J Korean Med Assoc.  2024 Apr;67(4):278-284. 10.5124/jkma.2024.67.4.278.

Guidelines for nutrition counseling in primary healthcare clinics

Affiliations
  • 1Life Clinic, Seoul, Korea
  • 2KS Healthlink Institute, Seoul, Korea
  • 3Department of Family Medicine, Seoul National University College of Medicine, Seoul, Korea
  • 4Healthcare System Gangnam Center, Seoul National University Hospital, Seoul, Korea

Abstract

Background
Chronic diseases are a significant burden on the healthcare system. Nutrition counseling plays a pivotal role in the management and prevention of chronic diseases. Despite its importance, primary healthcare clinicians face practical challenges in providing effective nutritional guidance owing to time limitations, lack of information, and resistance of patients.
Current Concepts
This review identifies the main barriers to nutrition counseling that are encountered by primary healthcare clinicians. We propose general strategies to overcome these obstacles, emphasizing the need for simple and easy approaches in clinical settings. In addition, specific one-point counseling methods according to gender and age that can be applied in various situations, techniques related to behavior change for motivating and guiding patients, and practical tips to cope with common conditions such as diabetes, hypertension, and obesity are also discussed. Additionally, utilization of education materials, apps, and websites as convenient resources for patients is highlighted.
Discussion and Conclusion
Real-life cases demonstrated successful application of nutrition counseling in clinical practice that benefitted both the patients and clinicians. This review suggests enhancing nutrition education in medical schools and residency programs, along with activating nutrition counseling fees to motivate and support clinicians. In conclusion, this review reaffirms the importance of nutrition counseling and stresses the need for continuous learning and practice by clinicians. In the future, nutrition counseling is envisioned as a more integrated and patient-centered approach, necessitating active engagement and adaptation by primary healthcare providers.

Keyword

Primary health care; Nutrition therapy; Counseling; 일차의료; 영양요법; 상담
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