ND Etiology Matrix

Nutrition Diagnosis Etiology Matrix
Category
Etiology
Diagnosis
Attitude
Altered body image
Poor nutrition quality of life (NQOL) (NB2.5)
Attitude
Changes in taste, appetite or preference
Excessive fat intake (NI-5.6.2), Inappropriate

intake of fats (specify) (NI-5.6.3),
Undesirable food choices (NB-1.7)
Attitude
Denial of need to change
Not ready for diet/lifestyle change (NB-1.3)
Attitude
Desire for a cure for a chronic disease

through the use of alternative therapy
Harmful beliefs/attitudes about food or

nutrition-related topics (NB-1.2)
Attitude
Disbelief in science-based food and nutrition Harmful beliefs/attitudes about food or

information
Attitude
End-of-life care if patient/client or family do

not desire nutrition support
Inappropriate infusion of enteral or

parenteral nutrition (NI-2.5)
Attitude
Familial, societal, biological/genetic, and/or

environmental related obsessive desire to be
thin
Disordered eating pattern (NB-1.5)
Attitude
Harmful beliefs/attitudes about food,

nutrition, and nutrition-related information
Excessive energy intake (NI-1.5), Excessive

oral food/beverage intake (NI-2.2), Excessive
alcohol intake (NI-4.3), Imbalance of
nutrients (NI-5.5), Excessive fat intake (NI5.6.2), Inappropriate intake of fats (NI-5.6.3),
Excessive protein intake (NI-5.7.2),
Inappropriate intake of amino acids (NI5.7.3), Excessive fiber intake (NI-5.8.6),
Excessive mineral intake (NI-5.10.2),
Underweight (NC-3.1), Food- and nutritionrelated knowledge deficit (NB-1.1), Not
ready for diet/lifestyle change (NB-1.3),
Physical inactivity (NB-2.1), Excessive
physical activity (NB-2.2)
Attitude
Irritability
Breastfeeding difficulty (NC-1.3)
Attitude
Lack of self-efficacy for making change or

demoralization from previous failures at
change
Not ready for diet/lifestyle change (NB-1.3),

Limited adherence to nutrition-related
recommendations (NB-1.6), Poor nutrition
quality of life (NQOL) (NB-2.5)
Attitude
Lack of value for behavior change or

competing values

oral food/beverage intake (NI-2.2), Excessive
alcohol intake (NI-4.3), Excessive fat intake
(NI-5.6.2) Inappropriate intake of fats
(specify) (NI-5.6.3), Self-monitoring deficit
(NB-1.4), Limited adherence to nutritionrelated recommendations (NB-1.6), Physical
inactivity (NB-2.1), Inability or lack of desire
to manage self-care (NB-2.3)
1
Supplemental material for International Dietetics and Nutrition Terminology (IDNT) Reference Manual, Second Edition. Copyright 2009
American Dietetic Association.

Category
Etiology
Diagnosis
Attitude
Lacks motivation and or readiness to apply

or support systems change
Attitude
Negative impact of current or previous

medical nutrition therapy (MNT)
Attitude
Not ready for diet/lifestyle change
Overweight/Obesity (NC-3.3), Self-monitoring deficit (NB-1.4), Inability or lack of desire

to manage self-care (NB-2.3), Poor nutrition
quality of life (NQOL) (NB-2.5)
Attitude
Perception of inadequate milk supply
Attitude
Perception that lack of resources (e.g., time,

financial, or interpersonal) prevent:
Attitude
Selection/food choices consistent with

recommendations
Changes

recommendations (NB-1.6)
Sufficient level of activity
Physical inactivity (NB-2.1)
Self-monitoring
Self-monitoring deficit (NB-1.4), Inability or

lack of desire to manage self-care (NB-2.3)
Unwilling or disinterested in:

