No abstract

No abstract

Obesity has become an epidemic in the United States, with other western countries also reporting increases in incidence of obesity. With many associated comorbidities, it is the most common nutritional disorder facing the medical team. However, the assessment of macronutrient needs for nutrition support regimens in obese adults is controversial. This review summarizes existing research on popular predictive approaches, including the Harris-Benedict equation, kilocalories per kilogram, and the Ireton-Jones equations. Complications including special considerations for patients who have undergone bariatric surgeries and current evidence on hypocaloric regimens are also discussed.

Anorexia nervosa (AN) and bulimia nervosa (BN) dominate published reports on disordered eating, although they actually account for a small number of cases. Binge eating disorder (BED) and subclinical syndromes of disturbed eating and distress are far more prevalent. Medical nutrition therapy including education is a cornerstone of therapy, however there has been no evaluation of baseline knowledge of nutrition and diet composition in this population relative to individuals who do not exhibit pathological eating behavior. In addition, previous reports suggest that individuals with clinical eating disorders have above-average knowledge of nutrition. In the present investigation, individuals with subclinical eating disorders did not differ from control participants. Poor scores overall indicate that nutritional counseling may be a useful component of treatment. These results further suggest that nutrition expertise is not an early feature of the disorder and, therefore, does not likely contribute to its development.

No abstract