Friday, November 4, 2016

What's Wrong with Registered Dietitians?

If I were to ask you which healthcare professionals are the most up-to-date and knowledgeable about nutrition you would likely say Registered Dietitians.

And, sadly, you would be wrong.

The profession charged with translating complex nutritional research into practical strategies for healthy eating is stuck in such a 1970s time warp, its practitioners should be wearing disco pants and driving Ford Pintos.

While people who follow current scientific research have resumed eating butter, eggs, avocados, nuts, full-fat cheese, and red meat, most RDs are still telling people to consume less satiating substitutes like margarine, egg white omelets, skim milk and skinless chicken breasts. Then they lament that Americans do not follow their USDA Dietary Misguidelines, thus absolving themselves of blame for people getting fatter and sicker since these food rules were first issued in 1977.

(Ironically, that claim is one thing RDs are actually right about. A 2011 study by global marketing research firm NPD found Americans came close to adhering to USDA My Plate recommendations 2% of the time, which adds up to, um, maybe one week per year. Close to, by the way, was defined as within 70%.)

So why would the group of people whose alleged aim is to help people eat healthier be so wrong headed on its advice.

Think green. As in dollars, not save the planet.

The biggest money backers of dietary education and research is none other than Big Food, the people who bring you chocolate skim milk, Olestra potato chips, candy crunch yogurt and Coca Cola.

Last year, Coca Cola's corporate face turned red when a New York Times story revealed it provided the funding for a front group called the Global Energy Balance Network -- an academic consortium claiming to do research on the causes of obesity. If the network had not dissolved due to "resource limitations," respected professors would have "found" that empty calorie cola could be safely consumed if balanced out with daily exercise activities. You would then hear this soundbite all over CNN and see headlines in major newspapers touting this latest scientific research.

The cola giant was also outed for paying RDs to depict mini cans of Coke as part of a healthy meal in their blogs and guest articles, a practice media critics call "opaque sponsored content." One such blogger was Robyn Flipse who denied her relationship with the company had anything to do with her recommendation: "I absolutely think that I provided valuable information," she said.

Tech website Mashable suggested this corporate-minded RD might not be quite as objective as she proclaims:

Flipse has worked with Coca-Cola and the American Beverage Association for years; her roles have included sending out messages on social media refuting the idea that sugary drinks are to blame for obesity and making herself available as an expert for news outlets. If a story says something negative about artificial sweeteners, Flipse said she might contact the PR agency and ask, "Do you want me to do something about that?"

Meanwhile, companies like Kellogg's and General Mills offer free "education" to RDs. The hope is they will recommend cereal instead of eggs after viewing such webinars as "The Science Behind Breakfast" approved by the Academy of Nutrition and Dietetics for CEUs to maintain their license.

And the largest national group of dietitians, currently known as Association of Nutrition and Dietetics (AND), engaged in cheesy behavior earlier this year putting its Kids Eat Right label on Kraft American cheese singles packages, then denying the label meant the group endorsed the product as healthy. A mouthpiece for the group said the label merely signified that Kraft was a financial supporter of the Kids Eat Right nutrition education program.

As for young dietitian wannabes, the education received in academic programs is a bit dusty.  As Kath Younger, an RD who blogs at KathEats.com wrote about her experience:

My one big gripe was that I felt at times that the school was a bit out of date. I’m not sure if this is a reflection of Winthrop or the ADA as a whole, but often I felt the blog world and our food trends and the latest research in women’s magazines were 10 steps ahead of the game.

The main glimmer of hope is a rogue group of rebel RDs who call themselves Dietitians for Professional Integrity. These dedicated dietitians are imploring their colleagues to sever their ties to Big Food and end the conflicts of interest that keep most RDs stuck in the dietary dark ages.

To learn more about the valuable work it is doing to restore credibility to registered dietitians and put a stop to the corporate co-opting of nutrition policy and education, visit this group's Facebook page or official website.


Sunday, October 30, 2016

5 Questions for HPCSA's Daphney Chuma

Two full days after Pressreleasegate, I'm still befuddled by the Health Professions Council of South Africa's (HPCSA) bonehead attempt to confuse the public about Banting proponent Tim Noakes by accidentally on purpose submitting a press release reporting the A1-rated scientist was found guilty of unprofessional conduct -- six months prior to the date the Professional Conduct Committee (PCC) was scheduled to render a decision.

In the United States, that would be like declaring a presidential election winner in May!

What's most puzzling is the same press release that declared Noakes guilty also included the scheduled dates for the advocates' final arguments and the PCC's decision; so no claim can be made there was any confusion on the author's part.

