A peer-reviewed, evidence-based journal that promotes clinical development and metabolic insights in total bariatric patient care for the healthcare professional
Issue link: https://bariatrictimes.epubxp.com/i/736557
Editorial Message 3 Bariatric Times • October 2016 Dear Readers, There are now many formats in which to receive education, and the traditional face-to-face scientific meeting remains an important venue. traditional face-to-face scientific meeting remains an important venue. These events offer the opportunity for healthcare professionals not only to earn continuing education credits, but also to exchange new scientific ideas, research results, and theories; learn new skills through hands-on and video-based sessions; and network with colleagues. As we approach the video-based sessions; and network with colleagues. As we approach the video-based sessions; and network with colleagues. As we approach the end of 2016, we look forward to two exceptional conferences in our field: end of 2016, we look forward to two exceptional conferences in our field: The American College of Surgeons Clinical Congress and ObesityWeek. The American College of Surgeons Clinical Congress and ObesityWeek. While not completely dedicated to obesity care, ACS 2016 includes While not completely dedicated to obesity care, ACS 2016 includes many sessions on topics relevant to bariatric surgery, including new many sessions on topics relevant to bariatric surgery, including new technologies in the operating room, management of gastroesophageal reflux disease (GERD), social media and surgical education, issues in reflux disease (GERD), social media and surgical education, issues in surgical ethics, and considerations in the nonbariatric surgical patient with surgical ethics, and considerations in the nonbariatric surgical patient with morbid obesity. ObesityWeek is dedicated to the basic science, clinical application, surgical intervention, and prevention of obesity. It combines both the surgical intervention, and prevention of obesity. It combines both the American Society for Metabolic & Bariatric Surgery (ASMBS) and The American Society for Metabolic & Bariatric Surgery (ASMBS) and The American Society for Metabolic & Bariatric Surgery (ASMBS) and The Obesity Society (TOS) annual meetings, bringing together world-renowned Obesity Society (TOS) annual meetings, bringing together world-renowned experts to share innovation and breakthroughs. I have been involved in program planning for ASMBS for more than 10 years and have seen the evolution—from sole ASMBS conferences to joint conference with TOS in evolution—from sole ASMBS conferences to joint conference with TOS in the larger ObesityWeek event. Every year we strive to provide the best the larger ObesityWeek event. Every year we strive to provide the best the larger ObesityWeek event. Every year we strive to provide the best scientific program possible, which requires a lot of coordination and behind-the-scenes work. Planning ObesityWeek. Each event typically takes a full year to plan. Planning ObesityWeek. Each event typically takes a full year to plan. We have a Board of Managers that meets during the event to begin planning for the following year's program. At this meeting, we discuss the planning for the following year's program. At this meeting, we discuss the current year's successes, the perceived impression of the current meeting, current year's successes, the perceived impression of the current meeting, and ideas for the next program. The Board of Managers has representation from both the American The Board of Managers has representation from both the American Society for Metabolic and Bariatric Surgery (ASMBS) and The Obesity Society for Metabolic and Bariatric Surgery (ASMBS) and The Obesity Society. The ObesityWeek 2016 Board of Managers is as follows: Phil Schauer, MD, Chair, ASMBS Patrick O'Neil, PhD, Co-Chair, TOS Francesca Dea, CAE, TOS Executive Director Georgeann Mallory, RD, ASMBS Executive Director Georgeann Mallory, RD, ASMBS Executive Director Stacy Brethauer, MD, President-Elect ASMBS Allen Levine, PhD, President-Elect, TOS Allen Levine, PhD, President-Elect, TOS Allen Levine, PhD, President-Elect, TOS Michel Gagner, MD, Program Chair ASMBS Corby Martin, PhD, Program Chair/TOS Shanu Kothari, MD, At Large 1, ASMBS (Program Co-Chair) Samer Mattar, MD, At Large 2, ASMBS Maureen Quigley, At Large 3, ASMBS (IH Program Chair) Cathy Kotz, PhD, At Large 1, TOS After the initial meeting, the Program Committee reviews and rates After the initial meeting, the Program Committee reviews and rates After the initial meeting, the Program Committee reviews and rates After the initial meeting, the Program Committee reviews and rates After the initial meeting, the Program Committee reviews and rates submitted abstracts. Once we have the ratings, we meet again during submitted abstracts. Once we have the ratings, we meet again during ObesityWeekend (formerly the ASMBS Spring Meeting), another event planned by the Program Committee. It typically takes a full day or more to planned by the Program Committee. It typically takes a full day or more to planned by the Program Committee. It typically takes a full day or more to planned by the Program Committee. It typically takes a full day or more to Dear Colleagues, In a previous editorial, I discussed the different types of diets prescribed In a previous editorial, I discussed the different types of diets prescribed In a previous editorial, I discussed the different types of diets prescribed for weight loss and referenced clinical trials that discovered the following: for weight loss and referenced clinical trials that discovered the following: caloric restriction by approximately 500 calories per day and sustained caloric restriction by approximately 500 calories per day and sustained adherence are the key predictors of successful