A Deficiency of Nutrition Education and Practice in Cardiology
Open accessAbstract
Background Nutrition is one of the foundations of cardiovascular guidelines for risk reduction and treatment. However, little is known about whether cardiologists, cardiology fellows-in-training, and cardiovascular team members have the nutrition education and knowledge necessary to implement these guidelines. The aim of this study was to describe the educational experiences, attitudes, and practices relating to nutrition among cardiovascular professionals.Methods Surveys completed by cardiologists, fellows-in-training, and cardiovascular team members inquired about their personal dietary habits, history of nutrition education, and attitudes regarding nutrition interventions.Results A total of 930 surveys were completed. Among cardiologists, 90% reported receiving no or minimal nutrition education during fellowship training, 59% reported no nutrition education during internal medicine training, and 31% reported receiving no nutrition education in medical school. Among cardiologists, 8% described themselves as having "expert" nutrition knowledge. Nevertheless, fully 95% of cardiologists believe that their role includes personally providing patients with at least basic nutrition information. The percentage of respondents who ate ≥5 servings of vegetables and fruits per day was: 20% (cardiologists), 21% (fellows-in-training), and 26% (cardiovascular team members).Conclusions A large proportion of cardiovascular specialists have received minimal medical education and training in nutrition, and current trainees continue to experience significant education and training gaps.
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One study found that 90% of cardiologists receive minimal or no nutrition education during fellowship.
“For example, one study found that 90% of cardiologists receive minimal or no nutrition education during fellowship [113]—despite the critical role of diet in cardiovascular health.”
One study found that 90% of cardiologists receive minimal or no nutrition education during fellowship.
“For example, one study found that 90 % of cardiologists receive minimal or no nutrition education during fellowship [105] —despite the critical role of diet in cardiovascular health.”
One study found that 90% of cardiologists receive minimal or no nutrition education during fellowship.
“For example, one study found that 90% of cardiologists receive minimal or no nutrition education during fellowship [113]—despite the critical role of diet in cardiovascular health.”
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References 16 · Cited by 126
- Authors
- Devries, S., Agatston, A., Aggarwal, M., Aspry, K. E., Esselstyn, C. B., Kris-Etherton, P., Miller, M., O'Keefe, J. H., Ros, E., Rzeszut, A. K., White, B. A., Williams, K. A., & Freeman, A. M.
- Affiliations
- Northwestern University (US)
- Florida International University (US)
- University of Florida (US)
- Brown University (US)
- Cleveland Clinic (US)
- University of Maryland, Baltimore (US)
- Instituto de Salud Carlos III (ES)
- American College of Cardiology (US)
- Marshall Health (US)
- National Jewish Health (US)
- Corresponding author
- Devries, Stephen
- ORCID
- Venue
- The American Journal of Medicine
- Publisher
- Elsevier BV
- Published
- 2017-11
- Volume
- 130
- Issue
- 11
- Pages
- 1298-1305
- ISSN
- 0002-9343 (ISSN-L)
- OpenAlex
- W2617076587
- Cited by
- 126
- References
- 16
- Citations by year
- 2026: 7 · 2025: 16 · 2024: 19 · 2023: 9 · 2022: 17 · 2021: 21 · 2020: 14 · 2019: 12 · 2018: 9 · 2017: 2
- FWCI
- 13.92
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The American Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Amgen
- Topics
- Health Sciences › Health Professions › Health Information Management › Dietetics, Nutrition, and Education
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health and Medical Research Impacts
- Keywords
- nutrition education, cardiologists, cardiology fellows, medical training, nutrition knowledge, dietary habits, nutrition interventions, cardiovascular risk reduction, physician attitudes, educational gaps
- MeSH terms
- Attitude of Health Personnel, Cardiology, Cardiovascular Diseases, Education, Humans, Internal Medicine, Internship and Residency, Health Knowledge, Attitudes, Practice, Nutritional Physiological Phenomena, United States, Nutrition Policy, Health Care Surveys, Needs Assessment, Nutrition Therapy
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