Dispelling nutrition myths, ranting, and occasionally, raving


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Should dietitians use #eatclean on social media?

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A friend shared this article with me last month. For those of you who can’t be bothered to click links or belong to the TL;DR camp (of which, I’ll admit, I’m a frequent member) let me give you the briefest of synopses. It was about clean eating, why people got so sucked in by the notion, and why it won’t freaking die already.

Reading about all of the self-appointed “clean eating” wellness gurus got me thinking about how many of us who rail against fad diets are also inadvertently complicit in keeping them alive. I see lots of well-intentioned dietitians using hashtags like #cleaneating and #eatclean on their Instagram posts. Personally, I prefer the tag #eatdirty although I don’t think it garners me as many likes as it hasn’t quite caught on in the way that I had hoped. Anyhow… I’m not here to judge my fellow RDs. I’m not even sure how I feel about this myself.

There’s a part of me that thinks it’s good for dietitians to be appropriating the “eat clean” hashtag. By doing so, perhaps they’re reaching people who are all-in on the trendy diet train but who might benefit from seeing sensible nutrition and food suggestions from a nutrition professional. On the other hand, is using these hashtags on Instagram lending legitimacy to them? Isn’t it possible that by using the hashtags, no matter the content, it’s implying that the RD posting supports the notion of clean eating? And for all I know, maybe they do, not all of us are on the same page. But let’s assume that they’re using it, not because they believe in “eating clean” (which means nothing by the way), and not because they’re just trying to get more likes (I know, terribly cynical of me), but because they want to show people who are into “clean eating” a more balanced way of approaching food. Is it cool for dietitians to be using the hashtags for this purpose? Even if it means that it lends an air of legitimacy to a silly fad diet. Does the end justify the means? Or would it be better if we risked only preaching to the choir by using hashtags that truly represent our personal philosophies toward food and our professional opinions?

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Buzz off with having a personal trainer “debunk” nutrition myths buzzfeed

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What the hell, buzzfeed??? Why would you choose a personal trainer to debunk “diet and nutrition myths”? Sure, not everything he said was inaccurate but his training does not lend itself to providing evidence-informed nutrition information. As a celebrity trainer, it’s his job to help people lose weight and get buff. The advice given to people in that circumstance is likely quite different from the nutrition advice given to people with other health and nutrition concerns. Diets are not one-size-fits-all. What works (i.e. a way of eating that they are happy and healthy consuming for life) for one person will not work for another. Okay, now that that’s out of the way, let’s take a quick look at some of the “myths” that this trainer “debunked”.

1. Full cream milk is actually a better choice over its skim and low-fat counterparts.

This is dangerous advice, in my opinion. When I used to work at a coffee shop I had one customer who would regularly order 20-oz lattes made from heavy cream. That’s just shy of 1600 calories and 88 grams of fat (135% of the maximum recommended daily intake for fat). While the research on milk products and nutrition is mixed, there is little doubt that full-fat dairy products contribute more calories to a person’s diet than reduced-fat products. While a glass of whole milk may be perfectly healthy for many people, a glass of 1% may be a better choice for others. A little cream in one coffee a day is unlikely to have a negative impact on anyone’s health. However, there are very very few people for whom a glass of heavy cream would be a good choice.

2. And be wary of products labelled “low-fat”.

Ostensibly because these products are often higher in sugar. This may be true in some cases. I certainly think that we went overboard with the fear of fat in the ’80s. However, best to read the label before judging a product based on any front-of-package nutrition claims.

3. No, coconut oil isn’t THAT bad for you.

“The recent stuff around coconut oil is categorically wrong. It’s a natural fat, and fat doesn’t make you fat. It will be disproven in the near future, I promise you!”

Well, my thoughts on fats and oils are that we shouldn’t but all of our eggs in one basket. It’s best to use a variety and use them all sparingly. Of course, people with specific health concerns may have different needs and should work with a registered dietitian to determine the best choices for them.

4. Skipping breakfast may not completely “ruin” your metabolism, but it will make you prone to eating worse for the rest of the day.

Getting that first meal in does kickstart your metabolism, and the benefits of eating breakfast definitely outweigh not eating it.

I have mixed feeling about this one. I’m personally a big fan of breakfast, and it can be difficult to meet your nutrient needs if you skip it, but evidence has shown that it doesn’t actually impact your metabolism (whether you eat it or not) and you’re not necessarily going to make poor food choices throughout the day if you’re not a breakfast person.

