Telenutrition: An Integrated Approach to Delivering Medical Nutrition Therapy to Bariatric Surgery Patients via Synchronous Teleconsultation

2014 ◽  
Vol 7 (2) ◽  
pp. 169-174
Author(s):  
Dorothy Roedel Ferraro
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Patient Adherence ◽  
Nutrition Therapy ◽  
Medical Nutrition Therapy ◽  
Long Term Outcomes ◽  
Bariatric Patients ◽  
Improve Patient ◽  
Medical Nutrition

Bariatric surgery has emerged as a safe and effective means to substantial weight loss with subsequent resolution of comorbid conditions, improvement in quality of life, and increased longevity for the morbidly obese. Achieving significant and sustained weight loss following surgery requires lifelong dietary and behavior modifications. Bariatric patients are challenged to adhere to the postoperative plan and the clinician to provide the necessary support services to promote the patient’s adherence. Long-term outcomes rely on lifelong patient adherence and follow-up care. Dietary management is central to weight loss, and medical nutrition therapy (MNT) provides the patient with the knowledge and skills needed to modify dietary behaviors. Telenutrition offers a novel and innovative approach to nutritional counseling for bariatric patients who might otherwise have limited or no access. This article presents the use of synchronous teleconsultation to augment patient care following bariatric surgery by connecting patients with the registered dietitian through web conferencing. The objectives of this multicomponent telenutrition program are to improve patient access to MNT, augment clinician–patient interaction between office visits, increase patient satisfaction, and improve patient adherence to prescribed treatment plans, thereby optimizing both short- and long-term outcomes following bariatric surgery.

scholarly journals The role of celebrity diets versus medical nutrition therapy in type 2 diabetes

2015 ◽  
Vol 03 (01) ◽  
pp. 061-063
Author(s):  
Sandra Scrivens
Keyword(s):  
Type 2 Diabetes ◽  
Weight Loss ◽  
Nutrition Therapy ◽  
Overweight And Obesity ◽  
Medical Nutrition Therapy ◽  
Modest Weight Loss ◽  
The Individual ◽  
Medical Nutrition

AbstractWith global obesity affecting 475 million people worldwide, the continued popularity of celebrity or fad diets is not surprising. Evidence for their sustainability and long-term positive benefits on weight loss and cardiometabolic risk is, however, limited. Modest weight loss of 5-10% in overweight or obesity is associated with improvements in blood lipids, glycemia, and insulin resistance. As overweight and obesity are the main risk factors for Type 2 diabetes (T2DM), medical nutrition therapy based on a balanced, reduced total energy diet, tailored to the individual, is recommended by the American Diabetes Association, Diabetes UK and transcultural diabetes-specific nutrition algrorithm (tDNA) guidelines.

Medical Nutrition Therapy and Weight Loss Questions for the Evidence Analysis Library Prevention of Type 2 Diabetes Project: Systematic Reviews

2017 ◽  
Vol 117 (10) ◽  
pp. 1578-1611 ◽  
Author(s):  
Hollie A. Raynor ◽  
Patricia G. Davidson ◽  
Heather Burns ◽  
Micki D. Hall Nadelson ◽  
Shelley Mesznik ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Weight Loss ◽  
Systematic Reviews ◽  
Nutrition Therapy ◽  
Medical Nutrition Therapy ◽  
Evidence Analysis ◽  
Medical Nutrition

scholarly journals Endoscopic plasma argon coagulation in treatment of weight regain after bariatric surgery: what does the patient think about this?

