Criticism of Registered Dietitians

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At the same time when responding to TC’s earlier post you corrected his misspelling of “Gumptious” as Gumptuous in your reply.

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You guys are tricky!

[quote]TJCooker wrote:
Hmm, lets see. According to you, most RD’s work in the following: Nusing Homes, Hospitals, Schools.

Are you on crack? Hospitals have the most disgusting processed crap that I’ve ever had the misfortune of eating. Nursing Home food is just as bad, and school food! Do we even need to go there?

You know what really is stupid? That you have to go through so much schooling only to look good for an organization on paper. Meanwhile, Hospitals and Nursing Homes, etc., will continue to feed people processed crap.

I think your profession needs an enema.[/quote]

Think outside the box for a sec.

Dietitians who work in hospitals, nursing homes, and schools, are subject to many external constraints.

Nearly one-third of hospitals are losing money, and many more are barely making a profit. Dietitians who work as managers for hospital cafeterias (not those in clinical or outpatient) must work with limited hospital budgets when they plan menus. I’m sure many dietitians would love to offer salmon and walnut salad to patients, but the sad reality is that economics won’t let them.

Nursing homes, especially if county-based, also have exert financial contraints on what a dietitian can do. Also, a big issue that dietitians have to face is whether they should impose healthy food on resistant residents because it is good for them, or if they should respect their wishes and let them enjoy the final years of their lives by offering sub-optimal but popular foods. This is a real issue.

Also, many elderly people have digestive problems that make fibrous food problematic. I worked at an assisted living center, and I can tell you that salads and fibrous vegetables, nuts, seeds, etc, were commonly restricted or never eaten anyway.

Also, since many elderly residents tend to lose significant amounts of weight, sometimes calories, depite the source, is much more important. Just getting them to eat at all is often a hard task. If a milkshake is what it takes for them to get some calories, then so be it. Life isn’t perfect.

Furthermore, food preparation regulations stipulate against using certain seasonings or ingredients that may aggravate health conditions. Food is often bland for a reason.

As for schools, they too impose financial constraints on menu planning, but the real problems seem to rest on higher authorities concerned that schools make money during lunchtime by selling popular foods that are not necessarily compatible with a good diet.

Dietitians always have to answer to higher authorities and consider broad ranges of issues. Improvements can certainly be made, but those improvements do not fall solely on their shoulders.

[quote]BlakedaMan wrote:
No one is going to be sentimental to an asshole. Get over it.

And yes, alot of your fellow “RD’s” give out total bullshit constantly. For example, the ones that say “fat is bad and it will make you fat”, and then the ones that say “carbs. are bad and will make you fat”, and the most recent to reach my ears from alot of my fellow high school friends “protein makes you gain fat”.

Pure bullshit. One point they attack a certain macro or micro, then it’s on to the next.

That’s why your field is widely criticized on a bodybuilding site where people commonly understand how idiotic these types of claims are.[/quote]

Umm, I’ve never heard a dietitian say anything like that in such simplistic terms, ever. That sounds like an oversimplification or misunderstanding that occurs so frequently among people out to make themselves look smart and others look dumb.

Check out the ADA’s site and read some of their position papers on those topics.

And stop generalizing.

[quote]Angelbutt wrote:
BlakedaMan wrote:
No one is going to be sentimental to an asshole. Get over it.

And yes, alot of your fellow “RD’s” give out total bullshit constantly. For example, the ones that say “fat is bad and it will make you fat”, and then the ones that say “carbs. are bad and will make you fat”, and the most recent to reach my ears from alot of my fellow high school friends “protein makes you gain fat”.

Pure bullshit. One point they attack a certain macro or micro, then it’s on to the next.

That’s why your field is widely criticized on a bodybuilding site where people commonly understand how idiotic these types of claims are.

Umm, I’ve never heard a dietitian say anything like that in such simplistic terms, ever. That sounds like an oversimplification or misunderstanding that occurs so frequently among people out to make themselves look smart and others look dumb.

Check out the ADA’s site and read some of their position papers on those topics.

