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status.\tUse\tof\topen-ended\tquestions\tencourages\tthe\tclient\tto\tdiscuss\tdietary\tchange\tprogress\tand\ndifficulties.\tChange\n\tis\tpromoted\tthrough\tdiscussions\tfocused\ton\tpossible\treasons\tfor\tchange.\tThe\ncounselor\tmight\task\tthe\tquestion:\t“What\twould\tneed\tto\tbe\tdifferent\tto\tmove\tforward?” | [
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This\tstage\tis\tcharacterized\tby\tfeelings\tof\tambivalence.\tThe\tcounselor\tencourages\tthe\tclient\tto\nexplore\tambivalence\tto\tchange\tby\tthinking\tabout\t“pros”\tand\t“cons.”\tSome\tquestions\tto\task\tare:\n•\t\n“What\tare\tsome\tof\tthe\tthings\tyou\tlike\tabout\n\tyour\tcurrent\teating\thabits?”\n•\t\n“Wha... | [
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•\t\n“What\tare\tsome\tof\tthe\tthings\tthat\tare\tnot\tso\tgood\tabout\tmaking\ta\tnew\tor\tadditional\nchange?”\nBy\ttrying\tto\tlook\tinto\tthe\tfuture,\tthe\tnutrition\tcounselor\tcan\thelp\ta\tclient\tsee\tnew\tand\toften\npositive\tscenarios.\tAs\ta\tchange\tfacilitator,\tthe\tcounselor\thelps\tto\ttip\tthe\tbala... | [
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ambivalent\tabout\tchange\ttoward\tconsidering\tchange\tby\tguiding\tthe\tclient\tto\ttalk\tabout\twhat\tlife\nmight\tbe\tlike\tafter\ta\tchange,\tanticipating\tthe\tdifficulties\tas\twell\tas\tthe\tadvantages.\tAn\texample\tof\tan\nopening\tto\tgenerate\tdiscussion\twith\tthe\tclient\tmight\tbe:\t“I\tcan\tsee\twhy\tyo... | [
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new\tor\tadditional\tchanges\tin\tyour\teating\thabits.\tImagine\tthat\tyou\tdecided\tto\tchange.\tWhat\twould\nthat\tbe\tlike?\tWhat\twould\tyou\twant\tto\tdo?”\tThe\tcounselor\tthen\tsummarizes\tthe\tclient’s\tstatements\nabout\tthe\t“pros”\tand\t“cons”\tof\tmaking\ta\tchange\tand\tincludes\tany\tstatements\tabout\tw... | [
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intending,\tor\tplanning\tto\tchange.\nThe\tnext\tstep\tis\tto\tnegotiate\ta\tchange.\tThere\tare\tthree\tparts\tto\tthe\t\nnegotiation\n\tprocess.\tThe\tfirst\nis\tsetting\tgoals.\tSet\tbroad\tgoals\tat\tfirst\tand\thold\tmore\tspecific\tnutritional\n\tgoals\tuntil\tlater.\t“How\nwould\tyou\tlike\tthings\tto\tbe\tdiff... | [
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change?”\nThe\tsecond\tstep\tin\tnegotiation\tis\tto\tconsider\toptions.\tThe\tcounselor\tasks\tabout\talternative\nstrategies\tand\toptions\tand\tthen\tasks\tthe\tclient\tto\tchoose\tfrom\tamong\tthem.\tThis\tis\teffective\nbecause,\tif\tthe\tfirst\tstrategy\tdoes\tnot\twork,\tthe\tclient\thas\tother\tchoices.\n\tThe\... | [
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The\tthird\tstep\tis\tto\tarrive\tat\na\tplan,\tone\tthat\thas\tbeen\tdevised\tby\tthe\tclient.\tThe\tcounselor\ttouches\ton\tthe\tkey\tpoints\tand\tthe\nproblems\tand\tthen\tasks\tthe\tclient\tto\twrite\tdown\tthe\tplan.\nTo\tend\tthe\tsession\tthe\tcounselor\tasks\tabout\tthe\tnext\tstep,\tallowing\tthe\tclient\tto\t... | [
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might\toccur\tnext\tin\tthe\tprocess\tof\tchange.\tThe\tfollowing\tquestions\tprovide\tsome\tideas\tthat\tmight\npromote\tdiscussion:\n•\t\n“Where\tdo\tyou\tthink\tyou\twill\tgo\tfrom\there?”\n•\t\n“What\tdo\tyou\tplan\tto\tdo\tbetween\tnow\tand\tthe\tnext\tvisit?”\nResistance\tbehaviors\tand\tstrategies\tto\tmodify\tt... | [
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Resistance\tbehaviors\tand\tstrategies\tto\tmodify\tthem\nResistance\tto\tchange\tis\tthe\tmost\tconsistent\temotion\tor\tstate\twhen\tdealing\twith\tclients\twho\thave\ndifficulty\twith\tdietary\tchange.\tExamples\tof\tresistance\tbehaviors\ton\tthe\tpart\tof\tthe\tclient\tinclude\ncontesting\tthe\taccuracy,\texpertis... | [
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contesting\tthe\taccuracy,\texpertise,\n\tor\tintegrity\tof\tthe\tnutrition\tcounselor;\tor\tdirectly\tchallenging\tthe\naccuracy\tof\tthe\tinformation\tprovided\t(e.g.,\tthe\taccuracy\tof\tthe\tnutrition\tcontent).\tThe\tnutrition\ncounselor\tmay\teven\tbe\tconfronted\twith\ta\thostile\tclient.\tResistance\tmay\talso\... | [
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when\tthe\tclient\tbreaks\tin\tduring\ta\tconversation\tin\ta\tdefensive\tmanner.\tIn\tthis\tcase\tthe\tclient\tmay\nspeak\twhile\tthe\tnutrition\tcounselor\n\tis\tstill\ttalking\twithout\twaiting\tfor\tan\tappropriate\tpause\tor\nsilence.\tIn\tanother,\tmore\tobvious\tmanner,\tthe\tclient\tmay\tbreak\tin\twith\twords\... | [
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nutrition\tcounselor’s\tdiscussion.\nWhen\tclients\texpress\tan\tunwillingness\tto\trecognize\tproblems,\tcooperate,\taccept\tresponsibility,\tor\ntake\tadvice,\tthey\tmay\tbe\tdenying\ta\tproblem.\tSome\tclients\tblame\tother\tpeople\tfor\ttheir\tproblems\n(e.g.,\n\tspouses\tor\tpartners\tmay\tblame\teach\tother\tfor\... | [
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clients\tmay\tdisagree\twith\tthe\tnutrition\tcounselor\twhen\ta\tsuggestion\tis\toffered,\tbut\tthey\tfrequently\nprovide\tno\tconstructive\talternative.\tThe\tfamiliar\t“Yes,\tbut\t.\t.\t.\t”\texplains\twhat\tis\twrong\twith\tthe\nsuggestion\tbut\toffers\tno\talternative\tsolution.\nClients\ttry\tto\texcuse\ttheir\tb... | [
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Clients\ttry\tto\texcuse\ttheir\tbehavior.\tA\tclient\tmay\tsay,\n\t“I\twant\tto\tdo\tbetter,\tbut\tmy\tlife\tis\tin\ta\tturmoil\nsince\tmy\thusband\tdied\t3\tyears\tago.”\tAn\texcuse\tthat\twas\tonce\tacceptable\tis\treused\teven\twhen\tit\tis | [
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no\tlonger\ta\tfactor\tin\tthe\tclient’s\tlife.\nSome\tclients\tmake\tpessimistic\tstatements\tabout\tthemselves\tor\tothers.\tThis\tis\tdone\tto\tdismiss\tan\ninability\tto\tfollow\tan\teating\tpattern\tby\texcusing\tpoor\tcompliance\tas\tjust\ta\tgiven\tresulting\tfrom\tpast\nbehaviors.\n\tExamples\tare\t“My\tpartner... | [
