{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T19:42:22Z","timestamp":1791574942873,"version":"4.3.4"},"reference-count":49,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T00:00:00Z","timestamp":1783814400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T00:00:00Z","timestamp":1783814400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Diet is a modifiable risk factor linking oral and systemic health, contributing to dental caries and weight\u2010related outcomes (including underweight, overweight and obesity) in the paediatric population. However, dietary advice provided by dental professionals in primary dental care is often brief and sugar\u2010focused, representing a missed opportunity to address shared risk factors. Integrating dietitians into primary dental care may support more holistic paediatric preventative care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To develop expert consensus on the components required to integrate dietitians into primary dental care to address diet as a common risk factor in paediatric oral health and weight\u2010related outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A three\u2010round online Delphi study was conducted with dietitians and dental professionals, followed by patient and public involvement (PPI) consultation with caregivers and children and young people. Round 1 open\u2010text responses were thematically analysed and synthesised into 158 statements. In Rounds 2 and 3, experts rated statements using a 7\u2010point Likert scale. Consensus agreement was defined\n                      <jats:italic>a priori<\/jats:italic>\n                      as \u2265\u200970% agreement (ratings of 6 or 7) and &lt;\u200915% disagreement (ratings of 1 or 2) across the panel and within both professional groups. Results were summarised using descriptive statistics.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirty\u2010six, twenty\u2010eight, and twenty\u2010five experts completed Delphi Rounds 1, 2 and 3, respectively. Round 1 generated 158 statements, of which 90 achieved full consensus agreement by Round 3. Full consensus agreement was reached on safeguards for discussing weight\u2010related outcomes sensitively, referral criteria for oral\u2010health dietary support, training and skill development, organisational structures for collaboration, communication pathways and role clarification. No single approach to identifying weight\u2010related outcomes met the predefined agreement threshold and remained exploratory.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study identified consensus\u2010based components for integrating dietitians into primary dental care, providing a practical foundation to inform the design and piloting of integrated dietetic\u2010dental care models with potential to improve oral health and broader child health outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jhn.70305","type":"journal-article","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T06:42:58Z","timestamp":1783924978000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Defining Consensus\u2010Based Components for Integrating Dietitians Into Primary Dental Care for Paediatric Populations: A Delphi Study"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-6039-1274","authenticated-orcid":false,"given":"Lauren","family":"Hallewell","sequence":"first","affiliation":[{"name":"School of Health Professions, Faculty of Health University of Plymouth Plymouth UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3939-4743","authenticated-orcid":false,"given":"Raul","family":"Bescos","sequence":"additional","affiliation":[{"name":"School of Health Professions, Faculty of Health University of Plymouth Plymouth UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8096-6256","authenticated-orcid":false,"given":"Zoe","family":"Brookes","sequence":"additional","affiliation":[{"name":"Peninsula Dental School, Faculty of Health University of Plymouth Plymouth UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6424-4376","authenticated-orcid":false,"given":"Robert","family":"Witton","sequence":"additional","affiliation":[{"name":"Peninsula Dental School, Faculty of Health University of Plymouth Plymouth UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4424-1087","authenticated-orcid":false,"given":"Patricia","family":"Casas\u2010Agustench","sequence":"additional","affiliation":[{"name":"School of Health Professions, Faculty of Health University of Plymouth Plymouth UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,12]]},"reference":[{"key":"e_1_2_13_2_1","unstructured":"World Health Organisation \u201cSugars and Dental Caries \u201d2025 https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/sugars-and-dental-caries."},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1159\/000484988"},{"key":"e_1_2_13_4_1","unstructured":"\u201cDental Caries and Obesity: Their Relationship in Children \u201d GOV.UK published2019 https:\/\/www.gov.uk\/government\/publications\/dental-caries-and-obesity-their-relationship-in-children."},{"key":"e_1_2_13_5_1","unstructured":"NICE Guidelines \u201cGeneral Principles of Care \u201d Overweight and Obesity Management Guidance NICE published2025 https:\/\/www.nice.org.uk\/guidance\/ng246\/chapter\/General-principles-of-care."},{"key":"e_1_2_13_6_1","unstructured":"World Health Organisation Global Oral Health Status Report Towards Universal Health Coverage for Oral Health by 2030 Published2022 https:\/\/www.who.int\/data\/gho\/data\/themes\/oral-health-data-portal."},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.advnut.2025.100528"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2021.654139"},{"issue":"1","key":"e_1_2_13_9_1","first-page":"5","article-title":"Preventive Care and Recall Intervals. 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