Bariatric Times

FEB 2017

A peer-reviewed, evidence-based journal that promotes clinical development and metabolic insights in total bariatric patient care for the healthcare professional

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C l i n i c a l D e v e l o p m e n t s a n d M e t a b o l i c I n s i g h t s i n T o t a l B a r i a t r i c P a t i e n t C a r e Volume 14, Number 2 February 2017 A P e e r - R e v i e w e d P u b l i c a t i o n W W W . B A R I A T R I C T I M E S . C O M LIKE us on Facebook • FOLLOW us on Twitter • CONNECT with us on LinkedIn Presorted Standard U.S. Postage PAID Lebanon Junction, KY Permit #344 DOWNLOAD OR UPDATE THE BARIATRIC TIMES APP TODAY! ITunes Google (Android) Download the BT app for your mobile device! Scan this QR code with your QR reader for the digital edition of Bariatric Times. E DITORIAL MESSAGES . ...............3 A Message from Dr. Raul J. Rosenthal: Obesity and Malnutrition: An Important Area of Education for All Members of the Multidisciplinary Care Team A Message from Dr. Christopher Still: Research Shows a Lack of Obesity and Nutrition Education in United States Medical Schools: Barriers and Opportunities to Further Engage the Next Generation of Caregivers Inside C LIN IC AL N URS IN G EDUC ATION . ... ... ... ... ... ... ... ... ... .. 10 Improving Adhe re nc e t o M ic ronut rie nt S upple me nt at ion in t he M e t abolic and Bariat ric Surgery Patient Population THE MEDICAL STUDENT NOTEBOOK . ... ... ... ... ... .... .. .... ... .. 18 The Effects of Weight Loss and Bariatric Surgery on Knee Osteoarthritis INTERVIEW . ... ... ... ... ... ... ... ... ... .. 22 The Essentials of Bariatric and Metabolic Surgery: Course Applications for Members of the Multidisciplinary Care Team NEWS AND TRENDS . ... ... ... ... ... . 24 CALENDAR OF EVENTS ................26 CARTOON CORNER ...................... 26 MARKETPLACE ........................... 26 AD INDEX ....................................27 Page 10 CLINICAL NURSING EDUCATION INTRODUCTION Metabolic and bariatric surgery is the most effective treatment strategy for severe obesity, shown to improve or resolve many comorbid conditions as well as produce sustained significant weight loss and weight maintenance. 1 Critical to the long-term health of a patient who undergoes metabolic and bariatric surgery is their adherence to numerous lifelong behaviors, including daily micronutrient supplementation. 2 Adherence rates across multiple areas of interest following metabolic and bariatric surgeries are varied.Patients exhibit greater adherence to directions from their healthcare providers prior to surgery and immediately postoperatively. The rate of adherence and follow up visits decreases as patients progress further out from surgery. 3 The improved health outcomes of metabolic and bariatric surgery are undeniable, however, the high frequency of micronutrient deficiencies, especially those that are under-recognized and left untreated, can lead to irreversible consequences. 4 by CASSIE I. STORY, RDN 1 CONTACT HOUR Complete this activity ONLINE This educational activity is intended for nurses who treat patients with obesity. Participants must read the designated article and take, submit, and pass (70%) the post-test by February 1, 2018 to receive credit for the activity. Upon successful completion of the post-test, participants will receive a certificate of completion for 1 Contact Hour. I m p r o v i n g A d h e r e n c e t o M i c r o n u t r i e n t S u p p l e m e n t a t i o n i n t h e M e t a b o l i c a n d B a r i a t r i c S u r g e r y P a t i e n t P o p u l a t i o n Page 18 COLUMN EDITOR Daniel B. Jones, MD, MS, FASMBS FEATURED STUDENT Brian W. Yang The Effects of Weight Loss and Bariatric Surgery on Knee Osteoarthritis INTRODUCTION Osteoarthritis is the most common type of joint disorder in the United States, caused by the progressive mechanical wear of cartilage within the joint space. 1 In the knee, this leads to pain, swelling, and decreased function. More than half of adults in the United States diagnosed with knee osteoarthritis will have severe pain that fails nonsurgical treatment and subsequently require a total knee replacement. 2 Risk factors for knee osteoarthritis include advanced age, female gender, repetitive joint injury, joint malalignment, and chronic knee laxity. 1 However, one of the most significant modifiable risk factors for osteoarthritis is obesity. 1,3 In a recent meta-analysis, a five-unit increase in body mass index (BMI) was associated with a 35- percent increased risk of knee osteoarthritis. 4 T h e M E D I C A L S T U D E N T N o t e b o o k

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