Certificate of Training in Adult Weight Management—Course Learning Objectives
After completing the self-study module, you will be able to:
- Describe the current prevalence of overweight and obesity.
- Identify risk factors and diseases associated with overweight/obesity
- Identify genetic, biologic, and environmental contributors to weight status
- Define body mass index and waist circumference, and identify indications for use.
- Define and distinguish among healthy weight, overweight, and obesity.
- Distinguish among key methods used to measure body composition.
- Recognize current evidence-based recommendations for assessment and treatment of weight management ADA Adult Weight Management Evidence-Based Nutrition Practice Guidelines, (NIH/NHLBI Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity, Position of The American Dietetic Association: Weight Management).
- Be aware of techniques (and their limitations) used to assess dietary intake in overweight and obesity.
- Identify behavioral predictors of successful weight maintenance based on outcomes of the National Weight Control Registry.
- Recognize current research evaluating the efficacy of leading popular diets and diet approaches for weight management.
- Identify the components of Metabolic Syndrome (Syndrome X) and its relation to obesity.
- Describe and begin to apply counseling skills important to successful client weight management.
- Be aware of emerging research, issues and non-traditional approaches to weight management.
- List at the current public health guidelines for moderate and vigorous physical activity for adults.
- Distinguish between the amount and type of physical activity recommended for general health benefits and for weight management.
- Cite at least three ways policies, environments, and/or systems can be changed at the community-level or higher to reduce or prevent obesity.
After completing the onsite program, participants will be able to:
Current Research and Future Possibilities in Overweight and Obesity
- Recognize the prevalence and epidemiology of overweight and obesity (in general and specific to ethnic and special population groups).
- Identify the leading biologic, genetic, and environmental contributors to overweight and obesity.
- Identify medical conditions or diseases associated with obesity and describe health benefits associated with weight reduction.
- Describe key theories related to the etiology of overweight and obesity.
- Understand basic endocrinology and biological factors regulating energy intake and body weight (eg, leptin, insulin, gut peptides, grehlin, and brain neurotransmitters).
- Describe Metabolic Syndrome (Syndrome X) and its relation to weight status and treatment of obesity.
- Understand the impact of weight status (weight maintenance, weight gain, and weight loss) on quality of life, mortality, and overall health related outcomes and medical costs.
- Recognize emerging trends in the treatment of overweight and obesity.
- Recognize and apply seminal and recent research in the treatment of overweight and obesity.
Nutrition Management of Overweight and Obesity
- Apply evidence-based guidelines in assessing and managing overweight and obesity.
- Identify clinical, functional/quality of life, and behavioral data used in assessing patient/client’s weight status and response to nutrition therapies.
- Identify and interpret laboratory data, vital signs, and other clinical tests specific to risk and complications associated with overweight and obesity.
- Apply the technique used to measure waist circumference and discuss its application in the overweight and obese population.
- Recognize clients who may have contraindications for weight management treatment.
- Recognize and apply validated methods for determining energy requirements in determining nutrition prescription for weight loss/management.
- Apply techniques to determine a patient/client’s readiness and motivation to begin/maintain weight management treatment (eg, strategies to assess readiness, motivational interviewing (e.g., “Ruler Method”), and stages of change.
- Develop a weight management plan based on patient/client goals/expectations and evidence-based interventions.
- Provide nutrition education and nutrition counseling using Patient-Centered Care and the health literate care model.
- Provide follow-up and document MNT outcomes to evaluate progress.
The Skinny of Popular Diets
- Review benefits of intensive lifestyle intervention for weight loss and weight loss maintenance
- Review efficacy of macronutrient distribution of popular diets
- Identify key resources for evaluating popular diets
- Review the evidence for use of meal replacements for portion management in weight management
- Review research from some leading commercial weight loss programs
- Examine changing role of RD in lifestyle management
Role of Physical Activity In Weight Loss and Maintenance
- Understand the dietetics professional’s role in promoting physical activity as part of weight management programs.
