This symposium coverage was written for Bariatric Choice by bariatric nutritionist Sharon Howard, R.D., who attended.
I recently attended 2 days of great speakers at a Weight Management Symposium for dietitians in the weight loss field, including bariatrics. Sessions were filled with discussions on the latest in research-validated weight management treatment, the impact of technology, and new approaches to group support, medications and surgery.
Here are some highlights that will likely impact the nutrition advice from practitioners, like myself.
Laura Frank, PhD, a guru in protein metabolism, made these recommendations:
Courtney Peterson, PhD, who does some highly interesting research on sleep and weight, offered this advice:
Effective Strategies for Weight and/or Fat Loss
Dr. Todd Miller and Stephanie Mull, RD described their program to lose weight and gain muscle.
More research is needed in promoting fat loss, not just weight loss. Sedentary people can’t eat little enough to lose weight, but increasing muscle mass can increase metabolism to promote fat loss and long term weight maintenance.
These researchers planned the diet calories to match the Resting Metabolic Rate (which they measured with specialized equipment). The total calories were distributed to 30 % of calories from protein, 25 % fat and 45% carbohydrates. Very low carbohydrate diets caused ketosis which ultimately decreased lean body mass and resting metabolic rate.
They recommend strength training every 3 days with the higher protein intake evenly distributed throughout the day, with some carb and fat.
Deborah Tate, PhD proved that an increase in self -monitoring increased the amount of weight loss.
Programs designed to be only computer/phone based were not as effective in the long term as having a human intervention with technology, however. Some of the preferred food and calorie tracking apps used were MyFitnessPal, FatSecret, and MyNetDiary. Daily weighing provided dramatic weight loss results when clients used a smart scale that reported their weight to the phone or computer and their human coach.
Barbara Rolls, PhD, has done extensive research on the portion size and overconsumption.
Pre-portioned meals and meal replacements have been shown to be helpful with weight loss and long term weight maintenance. Using smaller plates and bowls, decreasing the portion size of the energy dense foods (high calorie) and having larger portions of the low energy dense foods such as vegetables and fruits can still satisfy the appetite and provide a full feeling.
The “plate diet” fills half the plate with vegetables, ¼ with starch and ¼ with a lean protein. Several exhibitors displayed their portion controlled plates.
Learn more about the plate diet our article outlining the "bariatric plate" portion-controlled eating plan, here.