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PubMed1989

The role of the dietician in the follow-up of high risk infants.

Infants who are seen in follow-up programs for high-risk neonates are at risk for growth disturbances and feeding difficulties. Since dietitians often are not included on follow-up teams, the role of a dietitian on a multi-disciplinary team at the Alberta Children's Hospital Perinatal Follow-Up Program is described. The dietitian contributes through clinical, teaching, and research activities. During 1986, the dietitian evaluated 298 infants; of these 14.5% required intensive dietary intervention while 28.9% received informal advice or written materials. Growth problems were most frequent in infants in the lowest birth-weight category (500-1000 g). Infants 8-12 months old experienced most feeding difficulties. The overall outcomes of the infants assessed by the multidisciplinary team are presented. The dietitian can make important contributions in all areas of follow-up team function.

Alberta↗
PubMed1998

[The work of the dietician in the outpatient obesity unit].

The dietitian plays an important role in the care of obese patients. The dietitian evaluates 7 day food records and according to the individual composition of the diet gives dietary advice to the patient. The energy content and macronutrient and micronutrient composition is only one aspect of dietary counselling. Knowledge of patient's familial and economic status as well as his usual eating pattern, his tastes and capabilities of person who does the shopping and cooking are necessary before the diet can be recommended. The balanced energy-restricted diet is used, predominantly with reduction of the fat intake. Energy expenditure in individual patients is considered when the diet is planned. The regular controls by a dietitian are essential in the long-term treatment of obesity.

Counseling↗