- Distinguish and translate for patient/clients the difference between exercise and lifestyle physical activity.
- Understand the physiological role physical activity plays in the various stages of weight management (weight loss versus weight maintenance).
- Identify and distinguish the role aerobic and strength-training types of physical activities have on weight loss/weight maintenance.
- Provide strategies for integrating and accumulating physical activity as part of patient/client’s weight management program.
- Understand and apply current evidence-based guidelines and recommendations for physical activity.
- Identify and apply tools for assessing readiness and medical clearance for physical activity programs (eg, PAR-Q, Physical Activity Questionnaire).
- Identify self-monitoring tools for assessing activity level and energy expenditure (eg, pedometers, physical activity records).
- Identify when to refer to other health professionals (exercise specialists/physician).
Behavior Management of Obesity
- Understand and implement key principles of behavioral management.
- Understand and implement strategies for providing information to clients.
- Assist patients/clients in establishing realistic/achievable weight loss goals and treatment outcomes.
- Identify personal biases and potential barriers/attitudes toward counseling patient/client’s that are overweight and obese.
- Establish a therapeutic relationship conducive to promoting patient/client behavior change.
- Understand and apply behavioral treatment strategies for facilitating behavior change short and long-term (e.g., self-monitoring, stimulus control, cognitive restructuring, problem-solving, stress management, social support, contingency management, relapse prevention).
- Identify and apply behavioral treatment strategies in managing issues related to adherence.
- Identify and apply attributes of effective counseling skills. (e.g., open-ended questions, goal setting).
- Identify when to refer to other health professionals (psychologist, behavioral specialists/physician).
- Recognize and apply tools for facilitating self-management training and behavior change.
Life Transitions and Weight Control
- To describe key life stages that are associated with unintentional weight gain: pregnancy, infancy, puberty, early adulthood, menopause.
- To describe the pathophysiology of life stages and factors (including dietary and activity) contributors to risk for weight gain.
- To promote primary prevention of weight gain during these at risk periods of the lifecycle.
Medical Complications and Pharmacotherapy in Overweight and Obesity
- Be able to identify obesity-related medical complications
- Identify the current FDA approved medications prescribed for weight loss and be able to describe the “off label’ use of medications for weight loss.
- Recognize commonly prescribed medications that may cause/exacerbate weight gain.
Nutritional Care of the Bariatric Surgery Patients
- Be able to describe the most common bariatric procedures performed in the U.S. today and the known mechanisms of action.
- Identify short and long-term health related risks and benefits associated with bariatric surgery procedures.
- Recognize and apply evidence-based research demonstrating the outcomes and efficacy of bariatric surgery.
- Assess patient/client eligibility criteria and indications for surgical treatment intervention.
- Recognize the progression of food and meal planning through the various stages following bariatric surgery to optimize nutritional status and a healthy weight loss.
- Understand the need for specific nutritional supplementation following bariatric surgery.
Over-the-Counter (OTC) Dietary Supplements in Weight Management
- Identify the current trends in the use of dietary supplements for weight management.
- Identify the roles of FDA and FTC regarding dietary supplements.
- Identify natural substances commonly used in dietary supplements for weight management.
- Access evidence-based information for evaluation of select dietary supplements.
- Assess supplement safety and efficacy in the context of the nutrition care process and with the interprofessional team.
Role of Public Health in Obesity Prevention
- To describe the differences between developing initiatives that affect hundreds of people (programming) and those that affect a population (policy).
- To identify three regulations a city, state or federal government has already developed in order to help improve the nutritional environment
- To understand the rationale and processes for taxing unhealthy foods and for increasing access to healthy foods.
- To identify the importance of both increasing access to healthy foods and decreasing access to unhealthy foods.
Technology and mHealth in Lifestyle Intervention
- Review impact of internet in weight management
- Review impact of social media in lifestyle intervention
- Identify some applications of technology for self-monitoring, social support and education
- Review evidence regarding use of technology in lifestyle management and weight loss
- Identify an application for self-monitoring for practice setting