5. And you definitely are damaging your metabolism with fad diets and juice cleanses.

I’m glad to see he’s opposed to fad diets and juice cleanses. I’m not sure that damaged metabolism is the best of reasons to oppose them but there are plenty of other good reasons.

6. Buying organic is technically better for you – but as long as you’re eating non-processed foods, you’re on the right track.

Yes, organic products are more often than not slightly better for us. There’s less human interference, less chemicals, and less pesticides. But as long as you’re eating ‘real’ food and not processed food, that’s the most important thing. The kind of rules you should go by are if you’re in a supermarket and a product has more than five ingredients, then be wary.

Actually, there’s no evidence to show that eating organic is any healthier than conventional. There are pesticides used on organic crops and plenty of chemicals on (and in) both. There may be other reasons to choose organic (environmental and biodiversity, for example) but health and nutrition is not one of them.

Processing can actually enhance the nutrients in some foods (e.g. tomato sauce) and make other foods edible (e.g. legumes). It’s ultra-processed ready-to-eat foods that we need to reduce our consumption of.

That five ingredients rule is ridiculous. Plain potato chips only have 3 ingredients.

7. Many store-bought protein drinks aren’t actually that great for you.

I’d go a step further and say that most people don’t need any protein supplementation.

8. And be wary of the protein bars too.

True, many of these are like candy bars. And again, most of us don’t need protein supplements.

9. Some superfoods aren’t all they’re cracked up to be.

“Tumeric is a really good ‘superfood’ because it has anti-inflammatory qualities, and is great for bloating and if you don’t sleep well. I think kale is a bit overrated! I don’t think it’s that much difference to just having spinach, you know? I think the key message there is just because a food is ‘in vogue’ doesn’t necessarily make it any better or more magical than similar foods in the same family.”

There is no such thing as a “superfood”. Actually, it’s turmeric and research has shown that it does not live up to the hype. It’s still great in curries and lovely with ginger in a tea. Kale is great. Spinach is great. Don’t buy the hype is a good message about any food. No one food is going to make or break your diet.

10. You can actually train your body to need less food.

That is, if you’re currently consuming more calories than you need. Most of us are definitely out of touch with our innate hunger and satiety cues and could benefit from following some mindful eating principles.

11. Eating pasta for dinner (occasionally) won’t necessarily set you back.

If you have pasta for dinner, and that’s in balance with a high-protein and low-carb breakfast and lunch, then it’s probably going to be fine.

Yes, pasta is fine and delicious. Yes, it’s all about balance (and portion sizes). I don’t think you need to go so far as to go low-carb at lunch if you’re having pasta for supper though. Just make sure you’re plate is half veg and you’ve got some protein there too and you’ll survive regular pasta meals.

12. Don’t believe any myths about eggs being bad for you.

Yep, eggs are good. On this we can agree.

13. There’s no real thing as a “calorie negative” food.

Man, two in a row!

14. It’s not a choice between choosing a healthy diet, or choosing to workout – the most effective way to lose weight or stay healthy is by doing BOTH.

Again, true. Although what you eat is more likely to affect a person’s weight than their level of activity. Both are important for health and weight is not necessarily a good measure of health.

15. And it can be good for your mental health to have a piece or two of chocolate!

Again, agreed. Deprivation is probably the top reason why people don’t maintain healthy dietary habits.

I’m glad we could end on a positive note but I’d like to reiterate that personal trainers are not nutrition experts. If you want accurate evidence-informed nutrition information, trust a dietitian. If you want a new workout routine, visit a personal trainer.

 

 

 

 


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Follow Friday: @CaraAnselmo

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In the wake of the election results I feel like we could all use a little ray of sunshine in our lives. Cara is always a ray of sunshine in my twitter feed. Even when she’s having a bad day, she always manages to find the positive. It makes sense that she’s a member of Earthathon‘s Runshine team and is always dedicating her miles to her tweeps.

As an RDN, Cara specializes in oncology nutrition and has blogged about related topics on her website. She’s also a certified yoga instructor which may be of interest to those of you in NY.


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Follow Friday: @AndyThaRD

For today’s Follow Friday I suggest that you follow fellow RD Andy DeSantis whose goofy antics on social media have fast earned him a number of devoted followers. He tweets at @AndyThaRD but where he really shines is on Instagram. He has his fair share of the obligatory food pics and selfies but he also started a challenge a little while ago asking people to post photos of themselves striking yoga poses with vegetables.

