{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T20:28:13Z","timestamp":1793046493709,"version":"4.5.0"},"reference-count":34,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004281","name":"National Science Centre","doi-asserted-by":"publisher","award":["2023\/49\/B\/HS5\/00127"],"award-info":[{"award-number":["2023\/49\/B\/HS5\/00127"]}],"id":[{"id":"10.13039\/501100004281","id-type":"DOI","asserted-by":"publisher"}]},{"award":["2023\/49\/B\/HS5\/00127"],"award-info":[{"award-number":["2023\/49\/B\/HS5\/00127"]}],"id":[{"id":"https:\/\/ror.org\/03ha2q922","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background\/Objectives: Dietitians play a pivotal role in promoting healthy eating, yet their perspectives on effective communication channels and campaign priorities remain under-researched, particularly in cross-national contexts. This study compared European dietitians\u2019 opinions on communication channels and priority topics for healthy eating campaigns targeting different age groups. Methods: A cross-sectional survey was conducted among 131 dietitians from Poland (n = 56), France (n = 36), the United Kingdom (n = 26), and Germany (n = 13). Participants rated the importance of 19 communication channels on a 5-point scale and selected three priority topics from 16 options for children, adults, and elderly populations. Data were analysed using one-way ANOVA with Bonferroni post-hoc tests and Chi-square tests (significance at p &lt; 0.05). Results: Interpersonal channels\u2014dietitians\u2019 own recommendations (M = 4.10) and recommendations from family\/friends (M = 4.02)\u2014were rated the highest across all countries. Significant national differences emerged for digital channels: Polish dietitians rated social media the highest, while British dietitians were the most sceptical (apps: Poland 3.73 vs. UK 2.81, p &lt; 0.001). Limiting processed foods (60.3%) and increasing fruit\/vegetable consumption (59.5%) were top child priorities, with national variations for fast food (Poland 28.6% vs. France 5.6%, p = 0.006). For elderly populations, dietary diversity (49.6%) and fruit\/vegetable intake (42.7%) led in terms of priorities; salt limitation was prioritised only in Poland (23.2%) and France (16.7%), p = 0.017. Conclusions: While European dietitians agree on interpersonal communication and core nutritional messages, national contexts shape digital tool perceptions and campaign priorities. Culturally sensitive, targeted nutrition communication strategies are needed to address diverse population needs across Europe.<\/jats:p>","DOI":"10.3390\/nu18172932","type":"journal-article","created":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T10:30:46Z","timestamp":1788777046000},"page":"2932","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Opinions of European Dietitians About Communications Promoting Healthy Eating: An International Comparative Study"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1535-5659","authenticated-orcid":false,"given":"Pawe\u0142","family":"Bry\u0142a","sequence":"first","affiliation":[{"name":"Department of International Marketing and Retailing, University of Lodz, 90-131 \u0141\u00f3d\u017a, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0744-1610","authenticated-orcid":false,"given":"Beata","family":"Ciabiada-Bry\u0142a","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine, Medical University of Lodz, 90-752 \u0141\u00f3d\u017a, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"key":"ref_1","unstructured":"Gandy, J. (2014). Manual of Dietetic Practice, Wiley-Blackwell. [5th ed.]."},{"key":"ref_2","first-page":"426","article-title":"Are doctors and nutritionists sufficiently trained to provide nutrition care to patients? A cross-sectional survey in Australia","volume":"77","author":"Adamski","year":"2020","journal-title":"Nutr. Diet."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1146\/annurev.publhealth.29.020907.090926","article-title":"Creating healthy food and eating environments: Policy and environmental approaches","volume":"29","author":"Story","year":"2008","journal-title":"Annu. Rev. Public Health"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"e87","DOI":"10.2196\/jmir.3504","article-title":"Exploring women\u2019s beliefs and perceptions about healthy eating blogs: A qualitative study","volume":"17","author":"Provencher","year":"2015","journal-title":"J. Med. Internet Res."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1076","DOI":"10.1002\/hpja.840","article-title":"Oral health knowledge, attitudes and practices of dietitians in Australia: A national survey","volume":"35","author":"Ramjan","year":"2024","journal-title":"Health Promot. J. Austr."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1111\/j.1365-277X.2011.01218.x","article-title":"Attitudinal and demographic determinants of diet quality and implications for policy targeting","volume":"25","author":"Traill","year":"2012","journal-title":"J. Hum. Nutr. Diet."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"882","DOI":"10.1093\/her\/cyv051","article-title":"Using formative research to develop a nutrition education resource aimed at assisting low-income households in South Africa adopt a healthier diet","volume":"30","author":"Ketterer","year":"2015","journal-title":"Health Educ. Res."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"76","DOI":"10.3148\/cjdpr-2015-004","article-title":"Examining the promotion of healthy eating among exercise specialists: A cross-sectional study","volume":"76","author":"Johnson","year":"2015","journal-title":"Can. J. Diet. Pract. Res."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"424","DOI":"10.3148\/cjdpr-2024-012","article-title":"Culinary medicine and teaching kitchens: Dietitians leading innovative nutrition training for physicians","volume":"85","author":"Rysdale","year":"2024","journal-title":"Can. J. Diet. Pract. Res."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"998","DOI":"10.1097\/JOM.0000000000001390","article-title":"Meal planning program to reduce barriers and improve diet quality in worksite wellness center members","volume":"60","author":"Zeratsky","year":"2018","journal-title":"J. Occup. Environ. Med."