Podcast
Questions and Answers
What is the primary criticism of dietitians' training, as suggested?
What is the primary criticism of dietitians' training, as suggested?
- Their certificates do not accurately reflect what they have learned regarding nutrition. (correct)
- They focus too much on exercise.
- They lack knowledge about macronutrients.
- They are not qualified to give advice.
What was Wilbur Olin Atwater's main contribution to the field of dietetics?
What was Wilbur Olin Atwater's main contribution to the field of dietetics?
- Promoting the importance of fiber in the diet.
- Standardizing how much heat energy macronutrients liberate. (correct)
- Discovering the role of the intestinal microbiome.
- Establishing the American Dietetic Association.
What is a major flaw of the Atwater system, according to the content?
What is a major flaw of the Atwater system, according to the content?
- It doesn't account for the influence of the intestinal microbiome. (correct)
- It inaccurately measures heat energy in a bomb calorimeter.
- It overestimates the caloric content of proteins.
- It focuses too much on the role of carbohydrates.
What partnerships have arisen because of the idea that chronic disease is caused by excess calories?
What partnerships have arisen because of the idea that chronic disease is caused by excess calories?
What is the primary criticism of the Nutrition Facts label?
What is the primary criticism of the Nutrition Facts label?
Approximately what percentage of the operating budget for dietetic organizations comes from Big Food, as documented by Michele Simon?
Approximately what percentage of the operating budget for dietetic organizations comes from Big Food, as documented by Michele Simon?
The author mentions an incident involving Neva Cochran, RD, to illustrate what point?
The author mentions an incident involving Neva Cochran, RD, to illustrate what point?
What implications does the content suggest regarding the source of calories of food?
What implications does the content suggest regarding the source of calories of food?
What does the author suggest regarding the role of corporate dietitians?
What does the author suggest regarding the role of corporate dietitians?
What is the central argument against the prevailing dietary advice?
What is the central argument against the prevailing dietary advice?
What concept does the author hope to 'kill' with the book?
What concept does the author hope to 'kill' with the book?
When did dietitians take over nutritional counseling?
When did dietitians take over nutritional counseling?
What does the author claim is steadily getting worse?
What does the author claim is steadily getting worse?
What does the author claim dietitans are still stuck on?
What does the author claim dietitans are still stuck on?
What is the prediction for obesity rates in America by 2030, according to current modeling?
What is the prediction for obesity rates in America by 2030, according to current modeling?
Which organization sponsors the non-profit 'Exercise is Medicine'?
Which organization sponsors the non-profit 'Exercise is Medicine'?
What claim did hospital dietitians make when doctors suggested removing sugared beverages from the menu?
What claim did hospital dietitians make when doctors suggested removing sugared beverages from the menu?
What is the significance of the fact that processed foods are 'addictive', according to the context?
What is the significance of the fact that processed foods are 'addictive', according to the context?
According to the author, what fundamental shift is required to improve public health regarding nutrition?
According to the author, what fundamental shift is required to improve public health regarding nutrition?
What underlying assumption is challenged when corporations sponsor health initiatives?
What underlying assumption is challenged when corporations sponsor health initiatives?
Flashcards
"Calorie is a calorie" concept
"Calorie is a calorie" concept
The idea that a calorie is a calorie, regardless of its source.
Atwater system
Atwater system
Developed by Wilbur Olin Atwater in 1916, it standardizes how much heat energy three macronutrients release when burned.
Kcal in protein and carbs
Kcal in protein and carbs
4 kcal/gm
Kcal in fat
Kcal in fat
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Limitation of the Atwater equation
Limitation of the Atwater equation
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Almond calorie absorption
Almond calorie absorption
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Academy of Nutrition and Dietetics (AND)
Academy of Nutrition and Dietetics (AND)
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AND's view on obesity
AND's view on obesity
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Smart Choices
Smart Choices
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Exercise is Medicine
Exercise is Medicine
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Corporate dietitians
Corporate dietitians
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Courtney Gaine
Courtney Gaine
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Reasons for patient's illness
Reasons for patient's illness
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Study Notes
- Dietitians' certificates state they learned nutrition and dietetics, but dentists stopped learning nutrition in dental school in 1947.
- Modern dietetics was founded on the false idea that a calorie is a calorie," which originated from the Atwater system, developed by Wilbur Olin Atwater in 1916.
- Atwater determined how much heat energy (kilocalories or kcal) three macronutrients release when burned in a bomb calorimeter.
- He calculated ratios to determine kcal content in food based on protein (4 kcal/gm), carbohydrate (4 kcal/gm), and fat (9 kcal/gm).
- Fat was considered the most calorie-dense and a primary factor in weight gain.
- Dietitians have used this arithmetic to calculate a patient's food plate.
- The Atwater equation doesn't account for the intestinal microbiome and its metabolism of 25-30% of food intake, or fiber's impact on altering that percentage.
- Fiber does not contribute calories to the total, but it changes the percentage absorbed, creating a difference between calories eaten and metabolized.
- The amount of calories absorbed from nuts like almonds can be 30% less than calorimeter-generated values.
- Some manufacturers are reducing the labeling of caloric content of their products to reflect this fact.
- The field of modern dietetics began in 1917.
- The Academy of Nutrition and Dietetics (AND) has argued that obesity and nutrition can be determined with simple math by adding up what's in food versus what is needed.
- Per the AND, chronic disease is driven by calorie excess.
- The AND promotes the “Eat Right” and exercise motto.
- Subterfuges include Smart Choices, NuVal, and the Global Energy Balance Network.
- Coca-Cola sponsors Exercise is Medicine.
- Corporate dietitians and the AND have exonerated processed foods for decades due to their focus on calories.
- The source of calories matters and is not physics, it is nutritional biochemistry.
- The AND supports the Nutrition Facts label.
- What's been done to the food, not what's in it, is what matters.
- 90% of the AND's operating budget comes from Big Food, according to public health lawyer Michele Simon.
Dieticians In Practice
- Dallas dietitian Neva Cochran, RD, defended the idea that "a calorie IS a calorie" on YouTube.
- Cochran represents the processed food industry; calories are the industry's shield.
- Public schools are now the biggest franchise food operation in the world.
- The School Nutrition Association supports processed food.
- Courtney Gaine, PhD, RD, president of the Sugar Association, canceled a debate in 2015 and Connie Diekman, RD, upheld the Sugar Association's energy balance party line.
- Dietitians took over nutritional counseling in the 1960s.
- Current models suggest half of Americans will be obese by 2030.
- Patients remain ill because processed foods are addictive, doctors are ambivalent, and dietitians are complicit with Big Food.
- 28% of children's hospitals in America have fast food concessions.
- Removal of sugared beverages from hospital menus was opposed by dietitians, who called it "cruel and inhuman punishment.".
- Dietitians wouldn't allow removing fruit juice from UCSF.
- The core of the profession is bound by the AND.
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