Academy Positions

Based on a systematic review, a position paper is a critical analysis of current facts, data and research literature on a specific issue with high, or at least moderate, quality evidence (Grade I or Grade II).

Position papers are written on topics that are confusing and require clarification, are controversial or are important from a policy perspective. Position papers are written by health care professionals (e.g., RDNs, physicians, nurses) who possess thorough and current knowledge of the topic. At least one position author must be a member of the Academy.

Published in the Journal of the Academy of Nutrition and Dietetics and available on, position papers feature a position statement summarizing findings on the specific issue; position focus describing the objective and subtopics; development process describing methodology specific to the position; conclusions; references and citations; and author information — including reviewers, disclosures and dates of activation.

Academy positions are not permanent. Because new information or evidence may emerge over time, positions are evaluated at the end of their active periods (dated at the end of the paper), and either are extended or expire.

  • A position that is extended will be reposted on and the Journal website with updated dates of activation.
  • An expired position is removed from, but members and subscribers can still access expired positions via the Journal for legacy purposes. (Note: These should not be cited as current positions.)
  • If sufficient interest or controversy in an expired position topic remains and resources permit, EAL expert panel members may be recruited for a reexamination of evidence and, depending on the outcome, a new position paper may be developed.
  • Benchmarks for Nutrition in Child Care

    Early care and education programs should achieve recommended benchmarks to meet children’s nutrition needs and promote children’s optimal growth in safe and healthy environments. (Position extended to 2025)

  • Child and Adolescent Federally Funded Nutrition Assistance Programs

    Children and adolescents should have access to safe and healthy foods that promote physical, cognitive, and social growth and development. Federally funded nutrition assistance programs, such as food assistance, meal service, and nutrition education, play a vital role in ensuring that children and adolescents have access to the foods they need and in improving the overall nutrition and health environments of communities. (Position extended to 2025)

  • Comprehensive Nutrition Programs and Services in Schools

    Comprehensive, integrated nutrition programs in preschool through high school are essential to improve the health, nutritional status, and academic performance of our nation’s children. To maximize impact, the Academy, School Nutrition Association, and Society for Nutrition Education and Behavior recommend specific strategies in the following key areas: food and nutrition services available throughout the school campus; nutrition initiatives such as farm to school and school gardens; wellness policies; nutrition education and promotion; food and beverage marketing at school; and consideration of roles and responsibilities. (Position extended to 2025)

  • Food and Nutrition Programs for Community-Residing Older Adults

    Older adults should have access to evidence-based food and nutrition programs that ensure the availability of safe and adequate food to promote optimal nutrition, health, functionality, and quality of life. Registered dietitian nutritionists and nutrition and dietetics technicians, registered, in partnership with other practitioners and nutrition educators, should be actively involved in programs that provide coordinated services between the community and health care systems that include regular monitoring and evaluation of programming outcomes. The rapidly growing older population, increased demand for integrated continuous support systems, and rising cost of health care underscore the need for these programs. (Position extended to 2026)

  • Individualized Nutrition Approaches for Older Adults: Long-Term Care, Post-Acute Care, and Other Settings

    The quality of life and nutritional status of older adults in long-term care, post-acute care, and other settings can be enhanced by individualized nutrition approaches. The Academy advocates that as part of the interprofessional team, registered dietitian nutritionists assess, evaluate, and recommend appropriate nutrition interventions according to each individual’s medical condition, desires, and rights to make health care choices. Nutrition and dietetic technicians, registered assist registered dietitian nutritionists in the implementation of individualized nutrition care. (Position extended to 2025)

  • Interprofessional Education in Nutrition as an Essential Component of Medical Education

    Registered dietitian nutritionists (RDNs) should play a significant role in educating medical students, residents, fellows, and physicians in practice. The more physicians learn about the effectiveness of nutrition for the prevention and treatment of diseases, the more likely they are to consult with RDNs and refer patients for medical nutrition therapy, which will improve medical care and has the potential to reduce health care costs. (Position extended to 2024)

  • Malnutrition (Undernutrition) Screening Tools for All Adults

    It is the position of the Academy that, based upon current evidence, the Malnutrition Screening Tool should be used to screen adults for malnutrition (undernutrition) regardless of their age, medical history or setting. (Position extended to 2027)

  • Micronutrient Supplementation

    Micronutrient supplements are warranted when requirements are not being met through the diet alone. Those with increased requirements secondary to growth, chronic disease, medication use, malabsorption, pregnancy and lactation, and aging may be at particular risk for inadequate dietary intakes. However, the routine and indiscriminate use of micronutrient supplements for the prevention of chronic disease is not recommended, given the lack of available scientific evidence. (Position extended to 2026)

  • Nutrition Informatics

    Nutrition informatics is a rapidly evolving area of practice for registered dietitian nutritionists and nutrition and dietetic technicians, registered, and that the knowledge and skills inherent to nutrition informatics permeate all areas of the dietetics profession. Further, nutrition and dietetics practitioners must continually learn and update their informatics knowledge and skills to remain at the forefront of nutrition practice. (Position extended to 2026)

  • Prevention of Pediatric Overweight and Obesity: Position of the Academy of Nutrition and Dietetics Based on an Umbrella Review of Systematic Reviews

    Prevention of pediatric overweight and obesity requires multilevel, multicomponent, and culturally appropriate interventions with family involvement to improve and sustain intake of healthy dietary patterns and physical activity in a developmentally appropriate manner throughout childhood and adolescence. Registered dietitian nutritionists are uniquely qualified to advocate for and deliver nutrition counseling in child-based settings; develop and deliver theory-based nutrition education programs; and implement environmental and policy changes to improve access to healthy foods. (Position extended to 2028)

  • The Role of MNT and RDNs in the Prevention and Treatment of Prediabetes and Type 2 Diabetes

    For adults with prediabetes or type 2 diabetes, medical nutrition therapy (MNT) provided by registered dietitian nutritionists (RDNs) is effective in improving medical outcomes, quality of life, and is cost effective. MNT provided by RDNs is also successful and essential to preventing progression of prediabetes and obesity to type 2 diabetes. It is essential that MNT provided by RDNs be integrated into health care systems and public health programs, and be adequately reimbursed. (Position extended to 2025)

  • Treatment of Pediatric Overweight and Obesity

    Children and adolescents with overweight or obesity should receive multi-component, culturally appropriate interventions with family involvement and nutrition counseling from an RDN. RDNs should use appropriate screening and assessment methods that address weight and mental health status; use inclusive language; and work within their scope of practice to provide nutrition assessment and tailored interventions that leverage new technology to improve health outcomes. (Expires 2029)