Learning/applying information
Food- and nutrition-related knowledge deficit

(NB-1.1), Not ready for diet/lifestyle change
(NB-1.3), Limited adherence to nutritionrelated recommendations (NB-1.6), Undesirable food choices (NB-1.7), Inability or lack
of desire to manage self-care (NB-2.3)
Reducing energy intake
Excessive energy intake (NI-1.5)
Reducing intake
Excessive oral food/beverage intake (NI-2.2)
Tracking progress
Self-monitoring deficit (NB-1.4)
Attitude
Unwillingness to consume fiber-containing

foods
Inadequate fiber intake (NI-5.8.5)
Attitude
Weight regulation/preoccupation significant- Disordered eating pattern (NB-1.5)

ly influences self-esteem
Behavior
Addictive behavior
Excessive exercise (NB-2.2)
Behavior
Consumption of high-dose nutrient supplements
Imbalance of nutrients (NI-5.5)
Behavior
Eating behavior serves a purpose other than

nourishment (e.g., pica)
Harmful beliefs/attitudes about food or

Behavior
Excess energy intake
Overweight/Obesity (NC-3.3)
Behavior
Excessive physical activity
Underweight (NC-3.1)
2

Category
Etiology
Diagnosis
Behavior
Food and nutrition compliance limitations
Excessive carbohydrate intake (NI-5.8.2),

inappropriate intake of types of
carbohydrates (specify) (NI-5.8.3),
Inconsistent carbohydrate intake (NI-5.8.4)
Behavior
Food or activity behavior-related difficulty
Behavior
Food preparation or eating patterns that

involve only high-fiber foods to the
exclusion of other nutrient-dense foods
Excessive fiber intake (NI-5.8.6)
Behavior
Disordered eating pattern
Excessive physical activity(NB-2.2),

Underweight (NC-3.1), Overweight/Obesity
(NC-3.3)
Behavior
Frequent intake of foods containing

bioactive substances
Excessive bioactive substance intake (NI4.2)
Behavior
Inability to limit or refuse offered foods
Behavior
Inadequate energy intake
Behavior
Lack of focus and attention to detail,

difficulty with time management and/or
organization
Behavior
Over consumption of a limited variety of

foods
Excessive mineral intake (specify) (NI5.10.2)
Behavior
Poor or inappropriate food planning,

purchasing and preparation practices
Excessive oral food/beverage intake (NI2.2), Inadequate fiber intake (NI-5.8.5),

Limited access to food (NB-3.2)
Behavior
Reluctance or avoidance of self-feeding
Self-feeding difficulty (NB-2.6)
Culture
Cultural practices that affect ability to:

Access food variety
Inadequate proteinenergy intake (NI-5.3),

Inadequate fat intake (NI-5.6.1)
Breastfeed
Learn/apply information
Food- and nutrition-related knowledge

deficit (NB-1.1), Undesirable food choices
(NB-1.7)
Manage self-care
Inability or lack of desire to manage selfcare (NB-2.3)
Reduce carbohydrate intake
Excessive carbohydrate intake (NI-5.8.2)
Regulate timing of carbohydrate

consumption
Regulate types of carbohydrate

consumed
Inappropriate intake of types of

carbohydrates (specify) (NI-5.8.3)
Track personal progress
3

Category
Etiology
Diagnosis
Access
Access to foods and supplements in excess

of needs
Excessive vitamin intake (specify) (NI-5.9.2)
Access
Caregiver intentionally or unintentionally not Limited access to food (NB-3.2)

providing access to food
Access
Community and geographical constraints for

shopping and transportation
Access
Environmental causes, e.g., inadequately

tested nutrient bioavailability of fortified
foods, beverages, and supplements; inappropriate marketing of fortified foods,
beverages, supplements as a substitute for
natural food source of nutrient(s)
Inadequate mineral intake (specify) (NI5.10.1)
Access
Exposure to contaminated water or food,

e.g., community outbreak of illness
documented by surveillance and/or response
agency
Intake of unsafe food (NB-3.1)
Access
Failure to participate in federal food

programs such as WIC, National School
Breakfast/Lunch Program, food stamps
Access
Financial constraints that may prevent

sufficient level of activity (e.g., to address
cost of equipment or shoes or club
membership to gain access)
Access
Food insecurity
Access
Lack of, or limited access to:

