This presentation will provide an explanation of how psychological trauma manifests in bariatric patients, drawing from case material, diagnostic guidelines, recent research, and theories of aetiology. Some of the challenges faced by surgeons and clinic directors looking to integrate psychological support for bariatric patients are described, followed by some rationales for including psychological support or interventions for patients as a potential adjuvant to bariatric surgery.

Whether at elite or recreational level, the bariathlete presents a huge nutritional challenge to ensure nutritional needs are met to maximise performance.  Nick will explore the most important dietary challenges for the bariatric surgical patient turned exercise machine as they strive to get through their arduous training sessions and then perform on that big day.  Nick’s presentation will mainly focus on achieving adequate energy, protein and carbohydrate intake for the bariathlete with very small eating capacity and the massive challenges this is to the Dietitian to meet these macronutrient targets. Nick will use a real life case study of a bari-triathlete to show how training diet, race preparation and race day can all be maximised with sound dietary preparation.