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a\tgoal.\tI’m\tsure\tI\twon’t\tdo\twell\twith\tit\tnow.”\nIn\tsome\tcases,\tclients\tare\treluctant\tto\taccept\toptions\tthat\tmay\thave\tworked\tfor\tothers\tin\tthe\tpast.\nThey\texpress\treservations\tabout\tinformation\tor\tadvice\tgiven.\t“I\tjust\tdon’t\tthink\tthat\twill\twork\tfor\nme.”\tSome\tclients\twill\te... | [
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or\tan\tintention\tnot\tto\tchange.\tThey\nmake\tit\tvery\tclear\tthat\tthey\twant\tto\tstop\tthe\tdietary\tregimen.\nOften\tclients\tshow\tevidence\tthat\tthey\tare\tnot\tfollowing\tthe\tnutrition\tcounselor’s\tadvice.\tClues\tthat\nthis\tis\thappening\tinclude\tusing\ta\tresponse\tthat\tdoes\tnot\tanswer\tthe\tquesti... | [
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to\ta\tquestion,\tor\tchanging\tthe\tdirection\tof\tthe\tconversation.\nThese\ttypes\tof\tbehaviors\tcan\toccur\n\twithin\ta\tcounseling\tsession\tas\tclients\tmove\tfrom\tone\tstage\tto\nanother.\tThey\tare\tnot\tnecessarily\tstage-specific,\talthough\tmost\tare\tconnected\twith\teither\tthe\t“not | [
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ready”\tor\t“unsure-about-change”\tstages.\tA\tvariety\tof\tstrategies\tare\tavailable\tto\tassist\tthe\tnutrition\ncounselor\tin\tdealing\twith\tthese\tdifficult\tcounseling\tsituations.\tThese\tstrategies\tinclude\treflecting,\ndouble-sided\treflection,\tshifting\n\tfocus,\tagreeing\twith\ta\ttwist,\temphasizing\tper... | [
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focus,\tagreeing\twith\ta\ttwist,\temphasizing\tpersonal\tchoice,\tand\nreframing.\tEach\tof\tthese\toptions\tis\tdescribed\tin\tthe\tfollowing\tparagraphs.\nReflecting.\nIn\treflecting,\tthe\tcounselor\tidentifies\tthe\tclient’s\temotion\tor\tfeeling\tand\treflects\tit\tback.\tThis\tallows | [
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the\tclient\tto\tstop\tand\treflect\ton\twhat\twas\tsaid.\tAn\texample\tof\tthis\ttype\tof\tcounseling\tis,\t“You\tseem\tto\nbe\tvery\tfrustrated\tby\twhat\tyour\n\twife\tsays\tabout\tyour\tfood\tchoices.”\nDouble-sided\treflection.\nIn\t\ndouble-sided\treflection\n,\tthe\tcounselor\tuses\tideas\tthat\tthe\tclient\thas... | [
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show\tthe\tdiscrepancy\tbetween\tthe\tclient’s\tcurrent\twords\tand\tthe\tprevious\tones.\tFor\texample:\nClient:\tI\tam\tdoing\tthe\tbest\tI\tcan.\t(Previously\tthis\tclient\tstated\tthat\tshe\tsometimes\tjust\tgives\nup\tand\tdoesn’t\tcare\tabout\tmaking\tdietary\tmodifications.)\nNutrition\tCounselor:\tOn\tthe\tone\... | [
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recall\tthat\tyou\tsaid\tyou\tjust\tfelt\tlike\tgiving\tup\tand\tdidn’t\tcare\tabout\tmaking\tdietary\tchanges.\nDo\tyou\tremember\tthat?\tHow\twas\tthat\tpoint\tin\ttime\tdifferent\tthan\tnow?\nShifting\tfocus.\nClients\tmay\thold\tonto\tan\tidea\tthat\tthey\tthink\tis\tgetting\tin\tthe\tway\tof\ttheir\tprogress.\tThe... | [
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might\tquestion\n\tthe\tfeasibility\tof\tcontinuing\tto\tfocus\ton\tthis\tbarrier\tto\tchange\twhen\tother\tbarriers\nmay\tbe\tmore\tappropriate\ttargets.\tFor\texample:\nClient:\tI\twill\tnever\tbe\table\treduce\tmy\tsaturated\tfat\tintake\tas\tlong\tas\tmy\tgrandchildren\tcome\nto\tmy\thouse\tand\twant\tsnacks. | [
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to\tmy\thouse\tand\twant\tsnacks.\nNutrition\tCounselor:\tAre\tyou\tsure\tthat\tthis\tis\treally\tthe\tproblem?\tIs\tpart\tof\tthe\tproblem\tthat\nyou\tlike\tthose\tsame\tsnacks?\nClient:\tOh,\tyou\n\tare\tright.\tI\tlove\tthem.\nNutrition\tCounselor:\tCould\tyou\tcompromise?\tCould\tyou\task\tyour\tgrandchildren\twhic... | [
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long\tlist\tof\tlow\tsaturated\tfat\tsnacks\tthey\tlike\tand\tthen\tbuy\tthem?\nAgreeing\twith\ta\ttwist.\nThis\tstrategy\tinvolves\toffering\tagreement,\tthen\tmoving\tthe\tdiscussion\tin\ta\tdifferent\tdirection.\tThe\ncounselor\tagrees\twith\ta\tpiece\tof\twhat\tthe\tclient\tsays\tbut\tthen\toffers\tanother\tperspec... | [
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on\tthe\nproblem.\tThis\tallows\tthe\topportunity\tto\tagree\twith\tthe\tstatement\tand\tthe\tfeeling,\tbut\tthen\tto\nredirect\tthe\tconversation\tonto\ta\tkey\ttopic.\tFor\texample:\nClient:\tI\treally\tlike\teating\tout,\tbut\tI\talways\teat\ttoo\tmuch,\tand\tmy\tblood\tsugars\tgo\tsky\thigh.\nNutrition\tCounselor:\... | [
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eat\tout\tthan\tto\tcook.\tI\tcan\tunderstand\tthat.\n\tWhat\tcan\twe\tdo\tto\tmake\tyou\tfeel\tgreat\tabout\neating\tout\tso\tthat\tyou\tcan\tstill\tfollow\tyour\teating\tplan\tand\tkeep\tyour\tblood\tglucose\tvalues\tin\nthe\tnormal\trange?\nReframing.\nWith\t\nreframing\n\tthe\tcounselor\tchanges\tthe\tclient’s\tint... | [
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perspective.\tThe\tcounselor\trepeats\tthe\tbasic\tobservation\tthat\tthe\tclient\thas\tprovided\tand\tthen\toffers\na\tnew\thypothesis\tfor\n\tinterpreting\tthe\tdata.\tFor\texample:\nClient:\tI\tgave\tup\ttrying\tto\tmeet\tmy\tdietary\tgoals\tbecause\tI\twas\thaving\tsome\tdifficulties\twhen\nmy\tpartner\tdied,\tand\... | [
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Nutrition\tCounselor:\tI\tremember\thow\tdevastated\tyou\twere\twhen\the\tdied\tand\thow\tjust\tcooking\nmeals\twas\tan\teffort.\tDo\tyou\tthink\tthat\tthis\thappened\tas\ta\tkind\tof\timmediate\tresponse\tto\n\this\ndeath\tand\tthat\tyou\tmight\thave\tjust\tdecided\tthat\tall\tof\tthe\tgoals\twere\ttoo\tstrict\tat\tth... | [
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(Pause)\nClient:\tWell,\tyou\tare\tprobably\tright.\nNutrition\tCounselor:\tCould\twe\tlook\tat\twhere\tyou\tare\tnow\tand\ttry\tto\tfind\tthings\tthat\twill\twork\nfor\tyou\tnow\tto\thelp\tyou\tin\tfollowing\tthe\tgoals\twe\thave\tset?\nThese\tstrategies\thelp\tby\toffering\ttools\tto\tensure\tthat\tnutrition\tcounsel... | [
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appropriate\tattempts\tto\tturn\tdifficult\tcounseling\tsituations\tin\ta\tmore\tpositive\tdirection.\nEnding\tthe\tsession.\nCounselors\tshould\temphasize\tthat\tany\tfuture\taction\tbelongs\tto\tthe\tclient,\tthat\tthe\tadvice\tcan\tbe\ntaken\tor\tdisregarded.\tThis\temphasis\ton\tpersonal\tchoice\t(autonomy)\thelps\... | [
