Bariatric Times

AUG 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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15 Medical Methods in Obesity Treatment Bariatric Times • August 2017 Endocrinology comprehensive clinical practice guidelines for medical care of patients with obesity. Endocr Pract. 2016;22 Suppl 3:1-203. 6. Tjønna AE, Lee SJ, Rognmo Ø, et al. Aerobic interval training versus continuous moderate exercise as a treatment for the metabolic syndrome: a pilot study. Circulation. 2008;118(4):346– 354. 7. Hood MS, Little JP, Tarnopolsky MA, Myslik F, Gibala MJ. Low- volume interval training improves muscle oxidative capacity in sedentary adults. Med Sci Sports Exerc. 2011;43(10):1849–1856. 8. Burgomaster KA, Howarth KR, Phillips SM, et al. Similar metabolic adaptations during exercise after low volume sprint interval and traditional endurance training in humans. J Physiol. 2008 Jan 1;586(1):151–160. Epub 2007 Nov 8. 9. Richards JC, Johnson TK, Kuzma JN, et al. Short-term sprint interval training increases insulin sensitivity in healthy adults but does not affect the thermogenic response to β-adrenergic stimulation. J Physiol. 2010;588(Pt 15):2961–2972. 10. Kemmler W, Scharf M, Lell M, Petrasek C, Von Stengel S. 2014. High versus moderate intensity running exercise to impact cardiometabolic risk factors: the randomized controlled RUSH- study. BioMed Research International, vol. 2014, Article ID 843095, 10 pages, 2014. 11. Martins C, Kazakova I, Ludviksen M, et al. High-intensity interval training and isocaloric moderate- intensity continuous training result in similar improvements in body composition and fitness in obese individuals. Int J Sport Nutr Exerc Metab. 2016;26(3):197–204. 12. King NA, Hopkins M, Caudwell P, Stubbs RJ, Blundell JE. Individual variability following 12 weeks of supervised exercise: identification and characterization of compensation for exercise- induced weight loss. Int J Obes (Lond). 2008;32(1):177–184. Epub 2007 Sep 11. 13. Klem ML, Wing RR, McGuire MT, Seagle HM, Hill JO. A descriptive study of individuals successful at long-term maintenance of substantial weight loss. Am J Clin Nutr. 1997;66(2):239–246. 14. Lee S, Kuk JL, Davidson LE, et al. Exercise without weight loss is an effective strategy for obesity reduction in obese individuals with and without type 2 diabetes. J Appl Physiol (1985). 2005;99(3):1220–1225. Epub 2005 Apr 28. 15. Ross R, Dagnone D, Jones PJ, et al. Reduction in obesity and related comorbid conditions after diet-induced weight loss or exercise-induced weight loss in men. A randomized, controlled trial. Ann Intern Med. 2000;133(2):92–103. 16. Trost SG, Owen N, Bauman AE, Sallis JF, Brown W. Correlates of adults' participation in physical activity: review and update. Med Sci Sports Exerc. 2002; 34(12):1996–2001. FUNDING: No funding was provided for this article. FINANCIAL DISCLOSURES: Dr. Auriemma reports no conflicts of interest relevant to the content of this article. AUTHOR AFFILIATION: Dr. Auriemma is from AMITA Health Bariatric and Weight Loss Center, Schaumburg, Illinois. ADDRESS FOR CORRESPONDENCE: Anthony Auriemma, MD, JD, AMITA Health Bariatric and Weight Loss Center; 25 E Schaumburg Road, Suite 101, Schaumburg, IL 60194; Phone: (847)-252-6090; E-mail: COMPLIMENTARY CONTINUING EDUCATION FOR DIETITIANS Improving Adherence to Micronutrient Supplementation in the Metabolic and Bariatric Surgery Patient Population NOW AVAILABLE Dietitians: Visit to ACCESS the Activity Course Overview: 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. This article discusses barriers to adherence, common known clinical manifestations of micronutrient deficiency, and strategies for improving patient adherence, including clinician familiarity with available professional guidelines for micronutrient supplementation in the metabolic and bariatric surgery patient population. Provider: This educational program is provided by Matrix Medical Communications. This educational activity is approved by the Commission on Dietetic Registration, the credentialing agency for Academy of Nutrition and Dietetics, for 1.0 CPEU; Activity Number 134321 1 CPEU Course Description: This educational program is designed to educate, through independent study, multidisciplinary clinicians who care for the metabolic and bariatric surgery patient population. Course Objectives: Upon completion of this program, the participant should be able to: 1. List known barriers to micronutrient supplementation adherence in the metabolic and bariatric surgery patient population 2. Identify the most prevalent micronutrient deficiencies in metabolic and bariatric surgery patients, including examples of accompanying physical signs and symptoms 3. Discuss available professional guidelines for micronutrient supplementation in the metabolic and bariatric surgery patient population 4. Discuss strategies for improving patient adherence to micronutrient supplementation. Follow instructions to take the post-test and submit for continuing education credit

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