Center for Bariatric Nutrition
About the Beta Tester Application
References
Thank
you for visiting the Center for Bariatric Nutrition. At present we are accepting
applications to participate in our Beta-test program starting immediately. If you would like to participate please follow this <link>.
Dear friends,
As you know I was banded on
2/2/06. Over the course of the last 15 months I have lost 100 pounds of excess
body weight. However, around 6 months into the program I found that I wasn't
keeping up with my nutritional needs. Also around this time I became annoyed and
weary with finding time to take off from work and having to drive to a
nutritional counseling sessions. Especially working with people who had never
had weight issues or experienced the process of Bariatric surgery and all that
it entails to make it work.
Even of bigger impact towards my motivation, my mother went on a weight-loss
program losing 196 pounds in a year. She looked great and countless people
praised her determination and new self. The only problem was she didn't get
enough nutrition and ended up dieing as a result. If I can be a catalyst for
educating and helping bariatric patients be healthier and live longer it is done
in my mothers name.
Knowing that Bariatric success is largely due to diligent oversight of my
nutritional needs and being aware of why and how I eat. I developed a software
product that allowed me to track everything I ate, how I was feeling at the
time, how and what type of exercise I was doing and tracking of my weight loss
and BMI. More important I was able to print out my meals, exercise, weight
tracking, BMI tracking, overall progress and emotional
state when I ate to share with my doctors, NP and Nutritionist!
I did some further research and
found that despite the many positive Bariatric surgery outcomes reported in the
literature, it is imperative that one be aware of possible vitamin/mineral
deficiencies. Studies have documented an increased risk for specific
vitamin/mineral deficiencies after Bariatric surgery.[6-21]
Nutrient deficiency is proportional to the length of the absorptive area and to
the percentage of weight loss,[6,7] with commonly
reported deficiencies including iron,[7-10,13-15]
calcium,[7,16-19] Vitamin D,[7,16-19] Vitamin B12,[7-14]
and folic acid.[8-11] The risk for these deficiencies
vastly increases when malabsorptive procedures, such as biliopancreatic
diversion, are performed, and may also predispose the patient to fat-soluble
vitamin deficiencies and/or protein malnutrition.[22-24]
Although not as common, vitamin and/or mineral deficiencies have also been
reported among gastric banding patients, including negative bone remodeling
balance characterized by bone resorption[25] and a
rare case of Wernicke's encephalopathy,[26] which is
more commonly seen in gastric bypass and biliopancreatic diversion procedures.
Nutritional counseling for
Bariatric patients has been found to reinforce mindful eating and help with the
behavior modification process. Weekly nutritional assessments may provide
valuable information to the rest of your Bariatric team (Doctors, NP,
Psychiatrist, Primary Care Physicians and other health care providers you may be
working with towards success.). Our dietitian's relationship with us is vital
in order to encourage both pre- and postoperative weight loss, to educate each
of us
regarding dietary changes and nutritional risks after surgery, and encourage us
to a lifetime of healthy eating habits. And this is the very reason why I have
created CFBN V1 Beta! (I'm working on a better name, suggestions welcomed!).
Over the course of the last year I developed my application into an online interactive
software product
based on my original pc based program. Called CFBN V1 Beta. This software application
is designed specifically and only for Bariatric patients as a way to make sure all
nutritional and behavior changes are being met.
As I developed and designed it myself I am seeking volunteers to "beta test" the
program. What this entails is using the application daily. Giving me your honest
feedback, sharing it with you healthcare providers, giving me their feedback,
reporting bugs and completing weekly online forms about the
applications ease of use among other questions.
I am the ONLY employee (employment opportunities)
all of your information and anything you share will only be viewable by me
(unless you choose to share with anyone else.). Down the road if you are invited
to be a beta tester for our Gold and Platinum packages you may work with a
license nutritionist and they will be able to see your information. But only if
you agree to such.
You either heard about the beta program from me or through a friend of mine. You
are invited to apply to be a participant. All participants will receive one free
year of the silver package product. You may even be invited to beta test my Gold
and Platinum packages at no cost to you.
With your help we can make this
software into a useful product that will potential helps thousands of Bariatric
patients world wide!
Become a
Beta Tester <click
here>
Much peace and happy losing,
Eileen
Conway
Director Internet Strategies
Center for Bariatric Nutrition
(617) 596-1970
www.centerforbariatricnutrition.com
PO Box
2159
Boston,
MA
02101
|
REFERENCES
1. Herpertz S, Kielmann R, Wolf AM, et al. Does obesity surgery
improve psychological functioning? A Systematic Review. J Obes
2003;27:1300�14.
2. Dixon JB, Dixon ME, O'Brien PE. Quality of life after lap-band
placement: influence of time, weight loss, and comorbidities. Obes
Res 2001;9:713�21.
3. Vallis TM, Butler GS, Perey B, et al. The role of psychological
functioning in morbid obesity and its treatment with gastroplasty.
Obes Surg 2001;11:716�25.
4. Sjostrom L, Lindroos A, Peltonen M, et al. Lifestyle, diabetes,
and cardiovascular risk factors 10 years after bariatric surgery. N
Engl J Med;351:2683�92.
5. Halverson JD, Koehler RE. Gastric bypass: analysis of weight loss
and factors determining success. Surgery 1981;90:446�55.
6. Brolin RE, LaMarca LB, Kenler HA, Cody RP. Malabsorptive Gastric
Bypass in Patients with Superobesity. J Gast Surg 2002;6:195�203.
7. Alvarez-Leite JI. Nutrient deficiencies secondary to bariatric
surgery. Curr Opin Clin Nutr Metab Care;7:569�75.