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.nut.2009.05.001","article-title":"Food security measurement in cultural pluralism: Missing the point or conceptual misunderstanding?","volume":"26","author":"Renzaho","year":"2010","journal-title":"Nutrition"},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Bry\u0142a, P. (2020). O\u015bwiadczenia Zdrowotne i \u017bywieniowe na Rynku Produkt\u00f3w \u017bywno\u015bciowych [Health and Nutrition Claims on the Market of Food Products], Lodz University Press.","DOI":"10.18778\/8142-872-9"},{"key":"ref_13","unstructured":"Bry\u0142a, P. (2026). Policy of promoting healthy eating\u2014An international comparative analysis and research on the conditions of effectiveness of selected solutions [Dataset]. Zenodo."},{"key":"ref_14","unstructured":"Glanz, K., Rimer, B.K., and Viswanath, K. (2015). Health Behavior: Theory, Research, and Practice, Jossey-Bass. [5th ed.]."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1177\/1090198104263660","article-title":"Health promotion by social cognitive means","volume":"31","author":"Bandura","year":"2004","journal-title":"Health Educ. Behav."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Chatterjee, S., Bry\u0142a, P., and Ciabiada-Bry\u0142a, B. (2025). Social marketing for a healthy diet: A systematic literature review. Nutr. Rev., nuaf194.","DOI":"10.1093\/nutrit\/nuaf194"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"425","DOI":"10.2307\/30036540","article-title":"User acceptance of information technology: Toward a unified view","volume":"27","author":"Venkatesh","year":"2003","journal-title":"MIS Q."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1186\/1748-5908-6-42","article-title":"The behaviour change wheel: A new method for characterising and designing behaviour change interventions","volume":"6","author":"Michie","year":"2011","journal-title":"Implement. Sci."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1177\/1470595809346601","article-title":"National cultures and organisations in search of a theory: An interpretative approach","volume":"9","year":"2009","journal-title":"Int. J. Cross Cult. Manag."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1016\/j.pec.2013.06.020","article-title":"Patients\u2019 and health professionals\u2019 use of social media in health care: Motives, barriers and expectations","volume":"92","author":"Antheunis","year":"2013","journal-title":"Patient Educ. Couns."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1093\/ehjdh\/ztae009","article-title":"Risks and benefits of sharing patient information on social media: A digital dilemma","volume":"5","author":"Camm","year":"2024","journal-title":"Eur. Heart J. Digit. Health"},{"key":"ref_22","unstructured":"BDA (2026, August 30). Dietitians\u2019 Guide to TikTok. Available online: https:\/\/www.bda.uk.com\/news-campaigns\/media\/join-the-conversation-on-social-media\/tiktok.html."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1016\/j.maturitas.2011.08.005","article-title":"Tracking of obesity-related behaviours from childhood to adulthood: A systematic review","volume":"70","author":"Craigie","year":"2011","journal-title":"Maturitas"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"k322","DOI":"10.1136\/bmj.k322","article-title":"Consumption of ultra-processed foods and cancer risk: Results from NutriNet-Sant\u00e9 prospective cohort","volume":"360","author":"Fiolet","year":"2018","journal-title":"BMJ"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"936","DOI":"10.1017\/S1368980018003762","article-title":"Ultra-processed foods: What they are and how to identify them","volume":"22","author":"Monteiro","year":"2019","journal-title":"Public Health Nutr."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1111\/j.1753-4887.2011.00456.x","article-title":"Global nutrition transition and the pandemic of obesity in developing countries","volume":"70","author":"Popkin","year":"2012","journal-title":"Nutr. Rev."},{"key":"ref_27","unstructured":"Inchley, J., Currie, D., Young, T., Samdal, O., Torsheim, T., Augustson, L., Mathison, F., Aleman-Diaz, A.Y., Molcho, M., and Weber, M.W. (2016). Growing Up Unequal: Gender and Socioeconomic Differences in Young People\u2019s Health and Well-Being, WHO Regional Office for Europe."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1029","DOI":"10.1093\/ije\/dyw319","article-title":"Fruit and vegetable intake and the risk of cardiovascular disease, total cancer and all-cause mortality\u2014A systematic review and dose-response meta-analysis of prospective studies","volume":"46","author":"Aune","year":"2017","journal-title":"Int. J. Epidemiol."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"l1451","DOI":"10.1136\/bmj.l1451","article-title":"Ultra-processed food intake and risk of cardiovascular disease: Prospective cohort study (NutriNet-Sant\u00e9)","volume":"365","author":"Srour","year":"2019","journal-title":"BMJ"},{"key":"ref_30","first-page":"277","article-title":"Influences on diet quality in older age: The importance of social factors","volume":"46","author":"Bloom","year":"2017","journal-title":"Age Ageing"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/j.clnu.2018.05.024","article-title":"ESPEN guideline on clinical nutrition and hydration in geriatrics","volume":"38","author":"Volkert","year":"2019","journal-title":"Clin. Nutr."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1096","DOI":"10.1016\/S0002-8223(02)90246-4","article-title":"Higher dietary variety is associated with better nutritional status in frail elderly people","volume":"102","author":"Bernstein","year":"2002","journal-title":"J. Am. Diet. Assoc."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"538","DOI":"10.1038\/ejcn.2010.293","article-title":"Diet quality and the influence of social and physical factors on food consumption and nutrient intake in materially deprived older people","volume":"65","author":"Holmes","year":"2011","journal-title":"Eur. J. Clin. Nutr."},{"key":"ref_34","first-page":"300","article-title":"Describing the process of adopting nutritious and healthy eating: A cross-sectional study among adults in Germany","volume":"125","author":"Sproesser","year":"2018","journal-title":"Appetite"}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/18\/17\/2932\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T10:45:21Z","timestamp":1788777921000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/18\/17\/2932"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,7]]},"references-count":34,"journal-issue":{"issue":"17","published-online":{"date-parts":[[2026,9]]}},"alternative-id":["nu18172932"],"URL":"https:\/\/doi.org\/10.3390\/nu18172932","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,7]]}}}