Tag Archives: weight

Is everyone an expert?

Opinions are like assholes—everybody has one. At least that’s what my mother always said.

A couple weeks ago, I read a piece by David Katz, MD, director of the Yale Prevention Research Center, that really hit home for me. In the article, Katz calls into question the way that our culture tends to be okay with the fact that lots of people declare themselves nutrition experts despite a lack of training. To illustrate his point, he uses scenarios that we would consider ridiculous in other fields. For example:

“I’m not convinced that someone who happens to live through a bad car crash to drive again is automatically qualified to take over NHTSA, or set up shop as a motor vehicle safety expert, and dispense advice accordingly. Call me crazy.

“I am not at all sure that someone who inadvertently sets fire to his kitchen, and manages to put out the fire before burning everything entirely down, is a shoe-in as fire commissioner, or qualifies as a fire safety expert. I am not sure that he should go on to establish a cottage industry in fire safety, selling expert advice in books, blogs, and programs.”

Sure, he employs hyperbole and dry humor, but he hits on a very serious issue. Nutrition has a huge impact on our health and well-being, and though we look to experts for insight into other aspects of our lives, we treat nutrition differently.

Now, I’m not talking about people who share what works for them and acknowledge upfront that they are not a doctor/dietitian/etc. What upsets me is people who dispense diet advice (which may or may not be sound) without being qualified to do so. It can get a little scary, at times. One thing I love about the blog world is the open communication and sharing of ideas, but whenever I come across a bit of “this is what you should do,” I immediately start looking for credentials or at least appropriate research to back up the claim. If I can’t find what I’m looking for, I move on, but that’s because I’ve been taught to look for these things. I’ve met many people who get all their health information from resources you wouldn’t be allowed to cite in a research paper.

As an RD, obviously, I’m biased. I’ve devoted many years of my life to learning a science. I work with this science every day and continue to educate myself so that I can stay current and maintain my credentials. I’ve earned my gray hairs and am working on earning more of them. I don’t expect to get fabulously wealthy doing what I do (though if I did that would be awesome), but I love the field I work in and am passionate about helping people enjoy a better quality of life through good nutrition. I can’t even begin to tell you how much it upsets me to hear people dispensing less-than-helpful advice as if it were gospel.

I rarely speak up, but sometimes I wish I had. Like that trainer I overheard at the gym recommending a scary-sounding deprivation diet…I don’t tell people I counsel for nutrition how to do burpees or what kind of HIIT will make them burn calories most efficiently—don’t preach dangerous holy grail fad diets to your clients! And what about that mom at the coffee shop trying to coach her teenage daughter on carbs? Or when I overhear things like, “Eating meat makes you fat,” or “white potatoes are bad.” Says who?

These are just some of my thoughts. While I think it’s important for everyone to have access to information on health and nutrition, I agree with Katz when he says we need to “treat nutrition and weight management like every other legitimate field of inquiry. With no more respect than all the others, but no less either.”

So wow, thank you for reading to the end of this lengthy post. I’m curious to hear your thoughts. What did you think of Katz’s article? Do you look for credentials when seeking health or nutrition advice online? Was there ever a time you wish you’d stepped in when you overheard something that you felt could put someone else at risk? 

 

Lady Gaga posts revealing photo

Earlier today, Lady Gaga posted a photo of herself in yellow lingerie on her Little Monsters website. 

The caption reads: ”[I've battled] bulimia and anorexia since I was 15.” This comes in response to all the media attention to the pop star’s recent weight gain. I have to admit, some of the comments to the image are kind of heartbreaking. There have been a lot of discussions amidst food and health bloggers about it as well. Big fan of honesty that I am, I think it’s really brave—and important—to put that out there.

What do you think of the fixation of Lady Gaga’s weight? What do you think of her posting this photo? 

Do you need a health coach?

Okay, I know that throwing the word “coach” at the end of something makes it sound like a scam (life coach, anyone?), but I’m one of those people who believes that we could all use a little guidance sometimes. The way I see it, there’s no shame in having a guru, and a recent pilot study suggests that those looking to lose weight may actually be more successful when they have the assistance of a health coach—be it a behavior specialist or simply. Having someone to give feedback and hold them accountable is key to keeping many people on track with their healthy habits.

Would you work with a health coach to achieve a personal health goal? Why or why not?  

Diet Doctor Discusses Own Struggle with Weight

In the Boston Globe this week, Dr. Suzanne Koven talks about her experience as a “slightly overweight” doctor advising others on weight management.

She writes, “The funny thing is, if I had been a diabetic counseling other diabetics, or an oncologist with cancer, my personal experience might be considered a plus…But, unlike diabetes and cancer, weight issues are not clearly understood as medical. Though obesity is a major individual and public health problem, people become obese because of a mix of genetic, behavioral, environmental, and psychological reasons. And doctors and patients alike still often think an inability to maintain a lean body represents a lack of willpower, a moral failure.”