Adaptive eating devices conducive for
self-feeding
Available and safe exercise space and/or Physical inactivity (NB-2.1)

equipment
Fluid
Inadequate fluid intake (NI-3.1), Inadequate

fiber intake (NI-5.8.5)
Fortified foods and beverages
Specialized protein products
Excessive protein intake (NI-5.7.2)
4

Category
Etiology
Diagnosis
Access
Lack of, or limited access to, contd:

Food or artificial nutrition
Inadequate energy intake (NI-1.4),

Inadequate oral food/beverage intake (NI2.1), Malnutrition (NI-5.2), Inadequate
protein-energy intake (NI-5.3), Inadequate
protein intake (NI-5.7.1), Inadequate
carbohydrate intake (NI-5.8.1), Inadequate
vitamin intake (specify) (NI-5.9.1),
Inadequate mineral intake (specify) (NI5.10.1), Involuntary weight loss (NC-3.2)
Food
Fiber-containing foods
Food that contains a bioactive substance Inadequate bioactive substance intake (NI4.1)
Healthy food choices

oral food/beverage intake (NI-2.2),
Excessive fat intake (NI-5.6.2),
Inappropriate intake of fats (specify) (NI5.6.3)
Recommended foods
Sufficient quantity or variety of

culturally appropriate healthful food
Safe food supply
Food storage equipment/facilities
Self-management tools or decision

guides
Access
Limited, absent, or failure to participate in

community supplemental food programs
such as food pantries, emergency kitchens,
or shelters, with a sufficient variety of
culturally appropriate healthful foods
Access
Schools lacking nutrition/wellness policies

or application of policies ensuring
convenient, appetizing, competitively priced
culturally appropriate healthful foods at
meals, snacks, and school sponsored
activities
5

Category
Etiology
Diagnosis
Knowledge
Food and nutrition knowledge deficit
Inadequate energy intake (NI-1.4), Excessive

energy intake (NI-1.5), Excessive oral
food/beverage intake (NI-2.2), Inadequate
fluid intake (NI-3.1), Excessive fluid intake
(NI-3.2), Inadequate bioactive substance
intake (NI-4.1), Excessive bioactive
substance intake (NI-4.2), Excessive alcohol
intake (NI-4.3), Malnutrition (NI-5.2),
Imbalance of nutrients (NI-5.5), Excessive
fat intake (NI-5.6.2), Inadequate protein
intake (NI-5.7.1), Inadequate carbohydrate
intake (NI-5.8.1), Inadequate fiber intake
(NI-5.8.5), Excessive mineral intake
(specify) (NI-5.10.2), Overweight/obesity
(NC-3.3), Self-monitoring deficit (NB-1.4),
Inability or lack of desire to manage selfcare (NB-2.3), Poor nutrition quality of life
(NQOL) (NB-2.5), Limited access to food
(NB-3.2)
Knowledge

concerning:
Sufficient oral food/beverage intake
Inadequate oral food/beverage intake (NI-2.1)
Consumption of an appropriate variety

of foods
Potentially unsafe food
Proper infant feeding, food/feeding

preparation and storage
Adequate energy intake
Appropriate amount and types of dietary Malnutrition (NI-5.2), Inadequate protein

protein
intake (NI-5.7.1)
Appropriate type of dietary fat
Inappropriate intake of fats (NI-5.6.3)
Prolonged adherence to a very low-fat diet Inadequate fat intake (NI-5.6.1)

Appropriate amount and types of dietary Excessive carbohydrate intake (NI-5.8.2),
carbohydrate
Appropriate timing of carbohydrate
intake
Physiological causes requiring careful

timing and consistency in the amount of
carbohydrate
Physiological causes requiring use of

modified carbohydrate

6

Category
Etiology
Diagnosis
Knowledge

concerning, contd:
Physiological causes requiring use of
modified carbohydrate intake
Excessive carbohydrate intake (NI-5.8.2)
Desirable quantities of fiber
Excessive fiber intake (NI-5.8.6)
Correct enteral formula needed
Inadequate intake from enteral/parenteral

