This set of studies suggests that long-term nutrition education delivered in the school setting can provide children with tools to attain a healthy weight status. Additional studies examining participants' BMI status years after the initial study, and studies examining programs in grades 9-12 are needed to determine the most effective delivery time and methods.

Background Feeding and eating disorders present with a variety of medical complications, some of which may be life-threatening. Emergency Medicine (EM) physicians may interact with patients with eating disorders, however, EM physicians’ knowledge and perceptions of resources for treating patients with eating disorders have not been examined. The purpose of this study was to explore previous training/education, perceptions of available resources, and educational needs in treating eating disorders in practicing EM physicians. Methods An investigator-developed survey was used in this cross-sectional pilot study, distributed to EM Residency Program Coordinators in the United States to distribute to EM physicians and residents. The survey assessed EM physicians’ previous training and education in treating and diagnosing eating disorders. The primary outcomes assessed were participants’ previous training/education in eating disorders, knowledge of local resources for patients, and educational needs on a variety of topics related to adult and adolescent eating disorders. Data were described descriptively and SAS 9.4 was used to analyze data. Results Of the 162 participants, just 1.9% completed a rotation on eating disorders during residency. Ninety-three percent were unfamiliar with the American Psychiatric Association’s Practice Guideline for the Treatment of Patients with Eating Disorders; 95% were unfamiliar with the publication, “Emergency Department management of patients with eating disorders” by Trent et al. The majority were not aware of resources for patients with eating disorders including community and online support groups, the National Eating Disorders Association, and local treatment programs. At least 50% agreed additional education on 15 of the 19 topics examined would be useful; 85% agreed to wanting education on the assessment of patients with eating disorders in the Emergency Department. Conclusions Most EM physicians lack training in eating disorders and knowledge of resources available for patients post-Emergency Department discharge. EM physicians agree additional education on a number of topics would be beneficial, particularly assessment of eating disorders in the Emergency Department, medical complications of eating disorders, and hospital admission criteria for those with eating disorders.

Background: Eating disorders, specifically anorexia nervosa, have one of the highest mortality rates of all mental illnesses.(1) Knowledge and perceptions of patients with eating disorders (ED) in the Emergency Medicine (EM) specialty is not explored. EM physicians may be the first or only provider a patient interacts with. The purpose of this study is to explore previous training/education, perceptions of available resources, and educational needs in treating eating disorders in practicing Emergency Medicine (EM) physicians. Methods: A 36-question investigator-developed survey was used in this cross-sectional study. Data were extracted from Opinio for statistical analyses. SAS 9.4 was used to analyze data. The survey assessed EM physicians’ previous training, education, and confidence in treating and diagnosing eating disorders in adults and adolescents. The primary outcomes assessed were participants’ previous training/education in eating disorders, knowledge of resources for patients, and educational needs.Results: Of the 162 participants, just 1.9% completed a rotation on eating disorders during residency. Ninety-three percent were unfamiliar with the American Psychiatric Association’s Practice Guideline for the Treatment of Patients with Eating Disorders; 95% were unfamiliar with the publication, “ED [Emergency Department] management of patients with eating disorders”. At least 50% were unaware of seven of the ten resources for patients with eating disorders examined. At least 50% agreed additional education on 15 of the 19 topics examined would be useful; 85% agreed to education on assessment of patients with eating disorders in the ED.Conclusions: Providing EM physicians with comprehensive education and training and increasing awareness of eating disorder resources could result in identifying more patients with eating disorders to increase treatment post-discharge.

The patient-centered medical home (PCMH) is a health care delivery model that emphasizes chronic disease prevention and management provided by an interdisciplinary team. The inclusion of a registered dietitian (RD) in the PCMH is not yet standard practice. Based on encouraging outcomes for delivering high-quality, cost-effective care, the PCMHs will likely remain part of the future health care environment. Therefore, RDs should understand the PCMH and the varied ways that they can contribute. This article discusses RD involvement in the PCMH, the potential for a larger role of the RD, and implications for dietetics practice and future research.

Assessment of body composition after bariatric surgery is important for monitoring the changes that occur with respect to lean body mass and fat (subcutaneous and visceral adipose tissue). Different procedures (malabsorptive vs restrictive) result in different rates and amounts of lean body mass and adipose tissue loss during the short-term and long-term periods after bariatric surgery. Many of the methods used to assess body composition changes are either impractical or not validated for use in the obese and superobese population. Thus, health care professionals should understand the alterations in body composition changes that occur and be able to educate clients accordingly.

A systematic literature review of prospective cohort studies was conducted to investigate the association between consumption of fat-free/1% versus reduced- and/or full-fat dairy on the incidence of overweight/obesity, central adiposity, cardiovascular disease, and type 2 diabetes mellitus in adults. Fifteen articles met the inclusion criteria. No significant relationships between dairy fat intake and cardiovascular disease or type 2 diabetes mellitus were found. The limited research published on the relationship between overweight/obesity, central adiposity, and dairy fat intake makes it difficult to draw generalizable conclusions at this time. Registered dietitian nutritionists should continue to encourage clients to eat calorically balanced, nutrient-dense diets, and engage in regular physical activity.