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trapped\tor\tconfined\tby\tthe\tdiscussion.\tA\tsense\tof\tself-efficacy\treflects\tthe\tbelief\tabout\n\tbeing\tcapable\nof\tinfluencing\tevents\tand\tchoices\tin\tlife.\tThese\tbeliefs\tdetermine\thow\tindividuals\tthink,\tfeel,\tand\nbehave.\tIf\tpeople\tdoubt\ttheir\tcapabilities,\tthey\twill\thave\tweak\tcommitmen... | [
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breeds\tsuccess,\tand\tfailure\tbreeds\ta\tsense\tof\tfailure.\tHaving\tresilience,\tpositive\trole\tmodels,\tand\neffective\tcoaching\tcan\tmake\ta\tsignificant\tdifference.\nReady-to-change\tcounseling\n\tsessions\nSetting\tgoals.\nThe\tmajor\tgoal\tin\tthe\t“ready-to-change”\tsession\tis\tto\tcollaborate\twith\tthe\... | [
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include\ta\tplan\tof\taction.\tThe\tnutrition\tcounselor\tprovides\tthe\tclient\twith\tthe\ttools\tto\tuse\tin\tmeeting\nnutrition\tgoals.\tThis\tis\tthe\tstage\tof\tchange\tthat\tis\tmost\toften\tassumed\twhen\ta\tcounseling\tsession\nbegins.\tTo\terroneously\tassume\tthis\tstage\tmeans\tthat\tinappropriate\tcounselin... | [
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strategies\tset\tthe\nstage\tfor\tfailure.\tMisaligned\tassumptions\toften\tresult\tin\tlack\tof\tadherence\ton\tthe\tpart\tof\tthe\tclient\nand\tdiscouragement\ton\tthe\tpart\tof\tthe\tnutritionist.\tTherefore\tit\tis\timportant\tto\tdiscuss\tthe\tclients\nthoughts\tand\tfeelings\tabout\twhere\tthey\tstand\trelative\t... | [
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ended\tquestions\thelps\tthe\tclient\tconfirm\tand\tjustify\tthe\tdecision\tto\tmake\n\ta\tchange\tand\tin\twhich\narea.\tThe\tfollowing\tquestions\tmay\telicit\tinformation\tabout\tfeelings\ttoward\tchange:\n•\t\n“Tell\tme\twhy\tyou\tpicked\t_____\ton\tthe\truler.”\n•\t\n“Why\tdid\tyou\tpick\t(nutrition\tdiagnosis\t1)... | [
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In\tthis\tstage,\tgoal\tsetting\tis\textremely\timportant.\tHere\tthe\tcounselor\thelps\tthe\tclient\tset\ta\trealistic\nand\tachievable\tshort-term\tgoal:\t“Let’s\tdo\tthings\n\tgradually.\tWhat\tis\ta\treasonable\tfirst\tstep?\tWhat\nmight\tbe\tyour\tfirst\tgoal?”\nAction\tplan.\nFollowing\tgoal\tsetting,\tan\taction... | [
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achievement.\tIdentifying\ta\tnetwork\tto\tsupport\tdietary\tchange\tis\timportant.\tWhat\tcan\tothers\tdo\tto\nhelp?\nEarly\tidentification\tof\tbarriers\tto\tadherence\tis\talso\timportant.\tIf\tbarriers\tare\tidentified,\tplans\n\tcan\nbe\tformed\tto\thelp\teliminate\tthese\troadblocks\tto\tadherence. | [
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can\nbe\tformed\tto\thelp\teliminate\tthese\troadblocks\tto\tadherence.\nMany\tclients\tfail\tto\tnotice\twhen\ttheir\tplan\tis\tworking.\tClients\tcan\tbe\tasked\tto\tsummarize\ttheir\nplans\tand\tidentify\tmarkers\tof\tsuccess.\tThe\tcounselor\tthen\tdocuments\tthe\tplan\tfor\tdiscussion\tat | [
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future\tsessions\tand\tensures\tthat\tthe\tclients\talso\thave\ttheir\tplans\tin\twriting.\tThe\tsession\tshould\tbe\nclosed\twith\tan\tencouraging\tstatement\tand\n\treflection\tabout\thow\tthe\tclient\tidentified\tthis\tplan\npersonally.\tClients\tare\texperts\tabout\twhat\tinfluences\ttheir\tbehavior.\tCompliment\tt... | [
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carrying\tout\tthe\tplan.\tWays\tto\texpress\tthese\tideas\tto\tclients\tare:\n•\t\n“You\tare\tworking\tvery\thard\tat\tthis,\tand\tit’s\tclear\tthat\tyou’re\tthe\texpert\tabout\twhat\tis\tbest\nfor\tyou.\tYou\tcan\tdo\tthis!”\n•\t\n“Keep\tin\tmind\tthat\tchange\tis\tgradual\tand\ttakes\ttime.\n\tIf\tthis\tplan\tdoesn’... | [
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If\tthis\tplan\tdoesn’t\twork,\tthere\twill\tbe\nother\tplans\tto\ttry.”\nThe\tkey\tpoint\tfor\tthis\tstage\tis\tto\tavoid\ttelling\tthe\tclient\twhat\tto\tdo.\tClinicians\toften\twant\tto\tprovide\nadvice.\tHowever,\tit\tis\tcritical\tthat\tthe\tclient\texpress\tideas\tof\twhat\twill\twork\tbest:\t“There\tare\ta | [
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number\tof\tthings\tyou\tcould\tdo,\tbut\twhat\tdo\tyou\tthink\twill\twork\tbest\tfor\tyou?”\tThe\tnext\tcontact\tmay\nbe\tin\tperson,\tonline,\tor\tby\n\tphone.\nFollowing\tup\twith\tclients\tby\tphone\tor\ta\ttelemedicine\tportal\thave\tbecome\tpopular\tcounseling\nmethods\tfor\tmany\tnutritionists.\tThe\tdietitian\t... | [
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practice\tis\trequired\tto\tfollow\tcertain\tregulations.\tThe\tAcademy\tof\tNutrition\tand\tDietetics\t(AND)\thas\ndeveloped\tpractice\ttips\tfor\tthe\tutilization\tof\tthese\tservices\t(\nAND,\t2018\n).\tWhen\tbehavior\tand\ncounseling\n\ttheories\tare\tcombined\twith\tphone\tcounseling,\tthe\tresults\thave\tbeen\tef... | [
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managing\tweight,\ttype\t2\tdiabetes,\tand\tmetabolic\tsyndrome\t(\nMuñoz\tObino\tet\tal,\t2017\n).\tTelephone\ncounseling\tin\titself\thas\tbeen\treported\tto\tbe\teffective\tin\tachieving\tweight\treduction\t(\nSchmittdiel\tet\tal,\n2017\n),\tand\tonline\tprograms\tand\ttelehealth\tinterventions\thave\talso\tbeen\tsu... | [
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Muñoz\tObino\tet\nal,\t2017\n;\t\nKelly\tet\tal,\t2016\n).\n\t\nNEW\tDIRECTIONS\nCounseling\tand\tEducating\tOnline\nMore\tcounselors\tand\teducators\tare\tturning\tto\tonline\tconnections\twith\ttheir\tclients\tand\ttarget\naudiences.\tAlthough\tthe\tbasics\tof\tcounseling\tand\teducation\tremain\tthe\tsame,\tthere\ta... | [
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issues\tto\tconsider.\tIf\tclients\tare\trecording\tfood\tintake\tand\tphysical\tactivity\n\tthrough\tmobile\ntechnology\tor\ttelemedicine,\tit\tis\timportant\tto\tto\tconsider\thow\toften\tto\tmonitor\tand\tprovide\nfeedback.\tWhile\tmany\tbest\tpractices\tin\tnutrition\teducation\tinclude\tthe\tuse\tof\tmobile\ttechn... | [
