Are you eating healthy? Nutrition discourse in Midwestern clinics for the underserved

Objective: To investigate nutrition information provided and exchanged between patients and health providers in Midwestern clinics for underserved populations. Methods: Forty-six clinic visits were observed to determine content and direction of nutrition information. In-depth data were collected with clinicians and clinic administrators regarding nutrition education provided to patients. Results: All patients were diagnosed with multiple obesity-related morbidities. Although women more often posed nutrition questions, few patients asked about dietary intake. Two-thirds of healthcare professionals initiated discussion about dietary intake; however, nutrition education was not provided regardless of clinician's profession. Conclusions: Patients did not appear to link morbidity with diet. Providers did not share comprehensive nutrition knowledge during clinic visits. Dietitians, who specialize in nutrition education, rarely had access to patients. Implications: Nutrition education during clinic visits is essential for reducing obesity rates. Nutrition students need clinic experience and could provide important patient education at low cost. (C) 2016 Elsevier Ireland Ltd. All rights reserved.