And stop generalizing.[/quote]

Unfortunately, I don’t have the kind of time to go into depth on what exactly they are saying but that is basically the gist of it. And I’m not saying he is dumb, he is a hell of a lot more intelligent than me, I was merely making a point.

And any claim or even proven fact that can’t pertain to every individual is a generalization. For instance, some people may gain fat from carb into more so than another person, just like one person may not need as much protein or calories than another. Everyone is different. So when an RD says that protein consumption only needs to be X % of an individual’s diet, they’re generalizing.

[quote]BlakedaMan wrote:
And any claim or even proven fact that can’t pertain to every individual is a generalization. For instance, some people may gain fat from carb into more so than another person, just like one person may not need as much protein or calories than another. Everyone is different. So when an RD says that protein consumption only needs to be X % of an individual’s diet, they’re generalizing. [/quote]

For macronutrients, X numbers are never given. They are always ranges. These ranges change for different people, such as athletes, pregnant women, children, and those with special conditions. Dietitians learn these differences and are trained to evaluate individuals to ascertain their specific needs.

Recommendations offered to the public are just that: recommendations. They are guidelines, not demands. How would the public react if would they sought information but only ever hear: “It’s different for everbody.” While differences do exist, they are not usually extreme. Most people, other than the ones I mentioned above, have very similar requirements. So yes, generalizations are made, but they are stated as such.

However, it’s not even dietitians who make these recommendations. These are instated by scientists who do the research and the government that adopts these guidelines. The dietitians job is to apply these guidelines to individual situations. Be careful not to misunderstand what a dietitian’s job really is.

[quote]Angelbutt wrote:
BlakedaMan wrote:
And any claim or even proven fact that can’t pertain to every individual is a generalization. For instance, some people may gain fat from carb into more so than another person, just like one person may not need as much protein or calories than another. Everyone is different. So when an RD says that protein consumption only needs to be X % of an individual’s diet, they’re generalizing.

For macronutrients, X numbers are never given. They are always ranges. These ranges change for different people, such as athletes, pregnant women, children, and those with special conditions. Dietitians learn these differences and are trained to evaluate individuals to ascertain their specific needs.

Recommendations offered to the public are just that: recommendations. They are guidelines, not demands. How would the public react if would they sought information but only ever hear: “It’s different for everbody.” While differences do exist, they are not usually extreme. Most people, other than the ones I mentioned above, have very similar requirements. So yes, generalizations are made, but they are stated as such.

However, it’s not even dietitians who make these recommendations. These are instated by scientists who do the research and the government that adopts these guidelines. The dietitians job is to apply these guidelines to individual situations. Be careful not to misunderstand what a dietitian’s job really is.

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That’s a good point. Micronutrient wise, there typically aren’t major differences in daily requirements, except for the ones that you stated. However requirements of macronutrients can very grately. For instance, some people are insulin resistant, while other’s are not, and that can cause a major difference in their requirments of carbs. While the principles of all dietary needss are essential the same, they still differ, and that causes problems amongst people that are inexpierienced in the field of nutrition. A lot of people follow what people say, no matter no drastic they are, because they don’t know any better. I guess what I’m really trying to say is that I don’t have any problems with RDs per se, as they are doing a very important job, but I don’t like the generalizing and mainly the overall fact that our society requires a guide book through life.

[quote]BlakedaMan wrote:
However requirements of macronutrients can very grately. For instance, some people are insulin resistant, while other’s are not, and that can cause a major difference in their requirments of carbs. [/quote]

Not as much as you may think. Type 2 diabetics are still recommended to consume 40-50% of their daily intake as carbohydrates. The key to their treatment is consuming those carbohydrates in smaller amounts spaced evenly throughout the day so as not tax the pancreas for insulin. People with slight insulin resistance would also benefit in this way.

Yes, many people are inexperienced in nutrition and do need a guidebook. That’s not RDs’ fault. They are there to be that guidebook that people seem to need. And when a simple guide cannot suffice because of individual circumstances, they are trained to address those circumstances, as well.