Still, the Loquacious Lowcarbivore likes to give even the most incompetent professional societies the benefit of the doubt; so we invite Daphney Chuma -- a member of HPCSA's executive management team and self-proclaimed author of the mysterious press release -- to set the record straight by answering five simple questions:
  1. Why did you issue a press release declaring Prof. Tim Noakes guilty six months before the PCC was scheduled to decide the case?
  2. Why did you post the original defamatory "Noakes was found guilty" press release on the HPCSA website but not the retraction?
  3. Why is your staff too busy to update the HPCSA Twitter and Facebook feeds yet finds time to write a press release six months in advance?
  4. Did you write the press release declaring Noakes guilty because the finding was predetermined -- or do you have psychic abilities?
  5. Your official statement on Friday was: “There was no communication breakdown. We sent a wrong statement. It was issued by myself.” As a public relations professional, you know how much harm can be done when false information goes viral, even if it is later retracted. Are you willing to post an apology and more detailed explanation of what transpired on all HCPSA social media sites and the HPCSA home page to make amends for defaming a world-renowned scientist?
See also:

Tim Noakes Bogus Guilty 'Verdict' Latest Bombshell in Bizarre Conspiracy Against Banting Doctor

What Tim Noakes is Teaching Doctors and Dietitians About Social Media

Tim Noakes Hearing: Dietitians Vs. #LCHF Doctor in South Africa

Ralph Waldo Noakes:Why Tim Noakes Changing His Mind About Carbohydrates and Fat Was an Act of Courage



Low-carb book recommendations:

Low Carb, High Fat Food Revolution: Advice and Recipes to Improve Your Health and Reduce Your Weight

The Big Fat Surprise: Why Butter, Meat and Cheese Belong in a Healthy Diet

What the Fat?: Fat's IN: Sugar's OUT Practical guide and recipes

The Real Meal Revolution: The Radical, Sustainable Approach to Healthy Eating (Age of Legends)

Grain Brain: The Surprising Truth about Wheat, Carbs, and Sugar--Your Brain's Silent Killers

The Obesity Epidemic: What caused it? How can we stop it?

Why We Get Fat: And What to Do About It

The Obesity Code: Unlocking the Secrets of Weight Loss

Keto Clarity: Your Definitive Guide to the Benefits of a Low-Carb, High-Fat Diet

Dr. Bernstein's Diabetes Solution: The Complete Guide to Achieving Normal Blood Sugars

Eat Fat, Get Thin: Why the Fat We Eat Is the Key to Sustained Weight Loss and Vibrant Health

New Atkins for a New You: The Ultimate Diet for Shedding Weight and Feeling Great

The Harcombe Diet: Stop Counting Calories & Start Losing Weight

Saturday, October 29, 2016

Tim Noakes Bogus Guilty 'Verdict' Latest Bombshell in Bizarre Conspiracy Against Banting Doctor

In what has to be one of the most surreal medical ethics hearings in history, the Health Professions Council of South Africa's (HPCSA) latest gambit in its kangaroo court tribunal against Prof. Tim Noakes was declaring the A1-rated scientist guilty six months prior to the Professional Conduct Committee (PCC) issuing a verdict on the case.


 
Though HPCSA has since apologized for its deceptive press release, the damage was already done.

Some of the more gullible South African media outlets like News 24 and You had already run with the story like lap dogs chasing their shadows whilst conventional dietitians were giddily toasting each other with champagne flutes of Diet Coke.

Alas, the party was soon over with plenty of apologies to go around from both HPCSA and "reporters" who were too lazy to read the press release that clearly stated a final decision by the Professional Conduct Committee was going to be rendered in April 2017.

But was the media advisory really a mistake?
The HPSCA kangaroo court
declared Noakes guilty
before a decision was rendered



Thanks to the dogged reporting of Marika Sboros on her FoodMed blog, the California based  Loquacious Lowcarbivore knew the hearing was on hiatus from halfway around the planet. So how could the HPCSA staff in Pretoria not be privy to this basic fact?

One would have to stretch logic like Silly Putty to argue this was an innocent mishap since the first paragraph of the press release unequivocally declared Noakes guilty of unprofessional conduct.

The credibility of HPCSA was shredded by this shameless attempt to defame Noakes. Even Advocate Joan Adams, the chairwoman of the committee that will decide this case, felt compelled to issue a statement that the press release was "devoid of all truth."

