{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T15:27:06Z","timestamp":1780068426111,"version":"3.54.0"},"reference-count":31,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,1,6]],"date-time":"2021-01-06T00:00:00Z","timestamp":1609891200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>In 2019, Canada's Food Guide underwent its first transformation in over a decade. The change received considerable attention given the increased focus on plant\u2010based proteins and the decision to eliminate the milk and alternatives food group. Yet little is known about health professionals' views of these updates. In response, the present study examined Canadian dietitians' attitudes and behaviours towards the guide's expanded plant\u2010based recommendations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A pan\u2010Canadian cross\u2010sectional online survey was administered from January to March 2020 to currently practicing registered dietitians. The study was pre\u2010registered, piloted and received ethical approval. Descriptive and inferential statistics were performed and open\u2010text responses underwent thematic analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 411 dietitians from 10 provinces and various work settings participated. Most dietitians (82.8%) consider the food guide's recommendation to choose protein foods that come from plants more often is evidence\u2010based. Compared to its predecessor, dietitians encourage their patients\/clients to choose protein foods that come from plants (<jats:italic>p\u00a0&lt;<\/jats:italic>\u00a00.001) and non\u2010dairy sources of calcium (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001) significantly more frequently under the new guide. A slight majority of dietitians (57.7%) agree with the decision to omit the standalone milk and alternatives group in favour of bringing dairy into the protein category.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Canadian dietitians generally look favourably upon the new plant\u2010based recommendations and have adjusted their nutrition counselling in response. The findings are considered to be the first to characterise how dietitians view changes to the plant\u2010based content of one of the most recognisable diet\u2010related educational tools in Canada.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jhn.12845","type":"journal-article","created":{"date-parts":[[2021,1,8]],"date-time":"2021-01-08T18:06:32Z","timestamp":1610129192000},"page":"715-723","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Registered dietitians' perceptions and use of the plant\u2010based recommendations in the 2019 Canada's Food Guide"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0111-2795","authenticated-orcid":false,"given":"K. E.","family":"Asher","sequence":"first","affiliation":[{"name":"Department of Nursing and Health Sciences University of New Brunswick Saint John NB Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4420-8199","authenticated-orcid":false,"given":"S.","family":"Doucet","sequence":"additional","affiliation":[{"name":"Department of Nursing and Health Sciences University of New Brunswick Saint John NB Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2800-579X","authenticated-orcid":false,"given":"A.","family":"Luke","sequence":"additional","affiliation":[{"name":"Department of Nursing and Health Sciences University of New Brunswick Saint John NB Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,1,6]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.numecd.2019.06.019"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2013.11.003"},{"key":"e_1_2_9_4_1","unstructured":"International Agency for Research on Cancer.Red meat and processed Meat: IARC monographs on the evaluation of carcinogenic risks to humans [Internet].2018.https:\/\/monographs.iarc.fr\/wp\u2010content\/uploads\/2018\/06\/mono114.pdf(accessed January 2020)."},{"key":"e_1_2_9_5_1","unstructured":"World Cancer Research Fund & American Institute for Cancer Research.Diet nutrition physical activity and colorectal cancer.2018."},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)31788-4"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.1523119113"},{"key":"e_1_2_9_8_1","unstructured":"CharleboisS SomogyiS MusicJ.Plant\u2010based dieting and meat attachment: Protein wars and the changing Canadian consumer (preliminary results).2018."},{"key":"e_1_2_9_9_1","unstructured":"Health Canada.Canada\u2019s Food Guide.2019.https:\/\/food\u2010guide.canada.ca\/en\/(accessed January 2020)."},{"key":"e_1_2_9_10_1","unstructured":"Health Canada.Eat protein foods.2019.https:\/\/food\u2010guide.canada.ca\/en\/healthy\u2010eating\u2010recommendations\/make\u2010it\u2010a\u2010habit\u2010to\u2010eat\u2010vegetables\u2010fruit\u2010whole\u2010grains\u2010and\u2010protein\u2010foods\/eat\u2010protein\u2010foods\/(accessed January 2020)."},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)30202-8"},{"key":"e_1_2_9_12_1","unstructured":"Health Canada.History of Canada\u2019s Food Guides from 1942 to 2007.2007.https:\/\/www.canada.ca\/en\/health\u2010canada\/services\/canada\u2010food\u2010guide\/about\/history\u2010food\u2010guide.html#a1942(accessed January 2020)."},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.3148\/cjdpr-2015-014"},{"key":"e_1_2_9_14_1","unstructured":"HuiA.Canada\u2019s new food guide shifts toward plant\u2010based diets at expense of meat dairy. 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