Dispelling nutrition myths, ranting, and occasionally, raving


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Lose the Weight Watchers

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Last year Weight Watchers rebranded as WW because they wanted to pretend that they were about healthy lifestyles and not just weight loss. This week they announced the release of their new weight loss app for kids (as young as eight!) and teens. They’re trying to frame it as “helping kids and teens build healthy habits” but when the central feature of the app is food tracking don’t be fooled; this is Weight Watchers points for kids and creating a “bad food” “good food” dichotomy is likely to do anything but help these kids build life-long healthy habits.

An eight year old tracking every morsel of food they eat with the sole aim of losing weight is pretty much the antithesis of a healthy habit. Rather than help kids develop healthy habits this app is far more likely to instil them with an unhealthy relationship with food and their bodies. And while I personally ascribe to the belief that weight is not indicative of health, I hope that all healthcare providers and parents can see why an app like this could be damaging to children whether or not they view “overweight” and “obesity” as a “problem”. Weight is not a modifiable behaviour and focusing on weight loss as an end goal doesn’t promote the adoption of healthy behaviours. Rather, it promotes restricted eating and quite probably disordered eating habits in order to attain that goal.

Given that very few adults successfully maintain intentional long-term weight loss, I find it baffling that WW claims that their new app is “evidence-based” and will somehow be more successful (if you are measuring success by pounds lost) in children and youth than similar programs have been in adults. It also makes me sad to see the quotes around “stopping arguments about food” so that parents and children get along better. Placing the responsibility for food choices in the hands of an app rather than working on fostering a healthy food environment at home may seem ideal but this doesn’t truly promote healthy behaviours. I know not everyone can afford to work with a registered dietitian (and not all RDs ascribe to the same school of thought when it comes to body weight); however, I recommend Ellyn Satter’s books which can be found at your public library if you want to help your child attain a healthy relationship with food.

It’s also important to keep in mind that WW is a for-profit business. They are not doing this out of the goodness of their hearts. They are doing this because there’s money to be made – one month use of the app is $69 USD. They’re doing this because a “fun” app is an easier sell to parents who are concerned about their children’s weight than working on the division of responsibility, role modelling healthy behaviours and positive relationships with food, and cooking and eating nutritious balanced meals together as a family. They’re doing this because weight bias is so rampant in our society that many people can think of few things worse than being fat and parents are desperate to save their children from that plight. I get that. Parents just want their children to be healthy. Unfortunately, an app that encourages a restrictive diet mentality is likely to achieve the opposite of health promotion.


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11 easy steps to get a youthful body like J.Lo

So, you want to tap into the fountain of youth like Jennifer Lopez? According to this article all you need to do is to follow her nutrition regimen. Simple enough, right? They’re the typical celeb nutrition tips: drink more water, cut-out sugar, don’t drink caffeine or alcohol, eat “clean”, yada, yada. Then be super disappointed when you don’t look like J.Lo and you’re miserable because all the joy has been removed from eating. Fear not, because I can tell you the real step-by-step foolproof way to obtain Jennifer Lopez’s body:

  1. Get rich.
  2. Hire a personal trainer and find time to workout for several hours a day.
  3. Hire a personal chef and/or “nutritionist” who will prepare all of your “clean” meals for you.
  4. Have the right genetics. This one is important, steps one through three will only work if you have “optimal” genetic material to start. Without this, no amount of kale or pilates will help you to become three inches shorter or to grow an inch.
  5. Hire a make-up artist so that your skin always looks perfect.
  6. Hire a stylist so that your clothing is always a perfect fit and super stylish.
  7. Hire a hair stylist so that you’re never seen with limp or frizzy hair in public.
  8. Hire a PR firm so that no imperfect images of you ever make it to the public.
  9. Hire a personal assistant so that you don’t have to worry about any of the trivial day-to-day concerns that the plebeians concern themselves with.
  10. If you have children, have a nanny or two so that you don’t have to tire yourself out caring for them.
  11. Consider plastic surgery. J.Lo may not need it but without it your breasts, waist, hips, etc. may never look like hers.

Follow these easy eleven steps and you too, can look just like Jennifer Lopez.


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Book Review: @thefuckitdiet

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This review is not going to be as thorough as I like to be. I listened to this book on Audible while I was doing other things like cooking, cleaning, and walking the dog so I didn’t take notes and I wasn’t always paying the closest attention. That being said, for the most part, I thought it was great.

The overall message of the book is that we need to stop being so hard on ourselves for doing something as natural as eating food. That in order to reestablish a healthy relationship with food we need to stop dieting altogether and give ourselves permission to consume food in ways that we have told ourselves is “wrong”. For example, allowing ourselves to eat foods we’ve told ourselves are “bad” and allowing ourselves to overeat. This book is basically about undoing the conditioning we’ve done to ourselves over the years by making eating emotionally fraught.

The only real issue I took with any of the book was with some of the science, which I found to be questionable. I should have taken notes because I can’t remember exactly what Dooner was saying and having listened to the audiobook it’s not like I can easily flip to the references to look things up. I do remember her talking about the causes of candida overgrowth and mention of heavy metals being the cause (not sugar consumption). As far as I’m aware, there is still a lack of quality research in this area, and we really don’t know what causes some women to be prone to yeast infections. Dooner also mentions Chris Kresser as a source at one point (no, not a source of candida, but as an expert on something – again, I should have taken notes). I’m not a fan of Kresser. He’s got something to sell and claims to have the cure for everything that ails us. His website is a trove of red flags when it comes to nutrition information and he’s an acupuncturist and anti-vaxxer who cured his own chronic illness. Not someone I would want to be associated with. Anyway… as long as you don’t get hung-up on the science, I think that a lot of people could benefit from this book.

