Dispelling nutrition myths, ranting, and occasionally, raving


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Being thin is not a qualification for providing nutrition advice

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Last week a bunch of crossfitters and meatatarians got all worked up because the former president of the Academy of Nutrition and Dietetics (the US organization representing registered nutrition professionals) released a video that essentially warned RDs to watch for people without appropriate credentials providing nutrition advice. Some people evidently felt that she was unworthy to issue such a warning as she did not fit their limited definition of an acceptable body size. There are so many things wrong with this assertion that I don’t even know where to begin.

First, I happen to agree with Beseler (the RD in the video). As I’ve argued in the past, dietitians are regulated healthcare professionals which means that we have to complete a number of requirements to maintain our licencing. Being licenced also means that the public has added protection and recourse in the event that we do provide advice that causes harm. Would the video have more credence if it came from someone slimmer? Let me remind you that being young thin and pretty are not qualifications to provide nutrition advice.

Second, just as being young thin and pretty aren’t qualifications to provide nutrition advice, nor is being old large and unattractive a sign that someone is not qualified to provide nutrition advice. An individual’s appearance is not a reflection of their expertise. Personally, I wouldn’t want to receive nutrition advice from someone who judges others based purely on their size.

Third, I can’t tell from the video what size Beseler is anyway. Her size should be irrelevant anyway. Attacking her based on her weight is bullying. The narrow perception of what bodies are acceptable also shows the narrow-mindedness of the attackers. It also shows the pervasiveness of weight bias in our society. That people are more willing to accept advice from someone who has no nutrition education simply because they fit a thin ideal over someone who is highly credentialed but may not have that “perfect” physique is a sad reflection of our ingrained fear of fat.

Healthy bodies come in all different shapes and sizes. Your worth is not related to your size.


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Would you go to a self-taught doctor?

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My friend sent me a link to this opinion piece: Who is qualified to give nutrition advice? last week. I found myself growing increasingly frustrated as I was reading. One of the biggest frustrations I find working in the field of nutrition is that everyone’s an expert. I get it, we all eat, and many non-nutrition professionals pay attention to what they’re putting in their bodies. Nutrition information is everywhere and it’s not hard to seek out general, and even specific, nutrition facts. However, there are a couple of problems when it comes to receiving nutrition advice.

 

I don’t mean advice like your aunt telling you how to tweak your lasagna recipe or your friend telling you ways to get your kids to eat their veggies. We all give each other friendly advice like this, regardless of our educational backgrounds. It’s a whole other kettle of fish when you’re paying someone to provide you with a service. I don’t want to say that registered dietitians are the only professionals who are qualified to give nutritional education. But… At this point we are the only regulated nutrition professionals who have accountability. What do I mean by that? We have to register with our provincial regulatory body (in Nova Scotia that’s the Nova Scotia Dietetic Association). As part of our continuing competency program we have to demonstrate ongoing learning and set learning goals for ourselves every year. The NSDA also ensures that we are practicing within our scope of practice (i.e. not performing duties that we’re not properly trained for) and they deal with any complaints about us. We must all hold liability insurance so that if for some reason we’re sued we’re covered. Someone who is “self taught” may know a fair bit about food and nutrition but there is no one to ensure that is actually the case. If they give you inaccurate or unsafe counseling there is no recourse for you to be compensated and for them to be held accountable. If, as dietitians, we cause you harm through our professional practice, we can potentially lose our licences and be barred from providing nutritional counseling.

 

The other problem with obtaining nutrition information from someone who is self-taught is that you don’t know what they actually know. Yeah, I know that’s a little odd sounding. What I’m saying is, with a registered dietitian, you know that they’ve received specific education. We have to take a number of specific courses such as macro- and micro-nutrients, nutrition through the life-cycle, medical nutrition therapy, organic chemistry, biochemistry, etc. We also have to successfully complete a recognized internship program and then a national exam. Someone who is self-taught would not have had these experiences.

 

Dietitians also learn about treating people with various disease states and conditions. We can continue on in our education to specialize in things like diabetes management, oncology, pediatrics, weight management, eating disorders, mental illness, and on and on. None of us would dare claim to be experts in every area and we should be able to recognize our limitations and refer on to someone more knowledgeable when a client/patient presents with a problem outside of our realm of expertise. Just as you wouldn’t (I hope!) go to a self-taught medical doctor, dentist, pharmacist, or any other health care professional, why would you go to a self-taught nutritionist when you could go to a professional dietitian?

 

So… Matt MacDonald… While you may know a lot about nutrition there are a number of reasons why you are not qualified to provide nutrition counselling and why registered dietitians are. By marketing yourself as a nutrition counsellor (or whatever it was you were advertising your services as) you are leading the public to believe that you have a certain level of knowledge and credentials. Perhaps you do know a great deal about nutrition. However, that’s not the issue. The issue is that you are misleading the public and you are potentially putting them at risk.