8. Brolin RE, Gorman RC, Milgrim LM, et al. Multivitamin prophylaxis
in prevention of post-gastric bypass vitamin and mineral
deficiencies. Int J Obes 1991:15:661�7.
9. Halverson JD. Micronutrient deficiencies after gastric bypass for
morbid obesity. American Surgeon 1986: 594�8.
10. Amaral JF, Thompson WR, Caldwell MD, et al. Prospective
Hematologic evaluation of gastric exclusion surgery for morbid
obesity. Ann Surg 1984:186�93.
11. Boylan LM, Sugerman HJ, Driskell JA. Vitamin E, vitamin B6,
vitamin B12, and folate status of gastric bypass surgery patients. J
Am Diet Assoc 1988;5:579�85.
12. Haverson JD. Metabolic risk of obesity surgery and long-term
follow-up. Am J Clin Nutr 1992;55:602S�5S.
13. Avinoah E, Ovnat A, Charuzi I. Nutritional status seven years
after Roux-En-Y gastric bypass surgery. Surgery 1992;171:137�42.
14. Simon SR, Zemel R, Betancourt S, et al. Hematologic
complications of gastric bypass for morbid obesity. South Med J
1989;9:360�2.
15. Updegraff TA, Neufeld NJ. Protein, iron, and folate status of
patients prior to and following surgery for morbid obesity. J Am
Diet Assoc 1981;78:135�40.
16. Goode LR, Brolin RE, Chowdhury HA, et al. Bone and gastric
bypass surgery: effects of dietary calcium and vitamin D. Obes Res
2004;1:40�7.
17. Coates PS, Fernstrom JD, Fernstrom MH, et al. Gastric bypass
surgery for morbid obesity leads to an increase in bone turnover and
a decrease in bone mass. J Clin Endocrinol Metab 2004;3:1061�5.
18. Ott MT, Fanti P, Malluche HH, et al. Biochemical evidence of
metabolic bone disease in women following Roux-Y gastric bypass for
morbid obesity. Obes Surg 1992;4:341�8.
19. Hamoui N, Anthone G, Crookes PF. Calcium metabolism in the
morbidly obese. Obes Surg 2004;14:9�12.
20. Salal-Salvado J, Garcia-Lorda P, Cuatrecasas G, et al.
Wernicke's syndrome after bariatric surgery. Clin Nutr 2000;5:371�3.
21. Chang CG, Adams-Huet B, Provost DA. Acute post-gastric reduction
surgery (APGARS) neuropathy. Obes Surg 2004;182�9.
22. Slater GH, Ren CJ, Siegel N, et al. Serum fat-soluble vitamin
deficiency and abnormal calcium metabolism after malabsorptive
bariatric surgery. J Gastrointest Surg 2004;8:48�55.
23. Chapin BL, LeMar HJ, Knodel DH, et al. Secondary
hyperparathyroidism following biliopancreatic diversion. Arch Surg
1996;10:1048�52.
24. Kushner RK. Managing the obese patient after bariatric surgery:
a case report of sever malnutrition and review of the literature.
JPEN 2000;2:126�32.
25. Pugnale N, Giusti V, Suter M, et al. Bone metabolism and risk of
secondary hyperparathyroidism 12 months after gastric banding in
obese pre-menopausal women. Int J Obes 2003;27:110�6.
26. Bozbora A, Coskun H, Ozarmagan S, et al. A rare complication of
adjustable gastric banding: Wernicke's Encephalopathy. Obes Surg
2000;10:274�5.
27. Stevens VJ, Corrigan SA, Obarzenek E, et al. Weight loss
intervention in phase 1 of the trials of hypertension prevention.
Arch Int Med 1993;153:849�58.
28. Kelley D. Effects of weight loss on glucose homeostasis in NIDDM.
Diabetes Reviews 1995;3:366�77.
29. Busetto L, Tregnaghi A, De Marchi F, et al. Liver volume and
visceral obesity in women with hepatic steatosis undergoing gastric
banding. Obes Res 2002;10:5:408�11.
30. Kral JG. Surgical treatment of obesity. Med Clin N Am
1989;1:251�64.
31. Froom P, Melamed S, Benbassat J. Smoking cessation and weight
gain. J Family Practice 1998;466:460�4.
32. Marcus BH, Albrecht AE, King TK, et al. The efficacy of exercise
as an aid for smoking cessation in women: a randomized controlled
trial. Arch Int Med 1999;159:1229�34.
33. Kawachi I, Troisi RJ, Rotnitzky AG, et al. Can physical activity
minimize weight gain in women after smoking cessation? Am J Publ
Health 1996;7:999�1004.
34. Jonsdottir D, Jonsdottir H. Does physical exercise in addition
to a multicomponent smoking cessation program increase abstinence
rate and suppress weight gain? An intervention study. Scand J Caring
Sci 2001;15:275�82.
35. Ussher M, West R, McEwen A, et al. Efficacy of exercise
counseling as an aid for smoking cessation: a randomized controlled
trial. Addiction 2003;98:4:523�32.
36. Miller, W. Rollnick. S, (Eds). Motivational Interviewing.
Guilford Press; 1991.
37. Prochaska JO, DiClemente CC. Stages and processes of self-change
of smoking: toward an integrative model of change. J Consult Clin
Psychol 1983;51(3):390�5. |
CenterforBariatricNutrition.com
Copyright © 2004 - 2007 [Center for Bariatric Nutrition]. All rights reserved.
Revised:
07/09/07
You are visitor 779
Page
Revised:
07/09/07 |