WRESTLING WITH WEIGHT REGAIN AFTER WEIGHT LOSS SURGERY
With close to 200,000 bariatric surgeries performed annually, bariatric nutrition is not only for those who specialize in the field anymore. Any dietitian might encounter patients with a history of a bariatric procedure, and it is possible they may end up in your office for help with weight regain. While surgery offers the morbidly obese the best available treatment for their disease, weight regain after weight loss surgery is common and interventions rely heavily on the dietitian to provide nutrition counseling. Thoroughly understanding the weight regain phenomena starts with defining ideal weight, post-surgical success and failure, and how much weight regain is significant. The etiology of weight regain, surgery types, revisional surgeries and endoscopic procedures are critical to tailoring therapy. This comprehensive course will explore nutrition counseling including evidence-based recommendations, the counseling approach and behavior change techniques, physical activity, coordination of care, and the experiences of a dietitian with a psychology background.
Upon successful completion of this two-hour course, the participant should be able to:
Summarize the complexities of defining ideal body weight, weight loss after surgery, success, failure, and weight regain.
Recognize the etiologies of weight regain including anatomic surgical failure, metabolic alterations, nutrition indiscretion, mental health issues, physical inactivity, and inadequate follow up.
Differentiate treatment strategies based on surgery type to treat weight regain including surgical revisions, endoscopic techniques, and psychological therapies.
Integrate nutrition counseling skills into one's practice based on evidence-based nutrition recommendations, behavior change techniques, and the anecdotal experiences of an experienced bariatric dietitian.
Target Audience: RDs, DTRs, Allied Health Professionals
Number of Credits:
Level(s): 1, 2
$36 ($18.00 per credit)
About the Presenter: Nina Crowley, PhD, RD, LD
Nina Crowley, PhD, RD, LD is a bariatric surgery dietitian at the Medical University of South Carolina in Charleston, SC. She has been working with weight loss surgery patients for the past 9 years and holds a doctorate in Health Psychology from Walden University. Nina also holds a BS in Nutrition Science from Cornell University and an MS in Health Care Policy and Management from SUNY Stony Brook. Nina became inspired to pursue her doctorate in psychology to help patients with difficult behavior changes required to remain successful after having bariatric surgery. Her dissertation compared weight regainers and weight maintainers on health related quality of life and binge eating behaviors. Nina has presented and authored publications on binge eating behaviors and food cravings in bariatric surgery patients. She enjoys taking each patient on their own path to weight loss and maintenance and uses motivational interviewing and other behavior change theories to guide her practice.