Dispelling nutrition myths, ranting, and occasionally, raving


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Rocco’s dispiriting diet

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Okay, I have to go and be all unsexy again and tell you that a healthy diet doesn’t have to consist of ridiculously overpriced supplements and complicated recipes made from rare ingredients scavenged by sherpas from the top of mountains in Peru, or whatever. I know that it’s boring and basic but you can eat only easily identifiable foods, available at your local grocery store, simply prepared and be healthy.

What prompted this? Have you seen the news about celebrity chef Rocco DiSpirito’s “unbelievable amounts of food” diet? You know what it reminded me of when I was reading it? That moon juice lady’s diet.

I think it’s fantastic that Rocco is feeling healthy on his diet. That doesn’t mean that it’s for everyone. Just because he’s lost weight doesn’t mean he’s suddenly an expert on weight management or nutrition. Just like how everyone who eats seems to fancy themselves nutrition experts, it seems like everyone who’s lost weight fancies themselves to be weight loss gurus. It’s like that time my boyfriend’s knee was mysteriously swollen and I told him it was probably bursitis and he went to emerg and waited a quadrillion hours to have the doctor take a cursory glance at him and reach the same diagnosis. So, basically, I’m a doctor now and if you tell me your ailments I’ll diagnose you. Save you a bunch of time in emerg.*

Anyway… Rocco’s diet honestly doesn’t sound like all that much food to me. I do manage to put away quite a bit myself but if he’s starting his day with an almond milk protein shake (more about this later) he’s probably not starting off with many calories. His next “meal” was cantaloupe with stevia and his homegrown herb puree “sugar-free” of course which is very important when you’re pairing it with a fruit that’s calories pretty much 100% come from sugar. Next was pickled mackerel (fresh from the boat; don’t even bother if you don’t have your own personal fisherperson). Afternoon snack was: Bluefish Tacomole. ‘It’s a taco shell that we make from fiber and protein and it had guacamole and local bluefish made on our 700 degree plancha.'” Second afternoon snack was a bar and a shake (both products available for purchase on his website, more on this later as well). Supper was taste-testing some food he prepared for an event. No wonder he found himself “starving” when he got home at 3 am and promptly scarfed: “Berry Beignets, Stuffed Green Peppers with Turkey and Tomato, Chocolate Protein Bar”. Pretty much the closest thing to a proper meal he ate all day.

Because Rocco has become a weight loss expert simply by shedding 30 pounds he now sells a line of affordable outrageously overpriced nutritional supplements so that we can all benefit from this expertise he can make money. Links in the article (which leave me wondering, is this really an article or a thinly veiled advertisement?) take you to his product website. Naturally, there is no information on the size of each product, nor the nutrition information, but these are minor details when you’re buying the perfect body. Rocco’s “Just Shakes” boast home delivery (which is apparently unique when Internet shopping) and, “contain 28 grams or more protein, are dairy free, sugar free, gluten free, non-GMO, lactose & whey free, soy free and contain at least 8 grams fiber.” A steal at $299 USD ($389.67 CAD plus an arm and a leg and your first born in shipping and duties) for an unspecified quantity. His bars are: “made with only eight 100% all organic ingredients: organic puffed brown rice, cocoa powder, freeze dried strawberries, dark chocolate, pumpkin seeds, coconut nectar and stevia. No preservatives, stabilizers or additives of any kind. At only 102 calories and a gram of fat THIS BAR IS A REAL TREAT—it is Reduced calorie / Low fat / Saturated fat free / Cholesterol free / Low sodium / No added sugar.” Apparently coconut nectar doesn’t qualify as “sugar” because Rocco and his marketers are hoping we’re too stupid to realize that coconut nectar = sugar. At only $48.95 for a box of 12, $63.79 CAD, that’s $4.08 per bar ($5.32 CAD). That’s a pricey 102 calories.

