The pounds are dropping

Dr. Tatjana Schütz knows what a dietetic treatment can accomplish during weight loss.

The frequency of morbid overweight is increasing in Germany as well as in the whole world. During treatment for so-called morbid adiposity the reduction of weight and eventually the stabilization of weight is most essential. "Patients will only lose weight when their energy balance is negative - meaning they take in less calories that they actually need," says nutritionist Tatjana Schütz.

Which part can a dietetic treatment play in those circumstances? This question is the center of her lecture "Dietetic treatment of morbid adiposity". The IFB expert shows possibilities as well as limitations. She will present different diet approaches such as different forms of energy-reduced balanced diet, during which patients only consume an average of 500 to 800 calories a day. If the pounds still won't drop after that you can try "low calorie diets (800-1200 kcal a day) or "very low calorie diets" (less than 800 kcal a day). Most of the time those diets, which are done under medical supervision, use special products that offer a fixed nutrient composition in order to avoid deficiency symptoms.

"The dietetic guidance of patients after a bariatric surgery is a special challenge because the intervention heavily constricts digestion," says Dr. Tatjana Schütz. In so-called restrictive procedures such as sleeve gastrectomies the amount of food you can eat during one meal is drastically reduced. While in malapsorptive procedures a reduction of the intestinal segments in which food is digested is important. "By that not only do we achieve the desired energy deficiency but the body is also insufficiently supplied with vitamins and mineral nutrients," says Schütz. To compensate that nutrients have to be added. The nutritionist will also adress that matter during her lecture this thursday.

Keywords: events, nutrition & diet, prevention