Safe,
    The PEN Team

    • COVID-19 

    Raising Our Healthy Kids Videos


    Raising Our Healthy Kids is a series of free, short and snappy, 1-2 minute videos that can be used across the globe. They provide information to parents and care providers on the healthy growth and development of children up to 12 years of age. 

     There are 70 videos in total; 26 which are specifically related to food and nutrition and are also available in French.

    These evidence-based videos:

    Provide information on general nutrition, active play, healthy growth and development. Topics include:

    • Indigenous Aboriginal Health 

    • Supporting Emotional Wellness 

    • Supporting Healthy Development

    • Supporting Healthy Attachment

    • Infant Nutrition 

    • Literacy 

    • Media Literacy and Food Marketing 

    • Oral Health 

    • Play and Physical Activity 

    • Preschool Nutrition 

    • School Age Nutrition 

    Are consistent with messages in PEN: Practice-based Evidence in Nutrition®.

    Can be freely shared and used as teaching resources and discussion generators without the need to ask permission or add any form of acknowledgement for their use. You can:

    • show them in a waiting room or clinic area 
    • add them to hospital/agency TV channels and/or websites, and 
    • email them to your clients.

     

    You can access the nutrition-related videos from PEN: Practice-based Evidence in Nutrition: 

    • Infant Nutrition 

    • Preschool Nutrition 

    • Media Literacy and Food Marketing 

    • School Age Nutrition 

    • Play and Physical Activity

    You can access all 70 videos from: Vimeo website. 


    • Health Literacy, 
    • Infants, 
    • Children 
    PEN eNews
    PEN: The Global Resource for Nutrition Practice  
    November 2021  Volume 11 (11)


    A Publication of the PEN® System Global Partners,
    a collaborative partnership between International Dietetic Associations.
    Learn more about PEN.
    Copyright Dietitians of Canada . All Rights Reserved.
    Articles in this issue
  • Health Outcomes And Sustainable Dietary Patterns
  • Pregnancy: Are You Up-to-Date?
  • We Need Your Expertise: PEN Reviewers Needed
  • Open Access To COVID-19 Content Continues
  • Raising Our Healthy Kids Videos
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