An interesting wrinkle to this media advisory mischief on the part of HPCSA is how hasty it was to issue such a dodgy press release in light of its lackadaisical interest in media relations. As Prof. Noakes' son Travis noted on Twitter:
Meanwhile the HPCSA Facebook page has not been updated since last Christmas to announce holiday office closures.



So why the big hurry to publicize a false verdict on the Noakes case?

And why no attempt to make amends by doing a mea culpa on social media?

The Loquacious Lowcarbivore will put on her tin foil hat and hazard a guess that HPCSA knows if a lie is published and later retracted, many people will never see the retraction and believe the initial report. HPCSA may have plotted to plant the notion of Noakes' guilt in people's minds, knowing that a high percentage will never see the subsequent correction. 

Prof. Noakes may believe this as well. "I think one of the keys is how widespread the message went, and we know that in the Transvaal it was the number one trend on Twitter," he was quoted as saying by Eyewitness News. "So that's how many people saw this misinformation, and that obviously alarming for us."

Based on Joan Adams' clear contempt for HPCSA's latest shenanigans, I can only hope this too clever by half strategy will backfire and the PCC will find Noakes not guilty on the council's ridiculous charge.

In the meantime, the Loquacious Lowcaribovre challenges HPCSA to make a public apology to Prof. Tim Noakes on Twitter from whence this fiasco started.

See also:


What Tim Noakes is Teaching Doctors and Dietitians About Social Media

Tim Noakes Hearing: Dietitians Vs. #LCHF Doctor in South Africa

Ralph Waldo Noakes:Why Tim Noakes Changing His Mind About Carbohydrates and Fat Was an Act of Courage

Low-carb book recommendations:

Low Carb, High Fat Food Revolution: Advice and Recipes to Improve Your Health and Reduce Your Weight

The Big Fat Surprise: Why Butter, Meat and Cheese Belong in a Healthy Diet

What the Fat?: Fat's IN: Sugar's OUT Practical guide and recipes

The Real Meal Revolution: The Radical, Sustainable Approach to Healthy Eating (Age of Legends)

Grain Brain: The Surprising Truth about Wheat, Carbs, and Sugar--Your Brain's Silent Killers

The Obesity Epidemic: What caused it? How can we stop it?

Why We Get Fat: And What to Do About It

The Obesity Code: Unlocking the Secrets of Weight Loss

Keto Clarity: Your Definitive Guide to the Benefits of a Low-Carb, High-Fat Diet

Dr. Bernstein's Diabetes Solution: The Complete Guide to Achieving Normal Blood Sugars

Eat Fat, Get Thin: Why the Fat We Eat Is the Key to Sustained Weight Loss and Vibrant Health

New Atkins for a New You: The Ultimate Diet for Shedding Weight and Feeling Great

The Harcombe Diet: Stop Counting Calories & Start Losing Weight

Sunday, October 23, 2016

What Tim Noakes Is Teaching Doctors and Dietitians About Social Media

When my first grandchild turned five months, my daughter told me she was not going to start her on baby food rice cereal as the pediatrician suggested.

As a low-carb high-fat aficionado, I was pleased to hear this, since baby food rice cereal is virtually void of nutritional value (other than spray painted iron) and contains a potentially dangerous level of arsenic that could impair cognitive development.
Why does this baby look so horrified?

True confessions time: when my own children were infants, I fed them complementary food-like substances in the exact order my pediatrician prescribed as if there were dietary commandments every good parent must obey without question. (In my own defense, that was back in the day when my other main source of infant dietary information was Parent's Magazine, whose pages were filled with ads of -- you guessed it . . . commercial baby food!)

So what has changed in the past three decades? The emergence of social media has provided modern parents with a plethora of information heretofore hidden in medical journals and discussed only by maverick researchers, doctors and dietitians who dared to question the status quo.

Fast forward to 2016 . . . one of the biggest movements in the mommy world is baby led weaning ("weaning" in the British sense of complementary feeding of solid foods while still breast feeding), which advocates allowing babies to feed themselves real foods like avocado, squash and chicken that have not been pulsed, pureed or otherwise processed. The babies are allowed to eat with their hands or a spoon they maneuver themselves instead of being force fed like miniature invalids.

Like many mothers of today, my daughter learned about this strategy of complementary feeding from wide reading, digesting various points of view until she formed her own opinion.

