Something interesting has happened in the field of nutrition: weight has become a very sensitive issue.
When I got my degree, emerging research on obesity was a hot topic. I wrote many magazine articles on weight loss, and my master’s thesis was a survey of people who had gastric bypass surgery. One of my first jobs as a dietitian was to work in a local recreation center doing counseling and leading small groups for people interested in losing weight.
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Ultimately, although weight control was a popular specialty in nutrition, I decided that it was not the right approach for me. A lot has changed in the 15 years since then.
An increasing number of dietitians are diverting their businesses from weight control and helping people to trust themselves around food through intuitive eating. There is also a growing emphasis on health in all sizes, an approach that emphasizes physical and emotional health while accepting and respecting all body shapes and sizes.
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I am delighted that messages of bodily positivity are spreading in our culture. I love seeing women with different body types in catalogs, more well-trained mannequins in Target and even a greater diversity of bodies walking the catwalk. I want to get up and encourage the actresses who talk about airbrushing and the idiocy of the “body after baby” pressures.
However, there is also a dark side. I’m seeing dietitians embarrassed on social media for talking about losing weight or sharing their experience trying things like intermittent fasting. When one day I made a joke on Facebook about my metabolism of 20 or more years, someone told me that I was promoting the culture of the diet.
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So, is it possible to be positive for the body and try a low carb diet? And on the other hand, is it okay to stop trying to lose weight regardless of what your doctor says?
There is a diversity of opinions and approaches among dietitians when it comes to weight, and that is a good thing, because different approaches work for different people. But this is what I consider:
I think you have the right to be happy with your body and weight and do not want to change it, no matter what a BMI table, a magazine, a talk show, a friend, a family, a doctor, a commercial, a celebrity, say a billboard or a partnership. .
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I consider that you have the right to want to change your weight. If you want to lose weight that does not mean that you have bought the diet culture, that you have low self-esteem or that you are part of the problem. While someone can be satisfied and happy with their body with a certain weight, someone with the same weight may not feel satisfied and happy. Your body is yours, and you decide.
I believe that you should never be embarrassed by your weight. I also believe that you should not be ashamed for wanting to gain or lose weight. Your body is your business.
I believe that dietitians are trained and have a unique ability to help people control their weight safely, unlike celebrities or those who position themselves as experts because something worked for them. I also believe that dietitians should not be judged or embarrassed for helping a client lose weight if that is what that person wants to do.
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I consider that different ways of eating work for different people. Some people thrive with low carbohydrate content, some wither. Some love to be vegan, others do not dream of giving up meat and dairy products. If you have found a way of eating that makes you feel good, I am happy for you.
I believe you have the right to try different ways of eating, including, among others, counting macros, intermittent fasting, keto, counting points, Mediterranean diet, dairy elimination, consumption of gluten, consumption of more fiber, reduction of sodium, use Intuitive Eating, or none of the above. The way you eat depends on you, and you should not be criticized or ridiculed for it. If you ask me for my professional opinion, I will give it to you. If you do not ask, I’ll stay out of your business. (It may not be necessary to say, but if you are involved in disordered eating behaviors, your family, friends, dietitian and doctor also have the right to be concerned and want to help you).
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I believe that parents have a responsibility to create a physically and emotionally healthy environment around food and weight. That means access to nutritious foods, adults who model healthy attitudes and behaviors around food and many opportunities for activity and exercise. It also means that parents should not criticize their own bodies, talk about diets or “bad” foods, or retain foods like sweets as punishment.
I believe that no child should be embarrassed, isolated or “put on a diet” because of their weight. A healthy family environment is important for children, mentally and physically. But if changes are made in a household, such as reducing the consumption of soft drinks or serving more vegetables, they should be made for everyone’s health, not for certain family members according to the size or weight of their body. Children come in all sizes and shapes, just like adults.
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