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consideration\tshould\tbe\tgiven\tto\twhether\ta\tcompany\twill\tdevelop\tthe\twebsite\tor\tapp,\tand\twill\tthe\nsites\tbe\tmaintained\tin\ta\tconstantly\tchanging\ttechnological\tworld.\nTelenutrition\tis\tdefined\tby\n\tthe\tAcademy\tof\tNutrition\tand\tDietetics\tas\t“the\tinteractive\tuse,\tby\ta | [
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RDN\t[registered\tdietitian\tnutritionist],\tof\telectronic\tinformation\tand\ttelecommunications\ntechnologies\tto\timplement\tthe\tNutrition\tCare\tProcess\t.\t.\t.”\t(\nAND,\t2018\n).\tA\tsystematic\treview\tof\napps\tfor\tlifestyle\timprovements\tconcluded\tthat\tin\teight\tof\tnine\tincluded\tstudies,\tapps\twere\... | [
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0.08072275668382645,
-0.02620648220181465,
0.06470035016536713,
0.0229... |
effective\tfor\timproving\tlifestyles\t(\nLunde\tet\tal,\t2018\n).\tBarriers\tto\tsuccessful\tapp\tuse\tinclude\tthe\ncost\tof\tapps,\tdata\tentry\tburden,\tand\tloss\tof\tinterest\tand\tdiscontinued\tuse\tof\tapps\t(\nSun\tet\tal,\n2017\n).\tClinicians\tshould\tbe\taware\tof\tprivacy\tand\tsecurity\taspects\tof\ttelen... | [
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0.14674091339111328,
0.006295025814324617,
0.0421893410384655,
0.06363... |
should\tbe\tencrypted,\tand\tall\tpatient\tprivacy\tpolicies\tupheld\t(\nBoulos\tet\tal,\t2014\n).\tWhile\tthe\tFood\nand\tDrug\tAdministration\t(FDA)\tdoes\tregulate\tapps\tthat\tare\tintended\n\tfor\tuse\tas\tan\taccessory\tto\ta\nregulated\tmedical\tdevice\t(Glucometers),\tit\tdoes\tnot\tregulate\tapps\tthat\tfuncti... | [
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0.05068571865558624,
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0.007168450392782688,
0.0256759375333786,
0.09500787407159805,
0.00920100137591362,
0.01456686481833458,
0.07791086286... |
or\tpersonal\thealth\trecord\tsystem\t(\nU.S.\tDepartment\tof\tHealth\tand\tHuman\tServices\t[USDHHS]\tand\nFDA,\t2018\n).\nEvaluation\tof\teffectiveness\nCounseling\nClinicians\tand\teducators\tneed\tto\tevaluate\ttheir\tservices.\tJust\tcompleting\tthe\tprocess\tdoes\tnot\tmean\nthat\toutcomes\n\twill\tmatch\tthe\tgo... | [
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0.040641069412231445,
0.09971319884061813,
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0.05080775171518326,
0.0... |
Workgroup\tconducted\ta\treview\tof\tliterature\trelated\tto\tbehavior\tchange\ttheories\tand\tstrategies\tused\nin\tnutrition\tcounseling,\tthey\tfound\tthe\tfollowing\t(\nSpahn\tet\tal,\t2010\n):\n1.\t\nStrong\tevidence\tsupports\tthe\tuse\tof\tCBT\tin\tfacilitating\tmodification\tof\ttargeted\tdietary\nhabits,\tweig... | [
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0.012958540581166744,
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0.019920499995350838,
0.11321800202131271,
0.021470030769705772,
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0.016182372346520424,
0.10132206976413727,
-0.034410059452056885,
0.019895924255251884,
0.0453... |
habits,\tweight,\tand\tcardiovascular\tand\tdiabetes\n\trisk\tfactors.\n2.\t\nMI\tis\ta\thighly\teffective\tcounseling\tstrategy,\tparticularly\twhen\tcombined\twith\tCBT.\n3.\t\nFew\tstudies\thave\tassessed\tthe\tapplication\tof\tthe\tTTM\tor\tSCT\ton\tnutrition-related\tbehavior\nchange.\n4.\t\nSelf-monitoring,\tmeal... | [
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0.03835129737854004,
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0.000428988627390936,
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0.03564899042248726,
0.09440838545560837,
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0.00971135776489973,
-0.00... |
reward\tstrategies\tare\tnot.\n5.\t\nGoal\tsetting,\tproblem\tsolving,\tand\tsocial\tsupport\tare\teffective\tstrategies.\n6.\t\nResearch\tis\tneeded\tin\tmore\tdiverse\tpopulations\tto\tdetermine\tthe\tmost\teffective\tcounseling\ntechniques\tand\tstrategies.\nA\tsystematic\treview\tof\tnutrition\ttherapy\tby\ta\tregi... | [
0.007950469851493835,
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0.03825516626238823,
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0.07545982301235199,
0.12086702883243561,
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0.07868660986423492,
0.06210798770189285,
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0.05950542539358139,
0.0007676... |
dietary\tadvice\tby\tothers\tconcluded\tthat\tindividualized\tnutrition\ttherapy\tby\ta\tregistered\tdietitian\nnutritionist\tled\tto\tgreater\teffects\ton\tclinical\toutcomes\tsuch\tas\themoglobin\tA1C,\n\tbody\tweight,\tand\nblood\tlipids\t(\nMøller\tet\tal,\t2017\n).\tOn\tthe\tother\thand,\ta\tsystematic\treview\tco... | [
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0.0796644538640976,
0.022926082834601402,
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0.09403102099895477,
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0.04060308262705803,
0.09350165724754333,
-0.0615495927631855,
0.003968044649809599,
-0.016290... |
).\tOn\tthe\tother\thand,\ta\tsystematic\treview\tcomparing\teither\tdietary\ncounseling\tor\thigh\tenergy\tsupplements’\teffects\ton\tdietary\tintake\tfound\tdietary\tcounseling\talone\tless\neffective.\tMany\tother\ttopics\tand\tpopulations\tcan\tbe\tfound\tin\tthe\tliterature.\tLooking\tfor\tsystematic\nreviews\tand... | [
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0.07536087930202484,
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0.0984208807349205,
0.0027286913245916367,
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0.06164056062698364,
0.09929309785366058,
-0.03118324466049671,
0.06390208005905151,
0.03231... |
Educational\tprograms\nLOGIC\tModels\tare\toften\tused\tto\tevaluate\ta\tprogram’s\teffectiveness.\tThe\tsimplest\tversion\tincludes\ninputs\t(resources\tor\tinvestments\tinto\ta\tprogram),\toutputs\t(activities,\tservices,\tand\tevents)\tand\noutcomes\t(behavior\tchange\tof\tindividuals,\tgroups,\tor\tcommunities),\ta... | [