Dooner offers practical actions for the reader to undertake that should help move them closer to a healthy relationship with food. I think her attitude and approach are refreshing. I mean, her entire “diet” is literally: fuck it. Stop stressing so much about food. Stop trying to force your body to conform to some fucked-up wealthy white patriarchal ideal. Forget everything you’ve learned or told yourself over the years about diet, food, and what you should and shouldn’t be doing. Stop wasting time and energy obsessing about your weight and start living life to the fullest.

If you’re interested, Dooner is running an online book club starting on May 26th (you only have a few more days to enrol – enrolment ends on May 24th – so get off that fence if you’re thinking about it). This will include weekly Q&A sessions, discussion, and more. Check-out thefuckitdiet.com/club to learn more and sign-up. You can also follow Dooner on twitter and instgram @thefuckitdiet where she shares snippets from the book, quotes, and stories of her adorable dog.


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How to end hallway medicine

End hallway medicine: ban hallways

There’s been a lot of talk about “hallway medicine” (i.e. patients receiving treatment in hospital hallways due to hospital overcrowding) in Ontario over the past couple of years. A recent report from the Premier’s Council on Improving Healthcare and Ending Hallway Medicine provided recommendations to the government on how to improve the current situation. The key findings from the report were as follows:

    1. Patients and families are having difficulty navigating the health care system and are waiting too long for care. This has a negative impact on their own health and on provider and caregiver well-being.  
    2. The system is facing capacity pressures today, and it does not have the appropriate mix of services, beds, or digital tools to be ready for the projected increase in complex care needs and capacity pressures in the short and long-term. 

Following the release of the report I saw a number of articles and heard several radio interviews, all of which featured emergency room doctors and occasionally nurses. Undoubtedly they have experience which can contribute the the discussion. However, I was frustrated by what I saw as the glaring absence of input from public health. I think that perhaps everyone thinks that the problem lies within the hospitals and therefore the solution can be found there too, even if it’s the suggestion from ER doctors that more home care supports are needed. However, while not an immediate solution to the problem, I think that we need to look further upstream for real long-term solutions. Adding more beds, increasing home care, and improving system navigation for patients are all important but they don’t address the reasons why so many people are ending up in the hospitals in the first place. If we can prevent the need for emergency care then we can reduce the number of people in need of hospital beds.

I was pleased to see that alPHa (Association of Local Public Health Agencies) submitted a response to the report to the government highlighting the important role of public health in improving healthcare and ending hallway medicine. I was also pleased to see OPHA (Ontario Public Health Association) submit a letter to the Minister of Finance advocating for health promotion and chronic disease prevention measures that would help to end hallway medicine. Has anyone seen anything about this in the news though? I haven’t heard any public health officials or representatives publicly advocating for the important role of public health in ending hallway medicine. Public health needs to do better at getting their messages to the public. If people don’t know about what public health does to prevent injuries and chronic disease, reduce infectious disease, and advocate for the social determinants of health then how can we expect them to support these initiatives or even to recognize how these things contribute to the demand for healthcare services?

In addition to the importance of public health in ending hallway medicine I’d like to see more effort to connect with those who are likely most in-the-know about patient concerns: reception staff. Yes, doctors, nurses, other allied health professionals, and patients can all contribute important insights but who speaks to everyone seeking care? Who hears the complaints and concerns that people may not feel comfortable voicing to doctors? Who is at the first point of interaction with the public? Reception staff. I’m sure that they could contribute a great deal of valuable information to the consultation on ending hallway medicine.

If the government truly wants to end hallway medicine they need to consider the reasons that people need healthcare and the impact that their cuts (and decisions) in other areas is going to have on the demand for hospital services. Hallway medicine is not happening in a vacuum. Cuts to social assistance, ending the basic income pilot, cutting support for cycling infrastructure, reducing funding to the Trillium fund, reducing oversight for meat processing facilities, cuts to mental health funding, ending minimum sick days and reducing employee protections, cancelling the planned raise for the minimum wage, increasing accessibility and affordability of alcohol, and on and on, are all going to result in an increased burden on the healthcare system and our hospital hallways are only going to become more crowded.


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What obesity and homosexuality have in common

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A couple of weeks ago I was listening to an episode of Radiolab on which they shared an episode of the short podcast series Unerased titled: Dr Davison and the Gay Cure. They were talking about the former perception of homosexuality as a disorder and the rise of conversion therapy. As I was listening what they were saying really struck a chord with me. I found myself thinking “this is exactly how people are going to think about weight loss counselling one day”.

On the podcast, they were saying, essentially, it doesn’t matter if people come to us wanting to change. What does it actually mean to help them? “The problem that these people are asking us to solve is a problem we created. That we labeled as a problem.” Even if we could effect certain changes, there is the more important question as to whether we should… It makes no difference how successful the treatment is, it is immoral.” And I was like “YES, this exact same thing could be said about weight loss treatment!”

This belief in relation to homosexuality was considered to be fringe and most people weren’t in support of it initially. This parallels the Health at Every Size/body diversity/weight acceptance movement. There is a lot of push-back from people in the medical community and the general public when it’s suggested that weight is not a condition that needs to be treated. Just as with the acceptance of homosexuality as a normal state, there were a few outspoken pioneers leading the movement and with time, it became more accepted by the mainstream. I feel that this is beginning to happen now with weight. More of us RDs who were always taught that “overweight” and “obesity” are unhealthy are coming to realize that people can be healthy at many different sizes.

Of course, there are still hold-outs and there is still conversion therapy happening in some places. Similarly, there will likely continue to be hold-outs who believe that only thin people can be healthy and that BMI is indicative of health. However, I’m hopeful that we’re reaching a turning point and that one day the medical community will agree that weight is not a “problem” and that weight loss treatments are unethical.