weight loss and maintenance. (1-3) While quantity via caloric restriction is important, maintenance. (1-3) While quantity via caloric restriction is important, maintenance. (1-3) While quantity via caloric restriction is important, maintenance. (1-3) While quantity via caloric restriction is important, there is another factor to consider—diet quality. Last month, a report released by The Global Panel on Agriculture and Food Systems for Nutrition titled "Food systems and diets: Facing the challenges of the 21st century," brought to light the devastating link challenges of the 21st century," brought to light the devastating link between poor quality diets and the world's disease burden, stating that we are facing a "nutrition crisis." One of their key findings: Three billion people from 193 countries now have low quality diets and nearly half of all countries are experiencing the simultaneous problem of nearly half of all countries are experiencing the simultaneous problem of serious levels of undernutrition, overweight, and obesity. Yet our global serious levels of undernutrition, overweight, and obesity. Yet our global understanding about the quality of our diets is limited understanding about the quality of our diets is limited understanding about the quality of our diets is limited In our field, we are aware of the statistics on obesity and related disease. This report addresses malnutrition as a whole contributing to a "double burden" of both undernutrition and overweight. The authors of the report burden" of both undernutrition and overweight. The authors of the report warn that this situation is set to worsen dramatically over the next 20 years as powerful drivers of change, such as population growth, climate years as powerful drivers of change, such as population growth, climate years as powerful drivers of change, such as population growth, climate change, and urbanization, converge on food systems. They list clear priorities for action at national and international levels, as well as detailed advice and guidance for decision makers in all countries. advice and guidance for decision makers in all countries. I believe that we can learn from this advice and play our part in helping I believe that we can learn from this advice and play our part in helping to reverse this crisis by emphasizing the message of high-quality diet in conversations with patients. conversations with patients. The report (available at http://glopan.org/foresight) recommends The report (available at http://glopan.org/foresight) recommends The report (available at http://glopan.org/foresight) recommends "stressing the importance of eating a diverse diet made up of safe foods, "stressing the importance of eating a diverse diet made up of safe foods, drawing on as many food groups as possible, with plenty of fruits and drawing on as many food groups as possible, with plenty of fruits and drawing on as many food groups as possible, with plenty of fruits and vegetables, wholegrains, fibeer and nuts and seeds, while limiting free vegetables, wholegrains, fibeer and nuts and seeds, while limiting free vegetables, wholegrains, fibeer and nuts and seeds, while limiting free sugars, sugary snacks and beverages, processed meats and salt, and sugars, sugary snacks and beverages, processed meats and salt, and replacing saturated and industrial trans fats with unsaturated fats." replacing saturated and industrial trans fats with unsaturated fats." I think we are already echoing this this message through diets prescribed, including the Mediterranean, low-fat, and low-carbohydrate diets. These diets also address the issue of quality, incorporating more foods that are of higher nutritional value, such as the monounsaturated fats (MUFAs), vegetables, nuts, and legumes, and protein. But there is another part of the diet equation of which we are all aware: obstacles that come with the reality of everyday life. come with the reality of everyday life. come with the reality of everyday life. We are healthcare professionals in the field of obesity management but we are also human. We understand the challenges that stand in the way of eating healthy: cost, convenience, time, and accessibility—the elephants in eating healthy: cost, convenience, time, and accessibility—the elephants in the room. I believe that we can attempt to address all of these points by encouraging an approach I've touted before: small but significant changes. For example, you can encourage patients to start meal planning, which might help control cost and accessibility, thus leading to better choices and might help control cost and accessibility, thus leading to better choices and better adherence. We should also strive for consistency in the message of good diet quality. Patients can benefit from working with dietitians, nutritionists, and quality. Patients can benefit from working with dietitians, nutritionists, and PLANNING A SCIENTIFIC CONFERENCE: Striving to Provide the Best Program Possible Requires Coordination, Behind-the-Scenes Work New Report States the World is in "Nutrition Crisis" How We Can Help Address the Double Disease Burden Caused by Poor-Quality Diets A Message from Dr. Michel Gagner A Message from Dr. Christopher Still Christopher Still, DO, FACN, FACP, Co-Clinical Editor, Bariatric Times; Medical Director for the Center for Nutrition and Weight Management, and Director for Geisinger Obesity R esearch Institute, Geisinger Medical Center, Danville, Pennsylvania. Michel Gagner, MD, FRCSC, FACS, FASMBS, is Clinical Professor of Surgery, Herbert Wertheim College of Medicine, Florida International University, Miami, Florida and Senior C onsultant, Department of Surgery, Hopital du Sacre Coeur, Montreal, QC, Canada. He is also Program Chair for the American Society for Metabolic and Bariatric Surgery (ASMBS). Continued on following page... Continued on following page...