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0.04528198018670082,
0.06539543718099594,
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0.06410419195890427,
0.... |
levels\twithin\tthese\tthree\tbroad\tcategories\t(\nMcLaughlin\tand\tJordan,\t1999\n).\tLOGIC\tModels\n\thave\nguided\tevaluation\tof\tnational\tnutrition\tprograms\t(\nLevine\tet\tal,\t2012\n)\tas\twell\tas\teducational\nprograms\tat\tthe\tindividual\tlevel,\tsuch\tas\ta\tvideo\tprogram\tto\timprove\tdietary\thabits\t... | [
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0.0051127951592206955,
0.0724458172917366,
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0.06767217814922333,
0.01... |
(\nBeasley\tet\tal,\t2012\n).\nThe\tthree\tevaluation\tphases\tin\tthe\tPRECEDE-PROCEED\tmodel\tare\tcommonly\tapplied\tto\tdetermine\n(1)\tprogram\tfeasibility\tand\twhether\tit\twas\timplemented\tas\tintended\t(i.e.,\tprocess\tevaluation);\n\t(2)\nprogram\teffectiveness\tat\teliciting\tdesired\tchange\tin\ttarget\tbe... | [
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0.07315296679735184,
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0.00003606487007346004,
0.014750955626368523,
0.042211391031742096,
0.09678106755018234,
-0.049391571432352066,
0.05623643845319748,
0.0094... |
(3)\tprogram\tcontribution\tto\tchanges\tin\tecological\tand\tstructural\tdeterminants\tof\tbehavior\t(i.e.,\nimpact\tevaluation).\nSummary\nEffective\tnutrition\teducation\tand\tcounseling\trequires\tskill\tdevelopment\tand\tpractice.\tIt\tis\timportant\nto\thave\tan\tunderstanding\tof\tthe\tindividual\tand\tcultural\... | [
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0.09415221214294434,
0.09412822127342224,
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0.03212043642997742,
0.03058... |
of\tthe\tclient\tand\tknowledge\tof\tthe\nvariety\tof\tbehavior\tchange\ttheories\tthat\tcan\thelp\tclarify\tthe\tclient’s\tbehavior\tchange\tprocess.\nMonitoring\tand\tevaluation\tof\toutcomes\twill\tensure\teffectiveness\tof\tthe\tinterventions\toffered.\nCLINICAL\tCASE\tSTUDY\nMrs.\tLee\tis\toriginally\tfrom\tmainla... | [
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0.11271911859512329,
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0.06038771942257881,
0.09202726185321808,
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0.03176376596093178,
0.016986552... |
She\thas\tbeen\tliving\tin\tChicago\tfor\tseveral\tyears\twith\n\ther\thusband\tand\tdaughter,\tand\thas\nnumerous\thealth\tproblems,\tincluding\thigh\tblood\tpressure,\tdiabetes,\tand\tglaucoma.\tYou\thave\tbeen\nasked\tto\tcounsel\ther\tabout\tmaking\tchanges\tin\ther\tdiet.\tUsing\tan\tinterpreter,\tyou\tdiscover\ts... | [
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0.0981794148683548,
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0.14131948351860046,
-0.046599578112363815,
0.00012833511573262513,
0.07702330499887466,
0.06549376249313354,
-0.024397406727075577,
0.046285323798656464,
-0.0000... |
also\thaving\tdifficulty\tbuying\tand\tpreparing\tfood\tand\tdepends\ton\ther\tdaughter\tfor\thelp.\tBecause\nher\tvision\tis\tpoor,\tshe\twill\tnot\tbe\table\tto\tuse\tprinted\tmaterials\tthat\tyou\thave\n\tin\tyour\toffice\tthat\nhave\tbeen\ttranslated\tinto\tChinese.\nNutrition\tdiagnostic\tstatement\n• | [
0.04947929456830025,
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0.05574238672852516,
0.006360899657011032,
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0.00009327957377536222,
0.10556623339653015,
0.0024744942784309387,
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0.08011876791715622,
0.1321129947900772,
-0.05443979799747467,
0.06353674083948135,
0.015738... |
have\tbeen\ttranslated\tinto\tChinese.\nNutrition\tdiagnostic\tstatement\n•\t\nImpaired\tability\tto\tprepare\tfood\tand\tmeals\t(NB-2.4)\trelated\tto\tinability\tto\tsee\tas\tevidenced\nby\tclient\treport\tand\thistory\tof\tglaucoma. | [
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0.10357446223497391,
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0.026878319680690765,
0... |
Introduction\nThe\timportance\tof\tnutrition\tthroughout\tthe\tlife\tcycle\tcannot\tbe\trefuted.\tHowever,\tthe\tsignificance\tof\nnutrition\tduring\tspecific\ttimes\tof\tgrowth,\tdevelopment,\tand\taging\tis\tbecoming\tincreasingly\nappreciated.\nHealth\tprofessionals\thave\trecognized\tfor\tquite\tsome\ttime\tthe\tef... | [
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0.09945181757211685,
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0.039569... |
pregnancy\ton\tthe\thealth\tof\tthe\tinfant\tand\tmother,\teven\tafter\ther\tchildbearing\tyears.\tHowever,\nlooking\tat\t“nutrition\tin\tthe\twomb”\tencompasses\tnot\tonly\tmaternal\thealth\thistory\tand\tnutrition\tbut\nalso\tpaternal\tnutrition\tand\tthe\thealth\tof\tsperm\tbefore\tconception.\t“Fetal\torigins”\thav... | [
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0.019863631576299667,
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0.06141258403658867,
0.013893190771341324,
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0.06940450519323349,
0.12802401185035706,
-0.06611023098230362,
-0.00517055531963706,
-0.02... |
lifelong\teffects\ton\tthe\tnew\tlife\tthan\toriginally\tthought.\nEstablishing\tgood\tdietary\thabits\tduring\tchildhood\tlessens\tthe\tpossibility\tof\tinappropriate\teating\nbehavior\tlater\tin\tlife.\tAlthough\tthe\tinfluence\n\tof\tproper\tnutrition\ton\tmorbidity\tand\tmortality\tusually | [
0.03274723142385483,
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0.09233491122722626,
0.019816052168607712,
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0.06664839386940002,
0.09885526448488235,
-0.05730761960148811,
0.03676360473036766,
0.0093816... |
of\tproper\tnutrition\ton\tmorbidity\tand\tmortality\tusually\nremains\tunacknowledged\tuntil\tadulthood,\tdietary\tpractices\taimed\tat\tpreventing\tthe\tdegenerative\ndiseases\tthat\tdevelop\tlater\tin\tlife\tshould\tbe\tinstituted\tin\tchildhood.\nDuring\tearly\tadulthood\tmany\tchanges\tbegin\tthat\tlead\tto\tthe\t... | [
0.01998419687151909,