(EN/PN) nutrition (NI-2.3)
Food and supplemental sources of

vitamins
Inadequate vitamin intake (specify) (NI5.9.1), Excessive vitamin intake (specify)

(NI-5.9.2)
Food and supplemental sources of

minerals
Recommended dose of vitamin and

mineral supplements
Management of diagnosis requiring

mineral restriction
Management of diagnosed genetic

disorder altering mineral homeostasis
Correct amount of enteral formula
Correct parenteral nutrition components

Appropriate/correct access for delivering Inadequate intake from enteral/parenteral

EN/PN
Health benefits of physical activity
How to make nutrition-related changes

recommendations (NB-1.6)
Food-drug interactions
Food-Medication Interaction (NC-2.3)
On the part of the caregiver
Excessive intake from enteral/parenteral (EN/

PN) nutrition (NI-2.4), Inappropriate infusion
of Enteral or Parenteral Nutrition (NI-2.5)
Knowledge
Lack of prior exposure to accurate nutritionrelated information
Food- and nutrition-related knowledge deficit

(NB-1.1), Harmful beliefs/attitudes about
food or nutrition-related topics (NB-1.2),
Self-monitoring deficit (NB-1.4), Inability or
lack of desire to manage self-care (NB-2.3)
Knowledge
Lack of prior exposure to accurate

information regarding physical activity
Knowledge
Misunderstanding of information
Knowledge
Failure to adjust for lifestyle changes and

decreased metabolism
7

Category
Etiology
Diagnosis
Medical/Surgical
Addictive personality
Excessive physical activity (NB-2.2)
Medical/Surgical
Alcohol addiction
Excessive alcohol intake (NI-4.3)
Medical/Surgical
Alteration in gastrointestinal tract

Decreased functional length of intestine
Malnutrition (NI-5.2)
Decreased functional length of GI tract
Altered gastrointestinal (GI) function (NC1.4), Impaired nutrient utilization (NC-2.1)
Alteration in GI anatomical structure
Altered gastrointestinal (GI) function (NC1.4), Inadequate fat intake (NI-5.6.1)
Alteration in GI function
Inadequate bioactive substance intake (NI4.1), Excessive bioactive substance intake

(NI-4.2), Inadequate fat intake (NI-5.6.1),
Altered gastrointestinal (GI) function (NC1.4), Impaired nutrient utilization (NC-2.1)
Change in GI tract motility
Altered gastrointestinal (GI) function (NC-1.4)
Medical/Surgical
Altered cholesterol metabolism/regulation
Decreased nutrient needs (specify) (NI-5.4)
Medical/Surgical
Breast or nipple abnormality
Medical/Surgical
Changes in taste, appetite or preference
Excessive fat intake (NI-5.6.2), Inappropriate intake of fats (specify) (NI-5.6.3)
Medical/Surgical
Chronic use of medications known to cause

weight gain, such as use of certain
antidepressants, antipsychotics, corticosteroids, certain HIV medications
Involuntary weight gain (NC-3.4)
Medical/Surgical
Condition leading to excessive fluid weight

gains
Medical/Surgical
Conditions leading to excess fluid loss
Excessive fluid intake (NI-3.2)
Medical/Surgical
Craniofacial malformations
Biting/Chewing (masticatory) difficulty (NC-1.2)
Medical/Surgical
Decreased energy needs
Medical/Surgical
Decreased nutrient needs related to low

activity levels due to chronic disease or
organ failure
Excessive intake from enteral or parenteral

nutrition (NI-2.4), Excessive vitamin intake
(specify) (NI-5.9.2)
Medical/Surgical
Difficulty chewing or swallowing high-fiber

foods
Medical/Surgical
Difficulty latching on
Medical/Surgical
Food allergies and aversions impeding food

choices consistent with guidelines
Medical/Surgical
Food intolerances
Medical/Surgical
Heart failure

