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Obesity Interventions for Adults Self-Study Learning Objectives

Science of Obesity Module

  • Describe the key obesity-related physiological and metabolic pathways.
  • Describe how adipose tissue functions as an endocrine organ and the metabolic impact.
  • Cite these terms and describe their effect on metabolism and implications for treatment of overweight and obesity.
  • Cite the hormones that regulate hunger and satiety and describe implications for weight management treatment.
  • Describe the role of liver fat and the impact on comorbidities of obesity.
  • Describe the impact of genetic imprinting and the intrauterine environment and the impact on the development of obesity.
  • Discuss the microbiome and the possible effects and dietary treatment options.
Diet and Nutrition Module
  • Describe the latest evidence-based guidelines for adult weight management treatment.
  • Apply the key nutrition-related guidelines to a weight management treatment plan.
  • Specify evidence-based tools for adult weight management, such as meal replacements and other portion control tools.
The Role of Physical Activity in Weight Management Module
  • Describe the concept of dynamic energy balance.
  • Distinguish the roles of physical activity in the three phases of weight management.
  • Apply cognitive behavioral change strategies appropriately to the adoption of increased physical activity habits for adults.
  • Evaluate when and to whom patients/clients need to be referred for physical activity counseling/intervention.
  • Cite the components of a physical activity assessment for adults.
  • Apply physical activity assessment data to the calculation of total daily energy expenditure for adults.
  • Specify the RD scope of practice regarding physical activity in weight management treatment.
  • Identify accredited physical activity-related certifications appropriate for RDs to obtain if desired.
  • Identify credible sources of information regarding physical activity, obesity, and behavior change.
Obesity Management through Adult Life Stages Module
  • Describe strategies for preventing gestational weight gain.
  • Describe strategies for preventing adult weight gain.
  • Describe strategies for preventing advanced-age sarcopenic obesity.
  • Demonstrate how RDN should modify treatment approaches for patients/clients at different life stages.
Behavioral Management and Counseling Module
  • Describe the behavioral skills and techniques used in cognitive behavior therapy (CBT) to help clients modify eating and activity habits.
  • Describe characteristics of CBT for obesity management.
  • Describe cognitive skills utilized in a CBT approach to weight management.
  • Describe the four main components of motivational interviewing (MI).
  • Explain the importance of accurate reflective statements.
  • Understand the techniques for providing clients with objective feedback.
  • Describe the dietitian and client outcomes attained from trained dietitians in basic MI interviewing skills.
  • Describe the differences between individual and group weight management counseling.
  • Define the key elements to successfully facilitating groups.
  • Describe the methods to adapt MI counseling principles to a group setting.
Obesity Medical Nutrition Therapy Module
  • Apply the nutrition-focused physical exam for weight management to case study scenario.
  • Cite the most relevant weight management SOP/SOPPs.
  • Describe the NCP as it relates to weight management treatment.
  • Cite the research for weight management health information technology and how to apply it to weight management plan.
  • Cite specific professional recommendations for self-disclosure and referral.
  • Cite the scientific principles for conducting research.
  • Describe ANDHII and how it can be used in weight management practice.
Pharmacotherapy and Medical Complications in Weight Management Module
  • Cite the history of anti-obesity pharmacotherapy.
  • Describe the current criteria for anti-obesity pharmacotherapy use.
  • Differentiate patients who are potential candidates for anti-obesity pharmacotherapy.
  • Describe the FDA-approved anti-obesity pharmacotherapy options.
  • Cite the mechanisms of action of the FDA-approved anti-obesity medications.
  • Describe average weight loss effects vs duration of time for FDA-approved anti-obesity medications.
  • Describe the contraindications and most common side effects of FDA-approved anti-obesity medications.
  • Cite the common metabolic complications of obesity.
  • Describe the prevalence of common metabolic complications of obesity.
  • Identify the signs and symptoms of common mechanical complications of obesity.
  • Describe the prevalence of mechanical complications of obesity.
Nutritional Care of the Bariatric Surgery Patient
  • Describe the indications for recommending weight loss surgery.
  • Describe the various types of bariatric surgery commonly performed in the U.S. today and the mechanisms of action.
  • Describe how the procedures differ in influencing the weight regulatory system.
  • Describe how each bariatric procedure influences vitamin and mineral status.
Weight Loss Maintenance Module
  • Define weight loss maintenance.
  • Describe energy balance in the context of weight loss maintenance.
  • Describe physiological and behavioral factors that affect energy balance and ultimately, weight loss maintenance.
  • Apply findings from the empirical literature on weight loss maintenance in practice settings.
  • Identify technologies and tools to facilitate weight loss maintenance.
  • Identify who the RDN can work with in interdisciplinary settings to facilitate weight loss maintenance.
Healthcare Systems Module
  • Describe the key features of health care system transformation.
  • Discuss health care initiatives such as the Patient-Centered Medical Home (PCMH), Accountable Care Organizations (ACOs) and the Comprehensive Primary Care Initiative (CPC and CPC+).