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0.018830420449376106,
0.08462587743997574,
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0.08977223187685013,
0.10636486113071442,
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0.03938785195350647,
0.015446... |
so-called\tdiseases\tof\taging,\tyears\tlater.\tMany\tof\tthese\tchanges\tcan\tbe\taccelerated\n\tor\tslowed\tover\tthe\nyears,\tdepending\ton\tthe\tgenetic\tmakeup\tof\tthe\tindividual,\tquality\tof\tthe\tnutritional\tintake,\tthe\thealth\nof\tthe\tgut,\tand\tthe\tfunction\tof\tthe\timmune\tsystem. | [
0.03782683610916138,
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0.04538414254784584,
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0.10516976565122604,
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0.019100673496723175,
0.05831409990787506,
0.07748545706272125,
-0.040189553052186966,
0.06904570758342743,
0.03649... |
of\tthe\tgut,\tand\tthe\tfunction\tof\tthe\timmune\tsystem.\nWith\tthe\trapid\tgrowth\tof\tthe\tpopulation\tof\tolder\tadults\thas\tevolved\ta\tneed\tto\texpand\tthe\tlimited\nnutrition\tdata\tcurrently\tavailable\tfor\tthese\tindividuals.\tAlthough\tit\tis\tknown\tthat\tenergy\tneeds\ndecrease\twith\taging,\tlittle\n\... | [
0.030885405838489532,
-0.05004227161407471,
0.04791055992245674,
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-0.08360246568918228,
0.03777496889233589,
0.1280459314584732,
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0.09772093594074249,
0.10589799284934998,
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0.056042157113552094,
0.0076621... |
decrease.\tIdentifying\tthe\tunique\tnutritional\tdifferences\tamong\tthe\tvarious\tstages\tof\taging\tis\nbecoming\teven\tmore\timportant. | [
0.13565216958522797,
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0.09560830891132355,
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0.050040338188409805,
0.09823347628116608,
-0.0436461865901947,
0.058786846697330475,
0.027393... |
14\nNutrition\tin\tpregnancy\tand\nlactation\nJean\tT.\tCox,\tMS,\tRDN,\tLN,\tCatherine\tS.\tSullivan,\tMPH,\tRDN,\tLDN,\tIBCLC,\tRLC,\tFAND\nKEY\tTERMS\namylophagia\nassisted\treproductive\ttechnology\t(ART)\nbaby-led\tweaning\ncolostrum\nconception\ncongenital\tanomalies\ndevelopmental\torigins\tof\thealth\tand\tdise... | [
0.03157372400164604,
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0.021736091002821922,
0.03945710137486458,
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0.006170711480081081,
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0.07932749390602112,
0.13970889151096344,
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-0.01583890989422798,
0.029183... |
fetal\talcohol\tsyndrome\t(FAS)\nfetal\torigins\tof\tdisease\nforemilk\ngalactogogue\ngeophagia\ngestational\tdiabetes\tmellitus\t(GDM)\ngestational\thypertension\ngravida\nHELLP\tsyndrome\nhindmilk\nhyperemesis\tgravidarum\t(HG)\nintrauterine\tfetal\tdemise\t(IUFD)\nintrauterine\tgrowth\trestriction\t(IUGR)\nlactogene... | [
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0.02040712721645832,
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0.004822827875614166,
0.05996289104223251,
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0.07703360170125961,
0.05238589644432068,
0.007083491887897253,
-0.001988074742257595,
0.0... |
lactogenesis\tI\nlactogenesis\tII\nlarge\tfor\tgestational\tage\t(LGA)\nlet-down\nlow\tbirth\tweight\t(LBW)\nmacrosomia\nmature\tmilk\nMontgomery\tglands\nmother-led\tweaning\nnausea\tand\tvomiting\tin\n\tpregnancy\t(NVP)\nneural\ttube\tdefects\t(NTDs)\noxytocin\npagophagia\nperinatal\tmortality\npica\npostpartum\tdepr... | [
-0.023860881105065346,
-0.06875437498092651,
0.025167465209960938,
0.04246191307902336,
-0.09119533002376556,
0.002094442257657647,
-0.011913768015801907,
0.07556465268135071,
-0.03624069690704346,
0.08238951116800308,
0.08986394107341766,
0.014262747950851917,
-0.020503878593444824,
0.005... |
small\tfor\tgestational\tage\t(SGA)\nteratogen\ntransitional\tmilk\nOptimal\tnutrition\tduring\tpregnancy\tactually\tbegins\tpreconceptually.\tThe\tplacenta\tand\tdeveloping\nfetus\tmust\treceive\tall\tthe\tnecessary\tnutrients\tfor\tgrowth\tand\tdevelopment\n\tfrom\tthe\tmother.\tThe\told | [
0.025361504405736923,
-0.0029310984537005424,
0.032835230231285095,
0.029108935967087746,
-0.06576301902532578,
0.025322480127215385,
0.07297415286302567,
0.07379826158285141,
-0.007543664891272783,
0.09554561227560043,
0.16166624426841736,
-0.03588230535387993,
-0.0490751750767231,
0.0243... |
from\tthe\tmother.\tThe\told\ncliché\tthat\tthe\t“fetus\tis\tthe\tperfect\tparasite”\timplies\tfetuses\ttake\tall\tthey\trequire\tat\tthe\texpense\tof\nthe\thost.\tHowever,\tat\tsome\tpoint\tnutritional\tdeficiency\tcan\tresult\tin\ta\tpreterm\tdelivery.\tAfter\tbirth,\nquality\tnutrition\tduring\tlactation\tcontinues\... | [
0.030767671763896942,
0.005061393603682518,
0.07240013033151627,
-0.03754526004195213,
-0.06494298577308655,
0.043346475809812546,
0.02297646552324295,
0.012439431622624397,
0.027794769033789635,
0.0828317180275917,
0.09324042499065399,
-0.020507246255874634,
0.05127231404185295,
-0.015839... |
cerebral\tdevelopment\tand\tgrowth\tof\tall\tbody\torgans\tin\tthe\tneonate.\nThis\ttime\tperiod—growing\ta\tnew\thuman\tbeing—sets\tthe\tstage\tfor\tthe\thealth\tof\tfuture\tgenerations.\nThe\tquality\tand\tquantity\tof\tnourishment\tto\tthe\tdeveloping\tzygote,\tthen\tfetus,\tthen\tneonate,\tthen | [
0.041413016617298126,
-0.01812800206243992,
0.05056207999587059,
0.00102144421543926,
-0.10768433660268784,
0.029875831678509712,
0.029394136741757393,
0.029526730999350548,
-0.017972910776734352,
0.1186966598033905,
0.14820225536823273,
-0.049864739179611206,
-0.05359174311161041,
0.02701... |
adult\temerge\tas\tone\texplanation\tfor\tdiseases\tthat\tmanifest\tin\tadulthood.\tThis\tconcept\tis\tknown\tas\nfetal\torigins\tof\tdisease\n\tor\t\ndevelopmental\torigins\tof\thealth\tand\tdisease\t(DOHaD)\n\t(\nGuéant\tet\nal,\t2013\n).\nPreconception\tand\tfertility\nThe\tfocus\ton\tpreconceptual\tnutrition\tand\t... | [
-0.01965286396443844,
