David Proud has worked exclusively in adult cystic fibrosis (CF) care since 2011. He explains to NHD Magazine how dietitians – a key part of the MDT – have made a ‘dramatic pivot’ due to an increase in obesity in the CF population. The UK Cystic Fibrosis Standards of Care emphasises the importance of a comprehensive MDT, with dietitians playing a central part. David explains: “There’s a direct link between nutritional status – including weight and body composition markers such as lean tissue and fat mass – and respiratory function, as well as reduced morbidity. The dietitian is therefore a key member of the MDT, contributing to all aspects of patient care, from routine monitoring through to complex nutritional management.