Andy's Vegan Yoga Challenge – You must post a picture of yourself doing a yoga pose that includes a vegan food in a humorous way. Tag me and I will re-post the one I that think is the funniest. FYI I am far from a legit yoga practitioner but that did not stop me from putting a bag of avocados in my mouth and whipping out a poorly executed pose that I learned from P90X. All skill levels welcome 😂😂😂 #yogachallenge #yogagram #yogisofinstagram #veganeats #plantbaseddiet #dietitian #rd2be #nutritionist #yogainspiration #trianglepose #vinyasa #eattherainbow #foodiegram #torontofoodie #yogapose #hippies #yogapants #meditate #spiritualgangster #instavegan #instayoga #vegansofinstagram #plantpower #fitfoodie #healthspo #eatcleantrainmean #onewithnature #ashtanga #forkyeah #instafoodie

A post shared by Andy De Santis RD MPH (@andytherd) on

It needed to be seen to be believed, right? ;)

Andy is serious about supporting new RDs and promoting a healthy lifestyle; he just knows that you can’t take anything (including yourself) too seriously in this business (life?). He recently began featuring blog posts from dietetic students on his blog. The most recent post features a recipe for vegan minestrone from Rachel Asbury, perfect for the cooler temps that are about to hit.

Another recent initiative of his is a YouTube channel “Dudes Talk Nutrition” in partnership with Aussie RD @hearty_nut (aka Joel Feren). Want to know if carrots cause cellulite? Watch their latest video to catch them combatting nutrition myths:


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Hey food industry, get out of RD conferences! #FNCE

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I had a blog post all written for you lovelies, cued-up, ready to go. Then I started seeing the tweets coming out of FNCE (Food and Nutrition Conference and Expo) and I got all annoyed and tweeted what you see above because apparently I’m a masochist. That unleashed a fun afternoon of back-and-forth with fellow RDs on twitter who either don’t see conflict of interest as an issue in our profession or don’t really care.

I keep being about to say “I’m sorry but…” but I’m NOT SORRY DAMMITYou are not immune to marketing. No one is immune. Not me, not you, not anyone and if you think you are then you are the extremely rare exception or you are sorely mistaken. Many dietitians (myself included) regularly bemoan that we can’t get any respect as a profession. Do you really think that showing your influence can be bought with a free sample is helping us to become respected on the same level as other healthcare professionals?

Let me tell you a little tale. Once upon a time I worked in a grocery store (yes, I was an RD at this time). In my position I was responsible for a department, helping customers, teaching classes, providing demos, etc. Myself, and others in the same role at other stores regularly received training, lunch and learns, and samples from vendors. Product knowledge is important if you are talking to customers about food and supplements. The thing is, we didn’t receive training on or samples of all brands. So which products were we more likely to recommend? The ones we’d gotten to try, the ones we felt more connected to. Sure, I never recommended a product that I was morally against (I told people not to buy raspberry ketones if they asked for my opinion)or didn’t genuinely like, but I’m sure that there were equally good alternatives to many products that I didn’t steer people toward because I had no experience with them.

So, when dietitians argue that industry at conferences is fine, I disagree. Sure, walnuts and almonds are great but if they’re the only nuts there what are the chances that dietitians are going to be subconsciously influenced to promote those to their clients over nuts that don’t have representation at the expo? Yoghurt’s great and there are myriad options at grocery stores. If Siggi’s and Chobani are the only yoghurt brands represented at FNCE, which brands do you think that RDs are going to be more likely to choose and recommend?

Some argued that the FNCE is, in part, an expo. True enough, but as a conference organized by the national dietetic organization in the US it’s expected that most attendees will be dietitians. The focus should be on providing them with current evidence-based nutrition information.Having a captive RD audience for marketing at a conference organized by a body that’s meant to represent RDs is reprehensible. It’s time for the FNCE to drop the E.

Lest you still believe that RDs are a higher breed of human and somehow immune to conflicts of interest and marketing tactics, check out the selection of tweets below. Names and handles have been removed because this is not about singling out dietitians, it’s about drawing attention to the larger issue. Kudos to the companies present at FNCE for generating all of these free advertisements. Shame on the Academy of Nutrition and Dietetics for allowing this to occur.

 

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