There are numerous strategies, including bariatric surgery, for obese and super-obese patients to achieve weight loss, but weight regain and attrition are well documented, and long-term success rates for maintaining weight loss are not favorable. Many patients have unrealistic expectations for weight loss and may either be unaware or may minimize the effort required to maintain their weight loss. The skilled nutrition professional, the registered dietitian, can help optimize patient success by teaching the patient the necessary new eating and drinking behaviors and coaching him or her in “mindful eating” techniques.
Anderson JW, Konz EC, Frederick RC, Wood CLLong-term weight loss maintenance: a meta-analysis of US studies. Am J Clin Nutr. 2001;74:579-584.
2.
Ayyad C., Anderson T.Long-term efficacy of dietary treatment of obesity: a systematic review of studies published between 1931 and 1999. Obes Rev. 2000;1:113-119.
3.
American Dietetic Association.Position of the American Dietetic Association: weight management. J Am Diet Assoc. 2009;109:330-346.
4.
Wamsteker EWGeenen R., Zelissen PM, Van Furth EF, Iestra J.Unrealistic weight-loss goals among obese patients are associated with age and causal attributions . J Am Diet Assoc.2009;109:1903-1908.
5.
Blundell JEPerspectives on the central control of obesity. Obesity . 2006;4:160S-163S.
6.
Bauchowitz A. , Azarbad L., Day K., Gonder-Frederick L.Evaluation of expectations and knowledge in bariatric surgery patients. Surg Obes Relat Dis. 2007;3:554-558.
7.
Mifflin MD, St Jeor ST, Hill LA, Scott BJ, Daugherty SA, Koh YOA new predictive equation for resting energy expenditure in healthy individuals . Am J Clin Nutr. 1990;51:241-247.
8.
National Heart Lung and Blood Institute, Department of Health and Human Services, National Institutes of Health. Portion Distortion and Serving Size. http://www.nhlbi.nih.gov/health/public/heart/obesity/wecan/learn-it/distortion.htm. Accessed October 12, 2009.
9.
Burgmer R., Grigutsch K., Zipfel S., et al. The influence of eating behavior and eating pathology on weight loss after gastric restriction operations. Obes Surg. 2005;15:684-691.
10.
Dymek-Valentine M., Hoste R., Engelberg M.Psychological assessment in bariatric surgery candidates. In: Mitchell JE, de Zwaan M, eds. Bariatric Surgery: A Guide for Mental Health Professionals. Oxford, UK: Routledge; 2005:101-118.
11.
Bly T., Hammond MF, Thomson R., Bagdade P.Exploring the use of mindful eating training in the bariatric population . Bariatric Times. 2007. http://bariatrictimes.com/2007/12/10/exploring-the-use-of-mindful-eating-training-in-the-bariatric-population/. Accessed October 9, 2009.
12.
The Center for Mindful Eating.The Principles of Mindful Eating. http://www.tcme.org/principles.htm . Accessed October 12, 2009.
13.
Kristeller J., Hallette C.An exploratory study of a meditation-based intervention for binge eating disorder. J Health Psychol. 1999;4:357-363.
14.
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), Department of Health and Human Services, National Institutes of Health. Weight-Control Information Network: Weight Loss for Life. http://win.niddk.nih.gov/publications/for_life.htm. Accessed October 12, 2009.
15.
Zelman K.10 Medically Proven Ways to Lose Weight. http://www.medicinenet.com/script/main/art.asp?articlekey=56398&page=2.2 . Accessed October 9, 2009.
