{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T23:31:49Z","timestamp":1783553509606,"version":"3.55.0"},"reference-count":0,"publisher":"National Institute of Public Health NIH (National Research Institute)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rocz Panstw Zakl Hig"],"abstract":"<p><strong>ABSTRACT<\/strong><br \/>The role of dietitians is to counsel patients on special dietary modifications, develop dietary plans and provide dietary\u00a0advice for healthy lifestyle in order to promote health and prevent disease. As lifestyle changes have become a primary\u00a0reason for the increasing prevalence of non-communicable diseases in recent decades, it appears that nutritional therapy\u00a0should play an important role in the multidisciplinary healthcare system. The aim of the review was to evaluate the role\u00a0of nutritional support provided by dietitians in the prevention and treatment of chronic diseases in terms of its clinical and\u00a0cost-effectiveness, according to their range of activity and qualifications. The evaluation was based on the review of the\u00a0current literature. The costs of the treatment of non-communicable diseases encompass the costs of the treatment of the\u00a0disease itself, costs of its complications and costs resulting from the decline of the productivity of patients. The results of\u00a0studies indicate that nutritional support provides not only clinical but also cost benefits in the prevention and treatment\u00a0of various non-communicable diseases. Every \u20ac1 spend on dietary counseling of patients with obesity or obesity-related\u00a0diseases approximately returns a net \u20ac14 to \u20ac63 over a period of five years. Dietitians appear to be more effective in\u00a0counseling overweight or obese patients with present risk factors compared to other specialists, however the barriers\u00a0to accessing a qualified dietitian and problems with the reimbursement for services still exist. As adequate professional\u00a0qualifications of dietitians appear to be an important factor determining the effectiveness of implemented dietary care, an\u00a0additional training courses for dietitians and enhanced cooperation of hospitals and medical universities are needed.<\/p>\n<p><strong>STRESZCZENIE<\/strong><br \/>Rola dietetyka polega na pomaganiu pacjentom we wdra\u017caniu odpowiednich zmian w sposobie \u017cywienia, opracowywaniu\u00a0indywidualnych jad\u0142ospis\u00f3w, a tak\u017ce poradnictwie \u017cywieniowym w zakresie zdrowego stylu \u017cycia w celu zachowania\u00a0zdrowia i prewencji chor\u00f3b. Poniewa\u017c zmiany stylu \u017cycia sta\u0142y si\u0119 w ostatnim czasie g\u0142\u00f3wn\u0105 przyczyn\u0105 rosn\u0105cej\u00a0liczby zachorowa\u0144 na choroby niezaka\u017ane, wydaje si\u0119, \u017ce poradnictwo \u017cywieniowe powinno odgrywa\u0107 istotn\u0105 rol\u0119\u00a0w multidyscyplinarnym systemie opieki zdrowotnej. Celem artyku\u0142u by\u0142a ocena roli wsparcia \u017cywieniowego udzielanego\u00a0przez dietetyk\u00f3w w prewencji i leczeniu przewlek\u0142ych chor\u00f3b niezaka\u017anych w kontek\u015bcie jej efektywno\u015bci klinicznej\u00a0i ekonomicznej, w zale\u017cno\u015bci od zakresu dzia\u0142ania i kwalifikacji posiadanych przez specjalist\u00f3w z zakresu \u017cywienia.\u00a0Oceny dokonano na podstawie danych uzyskanych z przegl\u0105du pi\u015bmiennictwa naukowego z ostatnich lat. Koszty leczenia\u00a0chor\u00f3b przewlek\u0142ych og\u00f3\u0142em obejmuj\u0105 takie sk\u0142adowe jak: koszty leczenia samej choroby, koszty leczenia powsta\u0142ych\u00a0komplikacji oraz koszty wynikaj\u0105ce z utraty produktywno\u015bci pacjent\u00f3w. W badaniach wykazano, \u017ce prowadzenia terapii\u00a0\u017cywieniowej zwi\u0105zane jest z nie tylko klinicznymi, ale r\u00f3wnie\u017c ekonomicznymi korzy\u015bciami w prewencji i leczeniu\u00a0przewlek\u0142ych chor\u00f3b niezaka\u017anych. Ka\u017cde 1 euro wydane na poradnictwo dietetyczne pacjent\u00f3w z oty\u0142o\u015bci\u0105 lub chorobami\u00a0wynikaj\u0105cymi z nadmiernej masy cia\u0142a skutkuje zyskiem netto w wysoko\u015bci nawet 14-63 euro w ci\u0105gu pi\u0119ciu lat. Dietetycy\u00a0wydaj\u0105 si\u0119 by\u0107 bardziej skuteczni w prowadzeniu terapii \u017cywieniowej w grupie pacjent\u00f3w z nadwag\u0105 lub oty\u0142o\u015bci\u0105\u00a0z istniej\u0105cymi czynnikami ryzyka chor\u00f3b sercowo-naczyniowych w por\u00f3wnaniu z innymi specjalistami ochrony zdrowia,\u00a0jednak nadal istotny problem stanowi brak dost\u0119pno\u015bci do wykwalifikowanych dietetyk\u00f3w oraz brak mo\u017cliwo\u015bci zwrotu\u00a0koszt\u00f3w poradnictwa \u017cywieniowego. Jako \u017ce odpowiednie kwalifikacje zawodowe dietetyk\u00f3w wydaj\u0105 si\u0119 by\u0107 wa\u017cnym\u00a0czynnikiem decyduj\u0105cym o efektywno\u015bci prowadzonej terapii, niezb\u0119dne jest wprowadzenie kurs\u00f3w doszkalaj\u0105cych dla\u00a0dietetyk\u00f3w oraz zintensyfikowanie wsp\u00f3\u0142pracy pomi\u0119dzy szpitalami i uczelniami medycznymi.<\/p><\/jats:p>","DOI":"10.32394\/rpzh.2019.0080","type":"journal-article","created":{"date-parts":[[2019,9,13]],"date-time":"2019-09-13T06:10:22Z","timestamp":1568355022000},"page":"235-241","source":"Crossref","is-referenced-by-count":14,"title":["Role of nutritional support provided by qualified dietitians in the prevention and treatment of non-communicable diseases"],"prefix":"10.32394","volume":"70","author":[{"given":"Barbara","family":"Bednarczuk","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Czekaj\u0142o-Koz\u0142owska","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"17323","published-online":{"date-parts":[[2019,9,30]]},"container-title":["Roczniki Pa\u0144stwowego Zak\u0142adu Higieny"],"original-title":[],"link":[{"URL":"https:\/\/roczniki.pzh.gov.pl\/pdf-182572-103068","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/roczniki.pzh.gov.pl\/pdf-182572-103068","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T11:12:22Z","timestamp":1768475542000},"score":1,"resource":{"primary":{"URL":"https:\/\/roczniki.pzh.gov.pl\/Role-of-nutritional-support-provided-by-qualified-dietitians-in-the-prevention-and,182572,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,9,30]]},"references-count":0,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019]]}},"alternative-id":["182572"],"URL":"https:\/\/doi.org\/10.32394\/rpzh.2019.0080","relation":{},"ISSN":["0035-7715","2451-2311"],"issn-type":[{"value":"0035-7715","type":"print"},{"value":"2451-2311","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,9,30]]}}}