-0.03818587213754654,
0.03243092820048332,
-0.0072265490889549255,
-0.1151755228638649,
0.014466863125562668,
0.07013867795467377,
0.021652789786458015,
-0.010529274120926857,
0.09935585409402847,
0.11617448925971985,
-0.01887836493551731,
-0.022711392492055893,
0.023... |
affects\t10%\tto\t12%\tof\tU.S.\tcouples\tof\treproductive\tage,\tand\textremes\tin\tbody\tmass\tindex\t(BMI)\tin\neither\tpartner\tmay\tbe\tone\tcause.\tWomen\twith\ta\tBMI\tless\tthan\t20\thave\tan\tincreased\trisk\tof\nanovulation.\tMen\tand\twomen\thave\tincreased\trates\tof\tsubfertility\twhen\toverweight\tor\tobe... | [
0.008093031123280525,
-0.046471696346998215,
0.038771193474531174,
0.02910526469349861,
-0.06043430045247078,
0.017436029389500618,
0.0868164449930191,
0.04259885102510452,
-0.04709500074386597,
0.05895763263106346,
0.11971570551395416,
-0.047401439398527145,
-0.011267192661762238,
0.03134... |
and\tfat\ndistribution\tpatterns\tmay\tbe\timportant.\tObesity\tappears\tto\tnegatively\taffect\tthe\tsperm\t(both\nconcentration\tand\tmotility),\toocyte\t(development,\tquality,\tand\tovulation),\tembryo,\tand\tthe\nendometrium,\tincluding\tuterine\treceptivity\t(\nCatalano\tand\tShankar,\t2017\n).\tElevated\tBMI\tne... | [
0.0016906302189454436,
-0.0759713277220726,
0.020014697685837746,
-0.01061156578361988,
-0.06808225810527802,
-0.013956579379737377,
0.05424109101295471,
0.027437198907136917,
0.03701445087790489,
0.0760163962841034,
0.14180636405944824,
-0.06650916486978531,
-0.05162211135029793,
0.045098... |
Catalano\tand\tShankar,\t2017\n).\tElevated\tBMI\tnegatively\naffects\tthe\tfertility\tof\tboth\tmen\tand\twomen\tin\ta\tdose-dependent\tmanner.\tThe\tpotential\tmechanisms\nthat\tobesity\n\tnegatively\taffects\tfertility\tare\tmany\tand\tlikely\tinclude\tdirect\teffects\tand\tcomorbidities,\nbut\talso\tendocrine,\tgen... | [
-0.014636161737143993,
-0.07922229170799255,
0.031917788088321686,
0.016557656228542328,
-0.0881345123052597,
0.030903996899724007,
0.0884503647685051,
0.030148889869451523,
-0.017231855541467667,
0.07522564381361008,
0.09827583283185959,
-0.07704188674688339,
-0.041080281138420105,
0.0687... |
Craig\tet\tal,\t2017\n;\nBroughton\tand\tMoley,\t2017\n).\tElevated\tserum\tcholesterol\tlevels\tin\tboth\tpartners\tare\tassociated\twith\nan\tincreased\ttime\tto\tpregnancy\t(\nSchisterman\tet\tal,\t2014\n).\tPreconceptual\tcontrol\tof\tdiabetes\tof\tboth\nparents\timproves\n\tbirth\toutcomes\t(\nKotelchuck\tand\tLu,... | [
-0.09521414339542389,
-0.043133318424224854,
0.020424984395503998,
0.04692567139863968,
-0.12522254884243011,
0.0286207664757967,
0.07138419896364212,
0.002789698773995042,
-0.03759336844086647,
-0.0055322060361504555,
0.16323736310005188,
-0.05589384585618973,
0.008503192104399204,
-0.011... |
Kotelchuck\tand\tLu,\t2017\n).\tWeight\tloss\t(by\treducing\tcalories\tfrom\nfat\tand\tcarbohydrates)\tand\tincreased\tphysical\tactivity\tmay\tbe\thelpful,\tbut\tthe\tevidence\tis\tstronger\nfor\twomen\tthan\tfor\tmen.\tHowever,\tthe\tbenefit\tof\tpreconception\tweight\tloss\tis\tnot\tyet\testablished\nwith\tclinical\... | [
-0.024900762364268303,
-0.018862660974264145,
0.0696491003036499,
0.015216108411550522,
-0.04925604164600372,
-0.013058441691100597,
0.086820088326931,
-0.001986829098314047,
-0.034639958292245865,
0.06501732766628265,
0.0782671645283699,
-0.07887143641710281,
0.026214631274342537,
0.02329... |
with\tclinical\ttrials\t(\nStephenson\tet\tal,\t2018\n)\tand\ttreatment\tresults\tdon’t\talways\tmatch\texpectations.\nAlthough\t5%\tweight\n\tloss\toften\tis\tcited\tto\timprove\tfertility,\tthere\tis\tnot\ta\tclear\tdose-response\nrelationship,\tand\tthe\tdegree\tof\tweight\tloss\tis\tnot\ta\tgood\tsurrogate\tfor\tpe... | [
-0.02866925299167633,
-0.022053906694054604,
0.019333459436893463,
0.034831658005714417,
-0.07941549271345139,
0.020160166546702385,
0.032526347786188126,
0.05473930388689041,
0.0010843236232176423,
0.028911706060171127,
0.08804033696651459,
-0.026350758969783783,
-0.04210063815116882,
0.0... |
Legro,\n2017\n).\tConception\tduring\tactive\tweight\tloss\tcan\tbe\tharmful.\tRefer\tto\tthe\tPostbariatric\tSurgery\nsection\tlater\tin\tthis\tchapter.\tThe\tuse\tof\tweight\tloss\tdrugs\tis\tnot\trecommended.\tWhile\tweight\tloss\nshould\ttheoretically\tbe\tthe\n\tfirst\tline\tof\ttherapy,\teliminating\ttobacco\tand... | [
0.030138852074742317,
-0.06434771418571472,
0.040407706052064896,
-0.01869569905102253,
-0.12828600406646729,
-0.02608732134103775,
0.045276444405317307,
0.050085172057151794,
-0.05063873901963234,
0.06510710716247559,
0.09143094718456268,
-0.014279439114034176,
0.029285671189427376,
0.036... |
activity,\tand\tstress\tmanagement\tmay\tbe\tmore\tproductive\tfor\timproved\tconception\t(\nLuke,\t2017\n).\nAs\tyet,\tthere\tis\tno\tdocumented\tideal\tdiet\tfor\tincreased\tfertility\tbut\tit\tmay\tinclude\tcomponents\tof\nheart\thealthy\t(\nChavarro\tand\tSchlaff,\t2018\n)\tand\tMediterranean\tdiet\tpatterns\t(\nBr... | [
0.02031799405813217,
-0.02497078664600849,
0.05774245411157608,
-0.018233267590403557,
-0.09249813854694366,
0.04605540633201599,
0.0818699449300766,
-0.014340102672576904,
-0.009984352625906467,
0.05464491993188858,
0.13056053221225739,
-0.037715889513492584,
-0.010287267155945301,
0.0304... |
Broughton\tand\tMoley,\n2017\n),\tas\twell\tas\tthe\tNew\tNordic\n\tdiet\tpattern.\tSpecific\tdietary\tchanges\thave\tbeen\tshown\tto\ndecrease\tovulatory\tdisorders\tand\timprove\tfertility\tand\tembryonic\tgrowth\ttrajectory\t(\nBerti\tet\tal,\n2017\n).\tZinc\tdeficiency\tnegatively\taffects\toocyte\tdevelopment\tin\... | [
-0.002563430927693844,
-0.050360243767499924,
0.04033287614583969,
-0.006036730948835611,
-0.0768715888261795,
0.027622073888778687,
0.08413159102201462,
-0.027796242386102676,
-0.03225608915090561,
0.04017948731780052,
0.14328300952911377,
-0.07839581370353699,
-0.013973469845950603,
0.05... |
Hester\tet\tal,\t2017\n).\nIodine\tdeficiency\thas\tbeen\tassociated\twith\tdecreased\tfertility\tin\twomen\t(\nPearce,\t2018\n).\tVitamin\tD\ndeficiency\tin\tmen\tand\twomen\tcan\tbe\tassociated\n\twith\tinfertility\t(\nPludowski\tet\tal,\t2013\n).\tFor\twomen,\nvitamin\tD\tdeficiency\tmay\tbe\tassociated\twith\tinsul... | [