I think it’s great that Rocco is so pleased with his current diet that he feels the need to share it with the world. I think it’s a shame that he’s profiting from the sale of outrageously overpriced products and that his diet is being packaged as a healthy weight loss choice for all. We’re all different, our nutritional needs, likes, and body shapes and sizes vary considerably. Just because a celebrity, chef or otherwise, has lost weight eating a certain way doesn’t mean that it’s the way we should all be eating.

*Please note, I do not in any way fancy myself to be a doctor. Do not come to me for diagnosis. Go to your family doc or emerg as the situation warrants.


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Is store bought baby food better than home cooked?

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When I saw this article in the Daily Mail (yeah, I know) last week I knew that I had to read the original research to see what it said. As a dietitian I’m always trying to encourage people to cook their own meals. When I talk to mums about introducing their babies to solid foods I suggest that they see it as an opportunity to enjoy balanced meals as a family. Just what I need is headlines and articles proclaiming that pre-made store bought baby food is healthier than what ever they might be preparing at home.

I was frustrated to be unable to see the list of cookbooks the authors used in this study. The link just takes me to Amazon, and the list of the most popular baby food cookbooks they used was complied in 2013 so any results I might find could be considerably different today. Naturally, I worry about the use of baby food cookbooks as a comparison to ready-meals as they tend to be written by people with limited (or no) nutrition credentials (*cough* Pete Evans *cough*. Cookbooks are also quite unlikely to provide a true picture of what parents are feeding their children.

The obvious conclusion to draw from the study is that home cooked meals are superior (from both a cost and nutritional standpoint) to ready meals (at all ages) provided parents are preparing foods without added salt and sauces. The authors didn’t seem to reach this conclusion though. Perhaps the disingenuous comparison between cookbook recipes and ready meals, and the conclusion that ready meals may be better for babies, had something to do with the funding they received from Interface Food and Drink, an organization aimed at connecting the food and drink industry with researchers.

So, we know that home cooked meals can be healthy if parents don’t waste their money on special baby cookbooks. I think that it’s also important to note that the researchers were comparing quantities based on recipe yields and packages, not what babies are actually eating. Even if babies were eating recipes prepared from these cookbooks, they may not be eating every bite. Babies are much better than us adults at knowing when they’re full. If parents are respecting their babies cues and only feeding them as much as they show a desire to eat then it shouldn’t matter how much a recipe makes, or how much is in a package.

The true message from this study should be that you don’t need to waste your money on baby food cookbooks. Nor do you need to waste your money on packaged baby foods. Most babies will thrive on, and enjoy, a variety of simply prepared “normal” foods.

If you’re looking for more information on starting your baby on solids, I recommend visiting Best Start as well as watching this video from Toronto Public Health. If possible, sign-up for an infant feeding class through your local public health office.

 


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Is this good for me?

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Oh man, this NYT article: Is Sushi “Heathy”? What About Granola? Where Americans and Nutritionists DisagreeHow many other dietitians wanted to scream when they saw the lovely little scatter plot of food? “Is X or Y or Z good for me or healthy?” has to be one of the top questions I get asked as an RD, and one of my most hated.

Why is this not a good question? Well, because there are very few foods that are entirely “good” or entirely “bad” for you. I mean sure, we all agree that Coke is not a nutritious choice. We also all agree that oranges are. That doesn’t mean that you can’t have a nutritious diet and drink the occasional pop. It also doesn’t mean that you can’t be extremely healthy and never eat oranges.

I’ve blogged before about food having virtue so there’s really no sense in repeating myself. Although even I can’t find the old post to link to so maybe I should (if you can find it, let me know and I’ll link back). For now, suffice to say that the point was that food doesn’t have moral value and labelling foods as “good” or “bad” only promotes unhealthy relationships with food.

Individually appraising foods as either good or bad, healthy or unhealthy is a fruitless exercise. When looking at a diet to determine if it’s healthy/nutritious you need to look at the big picture. What does it matter if you have a cookie while you’re blogging (just for example) if the rest of the day you ate mostly whole, minimally processed, nutrient-dense foods? It doesn’t. Conversely, if you ate a head of kale while you were blogging after eating highly processed, nutrient-light foods all day then you’re still not consuming the most nutritious diet.

