Metabolic and Bariatric Surgery

Pathway Contributor: Jennifer Brown

Credentials:
MSc, RD, CBE

Degree(s):
Masters of Science in Human Kinetics; Bachelors of Science in Human Nutrition; Registered Dietitian; Certified Bariatric Educator

Relevant Dietetic Experience and Accomplishments:

• Steering committee member and lead author on Canadian Adult Obesity Clinical Practice Guidelines; collaborator/reviewer of the European Dietary Guideline of Obesity Management; Collaborator with the Ireland and Chilean Adaptation CPG project (MNT)
• Coordinator of the Canadian Obesity Advocacy Network; Canadian Representative for Global Guidance Committee of the Obesity Policy Engagement Network
• Past recipient of the DC Member Recognition Award: Association Catalyst

Practice Focus:
Obesity (endocrinological disease not weight); bariatric surgery; appetite and weight regulation; weight stigma; obesity care advocacy

Affiliation Statement:
Previous, present and potential Contracts, Grants and/or Contributions - I have worked in a contract position in the past and/or am currently on contract with the following organizations: Obesity Canada (currently); Bausch Health (previously). Honoraria and other sources of personal income - I have received honorariums from the following organizations: Dietitians of Canada, Obesity Canada, Bausch Health, Novo Nordisk, Association of Family Health Teams of Ontario Travel sponsorship - Novo Nordisk Global Promotion of a product(s) of relevance to the knowledge pathway - No direct conflict of interest, however I work in a academic-based hospital outpatient program that may recommend (or provide samples of) medical products to patients/clients including vitamin/mineral supplements from Celebrate Vitamins, Bariatric Advantage, other over-the-counter supplement brands; oral supplements and/or meal replacements from Nestle, Minogue, Abbott; medications from Novo Nordisk, Bausch Health and surgical interventions (Sleeve gastrectomy, Roux-en-Y gastric bypass and Duodenal Switch) requiring me to be familiar with products and provide education and/or support for clients/patients regarding these products or procedures. Publications - Steering committee member on the 2020 Canadian Adult Obesity Clinical Practice Guidelines, including and lead author of the Medical Nutrition Therapy chapter; co-author on Weight Stigma backgrounder (PEN); co-author of a bariatric surgery/nutrition systematic review with the Academy of Nutrition & Dietetics. Lobbying activities - coordinator of the Canadian Obesity Advocacy Network Membership in special interest groups - Canadian representative for the Global Guidance Committee with OPEN (Obesity Policy Engagement Network); executive committee member of the Diabetes, Obesity, Cardiovascular Disease Network with Dietitians of Canada - lead of the bariatric surgery subcommittee with DOC; committee member of Obesity Canada's Adult Clinical subcommittee; committee member of Obesity Canada's Public Health, Population and Policy subcommittee; conference committee member of the Canadian Association of Bariatric Physicians & Surgeons; member of the Bariatric Dietitian subcommittee with the Weight Management Dietetic Practice Group of the Academy of Nutrition & Dietetics; member of The Obesity Society; member of American Society of Metabolic & Bariatric Surgery; member of Obesity Canada; member of Diabetes Canada Any interest or activity, which may create a reasonable apprehension of bias - I acknowledge my privilege as a cis-gendered, middle-class, white female and living in a larger body size with no health impairments.

Contributions:

• What impact does bariatric surgery have on pregnancy outcomes and maternal nutritional status in women of childbearing age?  

  Role: Reviewer

• Does bariatric surgery affect eating disorders or disordered eating behaviours in adults who have undergone bariatric surgery?  

  Role: Reviewer

• Is perceived social support or participation in social support interventions associated with improved outcomes in adults after bariatric surgery?  

  Role: Reviewer

• Do adults who undergo bariatric surgery have a greater long-term weight loss and weight maintenance than individuals following non-surgical interventions for weight reduction?  

  Role: Reviewer

• Does following a supervised weight loss program prior to bariatric surgery result in greater postoperative weight loss and/or improved operating procedure outcomes (e.g. operative time, complication rate, length of stay) in adults undergoing bariatric surgery?  

  Role: Reviewer

• Which postoperative eating behaviours are associated with greater weight loss and longer-term weight maintenance in adults who have undergone bariatric surgery?  

  Role: Reviewer

• What are the risks of preoperative malnutrition (including micronutrient deficiency) in adults scheduled to undergo bariatric surgery, and how can nutritional status be optimized to minimize these risks?  

  Role: Reviewer

• Do probiotics affect body composition or other outcomes (e.g. quality of life, metabolic outcomes, gastrointestinal symptoms, body composition) in adults who have undergone bariatric surgery?  

  Role: Reviewer

• What nutritional recommendations should be followed for adults in the first few weeks following bariatric surgery?  

  Role: Reviewer

• What is the recommended nutritional management for common side-effects of bariatric surgery (e.g. diarrhea, constipation, dumping syndrome, kidney stones, decreased bone health)?  

  Role: Reviewer

• How common is weight regain among adults after bariatric surgery and how should dietitians address post-surgery weight regain?  

  Role: Reviewer

• Which vitamin and mineral supplements should be prescribed to adults who have undergone bariatric surgery to prevent postoperative malnutrition, and do recommendations differ based on the type of surgery?  

  Role: Reviewer

• Does participation in pre- or post-bariatric surgery behavioural management programs improve outcomes in adults post-surgery?  

  Role: Reviewer

• Metabolic and Bariatric Surgery Background

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  Role: Reviewer

• Weight Stigma Background

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  Role: Author

• Physiology of Body Weight, Weight Gain and Adipose Tissue Background

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  Role: Author