Malnutrition in the Patient with Obesity: How to Address the Under Recognition
While
the consequences of malnutrition are well accepted, the condition
remains under-diagnosed and under-recognized in many populations and
settings. Due to many factors, malnutrition is particularly challenging
to recognize, diagnose, and treat in patients with obesity. Research
suggests that patients with obesity may benefit from hypo-caloric, high
protein nutrition strategies during periods of critical illness. This,
along with an assumption that patients with obesity have adequate
nutritional stores to support them through critical illness, contributes
to under-nutrition in these patients during acute illness. Many
interprofessional providers remain unfamiliar with the consequences of
underfeeding the patient with obesity. Identifying malnutrition in the
population presents unique challenges as physical exams may be
insufficient to assess underlying musculature.
Learning Objectives
- Evaluate the implications of inadequate feeding in patients with obesity.
- Describe the assessment techniques for body composition evaluation in patients with obesity.
- Apply approaches to diagnosing malnutrition in patients with obesity via a case study.
Topics and Faculty
Implications of Inadequate Feeding in Patients with Obesity
Carolyn
Newberry, MD, Assistant Professor of Medicine; Director of GI
Nutrition, Innovative Center for Health and Nutrition in
Gastroenterology (ICHANGE), Weill Cornell Medical Center, New York, NY
Body Composition Assessment Tools for the Diagnosis of Malnutrition in People with Obesity
Carrie
Earthman, PhD, RDN, Professor, Nutrition, Department of Behavioral
Health and Nutrition, University of Delaware, Newark, DE
Case Applications: Approaches for Diagnosing Malnutrition in Obesity
Stacy
Pelekhaty, MS, RD, Senior Clinical Nutrition Specialist, Department of
Clinical Nutrition, University of Maryland Medical Center, R Adams
Cowley Shock Trauma Center, Baltimore, MD
Moderator
Malcom Robinson, MD, Surgical Director, Perioperative services; Vice Chair for Clinical Operations, Department of Surgery; Director, Nutrition Support Service; Bringham and Women’s Hospital, Boston, MA
Moderator
Speakers
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