8

Category
Etiology
Diagnosis
Medical/Surgical
High level of fatigue or other side effect of

therapy
Undesirable food choices (NB-1.7), Impaired

ability to prepare foods/meals (NB-2.4)
Medical/Surgical
Illness causing unexpected weight gain

because of head trauma, immobility,
paralysis or related condition
Medical/Surgical
Impaired cognitive ability, including

learning disabilities, neurological or sensory
impairment, and dementia
Inadequate fluid intake (NI-3.1), Food- and

nutrition-related knowledge deficit (NB-1.1),
Self-monitoring deficit (NB-1.4), Undesirable food choices (NB-1.7), Inability or lack
of desire to manage self-care (NB-2.3),
Impaired ability to prepare foods/meals (NB2.4), Self-feeding difficulty (NB-2.6),
Medical/Surgical
Improvement in patient/client status,

allowing return to total or partial oral diet;
changes in the course of disease resulting in
changes in nutrient requirements
Inappropriate infusion of enteral or

parenteral nutrition (NI-2.5)
Medical/Surgical
Increased energy needs
Medical/Surgical
Injury, lifestyle change, condition, physical

disability or limitation that reduces physical
activity or activities of daily living
Medical/Surgical
Intolerance of EN/PN

Medical/Surgical
Kidney, liver, cardiac, endocrine, neurologic, Excessive fluid intake (NI-3.2), Altered
and/or pulmonary dysfunction
nutrition-related laboratory values (specify)
(NC-2.2)
Medical/Surgical
Lack of developmental readiness to perform

self-management tasks
Medical/Surgical
Lethargy, sleepiness
Medical/Surgical
Limited vision
Medical/Surgical
Liver dysfunction
Decreased nutrient needs (specify) (NI-5.4),

Excessive protein intake (NI-5.7.2), Inappropriate intake of amino acids (specify) (NI5.7.3)
Medical/Surgical
Loss of appetite awareness
Medical/Surgical
Malnutrition/malabsorption
Medical/Surgical
Mastitis and/or painful breasts, nipples
Medical/Surgical
Mechanical issues such as inflammation,

surgery, stricture, or oral, pharyngeal and
esophageal tumors, mechanical ventilation
Swallowing difficulty (NC-1.1), Biting/

Chewing (masticatory) difficulty (NC-1.2)
9

Category
Etiology
Diagnosis
Medical/Surgical
Medications that increase appetite

oral food/beverage intake (NI-2.2),
Excessive fat intake (NI-5.6.2), Inappropriate intake of fats (specify) (NI-5.6.3)
Medical/Surgical
Mental illness, confusion, altered awareness

or depression
Intake of unsafe food (NB-3.1), Excessive

oral food/beverage intake (NI-2.2)
Medical/Surgical
Inborn errors of metabolism
Inappropriate intake of amino acids (specify)

(NI-5.7.3)
Medical/Surgical
Metabolic abnormality
Medical/Surgical
Metabolic disorders
Impaired nutrient utilization (NC-2.1)
Medical/Surgical
Motor causes related to neurological or

muscular disorders
Swallowing difficulty (NC-1.1)
Medical/Surgical
Oral pain
Medical/Surgical
Other organ dysfunction that leads to

biochemical changes
Altered nutrition-related laboratory values

(specify) (NC-2.2)
Medical/Surgical
Partial or complete edentulism
Medical/Surgical
Physical disability
Impaired ability to prepare foods/meals (NB2.4), Limited access to food (NB-3.2)
Medical/Surgical
Physiological causes increasing nutrient

needs due to:
Accelerated growth or anabolism
Increased energy expenditure (NI-1.2),

