10/03/2020
I said what I said 💁🏻♀️ (CW: fasting)
As a dietitian, I spend time every week staying up to date with new research, reviewing old research, and thinking critically about the research (trust me, it’s just as thrilling as it sounds) 😆 this week, the most interesting one was a chart review of clinically ill patients who water fasted for >2 days. The objective was to find out if this is “safe”. The definition of “safe” was no “severe” or “life-threatening” adverse effects (AE) or death.
And by interesting I mean, JFC, what are we doing here.
We don’t need to always over-intellectualize what we inherently know - if the best you can say about your dietary intervention is “it didn’t hospitalize or kill anyone, it must be safe” we need to be looking at this in other ways. Such as:
• Were participants screened for eating disorders/disordered eating?
• What did the follow up period involve, and for how long?
• Was subjective/qualitative data included or only objective/quantitative data?
• Did participants drop out because they couldn’t or didn’t want to adhere to study protocols?
• Are the authors conflating weight and health? In other words, if the results are reduced body weight or BMI, are they saying it’s a positive result *even if* there are other markers of health that deteriorate?
If so...there’s your sign that it’s not about health, it’s about finding socially acceptable ways to lose weight by any means necessary. Now, this particular study was observational (so things like screening weren’t possible) but it’s just one of many examples of how something that gets published doesn’t necessarily add to what we already know. Often, it attempts to build a case for disordered eating behaviors disguised as healthy habits.
I know this isn’t the kind of thing most of us spend time thinking about every day. But as Weight Stigma Awareness Week draws to a close, I want to remind you to question why it is that you believe what you believe about food, health, nutrition, and weight. We have decades of research in these areas - some of it is good, a lot of it is flawed, almost all of it is influenced by weight bias and can’t control for the negative impact of weight stigma.