I never said it was there fault, I just said that I don’t like that our society needs to be guided through everything, not just nutrition. The other day on the news they had a 15 minute segment about how to get sleep. To me that is totally overboard and I don’t understand how people need to be told how to SLEEP. I agree that they are doing they’re doing good at there job, and they have a very good understanding over there field, but some of them make some rather interesting theories.

About 1/3 of my clients have been to dieticians and got next to nothing out of their service. These include pre-diabetics, anorexics, average Joes, and the morbidly obese. I’ve been training these folks for 4-6+ months and they are VERY happy with the results. I’m not saying I’m right up there with Barr or Berardi, but I have an ENGINEERING degree for peat sake!!

From my experience, most nutritionist and dieticians have a great base of knowledge on the body’s physiology, but lack the practical brass tacks to get results from clients. Just do an internet search and track how many times one of them recommends a “low-fat, high carb diet”… if I hear that one more time…

Same could be said for trainers w/ exercise degrees at expensive health clubs. Once again, I don’t have an exercise degree, yet clients seem quite pleased with their achievements that the “high-profile” trainers didn’t/couldn’t help them with.

I’m sure there are some great trainers with degrees and dieticians out there… I just haven’t heard/seen very many except in places like T-Nation.

TopSirloin

[quote]TopSirloin wrote:
About 1/3 of my clients have been to dieticians and got next to nothing out of their service. These include pre-diabetics, anorexics, average Joes, and the morbidly obese. I’ve been training these folks for 4-6+ months and they are VERY happy with the results. I’m not saying I’m right up there with Barr or Berardi, but I have an ENGINEERING degree for peat sake!!

TopSirloin[/quote]

With complete respect, your job includes the exercise component, which is inarguably essential if diabetics, morbidly obese, average Joes, and even anorexics want to get better. Diet alone can’t fix people. Exercise can do a lot of what diet cannot.

[quote]vroom wrote:
Again, on a personal note, my mother learned a newfound respect for my brother and I, as she learned what was involved in a university degree.

Surprise, surprise, it’s not all partying and screwing the cheerleaders.[/quote]

REALLY?! DAMMIT, I’m dropping out of college RIGHT NOW. What a jip…

[quote]Angelbutt wrote:
TopSirloin wrote:
About 1/3 of my clients have been to dieticians and got next to nothing out of their service. These include pre-diabetics, anorexics, average Joes, and the morbidly obese. I’ve been training these folks for 4-6+ months and they are VERY happy with the results. I’m not saying I’m right up there with Barr or Berardi, but I have an ENGINEERING degree for peat sake!!

TopSirloin

With complete respect, your job includes the exercise component, which is inarguably essential if diabetics, morbidly obese, average Joes, and even anorexics want to get better. Diet alone can’t fix people. Exercise can do a lot of what diet cannot.

[/quote]

You are very correct but also quite wrong, IMO. From my experiences, exercise basically determines the speed at which they reach their goals and the amount of LBM once there. But since most times their nutrition was beyond pathetic they would have to do one of Chad Waterbury’s two-a-day workouts for a good 6 months if their nutrition hadn’t improved substantially.

In other words, nutrition is equally, if not more important than exercise in many cases because it shouldn’t take 10-15 hours a week of working out to get into decent shape. The average elite athlete eats pretty darn bad, yet they have the body’s of Gods/Godesses! Sure exercise is the “great corrector” but few people can invest the time/effort it would take to get decent results had they not had better nutritional guidance.

Case in point, I have a client that weighed 450 last summer. Since she has a completely frozen right knee due to osteoarthritis, she does near ZERO exercise. She just weighed in at 330 the other day.

TS

What I find truly funny is that this guy hasnt been back in awhile, I hoped they kicked his dumb ass off this and the other site. You dont like the advice or info on this site? Than go somewhere else, many people have made something of themselves thanks to all the great information that is FREE, on this site. I have tried many programs and assure you that if they are as bad as you say they are I wouldnt notice anything. You talk shit, they walk the walk. And you have alot of nerve coming on here talking bullshit. TROLL,
TSB

I had to bump this.

Such is life. Stop worrying/whining about the critics, start planning your path to achievements and focus on success. That is something everyone would be better off doing.