Role of the Dietitian in Obesity Management Jane Critchley Nutrition & Dietetic Services Manager.

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Presentation transcript:

Role of the Dietitian in Obesity Management Jane Critchley Nutrition & Dietetic Services Manager

Evidence - Adults Prevention Community-based interventions (3) Treatment Low-calorie diets, low fat diets, VLCD Behavioural therapy GP interventions In-patient treatments Training for HPs and self-help group leaders

Evidence - Children Prevention School-based multi-faceted interventions Treatment Family-based interventions Behaviour-modification programmes Exercise

Current Service - Adults Referral BMI>30 BMI>28 + co-morbidity (eg. CHD, DM) Appointment by Opting-in 6-10 weeks

Current Service - Adults Assessment and follow up Dietary advice to restrict calorie intake by 500kcal/day, practical and achievable targets Protocol-based ‘Xenical clinic’ (NICE guidelines) Advice to increase exercise 1-3month review

Current Service – Children Referral BMI>98 th Centile Assessment and Follow up Modest weight loss/weight maintenance during growth Non-sedentary activities Whole family approach

Limitations Time/resources Lack of MDT support Un-coordinated service across Primary and Secondary care No identified Health Promotion time No referral pathway for bariatric surgery (gastric banding)

Possible Solutions Education & support to Primary care CNA project Pilot a MDT children’s clinic Increase in dietetic resources

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