{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T12:38:13Z","timestamp":1761914293413,"version":"build-2065373602"},"reference-count":45,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Individuals with spinal cord injury (SCI) often experience prolonged hospitalisations and are almost entirely reliant on the foodservices provided by these facilities for their nutrition and hydration needs. However, the impact of foodservice systems and dining models on patients with SCI remains poorly understood. This study aimed to investigate foodservice systems and practices employed across spinal inpatient facilities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A descriptive, cross\u2010sectional online survey was completed anonymously by purposively recruited dietitians employed in spinal inpatient facilities worldwide. The primary measures included aspects of foodservice systems, dining models and related nutrition practices, such as the nutritional targets of the menu, and other clinical foodservice\u2010related information. Quantitative data were analysed using descriptive statistics, including percentages and frequencies, while qualitative free\u2010text responses were evaluated using conventional content analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sixteen dietitians from five countries participated in the survey, with the majority representing rehabilitation facilities (10\/16; 63%). These facilities reported in\u2010house, cook\u2010fresh food production systems and caf\u00e9\u2010style dining models (6\/10; 60%). A daily energy target for the menu, ranging from 1500 to 2700\u2009kcal\/day, was reported by 12\/16 facilities (75%). A daily protein target of 80\u2013110\u2009g\/day was reported by 10\/16 facilities (63%), while only three facilities (19%) reported having a daily variable saturated fat target.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This novel study provides valuable insights into foodservices within spinal inpatient facilities, highlighting variability in the nutrient goals of menus across different sites. Particularly, the limited focus on saturated fat, despite the elevated cardiovascular risk in this population needs consideration. Future research should explore these issues in a larger, diverse sample and work toward standardising tangible nutrition practices to improve the quality of care and nutritional outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jhn.70115","type":"journal-article","created":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T06:01:01Z","timestamp":1756792861000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Foodservice Models and Nutrition Practices in Spinal Facilities: Insights and Opportunities for Improvement From a Pilot Multinational Survey"],"prefix":"10.1111","volume":"38","author":[{"given":"Isabella B.","family":"Morgan","sequence":"first","affiliation":[{"name":"Nutrition and Dietetics, Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health University of Sydney Sydney New South Wales Australia"},{"name":"Charles Perkins Centre University of Sydney Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yilin","family":"Wang","sequence":"additional","affiliation":[{"name":"Nutrition and Dietetics, Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health University of Sydney Sydney New South Wales Australia"},{"name":"Charles Perkins Centre University of Sydney Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Murray","family":"Fisher","sequence":"additional","affiliation":[{"name":"Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health University of Sydney Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter F.","family":"Collins","sequence":"additional","affiliation":[{"name":"School of Biomedical, Nutritional and Sports Sciences, Faculty of Medical Sciences Newcastle University Newcastle UK"},{"name":"Digital Transformation and Research Gold Coast Hospital and Health Service Southport Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0813-9408","authenticated-orcid":false,"given":"Priya","family":"Iyer","sequence":"additional","affiliation":[{"name":"Nutrition and Dietetics, Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health University of Sydney Sydney New South Wales Australia"},{"name":"Charles Perkins Centre University of