Altered absorption or metabolism
Inadequate protein intake (NI-5.7.1),

Inadequate vitamin intake (specify) (NI5.9.1), Inadequate mineral intake (specify)
(NI-5.10.1), Malnutrition (NI-5.2),
Involuntary weight loss (NC-3.2)
Disease/condition

(EN/PN) nutrition (NI-2.3), Inadequate
protein intake (NI-5.7.1), Inadequate vitamin
intake (specify) (NI-5.9.1), Involuntary
weight loss (NC-3.2)
Maintenance of body temperature
Increased energy expenditure (NI-1.2)
Nutrient/nutrient interaction and/or

drug/nutrient interaction
Malnutrition (NI-5.2), Inadequate intake

from enteral/parenteral (EN/PN) nutrition
(NI-2.3), Inadequate vitamin intake (specify)
(NI-5.9.1), Inadequate mineral intake
(specify) (NI-5.10.1)
10

Category
Etiology
Diagnosis
Medical/Surgical
Physiological causes increasing nutrient

needs due to, cont'd:
Prolonged catabolic illness

Inadequate oral food/beverage intake (NI2.1), Malnutrition (NI-5.2), Inadequate
proteinenergy intake (NI-5.3), Inadequate
protein intake (NI-5.7.1), Inadequate vitamin
intake (specify) (NI-5.9.1), Inadequate
mineral intake (specify) (NI-5.10.1),
Medical/Surgical
Poor sucking ability
Medical/Surgical
Prematurely
Altered nutrition-related laboratory values

(NC-2.2)
Medical/Surgical
Prolonged adherence to a low-fiber or lowresidue diet
Medical/Surgical
Prolonged hospitalization
Medical/Surgical
Renal dysfunction
Decreased nutrient needs (specify) (NI-5.4),

Medical/Surgical
Small for gestational age, intrauterine growth Underweight (NC-3.1)

retardation/restriction and/or lack of
progress/appropriate weight gain per day
Medical/Surgical
Soft tissue disease (primary or oral

manifestations of a systemic disease)
Medical/Surgical
Swallowing difficulty, and altered suck and

breathing patterns in infants
Swallowing difficulty (NC-1.1),

Medical/Surgical
Xerostomia
Physical
activity/function
Inadequate milk supply
Physical
activity/function
Physiological difficulty causing inability to

physically:
Bend elbow at wrist
Grasp cups and utensils
Sit with hips square and back straight
Support neck and/or control head and
neck
Coordinate hand movement to mouth
Physical
activity/function
Lack of self-feeding ability
Physical
activity/function
Limited physical strength or range of motion Self-feeding difficulty (NB-2.6)
Physical
activity/function
Physical inactivity
11

Category
Etiology
Diagnosis
Physical
activity/function
Voluntary or involuntary physical

activity/movement
Increased energy expenditure (NI-1.2)
Policy/Procedure
Accidental vitamin and/or mineral overdose

from enteral or parenteral sources
Excessive vitamin intake (specify) (NI5.9.2), Excessive mineral intake (specify)

(NI-5.10.2)
Policy/Procedure
Calories unaccounted for from IV infusion

and/or medications
Policy/Procedure
Combined ingestion or administration of

medication and food that results in
undesirable/harmful interaction
Foodmedication interaction (NC-2.3)
Policy/Procedure
Infusion volume not reached or schedule for

infusion interrupted

Policy/Procedure
Insufficient electrolyte replacement when

initiating feeding (PN/EN, including oral)
Policy/Procedure
Lack of, compromised, or incorrect access

for delivering EN/PN

Policy/Procedure
Misused specialized protein products
Inappropriate intake of amino acids (specify)