-0.027870798483490944,
-0.024995315819978714,
-0.012741100043058395,
0.005985567346215248,
-0.08072249591350555,
0.029271580278873444,
0.06389429420232773,
0.07333298772573471,
-0.03732743114233017,
0.047753605991601944,
0.10979719460010529,
0.009697247296571732,
-0.03908045217394829,
0.02... |
ovary\tsyndrome\t(PCOS),\tas\twell\tas\tfollicular\tdevelopment.\tFor\tmen,\tvitamin\tD\tdeficiency\tis\nassociated\twith\tlower\ttestosterone\tlevels\tand\tlower\tsperm\tquality.\tHowever,\tin\tboth\tcases,\tneither\ncausality\tnor\tability\tto\ttreat\thas\tyet\tbeen\tdemonstrated\n\tand\tthere\tis\tlittle\tevidence\t... | [
0.037036992609500885,
-0.06345339864492416,
0.03995324671268463,
-0.009373554028570652,
-0.09374341368675232,
-0.015513566322624683,
0.062241081148386,
0.013511182740330696,
-0.019881580024957657,
0.07041100412607193,
0.10837507247924805,
0.025731666013598442,
-0.008214127272367477,
0.0461... |
supplementation\tis\tbeneficial\twithout\tevidence\tof\tdeficiency\t(\nChavarro\tand\tSchlaff,\t2018\n).\tCalcium\nhas\tbeen\tshown\tto\tbe\timportant\tin\tmales\tfor\tspermatogenesis,\tsperm\tmotility,\thyperactivation,\tand\nacrosome\t(area\tof\tthe\tsperm\tthat\tcontains\tdigestive\tenzymes\tto\tbreak\tdown\tthe\tou... | [
0.005929980892688036,
-0.08630858361721039,
0.003590256441384554,
-0.01900414004921913,
-0.044327057898044586,
0.019136011600494385,
0.07049731910228729,
0.07542413473129272,
-0.031705040484666824,
0.022378984838724136,
0.08897458761930466,
-0.008372603915631771,
0.0228984784334898,
0.0367... |
ovum)\treactions.\tHealthier\tsperm\tcounts\tare\tassociated\twith\toptimal\n\tdietary\tzinc,\tfolic\tacid,\tand\nantioxidants,\tas\twell\tas\tavoidance\tof\ttobacco\tand\talcohol\t(\nGaur\tet\tal,\t2010\n).\tRecommendations\tfor\nimproved\tmale\tfertility\tinclude\teating\ta\tdiet\thigher\tin\tfiber,\twith\ta\tlower\t... | [
-0.011120637878775597,
-0.07368820905685425,
0.026368729770183563,
0.03356727212667465,
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0.015419435687363148,
0.11720877140760422,
0.06084249168634415,
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0.01785077340900898,
0.07483954727649689,
-0.0033927091863006353,
-0.030496135354042053,
-0.00... |
high-fat\tdairy\tproducts\tand\tmonounsaturated\tfats\tbut\treducing\ttrans\tfats)\tand\tlower\tin\tanimal\nprotein.\tThey\tmay\talso\tsee\timprovements\tby\tconsuming\ta\tmultivitamin\tdaily,\n\tbeing\tmoderately\nphysically\tactive,\tand\tobtaining\tiron\tfrom\tplant\tsources.\tHowever,\tthere\tis\talso\tvery\tprelim... | [
0.030340099707245827,
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0.09906868636608124,
0.025261834263801575,
-0.08583313226699829,
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0.10451354831457138,
0.0012327563017606735,
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0.02549365535378456,
0.09163305163383484,
-0.043260253965854645,
-0.010033516213297844,
-0.0... |
evidence\tof\tdecreased\tsperm\tquality\tamong\tthose\tconsuming\ta\tself-described\tvegan\tdiet\n(\nOrzylowska\tet\tal,\t2016\n).\tWhether\tthe\teffect\tcan\tbe\tattributed\tto\tlow\tcaloric\tintake,\tlow\tintake\tof\nvitamin\tB\n12\n\tor\tzinc,\tan\tincreased\tintake\tof\tisoflavones\twith\thigh\tsoy\tintake,\tan\tin... | [
-0.029802093282341957,
-0.014452563598752022,
0.057499393820762634,
-0.0250033400952816,
-0.029536543413996696,
0.04805551841855049,
0.09040287137031555,
-0.0024373389314860106,
-0.001702423207461834,
0.041436728090047836,
0.07146814465522766,
-0.03276323527097702,
0.014291235245764256,
0.... |
of\npesticides,\tor\tother\tunidentified\tfactors\tis\tnot\tyet\tknown\tand\tintervention\ttrials\thave\tnot\tbeen\tdone.\nOxidative\tstress\tis\tassociated\twith\timpaired\tspermatogenesis.\tHowever,\tthe\tevidence\tfor\ttaking\nsupplemental\tantioxidants\tappears\tweak\tand\tinconsistent.\tThe\toptimal\ttypes\tand\td... | [
0.032137978821992874,
-0.04288698360323906,
0.032166801393032074,
-0.03302731737494469,
-0.02061687409877777,
0.01567714288830757,
0.14449191093444824,
0.04433180391788483,
-0.012228772975504398,
0.08982564508914948,
0.11223778873682022,
-0.02409890852868557,
0.010985861532390118,
0.015517... |
specific\tantioxidants\tare\tnot\tyet\tknown,\tand\tindividuals\talso\tmay\texhibit\tvariable\tresponses\t(\nMora-\nEsteves\tand\tShin,\t2013\n).\tOn\tthe\tother\thand,\tsupplementation\tis\tnot\tlikely\tto\tbe\tharmful,\tassuming\tit\nis\tat\tlevels\tof\tthe\trecommended\tdietary\tallowance\t(RDA)\tor\tless.\tWhether\... | [
0.0045608640648424625,
-0.006494350265711546,
0.07401341199874878,
-0.039761289954185486,
-0.071722611784935,
-0.012515331618487835,
0.08132266998291016,
-0.050119780004024506,
-0.004076779820024967,
0.07205302268266678,
0.09388177841901779,
-0.03581099584698677,
0.024854492396116257,
-0.0... |
effective\tas\ta\tdiet\trich\tin\tantioxidants\tis\tunknown.\tAlthough\tstudies\texist\tto\tthe\tcontrary,\tthe\nAmerican\tSociety\tfor\tReproductive\tMedicine\tstates\tthere\tis\tlittle\tevidence\tthat\therbal\tsupplements\nimprove\tfertility\n\tor\taffect\tinfant\tgender\t(\nPractice\tCommittee,\t2017\n). | [
0.004681810270994902,
-0.02235030010342598,
0.053881868720054626,
-0.00938252080231905,
-0.08662089705467224,
0.05441008135676384,
0.09653183072805405,
0.02584892511367798,
-0.05296063423156738,
0.05443381518125534,
0.11840455234050751,
0.026301050558686256,
0.0031190752051770687,
0.013569... |
or\taffect\tinfant\tgender\t(\nPractice\tCommittee,\t2017\n).\nPreconceptual\tguidance\tis\tbased\ton\tfindings\tthat\tmany\twomen\tenter\tpregnancy\twith\tsuboptimal\nnutritional\tstatus,\tincluding\tobesity,\tand\twith\tlow\tintakes\tof\tfiber,\tlong-chain\tpolyunsaturated\tfatty | [
0.006487580481916666,
-0.042727161198854446,
0.09336575120687485,
0.004911129828542471,
-0.12090910226106644,
0.014361182227730751,
0.0745164230465889,
0.012959388084709644,
0.003029833547770977,
0.022286225110292435,
0.10839304327964783,
-0.05534261092543602,
0.0035727969370782375,
0.0167... |
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