Sydney Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,9]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_16_2_1","DOI":"10.1179\/2045772314Y.0000000245"},{"doi-asserted-by":"publisher","key":"e_1_2_16_3_1","DOI":"10.1097\/PHM.0b013e31802b8937"},{"doi-asserted-by":"publisher","key":"e_1_2_16_4_1","DOI":"10.1212\/01.wnl.0000436074.98534.6e"},{"doi-asserted-by":"publisher","key":"e_1_2_16_5_1","DOI":"10.1212\/WNL.0b013e3182a1aa68"},{"doi-asserted-by":"publisher","key":"e_1_2_16_6_1","DOI":"10.1097\/00075197-200411000-00008"},{"doi-asserted-by":"publisher","key":"e_1_2_16_7_1","DOI":"10.1038\/oby.2003.79"},{"doi-asserted-by":"publisher","key":"e_1_2_16_8_1","DOI":"10.1038\/s41393-018-0218-4"},{"doi-asserted-by":"publisher","key":"e_1_2_16_9_1","DOI":"10.1038\/s41393-024-00995-6"},{"doi-asserted-by":"publisher","key":"e_1_2_16_10_1","DOI":"10.1016\/j.apmr.2004.10.038"},{"doi-asserted-by":"publisher","key":"e_1_2_16_11_1","DOI":"10.1097\/PHM.0000000000001166"},{"doi-asserted-by":"publisher","key":"e_1_2_16_12_1","DOI":"10.1038\/s41394-024-00682-x"},{"doi-asserted-by":"publisher","key":"e_1_2_16_13_1","DOI":"10.3390\/jcm13237071"},{"doi-asserted-by":"publisher","key":"e_1_2_16_14_1","DOI":"10.1038\/s41393-020-0430-x"},{"doi-asserted-by":"publisher","key":"e_1_2_16_15_1","DOI":"10.1179\/2045772313Y.0000000180"},{"doi-asserted-by":"publisher","key":"e_1_2_16_16_1","DOI":"10.1177\/21925682211031190"},{"doi-asserted-by":"publisher","key":"e_1_2_16_17_1","DOI":"10.1097\/rnj.0000000000000108"},{"doi-asserted-by":"publisher","key":"e_1_2_16_18_1","DOI":"10.5535\/arm.2018.42.4.591"},{"unstructured":"Anywhere Hospital AROC Impairment Specific Report on Spinal Cord Injury (Inpatient \u2013 Pathway 3) July 2023\u2013June 2024 (Australasian Rehabilitation Outcomes Centre 2024).","key":"e_1_2_16_19_1"},{"doi-asserted-by":"publisher","key":"e_1_2_16_20_1","DOI":"10.1089\/neu.2016.4935"},{"unstructured":"R. L.Gupta H.Fisher M.Collins andP.Iyer Exploring Food Service Systems and Dining Models in Spinal Care Facilities \u2013 A Scoping Review (Manuscript in Preparation) (2024).","key":"e_1_2_16_21_1"},{"doi-asserted-by":"publisher","key":"e_1_2_16_22_1","DOI":"10.1186\/s12874-016-0242-z"},{"doi-asserted-by":"publisher","key":"e_1_2_16_23_1","DOI":"10.1016\/j.jbi.2019.103208"},{"doi-asserted-by":"publisher","key":"e_1_2_16_24_1","DOI":"10.1016\/j.jbi.2008.08.010"},{"unstructured":"Agency for Clinical Innovation (NSW) Nutrition Standards for Adult Inpatients in NSW Hospitals (2011).","key":"e_1_2_16_25_1"},{"volume-title":"Office of the Chief Health Officer (editor)","year":"2017","author":"NSW Ministry of Health","key":"e_1_2_16_26_1"},{"doi-asserted-by":"publisher","key":"e_1_2_16_27_1","DOI":"10.1177\/1049732305276687"},{"doi-asserted-by":"publisher","key":"e_1_2_16_28_1","DOI":"10.1016\/j.afjem.2017.08.001"},{"doi-asserted-by":"publisher","key":"e_1_2_16_29_1","DOI":"10.1017\/S136898001300164X"},{"doi-asserted-by":"publisher","key":"e_1_2_16_30_1","DOI":"10.1097\/00115514-201301000-00009"},{"doi-asserted-by":"publisher","key":"e_1_2_16_31_1","DOI":"10.46292\/sci20-00031"},{"unstructured":"Dietitians of Canada Menu Planning in Long Term Care (2020) and Canada's Food Guide (2019)(2020) https:\/\/www.dietitians.ca\/DietitiansOfCanada\/media\/Documents\/Resources\/Menu-Planning-in-Long-Term-Care-with-Canada-s-Food-Guide-2020.pdf?ext=.pdf.","key":"e_1_2_16_32_1"},{"unstructured":"British Dietetic Association Nutrition Standards. The Nutrition and Hydration Digest (3rd ed.) (2024) https:\/\/www.bda.uk.com\/practice-and-education\/the-nutrition-and-hydration-digest\/nutrition-standards.html.","key":"e_1_2_16_33_1"},{"doi-asserted-by":"publisher","key":"e_1_2_16_34_1","DOI":"10.1097\/00005373-198505000-00008"},{"doi-asserted-by":"publisher","key":"e_1_2_16_35_1","DOI":"10.1017\/S0007114521003822"},{"doi-asserted-by":"publisher","key":"e_1_2_16_36_1","DOI":"10.1310\/sci2404-379"},{"doi-asserted-by":"publisher","key":"e_1_2_16_37_1","DOI":"10.1097\/PHM.0b013e31802f0247"},{"doi-asserted-by":"publisher","key":"e_1_2_16_38_1","DOI":"10.1161\/JAHA.121.025064"},{"doi-asserted-by":"publisher","key":"e_1_2_16_39_1","DOI":"10.3390\/nu13020677"},{"doi-asserted-by":"publisher","key":"e_1_2_16_40_1","DOI":"10.1177\/0734242X221122604"},{"doi-asserted-by":"publisher","key":"e_1_2_16_41_1","DOI":"10.1111\/1747-0080.12881"},{"doi-asserted-by":"publisher","key":"e_1_2_16_42_1","DOI":"10.3390\/nu15020310"},{"doi-asserted-by":"publisher","key":"e_1_2_16_43_1","DOI":"10.1111\/jhn.13357"},{"doi-asserted-by":"publisher","key":"e_1_2_16_44_1","DOI":"10.1111\/jhn.70068"},{"doi-asserted-by":"publisher","key":"e_1_2_16_45_1","DOI":"10.1111\/jocn.17009"},{"doi-asserted-by":"publisher","key":"e_1_2_16_46_1","DOI":"10.1111\/jhn.70079"}],"container-title":["Journal of Human Nutrition and Dietetics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jhn.70115","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T12:33:10Z","timestamp":1761913990000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jhn.70115"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":45,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1111\/jhn.70115"],"URL":"https:\/\/doi.org\/10.1111\/jhn.70115","archive":["Portico"],"relation":{},"ISSN":["0952-3871","1365-277X"],"issn-type":[{"type":"print","value":"0952-3871"},{"type":"electronic","value":"1365-277X"}],"subject":[],"published":{"date-parts":[[2025,9]]},"assertion":[{"value":"2025-02-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70115"}}