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Old 09-16-2010, 11:08 PM   #1
Katherine Derbyshire
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What your doctor doesn't know about nutrition

A recent article in the New York Times highlighted the inadequacy of most medical students' nutrition training:
http://well.blogs.nytimes.com/2010/0...out-nutrition/ (WFS)

Which probably isn't news to anyone here. What *is* useful, though, is the online course highlighted in the article:
http://www.med.unc.edu/nutr/nim/moduleDescriptions.htm (WFS as far as I know)

The full content is only available to medical students, but the module handouts alone look like a decent FAQ for the rest of us. All include extensive bibliography.

Katherine
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Old 09-17-2010, 05:46 AM   #2
Darryl Shaw
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Re: What your doctor doesn't know about nutrition

There was an interesting post on Marion Nestle's blog recently about what doctors need to tell their patients about nutrition.

http://www.foodpolitics.com/2010/09/...ce-to-doctors/ (wfs)
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Old 09-17-2010, 07:33 AM   #3
Bob Holman
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Re: What your doctor doesn't know about nutrition

I'm a Type I Diabetic and my Endo doc and Diabetic Educator continue to push FDA's food pyramid, which is absolutely ridiculous. They are constantly surprised at my low A1C and Blood Glucose numbers - but never seems to make the connection between the numbers and my Paleo diet . . .
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Old 09-17-2010, 07:35 AM   #4
Renee Lee
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Re: What your doctor doesn't know about nutrition

Quote:
Originally Posted by Bob Holman View Post
I'm a Type I Diabetic and my Endo doc and Diabetic Educator continue to push FDA's food pyramid, which is absolutely ridiculous. They are constantly surprised at my low A1C and Blood Glucose numbers - but never seems to make the connection between the numbers and my Paleo diet . . .
bahaha. i really don't understand how they can rationally think the food pyramid is the answer for diabetics (or anybody for that matter, but really?!!!)
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Old 09-17-2010, 07:39 AM   #5
Jason Wallis
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Re: What your doctor doesn't know about nutrition

This reminds me of the comments I occasionally get about how "lucky" I am to practically never get sick... even from health care professionals.
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Old 09-17-2010, 08:19 AM   #6
Andrew James
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Re: What your doctor doesn't know about nutrition

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Originally Posted by Renee Lee View Post
bahaha. i really don't understand how they can rationally think the food pyramid is the answer for diabetics (or anybody for that matter, but really?!!!)
http://www.mypyramid.gov/mypyramid/index.aspx (WFS)

I just did this ridiculous food pyramid customization for myself. I'm 29y/o, 205lbs, 6'3", and more than 60 minutes of physical activity a day.

This is what it recommended:

"The weight you entered is above the healthy range for your height. This may increase your risk for health problems. Some people who are overweight should consider weight loss."

Really? Overweight???? I have a f-ing 8-pack. Apparently the food pyramid doesn't account for even remotely athletic body types.

So, I bumped my "weight" down to 200 to see what would happen. Here's what it recommended:

Grains - 10oz (that's 283g)
Vegetables - 4 cups
Fruits - 2.5 cups
Milk - 3 cups
Meat and Beans - 7oz

Someone over at the USDA needs to get fired, and get a clue.

Last edited by Andrew James : 09-17-2010 at 08:22 AM.
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Old 09-17-2010, 08:46 AM   #7
Jason Wallis
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Re: What your doctor doesn't know about nutrition

Quote:
Originally Posted by Andrew James View Post
http://www.mypyramid.gov/mypyramid/index.aspx (WFS)


"The weight you entered is above the healthy range for your height. This may increase your risk for health problems. Some people who are overweight should consider weight loss."

Really? Overweight???? I have a f-ing 8-pack. Apparently the food pyramid doesn't account for even remotely athletic body types.
I don't have an 8-pack, but I do have visible obliques and abs (especially in the morning). I'd guess my bf around 12%ish. I'm actually leaner than my avi pic. After my last physical, my doctor who had just seen me the day before, calld me to talk about obesity. At 6', 215lbs, apparently I'm at risk for all sorts of nasty conditions. I asked him if he remembered commenting on how "athletic" I looked the day before and his answer was that looks can be decieving. I now have a new doctor.
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Old 09-17-2010, 09:06 AM   #8
Eric A. Brown
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Re: What your doctor doesn't know about nutrition

Quote:
Originally Posted by Renee Lee View Post
bahaha. i really don't understand how they can rationally think the food pyramid is the answer for diabetics (or anybody for that matter, but really?!!!)

Because, and I am sure my numbers are out of date, less than 10% of all med school programs require a physician to take a course in nutrition or exercise. Yet this does not stop them from dispensing advice.

IIRC, neither Harvard nor Tufts requires either for anyone on a GP track. Even orthos have very little exercise requirements, usually just sports related injury and treatment.
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Old 09-17-2010, 10:41 AM   #9
Andrew Thompson
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Re: What your doctor doesn't know about nutrition

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Originally Posted by Andrew James View Post
Meat and Beans - 7oz Someone over at the USDA needs to get fired, and get a clue.
One meal has 7 ounces of meat for me. An entire day with only 7 ounces? I don't think so.

283 grams of carbs = about 3.5 day's worth of carbs for me.

I can't even imagine how I would feel eating like your Doc recommends!
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Old 09-17-2010, 01:08 PM   #10
Andrew James
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Re: What your doctor doesn't know about nutrition

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One meal has 7 ounces of meat for me. An entire day with only 7 ounces? I don't think so.

283 grams of carbs = about 3.5 day's worth of carbs for me.

I can't even imagine how I would feel eating like your Doc recommends!
That's not my Doctor recommending that, that's the US government!


My numbers are similar to yours with carb and protein intake.
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