Which brings me to the absurd hearing now being held by the Health Professions Council of South Africa (HPCSA) against Real Meal Revolution co-author and internationally renowned scientist Prof. Tim Noakes, MD, based on a single -- one, uno, eins -- tweet in response to a question posed by a possible human plant named Pippa Leenstra:

In case you missed it, here was Leenstra's tweet and the response by Noakes:
After Noakes posted his response, then president of the Association for Dietetics in South African (ASDA) Claire Julsing Strydom screamed at him on Twitter
and followed through on her threat by lodging a complaint with HPCSA claiming that Noakes was violating professional ethics by giving Leenstra unconventional and potentially harmful medical advice as if there were a doctor-patient relationship.

Of course, what was really at issue is the growing popularity of Banting (as the low-carb high-fat diet is known in South Africa) which is destroying the credibility and depleting the bank accounts of dietitians such as Strydrom who still spout conventional commercially-funded advice to eat copious amounts of carbohydrates based on dubious governmental dietary guidelines.

The HPCSA ran (or, more accurately, crawled) with Strydrom's ball and is still hearing evidence (after almost three years) that could potentially result in stripping Noakes of his medical license. The A1 scientist, meanwhile, has used this mock trial as a means of educating the medical community about the new reality of how health information is disbursed in the age of social media.

As reported by Marika Sboros on her FoodMed blog, which is performing a huge public service by covering this nutritional Scopes Trial in detail, the wide availability of divergent dietary advice seems to be doing far more good than harm.
(Noakes) argued that a lack of information, not access to information, was the real danger. He said Twitter’s “natural democracy” means that “what works percolates to the top. What does not work falls to the bottom”.
As an interesting side note, Noakes has 78,000 Twitter followers as of today, whereas the South African dietetics society has only 1,251. If people vote with their social media Follows, more people want to read what Noakes has to say about health and nutrition than the official organization of registered dietitians in his own country.

Like most social media savvy moms of today, Pippa Leenstra and my daughter are lucky to have such a wealth of health and nutrition information available on their iPads and no longer have to rely on industry-funded dietary guidelines parroted by pediatricians, many of whom lack in-depth knowledge about nutrition.

Leenstra did not use Noakes' tweet as her sole source of information on how to feed her child just as my daughter did not read just one blog post or article to formulate her feeding strategy. But neither relied solely on their baby's doctor's advice either.

What Prof. Noakes knows and today's doctors are finding out is that health and nutrition research can no longer be suppressed by a small cadre of so-called experts. Thanks to social media and "the wisdom of the crowd," today's parents are making choices based on multiple sources of information.



See also:


Tim Noakes Hearing: Dietitians Vs. #LCHF Doctor in South Africa

Ralph Waldo Noakes:Why Tim Noakes Changing His Mind About Carbohydrates and Fat Was an Act of Courage

Low-carb book recommendations:

Low Carb, High Fat Food Revolution: Advice and Recipes to Improve Your Health and Reduce Your Weight

The Big Fat Surprise: Why Butter, Meat and Cheese Belong in a Healthy Diet

What the Fat?: Fat's IN: Sugar's OUT Practical guide and recipes

The Real Meal Revolution: The Radical, Sustainable Approach to Healthy Eating (Age of Legends)

Grain Brain: The Surprising Truth about Wheat, Carbs, and Sugar--Your Brain's Silent Killers

The Obesity Epidemic: What caused it? How can we stop it?

Why We Get Fat: And What to Do About It

The Obesity Code: Unlocking the Secrets of Weight Loss

Keto Clarity: Your Definitive Guide to the Benefits of a Low-Carb, High-Fat Diet

Dr. Bernstein's Diabetes Solution: The Complete Guide to Achieving Normal Blood Sugars

Eat Fat, Get Thin: Why the Fat We Eat Is the Key to Sustained Weight Loss and Vibrant Health

New Atkins for a New You: The Ultimate Diet for Shedding Weight and Feeling Great

The Harcombe Diet: Stop Counting Calories & Start Losing Weight

Saturday, October 15, 2016

How Corrupt are Coca Cola Funded Health 'Experts'?

Thanks to journalists like The New York Times Anahad O'Connor, who exposed Coca Cola's bald conspiracy to pay academics to rig nutrition research with a surreptitious front group called the Global Energy Balance Network, Coca Cola has suddenly embraced transparency.

The soda giant now has a list of health professionals and scientific experts on its website whom they have funded in some form or another.

Though some dietary types like to argue that accepting Big Soda money does not bias their research findings or dietary recommendations, the Loquacious Lowcarbivore was a tad skeptical that a pay for play correlation does not exist.
CSPI cartoon skeptical of scientific neutrality

Few so-called experts would be so brash as to claim that Coca Cola is actually healthy; so they use code words like energy balance, moderation and mindful eating to couch soda as part of an overall healthy lifestyle. Which is a little like saying it's okay to chug antifreeze on occasion if you eat chia seeds, do CrossFit and feed the homeless once a month.

