Evidence map›Paper›PMID 42089416›Full record

ArticleJournal of human nutrition and dietetics : the official journal of the British Dietetic Association2026

Dietitians as Food Systems Changemakers: The Path to Developing a Resilient, Equitable, Healthy and Connected Food System in the Illawarra Shoalhaven Region of Australia.

Karen Charlton, Suzanne Pickles, Alemayehu Digssie Gebremariam, Selena Stevens, Anita Stefoska-Needham, Katherine Kent

Abstract read
In one paragraph

Article in Journal of human nutrition and dietetics : the official journal of the British Dietetic Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Dietitians as Connectors and Brokers in Food Systems Transformation: A Reflexive Perspective From a Regional Circularity Case Study.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Karen CharltonSchool of Health Science, University of Newcastle, Callaghan, New South Wales, Australia.
Suzanne PicklesSchool of Medical, Indigenous and Health Sciences, University of Wollongong, Wollongong, New South Wales, Australia.
Alemayehu Digssie GebremariamSchool of Medical, Indigenous and Health Sciences, University of Wollongong, Wollongong, New South Wales, Australia.
Selena StevensRegional Development Australia Illawarra Shoalhaven, Wollongong, New South Wales, Australia.
Anita Stefoska-NeedhamSchool of Health Sciences, University of New South Wales, Kensington, New South Wales, Australia.ORCID https://orcid.org/0000-0001-7114-1634
Katherine KentSchool of Medical, Indigenous and Health Sciences, University of Wollongong, Wollongong, New South Wales, Australia.ORCID https://orcid.org/0000-0002-5330-7044

Funding

University of Wollongong Global Challenges grant and an ARC Future Fellowship #FT220100178
6 · The paper itself

Abstract

backgroundContemporary food systems contribute to climate change and influence food security, diet quality, equity and regional resilience. Addressing these interconnected challenges requires coordinated, place-based actions across the entire food system, with dietitians and nutrition professionals increasingly recognised as key system actors.

objectiveTo describe a dietitian-led, systems-thinking approach used to inform the development of a regional food strategy in New South Wales, Australia and to identify opportunities for dietitians and nutrition professionals in food system change across health, equity and environmental sustainability domains.

methodsUsing a socioecological model of health promotion and a collective impact methodology, a 2-year evidence-building and co-design programme of work was undertaken. Mixed methods were used across Ottawa Charter action areas: Building Healthy Public Policy; Creating a Supportive Environment; Developing Personal Skills; and Strengthening Community Action. Activities included diet affordability analysis, food environment and production mapping, community surveys, social network analysis, pilot skills-building initiatives and cross-sector stakeholder engagement.

resultsThe programme generated a coordinated regional evidence base on food security, food environments and local food systems, which informed the establishment and governance structure of a cross-sector Food Futures Taskforce and the co-design of a regional Food Charter and Action Plan with defined priorities and responsibilities. Findings highlight the central role of dietitians as knowledge translators, equity advocates and facilitators of systems change.

conclusionThis case study demonstrates how dietitians can operationalise systems thinking to catalyse regional food system governance and transformation. The approach offers a transferable model for integrating research, policy and practice to advance healthy, equitable and sustainable food systems.

Indexed as

Diet, HealthyFood SupplyHealth PromotionNutritionistsAnimals, PoisonousClimate ChangeFood SecurityHumansNew South WalesNutrition PolicySpiderschangemakercollective impactdesign‐leddietitianregional food systemsystems thinking

Identifiers

PMID42089416
PMCPMC13147489

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.