We all need to lighten up a little. Stop obsessing over whether quinoa is “healthier” than rice. A healthy diet is a diet that provides nutrients and pleasure from a variety of foods.


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Ditch the meds: a dietitian dispensing drugs

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Image by mkhmarketing on flickr. Used under a Creative Commons Licence.

One of my biggest pet peeves as a dietitian is the fact that so many non-dietitians fancy themselves to be nutrition experts. It’s one thing when it’s a “holistic nutritionist” at least they have some degree of nutrition education. It’s another entirely when it’s another regulated healthcare professional who seemingly has no concept of scope of practice. For those, such as the pharmacist I came across on twitter who states in her twitter bio “Pharmacist who would rather dispense nutrition than Rx.”, who may not know what scope of practice is: scope of practice describes the procedures, actions, and processes that a healthcare practitioner is permitted to undertake in keeping with the terms of their professional license. For a pharmacist, that means providing evidence-based advice and guidance on medications. For a dietitians, that means providing evidence-based advice and guidance on nutrition.

The pharmacist in question decided not to become a dietitian because she didn’t want spend the money to study the “low-fat” guidelines that apparently comprise the entirety of a degree in dietetics. How easy it is to be critical of a program when you clearly have no idea what the area of study consists of.

You know, I’d really like to be a pharmacist but I don’t agree with the excessive prescription of antibiotics. I think that instead of going to uni and studying pharmacology I’ll just start telling people what medications they should take for their ailments based on my own research and dispensing them online. Oh but that would be dangerous and I’d probably lose my licence to practice dietetics and face prison time. Yet, somehow it’s totally okay for someone who’s never studied nutrition to use their credentials as a regulated health professional (in a completely different field) to advise and influence people through social media, a blog, and conventional media. Ironically, as a registered dietitian I can’t even provide specific nutrition advice through those channels because sensibly one knows that I don’t have enough knowledge about the recipient of that advice to provide appropriate information.

Why even go to university for years, complete internships, pay to write a national exam, pay the college of dietitians $600 a year, and continue to learn about nutrition when it’s so easy? I could be cherry picking sensational “science” and promoting a “sexy” diet without having taken a single course in nutrition/dietetics. Sigh.

My point is, be savvy about where you get your information. Just because someone has credentials in one field does not make them a credible source of information in another field.

 

 


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Will new nutrition labels make us all thinner?

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Not to be negative, but I saw this headline: How much will new nutrition labels help fight obesity and I immediately said “not at all” (in my head because I was at work and our office is open-concept).

I know the new (American) nutrition facts panel is supposed to help curb obesity because they’ve made the calories so damn big but personally I think it’s not going to help anyone to lose any weight. If people are counting calories and trying to lose weight making them bigger isn’t going to make weight loss any easier. If someone’s not counting calories it’s unlikely that a big bold calorie count is going to prompt them to change their minds about their purchases. I also think the emphasis on calories is not beneficial to anyone.

Yes, lots of people find calorie counting helpful when they’re trying to lose weight. I still yearn for a simpler time when we didn’t need this information. When we didn’t rely to heavily on prepackaged foods that managed to jam in so many calories and so few nutrients. Personally, I think that, for the average consumer, the ingredients label is where they should be looking more often than the nutrition facts panel. The NFP doesn’t tell you anything about what’s in the food you’re potentially putting in your mouth. It just tells you about the artful mastery of the manufacturer who wants to make sure you buy into the charade of fortified highly processed products as healthy choices.

Putting calories front and centre puts a negative lens on food. It takes away from food tasting good, being pleasurable, and providing us with energy and puts the emphasis on guilt and shame. Neither of which are things we should be associating with food.

Rather than focusing our efforts on fighting against obesity we should be fighting for health.

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