Coke's message -- which it paid researchers good money to prove and dietitians to parrot -- is that you can consume any food or drink in moderation (including those loaded with sugar) -- as long as you "balance" the extra calories with exercise.

So just for fun (and because it was a rainy Saturday afternoon without much else to do), we randomly selected a few names from Coca Cola's payola list and Googled them to see if we could find any who did not align with their financial benefactor.

Here's what Coke got for its money:

Elizabeth Applegate, Ph.D. wrote a letter to the editor of the Wall Street Journal after it published an article entitled Sweet Surrender, Sugar Curbs Urged.
The American Heart Association’s strict limit on sugar as a means to better health through weight management may sound straightforward to some, but to those of us who have been working with dieters on the front lines for decades, it is unrealistic.
Asking Americans to limit their sugar intake to 100 calories for women and 150 for men means asking the average person to cut added sugar consumption by more than 70%. The AHA limits mean most of us are prohibited from having a single can of soda on a hot summer day, a slice of cake at a party, and even a third of a cup of dried cranberries as a snack.

Just say no” won’t get us a slimmer and healthier America. Instead, I suggest the AHA put its muscle behind promoting physical activity.
Robyn Flipse was unapologetic about being a paid mouthpiece for Coca Cola. In Mashable's article Coke is a Healthy Snack: How Company Pays to Get Out that Message, the registered dietitian basically went on record as being a flack for Coke:
Flipse has worked with Coca-Cola and the American Beverage Association for years; her roles have included sending out messages on social media refuting the idea that sugary drinks are to blame for obesity and making herself available as an expert for news outlets. If a story says something negative about artificial sweeteners, Flipse said she might contact the PR agency and ask, "Do you want me to do something about that?"
Likewise, Sylvia Melendez Klinger appeared to cash in on her RD credentials by hawking articles that would be otherwise absurd to promote. Why else would a dietitian re-tweet an article defending sugar on the Orwellian Calorie Control Council website?
Pat Baird, MA, RDN, used the buzzword balance in an article on the Californians for Beverage Choice website -- funded by the beverage industry, natch:
Sugar is the demon of the day, and that's unfair. Sugar provides energy and that is the first need of the body and the brain. While many consume too much sugar, many also consume too much sodium. Likewise, sodium is an important nutrient.  My point: it's all about balance.  And it’s about understanding the importance of more of some things, and less of others.
(The Loquacious Lowcarbivore would be remiss if we did not point out that sugar is not required for energy and that people who consume no sugar (or carbohydrates for that matter) can derive energy from fat and do not die a slow and painful death from donut deficiency.)

Coca Cola did not appear to get its money's worth from every health expert it paid to behave as a human puppet. I was not able to find any pro-soda or pro-sugar messaging from registered dietitian Mary Zupke, who dissed soda twice in a Geneva Patch article on preparing healthy school lunches:
Make sure kids get protein at snack time and at meals.  Kids often rush through meals eating easily-accessible carbs such as chips or fries, or even drinking their calories by taking a soda or other sweetened drinks . . . . Protein will help keep kids from having those sleepy blood-sugar dips during class as a result of a "french fries and and soda" lunch.
As the Loquacious Lowcaribovore's late mom liked to say, Zupke could be the exception that proves the rule.

Low-carb book recommendations:


Low Carb, High Fat Food Revolution: Advice and Recipes to Improve Your Health and Reduce Your Weight

The Big Fat Surprise: Why Butter, Meat and Cheese Belong in a Healthy Diet
What the Fat?: Fat's IN: Sugar's OUT Practical guide and recipes

The Real Meal Revolution: The Radical, Sustainable Approach to Healthy Eating (Age of Legends)

Grain Brain: The Surprising Truth about Wheat, Carbs, and Sugar--Your Brain's Silent Killers

The Obesity Epidemic: What caused it? How can we stop it?

Why We Get Fat: And What to Do About It

The Obesity Code: Unlocking the Secrets of Weight Loss

Keto Clarity: Your Definitive Guide to the Benefits of a Low-Carb, High-Fat Diet

Dr. Bernstein's Diabetes Solution: The Complete Guide to Achieving Normal Blood Sugars

Eat Fat, Get Thin: Why the Fat We Eat Is the Key to Sustained Weight Loss and Vibrant Health

New Atkins for a New You: The Ultimate Diet for Shedding Weight and Feeling Great

The Harcombe Diet: Stop Counting Calories & Start Losing Weight