Though Koven admits she’s never been more than a few pounds over what is considered healthy, she has at times, considered giving up her professional interest in weight, citing shame and musing, “How could I counsel patients to adopt habits I had so much difficulty adopting myself?”

However, over time, she explains, she came to see her experiences as a way to help patients feel more comfortable and even relieved to be counseled by someone who knows firsthand what they’re going through. She writes, “Some of that shame seems to dissolve once I’ve named our common demon.” And from there, Koven and her patients can “move forward together.”

I found this to be an inspiring read. When it comes to health and wellness, we all have our “stuff,” something that we struggle with, whether it’s a physical, mental or emotional ailment or imbalance. I took one grad course on nutrition counseling, and though this topic came up in a discussion on self-disclosure, the class kind of skirted around it.

While I don’t think it’s always appropriate to talk about your “stuff” in a healthcare setting, I find letting someone know you’re listening and not judging can make all the difference. It’s kind of fascinating the way someone’s body language changes when they go from feeling anxious and defensive to feeling safe.  Whether it’s something like a little “Would it help to know what you’re saying doesn’t sound crazy to me?” or just getting a feel for where someone is at so you can figure out where to meet them in the discussion, it’s important.

Anyway, that’s kind of a tangent.

What do you think of healthcare professionals sharing their personal struggles?  

Paula Deen Announces She Has Type 2 Diabetes

This morning on the TODAY Show, Paula Deen announced that she has Type 2 Diabetes. Here’s a link to the video

In the interview, the Food Network star defends the high-cal Southern cooking she is famous for and emphasizes that she supports “eating in moderation.” She also encourages people to see their doctor, get tested, and get on a good regimen to manage the disease if they do have it.

Deen, who found out she has diabetes three years ago, is now a spokesperson for a drug called Victoza, and just released a new program, Diabetes in a New Light. It gives the thing a bit of a creepy PR glow, but I’m glad to see at least a little bit of info about lightening up recipes without sacrificing taste, even if Deen is mostly hawking a diabetes drug.

Let’s not kid ourselves, here—expecting Paula Deen to start endorsing, like, steamed veggies and fish and talking about diabetes exchanges just wouldn’t be realistic. While I have plenty of my own thoughts about the high-cal dishes she prepares on her show and the well-established links between diet and diabetes, I’m also vaguely nauseated at the way people seem to be relishing this, as if the woman’s being brought to justice or something.

What do you think about Paula Deen’s announcement? 

New scale only shows how much you’ve lost or gained

A lot of people will tell you that getting on the scale, especially after the holiday season, can be an emotional experience. It’s easy to get hung up on a specific number, and especially for those with a ways to go until they meet their goal weight, it can be overwhelming and discouraging to step on a scale that reinforces that.

However, this interesting new Quantum scale ($78) registers your weight but only shows you how many pounds you’ve lost or gained since your last weigh-in. For those with a tendency to obsess over numbers, not knowing their actual weight could be a great way to check in and stay on track without going down the rabbit hole every time. However, you’d probably need to use it pretty regularly for the numbers to make any sense—writing down your progress could help.

For someone who wants to lose, say, twenty-five pounds this year, focusing on losing a half-pound per week could be a great way to make the challenge less daunting. These kinds of small, attainable goals can help maintain motivation and enthusiasm for big changes.  This scale could also be helpful for those looking to maintain by trying to stay within a few pounds of a comfortable, healthy weight.

Personally, I don’t think I’d use this because I prefer to pay attention to how clothes fit and how I feel, but for someone with a specific weight-related goal, this device could be a great tool.

Do you use a scale at home? Do you think you’d buy one that only tells you how much weight you’ve lost or gained? 

PS—Am I the only one who finds it interesting that this photo only shows weight loss results? With two scales, I’d have assumed they’d show one of each but perhaps this is why I’m not in advertising…

Survey shows men have a harder time dropping weight loss hints

another holiday with the family...

With holiday gatherings on our agendas this week, it’s likely most people are dreading at least one potentially uncomfortable conversation topic. For many, that topic involves weight or appearance.  Have you ever told a partner, friend or family member they should lose weight? Has anyone ever said this to you? Do you know someone who has no problem commenting on others’ weight or is that subject off limits?

A recent poll of more than 2,000 people commissioned by the International Chair on Cardiometabolic Risk (ICCR) to highlight the risks of being overweight revealed that men have a “tougher” time telling a partner to lose weight.

31% of men surveyed don’t want to confront their partner about losing weight, while 10% of women who wouldn’t want to tell their man to drop a few pounds. However,  women are much more likely to find it difficult to tell a close friend to go on a diet (23%), compared with 8% of men.

