Unified Dietitians

Dietitians and the Power of Unity

I was honored to take the stage recently at FNCE 2016 (the annual meeting of the Academy of Nutrition and Dietetics, for those who don’t know the lingo) in Boston with Dr. Walter Willett of Harvard, and Kathleen Zelman of WebMD, our session moderator. Kathleen was fresh from her speech, earlier the same day, as this year’s recipient of the Academy’s prestigious Lenna Frances Cooper Award.

Dr. Willett provided a thoroughly evidence-based review of the fundamentals of healthful, sustainable eating, reprising the themes laid out at the Common Ground Conference a year ago, also in Boston, and sponsored by Oldways- and updating the case with studies published since. I followed with a discussion of how we can be so prone to perpetual, pseudo-confusion in the first place when the relevant evidence is so abundant and so clear.

In particular, I talked about how scientists can seem like they disagree even when they agree far more; how a whole sequence of mono-nutrient fixations have been converted into nutrition boondoggles spanning decades; how the harms of sugar were not discovered by some currently best-selling diet book author last Thursday, but rather have been salient for years; and how utterly appropriate the recommendations of the 2015 Dietary Guidelines Advisory Committee were, before politicians adulterated them under the influence of lobbying, or bullying– if there really is any difference.

During the Q&A that followed our brief presentations, a dietitian in the audience asked what to me seemed a beautiful, and refreshingly humble question: what can dietitians do better to help advance the public understanding of the fundamentals just discussed?

My part of the answer was that we only have the strength, or even the volume, to get anything meaningful done- if we are unified. If genuine understanding of the common ground of health-promoting, sustainable eating is to become common knowledge, it must do so courtesy of common cause.

Why? Well for one thing, we live in a massively noisier world than anyone before us has ever known. It’s almost shocking to me to hear myself talk about the “pre-Internet” portion of my career to young colleagues, but there actually was such a thing! I miss it, to be honest.

Now, though, we are all irrevocably caught up in the endlessly amplified echoes of every opinion, expert and more often otherwise, courtesy of the blogosphere and social media. If our best understanding of eating well is the signal we hope to transmit, the challenge of doing so rises directly with the volume of static it must overcome.

Accordingly, those of us who have relevant expertise, and truly do mostly agree, must lead with that message. All too often, it is our native tendency to do otherwise.

It’s our tendency because we are human, and all want to talk about “the thing” that matters most to us- be it passion, priority, or pet peeve. But there’s a problem. Non-experts also have their passions, priorities, and pet peeves related to nutrition, and in cyberspace- they can readily broadcast those in the guise of facts, their lack of relevant qualifications generally undeclared, and routinely overlooked. If actual experts- dietitians and others- broadcast a comparable scattershot of disparate opinion, how is the public to know what’s what, let alone who’s who?

While there is plenty of room for variation among the prioritized particulars any one of us might favor, the basic theme of eating well for longevity, vitality, and the sake of the planet is simply not negotiable. Experts know that, and can both help the public know it, and distinguish expertise from impersonations of it- by reaffirming it every chance we get.

I meet very few, if any, dietitians who don’t agree with the proposition that diets and health would improve (in the U.S. and other developed countries) with more vegetables, fruits, whole grains, beans, lentils, nuts and seeds and water in the place of almost any other beverage almost all the time. Over the years, however, I have met many who tended to talk much more about some narrowly bounded, personal priority- than the expanse of common ground we share.

The result of that is the obvious: the public doesn’t know we agree nearly as much as we do. Accordingly, the public learns distrust of us, if not disgust with us, which opens the door wide to a never-ending parade of fools and fanatics with something to sell.

We can each take the most effective stand in support of our personal priorities for health if we do so resolutely, consistently, and emphatically on the common ground we share.

-fin Dr. David L. Katz;www.davidkatzmd.com; founder, True Health Initiative