Wednesday, May 9, 2007

Making sense of nutrition

by Trulie Ankerberg-Nobis, M.S.

Over the years that I have been studying and counseling others in nutrition, I frequently hear people complain that nutrition information and recommendations are confusing and too frustrating to implement. I can sympathize with this sentiment. When one week a study saying that fiber prevents colon cancer (and so one should increase fiber intake) and then the next week another study comes out saying fiber does not prevent colon cancer, which do you believe and which dietary changes should you make?

As a registered dietitian, I have had the requisite training and knowledge to comb through the confusion and help you come up with realistic changes that can add to your health. While public diet recommendations are aimed at populations, registered dietitians can help with creating a personal nutrition plan for individuals who have unique needs and goals. In the meantime, here are some principles to follow to ascertain whether the latest nutrition and health headline is worth making changes for.

1. Is this the first time you have heard this claim being made? Not all brand new nutrition news should be tossed out the window. But there should be some skepticism that this research may not play out to be the final truth. New studies need to be validated by further study. Also, newer studies are often smaller and have less statistical power than studies building on previous studies. But when another study comes out saying to eat more fruits and vegetables, this is a claim you have probably heard before and further validates the truth that more fruits and vegetables should be eaten.

2. Check the source. The study should be published in a peer-reviewed journal such as the Journal of the American Dietetic Association or American Journal of Clinical Nutrition . Unpublished studies or those that have not been published through a journal where it has been scrutinized by other nutrition experts may not be a valid. Anecdotal evidence needs to be tested in order for it to stand the test of time. Individual testimonials may be true but have not been separated from confounding variables to establish cause and effect relationships.

3. Studies done on animals have less validity than those done on human beings. It may be interesting to hear that rats lose weight consuming herbal supplements, but since we live in a very different world with different bodies than rats, it is best to wait to see if the same results ring true for human studies. Test tube studies are usually done on human cell lines making it more valid than those on animal cells, but the results would still need to be tested on human subjects before the results can be applied.

4. If the study is a review of many studies, it will have more validity as it evaluates a collection of studies on one topic. A meta-analysis is an example of this. For example, a recent meta-analysis on supplementation with various vitamins resulted in a collection of data with several hundred thousand people. People should take notice of the results of this kind of study and consider the results and recommendations.

5. Keep in mind that many media reports about nutrition research are highlighted as a way to increase ratings and sell newspapers/magazines and not to ensure you receive good nutrition information. If the conclusion seems outlandish or “too good to be true” it should be read with a critical eye.

Given these strategies to determine credible nutrition information, you should be able to better wade through the confusion. If you are interested in also gaining more nutrition knowledge to navigate through the grocery store or peruse menus for foods that will also contribute to your health and well-being, my services would be beneficial.

What is a registered dietitian and why should I choose one? A registered dietitian (RD) is a person who has completed a bachelor's (4 year) degree in food science, nutrition, dietetics, or other approved accredited program through the American Dietetic Association. The dietitian has also completed a 900 hour internship including hours in a clinical setting, passed the five parts of the association's registration examination, and maintains competency through continuing education. While all dietitians can call themselves nutritionists, not all nutritionists are Registered Dietitians. Anyone can call themselves a nutritionist but not have completed any education and training standards.



Trulie Ankerberg-Nobis, M.S. is a registered and licensed dietitian. She offers personal diet counseling, supermarket tours, pantry makeovers, and cooking classes for healthy & delicious plant-based meals. Trulie works with clients to help them meet their goals for healthy eating and food preparation.

Her areas of expertise include weight loss, diabetes, heart disease, allergies, cancer, pregnancy, lactation, vegetarian, raw, and vegan eating styles, athletic training, eating disorders, and children and infant nutrition.

She has worked as a staff dietitian for The Physicians Committee for Responsible in Washington , D.C. and was research coordinator for Dr. Neal Barnard' s revolutionary Program for Reversing Diabetes study. She is an experienced public speaker who can address a wide variety of health-related issues.

Trulie is currently offering 20% discount off the initial consultation and 50% off a computerized nutrient diet analysis. You can access these coupons through her website AtlantaNutrition.com.

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