(NI-5.7.3)
Policy/Procedure
Overfeeding of parenteral/enteral nutrition

(PN/EN)
Psychological
Psychological causes such as depression and

disordered eating

Inadequate oral food/beverage intake (NI2.1), Excessive fluid intake (NI-3.2),
Inadequate fat intake (NI-5.6.1), Inadequate
protein intake (NI-5.7.1), Inadequate carbohydrate intake (NI-5.8.1), Excessive
carbohydrate intake (NI-5.8.2), Inappropriate
intake of types of carbohydrates (NI-5.8.3),
Inconsistent carbohydrate intake (NI-5.8.4),
Inadequate fiber intake (NI-5.8.5), Involuntary weight loss, (NC-3.2) Undesirable food
choices (NB-1.7), Limited access to food
(NB-3.2)
Social
Lack of role models
Breastfeeding difficulty (NC-1.3), Physical

Inactivity (NB-2.1)
Social
Lack of social support for implementing

changes
Breastfeeding difficulty (NC-1.3), Not ready

for diet/lifestyle change (NB-1.3), Selfmonitoring deficit (NB-1.4), Limited
adherence to nutrition-related
recommendations (NB-1.6), Physical
inactivity (NB-2.1), Inability or lack of
desire to manage self-care (NB-2.3), Poor
nutrition quality of life (NQOL) (NB-2.5)
12
Social
Increased psychological/life stress
13

ND Etiology Matrix

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ND Etiology Matrix

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Nutrition Diagnosis Etiology Matrix

Altered body image

Poor nutrition quality of life (NQOL) (NB2.5)

Changes in taste, appetite or preference

Excessive fat intake (NI-5.6.2), Inappropriate

Denial of need to change

Not ready for diet/lifestyle change (NB-1.3)

Desire for a cure for a chronic disease

Harmful beliefs/attitudes about food or

Disbelief in science-based food and nutrition Harmful beliefs/attitudes about food or

End-of-life care if patient/client or family do

Inappropriate infusion of enteral or

Familial, societal, biological/genetic, and/or

Disordered eating pattern (NB-1.5)

Harmful beliefs/attitudes about food,

Excessive energy intake (NI-1.5), Excessive

Breastfeeding difficulty (NC-1.3)

Lack of self-efficacy for making change or

Not ready for diet/lifestyle change (NB-1.3),

Lack of value for behavior change or

Excessive energy intake (NI-1.5), Excessive

Nutrition Diagnosis Etiology Matrix

Lacks motivation and or readiness to apply

Undesirable food choices (NB-1.7)

Negative impact of current or previous

Poor nutrition quality of life (NQOL) (NB2.5)

Not ready for diet/lifestyle change

Overweight/Obesity (NC-3.3), Self-monitoring deficit (NB-1.4), Inability or lack of desire

Perception of inadequate milk supply

Breastfeeding difficulty (NC-1.3)

Perception that lack of resources (e.g., time,

Selection/food choices consistent with

Undesirable food choices (NB-1.7)

Not ready for diet/lifestyle change (NB-1.3),

Sufficient level of activity

Physical inactivity (NB-2.1)

Self-monitoring deficit (NB-1.4), Inability or

Unwilling or disinterested in:

Food- and nutrition-related knowledge deficit

Reducing energy intake

Excessive energy intake (NI-1.5)

Excessive oral food/beverage intake (NI-2.2)

Self-monitoring deficit (NB-1.4)

Unwillingness to consume fiber-containing

Inadequate fiber intake (NI-5.8.5)

Weight regulation/preoccupation significant- Disordered eating pattern (NB-1.5)

Excessive exercise (NB-2.2)

Consumption of high-dose nutrient supplements

Imbalance of nutrients (NI-5.5)

Eating behavior serves a purpose other than

Harmful beliefs/attitudes about food or

Excess energy intake

Excessive physical activity

Nutrition Diagnosis Etiology Matrix

Food and nutrition compliance limitations

Excessive carbohydrate intake (NI-5.8.2),

Food or activity behavior-related difficulty

Poor nutrition quality of life (NQOL) (NB2.5)

Food preparation or eating patterns that

Excessive fiber intake (NI-5.8.6)

Disordered eating pattern

Excessive physical activity(NB-2.2),

Frequent intake of foods containing

Excessive bioactive substance intake (NI4.2)