2014 ◽  
Vol 27 (suppl 1) ◽  
pp. 47-50 ◽  
Author(s):  
Simone Dallegrave MARCHESINI ◽  
Giorgio Alfredo Pedroso BARETTA ◽  
Maria Paula Carlini CAMBI ◽  
João Batista MARCHESINI
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Multidisciplinary Team ◽  
Weight Regain ◽  
Argon Plasma Coagulation ◽  
Argon Plasma ◽  
The Internet ◽  
Bariatric Patients ◽  
Second Chance

BACKGROUND: Bariatric surgery, especially Roux-en-Y gastric bypass is an effective treatment for refractory morbid obesity, causing the loss of 75% of initial excess weight. After the surgery, however, weight regain can occur in 10-20% of cases. To help, endoscopic argon plasma coagulation (APC) is used to reduce the anastomotic diameter. Many patients who undergo this treatment, are not always familiar with this procedure and its respective precautions. AIM: The aim of this study was to determine how well the candidate for APC understands the procedure and absorbs the information provided by the multidisciplinary team. METHOD: We prepared a questionnaire with 12 true/false questions to evaluate the knowledge of the patients about the procedure they were to undergo. The questionnaire was administered by the surgeon during consultation in the preoperative period. The patients were invited to fill out the questionnaire. RESULTS: We found out that the majority learned about the procedure through the internet. They knew it was an outpatient treatment, where the anesthesia was similar to that for endoscopy, and that they would have to follow a liquid diet. But none of them knew that the purpose of this diet was to improve local wound healing. CONCLUSION: Bariatric patients who have a second chance to resume weight loss, need continuous guidance. The internet should be used by the multidisciplinary team to promote awareness that APC will not be sufficient for weight loss and weight-loss maintenance in the long term. Furthermore, there is a need to clarify again the harm of drinking alcohol in the process of weight loss, making its curse widely known.

Foregut Issues After Bariatric Surgery

2022 ◽  
pp. 263451612110674
Author(s):  
Fareed Cheema ◽  
Aurora D. Pryor
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Postoperative Complications ◽  
Weight Loss Surgery ◽  
Long Term Outcomes ◽  
Operative Complications ◽  
Complications After Bariatric Surgery ◽  
Broad Scale ◽  
Post Operative Complications

Weight loss surgery has overall been shown to be very safe and effective. However, long-term outcomes data has allowed codification of post-operative complications specific to the type of weight loss surgery performed. This review focuses specifically on foregut-related postoperative complications after weight loss surgery, most of which are not discussed on a broad scale in the literature yet whose prevalence continues to rise. Clinicians should maintain a broad differential when treating patients with complications after bariatric surgery in order to perform a thorough and precise workup to identify the diagnosis and guide management.

scholarly journals A Comprehensive Approach in Medical Nutrition Therapy for Adults’ Weight Loss Management in Lebanon

2020 ◽  
Vol 10 (18) ◽  
pp. 6600
Author(s):  
Marie-Therese Khalil ◽  
Joseph Matta ◽  
Mateja Videmšek ◽  
Damir Karpljuk ◽  
Maja Meško
Keyword(s):  
Weight Loss ◽  
Structural Equation ◽  
Body Shape ◽  
Nutrition Therapy ◽  
Activity Level ◽  
Medical Nutrition Therapy ◽  
Medical Conditions ◽  
Chi Square ◽  
Statistical Tool ◽  
Medical Nutrition

The objective of the research is to identify the different factors of Lebanese culture that interfere with weight loss therapy and assist the field of nutrition in homogenising in a standardised manner the protocol of Medical Nutrition Therapy (MNT). The first part of the study is based on a literature review, and, in the second part, quantitative analysis was used. The research was conducted on 514 Lebanese adults via questionnaire. The analysis was performed with the AMOS (Version 22, IBM®, Amonk, NY, USA) statistical tool. For the analysis of correlations, chi-square and non-parametric tests were used. Variables affecting weight loss management were identified with the aid of seven hypotheses using structural equation modelling (SEM). Body shape and Body Mass Index (BMI) were found to be inter-related to cognitive behaviours toward food, lifestyle practices, medical conditions, food and beverages. In parallel, and based on the research results, younger adults, in particular women, have better BMI and look better in terms of body shape. Ageing has a direct impact on weight gain. Older people have a lower activity level, which is more prevalent among women, and they also prefer to eat typical Lebanese food. Habits, such as smoking, drinking alcohol, are directly related to obesity and some medical conditions. Low physical activity influences the problems related to body shape. For further studies, one should also include types of physical activities in terms of intensity and number of hours. This would assist the study in being more specified and credible toward the effect of exercise on weight loss management.

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