Dr Barbara Engel

Senior Teaching Fellow in Nutrition and Dietetics
BSc PhD Registered Dietitian
+44 (0)1483 686397
33 AY 03


University roles and responsibilities

  • Programme Leader for BSc (Hons) Nutrition and Dietetics

    Affiliations and memberships

    Health and Care Professions Council
    Registered Dietitian
    British Dietetic Association
    Renal Nutrition Group
    Member of the Postgraduate Education Committee
    Dartford and Gravesham NHS Trust
    Honorary contact providing dietetic clinics


    Research grants

    FSA (2008): Awarded grant (N05R0018) £240,000Development of a dose-responsive biological marker for carbohydrate intake based on metabolomics and machine learning.Dr J Lodge, Prof G Frost, Prof J Draper, Dr B Engel, Dr M Beckman

    British Renal Society (2007): £22,500A multi-centre trial to assess whether increased dietary fibre intake reduces laxative requirement in PD patients. This project has obtained Portfolio status.D Sutton, B Engel, R Davies, D Kariyawasam, S Perry, S Kennedy

    Kings Fund Grant (1996) for pilot project 'Setting up a diet and exercise programme for Renal Transplant Patients': £5000

    Royal London Hospital Research and Development (1997-1999): £20,000 to continue work on 'Diet and exercise programme for Renal Transplant Patients'

    • Renal disease (MSc project supervisor; development and evaluation of dietary information for renal patients from different ethnic groups)
    • Liver disease (MSc project supervisor; evaluation of Nutrition Assessment Score for patients with liver disease)
    • Measuring and monitoring nutritional status in chronically ill people: renal disease, multiple sclerosis, diabetes
    • Designing intervention trails in order to develop guidelines of best practice for dietitians
    • Public health: I have supervised final year projects promoting healthy eating in Transplant patients, nursery and primary schools
    • Inflammatory bowel disease, irritable bowel syndrome and the effects of pre and probiotics on bowel health



    Engel, B., Davies, S. (2009) Renal Nutrition: chapter in A Practical Manual of Renal Medicine: Nephrology, Dialysis & Transplantation (Editor: Kar Neng Lai) (World Scientific).

    Engel, B. (2008) Renal Nutrition: chapter 11, pages 315-362 in Renal Nursing: 3rd Edition (Editor: Thomas, N.) (Elsevier).

    Engel, B. (2006) Renal Nursing: chapter on Renal Nutrition (Elsevier).

    Engel, B. with co-author Bartram, J. (2006) Oxford Handbook of Nutrition: chapter on Renal Nutrition.

    Engel, B., Davies, S. et al. (2004) Longitudinal measurements of total body water and body composition in healthy volunteers by online breath deuterium measurement and other near-subject methods. International Journal of Body Composition 4(3):99-106.

    Asghar R.B., Green S., Engel B., Davies S.J. (2004) Relationship of demographic, dietary, and clinical factors to the hydration status of patients on peritoneal dialysis. Peritoneal Dialysis International 24(3):231-9.

    Smith D., Engel B. et al. (2002) Comparative measurements of total body water in healthy volunteers by on-line breath deuterium measurement and other near-subject methods. American Journal of Clinical Nutrition 76(6):1295-1301.

    Engel, B. (2003) Nutritional Management of Diabetic Renal Transplant Recipients in Nutritional Management of Diabetes (Frost, G. et al.) (J. Wiley and Sons).

    Nutritional Management of Renal Disorders. Encyclopaedia of Food Science, Food Technology and Nutrition. Academic Press. Updated and revised edition in print 2002.

    Toigo, G., Aparicio, M., Attman, P.O., Cano, N., Ciancaruso, B., Engel, B. et al. (2000) Expert Working Group report on nutrition in adult patients with renal insufficiency (ESPEN Guidelines) Clinical Nutrition 19(3):197-207

    Griffiths, A., Engel, B. (2001) Nutritional assessment and supplementation in patients with ESRD. British Journal of Renal Medicine 6(3):21-24.

    Engel, B., James, G., Singh, S., Vennegoor, M. (1999) Setting Standards and achieving optimum nutritional status RNG Working Party (Winner of Elizabeth Washington Award - British Dietetic Association)

    Engel, B. (1996) Renal Dietitians - Setting standards in Care. British Journal of Renal Medicine 1(2):21-23.

    Engel, B., Kon, S.P., Raftery, M.J. (1995) Identification of Malnutrition in Hamodialysis Patients. Journal of Renal Nutrition 5(2):62-66.

    Nyangi A. Gityamwi, Kathryn H. Hart, Barbara Engel (2021)A Cross-Sectional Analysis of Dietary Intake and Nutritional Status of Patients on Haemodialysis Maintenance Therapy in a Country of Sub-Saharan Africa, In: International journal of nephrology2021pp. 1-12 Hindawi Publishing Group

    Malnutrition is common among dialysis patients, but there is insufficient literature on the problem from resource-poor settings of the sub-Saharan region. We conducted a cross-sectional investigation of dietary intake and nutritional status of haemodialysis (HD) patients to inform the current status of this population group in the region. HD patients aged >= 18 years, with dialysis vintage of >= 3 months, at one nephrology unit in Tanzania were assessed for their habitual diet and nutrient intake. Anthropometric measures and biochemistry tests were also performed. The diet was predominantly starchy food based, accompanied by a limited selection of vegetables. Fruits and animal protein were also minimally consumed (1 portion/day each). Fruit consumption was higher in females than males (median (25(th), 75(th)) = 2 (1, 2.3) versus 0.5 (0, 1.7) portions, p = 0.008). More than 70% of participants had suboptimal measures for protein and energy intake, dietary iron, serum albumin, muscle mass, and hand grip strength (HGS). Inadequacies in protein and energy intake and dialysis clearance (URR) increased with the increase in body weight/BMI and other specific components (MAMC and FMI). Consumption of red meats correlated significantly and positively with serum creatinine (r = 0.46, p = 0.01), potassium (r = 0.39, p = 0.03), and HGS (r = 0.43, p = 0.02) and was approaching significance for a correlation with serum iron (r = 0.32, p = 0.07). C-RP correlated negatively with albumin concentration (r = -0.32, p = 0.02), and participants with C-RP within acceptable ranges had significantly higher levels of haemoglobin (p = 0.03, effect size = -0.28). URR correlated negatively with haemoglobin concentration (r = -0.36, p = 0.02). Patients will benefit from improved nutritional services that deliver individually tailored and culturally practical dietary advice to enable them to make informed food choices whilst optimizing disease management.

    Barbara Engel, P Lee, L Bottle, P Cardew, S A Lanham-new (2008)Impact of Ethnicity and Season on Body Composition: Results from the Vitamin D, Food Intake, Nutrition and Exposure to Sunlight in Southern England (D-FINES) Study, In: Proceedings of the Nutrition Society67E322 Cambridge University Press

    The principal objectives of the D-FINES study are to compare vitamin D status, food intake, bone health indices and sunlight exposure in Caucasian and Asian women living in Southern England. It is known that in women both muscle and fat mass influence whole-body BMD(1) and the aim of the present subsidiary study was to examine for differences in body composition and compare the relationship between body composition components in Asian and Caucasian women. Measurements of body composition were undertaken in seventy-two Asian and 227 Caucasian women in autumn–winter (A/W) with a follow-up assessment in spring–summer (S/S) by dual X-ray absorptiometry (QDR-4500; Hologic Inc., Bedford, MA, USA). Measures of whole-body bone mineral density (BMD), whole-body bone mineral content (BMC), fat mass and lean mass were undertaken. Regional as well as total measurements were available.