Professor David Haslam, chair of the National Obesity Forum, which backed the survey said, “Suggesting to someone that they should consider losing a few pounds may not be a comfortable conversation to have but if someone close to you has a large waistline, then as long as you do it sensitively, discussing it with them now could help them avoid critical health risks later down the line and could even save their life.”

Still, I wouldn’t consider that license to tell your partner/cousin/sibling/friend to slim down in the middle of dinner, surrounded by others. Just pass the potatoes and find a quiet time later or another day when you can tell them that you care about them and are concerned about their health.

Who knows? They might already be looking into ways to improve their lifestyle. Singling someone out can hurt feelings and may even discourage that person from making changes. In some cases, you might even be better off saying nothing at all. Weight is such a touchy subject, you need to think carefully before opening the discussion.

What do you think? When is it okay and when is it not okay to talk about weight with your loved ones? 

Britney Spears Releases Unretouched Photos

Okay, so I’m not saying that Britney Spears is a glowing example of health, but I have to give credit to celebrities who release pre-airbrush photos of themselves. In the photo on the left, she’s been made to look noticeably slimmer and cellulite-free.

Let’s face it: whether you work in Hollywood or finance or education or healthcare, there is serious pressure on women to look “perfect”—or at least look a “certain way.”

I’ve heard a lot of talk from my fellow dietetics students about a similar pressure to look fit and healthy and glamorous at all times. I’ll admit, almost every event I’ve gone to lately has featured well-heeled, meticulously put-together ladies with great hair. Stick-thin, of course.

For me, it’s a fashion thing. Right now, my schedule does not allow high heels or sexy pencil skirts, what with all the time I spend on my feet or going to and from class, work, and the like. I am very prone to wardrobe envy. Other students say they feel the need to lose weight. I know that as spokeswomen for health, it’s important for us to be healthy, but if you don’t have much experience tuning out the noise, it has the potential to be damaging.

While I know that weight loss would benefit, oh, two-thirds of our country, I hesitate to hop on the Slim-Down bandwagon. I am more in favor of promoting good health and lifestyle changes that can contribute to a healthy weight loss and/or maintenance. However, I have to acknowledge that “skinny” is a word that gets people’s attention. While I’d like to think that there are lots of folks interested in their overall health, there are probably more who are interested in just being thin.

And it doesn’t look like that’s going to change anytime soon. In fact, the weight loss industry is only expected to grow. This would all be great if people were losing weight and adopting healthier lifestyles (and if eating disorders became less common), but that is very much not the case. Sure, obesity rates may have plateaued, but that doesn’t say much about the deep imbalance that has as yet to be approached, much less corrected.

My apologies for the long post. Clearly, this is a topic that gets my blood boiling. Cheers to Britney for shedding some light on the issue.

Weight Loss Surgery for Teens

In the Science section of today’s New York Times, there was an article about getting weight loss surgeries such as lap-band and gastric bypass procedures. The piece told the story of one girl who, now 20, had a gastric bypass when she was 14, going from 404 pounds to 175. She was the first

A 2007 study, which used data from 2000 to 2003, showed that, although rare, bariatric surgery in children and teens was on the rise. It is estimated that it will continue to rise, becoming almost as common in children as in adults.
While I think options are an important thing and that as time goes on, and that it may become easier to address and avoid some of the complications that result from weight loss surgery, I worry that people would come to see it as a quick fix rather than as a major life-changing procedure.
You don’t just get up off the operating table and go eat a burger. It takes a long, long time to adjust to being able to eat a much smaller volume of food, and there are also many nutritional anemias and deficiencies that can develop post-op, depending on the type of surgery you’ve had and how it affects the digestion and absorption process. In children who aren’t done growing, there is some concern about longterm effects.

Study shows fat won't affect weight gain

In recent years, people have become slightly less fearful of fat, there’s still this idea that if you’re trying to lose weight, you have to eat low-fat versions of products and obsess over how many grams certain products have. While it’s true that fat has about twice as many calories per gram as protein and carbs, it is an essential part of the diet, and many weight loss diets even recommend getting about 20-30 percent of your daily calories from fat, preferably unsaturated.

A new UK study, in which researchers followed 90,000 people from six different countries for up to ten years, shows that the percentage of calories a person got from fat, as opposed to carbs and proteins, had nothing to do with how much weight they gained over time. While participants gained an average of a quarter of a pound a year, there was no relationship found between how much weight people gained and how much fat they ate—the kind of fat also appeared not to matter.

Of course, researchers pointed out that this doesn’t mean people should eat as much fat as they want—there are things like heart health to worry about—but that it’s worth noting that the most “fattening” foods aren’t always high-fat. A lot of low-fat products can be jut as high in calories and a lot less satisfying, prompting consumers to eat the whole box. Something to think about next time you’ve got the choice between an oreo and an imitation.

Read more here.