Evidence map›Paper›PMID 42251328›Full record

Observational studyBMC medical education2026

Food-drug interactions knowledge and clinical competence among registered dietitians.

Sofia Beirão, Carina Rossoni, Cíntia Ferreira-Pêgo, João Guilherme Costa

Abstract readObservational Study
In one paragraph

Observational study in BMC medical education, 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. 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

4 authors.

Sofia BeirãoSchool of Health Sciences and Technologies, Universidade Lusófona, Lisbon, Portugal.
Carina RossoniInstitute of Environmental Health (ISAMB) at the Faculty of Medicine of the University of Lisbon, Lisbon, Portugal.ORCID http://orcid.org/0000-0002-6494-4639
Cíntia Ferreira-Pêgo *Universidade Lusófona's Research Center for Biosciences and Health Technologies (CBIOS), Lisbon, Portugal.ORCID http://orcid.org/0000-0001-6930-4107
João Guilherme Costa *Universidade Lusófona's Research Center for Biosciences and Health Technologies (CBIOS), Lisbon, Portugal. jgcosta@ulusofona.pt.ORCID http://orcid.org/0000-0002-5604-6142

Funding

Fundação para a Ciência e a Tecnologia (FCT), Portugal UID/04567/2025 (DOI: 10.54499/UID/04567/2025)Fundação para a Ciência e a Tecnologia (FCT) Scientific Employment Stimulus contract DOI: 10.54499/CEECINST/00147/2018/CP1498/CT0009
6 · The paper itself

Abstract

backgroundFood-drug interactions (FDIs) are increasingly prevalent due to chronic disease and polypharmacy and may compromise therapeutic efficacy and patient safety. Registered dietitians play a critical role in identifying and preventing FDIs through dietary assessment and counselling in clinical practice; however, their knowledge and competence in this domain remain poorly characterised.

methodsA cross-sectional observational study was conducted using a structured self-administered online questionnaire among 151 registered dietitians, active members of the Portuguese Order of Nutritionists (Ordem dos Nutricionistas), in 2024. Knowledge of general and clinically relevant FDIs, prior education and training exposure, perceived adequacy of FDI knowledge, and self-reported training needs were assessed. Descriptive and comparative analyses examined knowledge patterns by professional experience and area of practice.

resultsParticipants demonstrated a good understanding of basic FDI concepts. However, specific knowledge of clinically relevant interactions averaged 58.72% (Sufficient), with markedly lower accuracy for interactions involving propranolol (22.5%) and warfarin (42.4-62.3%). Although most respondents (93.4%) reported prior academic exposure to FDIs, only 23.2% considered their knowledge sufficient for practice. Furthermore, 21.2% had undertaken complementary training beyond their bachelor's degree, suggesting a felt need to supplement formal education. Greater knowledge was observed among registered dietitians working in clinical practice and those with more professional experience.

conclusionsRegistered dietitians demonstrated foundational awareness of FDIs, but also important gaps in clinically relevant interaction knowledge and perceived competence. These findings highlight the need to strengthen FDI content in nutrition curricula and continuing professional development to support safe and effective practice in populations exposed to polypharmacy.

Indexed as

Clinical CompetenceFood-Drug InteractionsHealth Knowledge, Attitudes, PracticeNutritionistsAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedPortugalSurveys and QuestionnairesClinical nutritionDietitiansFood-drug interactionsHealthcare educationNutritionistsPatient safety

Identifiers

PMID42251328
PMCPMC13296082

What OpenQuestion holds

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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.