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The reality of being a celebrity is people look up to you but thats not always positive. Adele recently shocked fans by debuting her dramatic weight loss and followers flocked to the comments section of her Instagram, complimenting the 31-year-old songstress on her slimmed-down physique. And they had an important question for her: How did Adele manage to drop so much weight so quickly?

A-listers often promote less than healthy lifestyles, especially iftheyre preparing for a movie role or going on tour. But Adele has always beensuch a shining example of body positivity and proving that women can be beautifulat any size.

The British singer/songwriter still looks exceptional. But healthexperts worry her fans might try to follow the same restrictive, possibly dangerousdiet regimen Adele used to shed pounds.

Adele isnt theonly famous name to hop on the Sirtfood Diet bandwagon. Apparently, Catherine,the Duchess of Cambridges sister Pippa Middleton is also a fan.

The Sirtfood Diet focuses on incorporating low-calorie foods and green juices in specific combinations. Users report significant weight loss because the regimen is incredibly restrictive and limits users calorie intake to 1,000 calories in the beginning and 1,500 calories on the last day. Sirtfood comes from the incorporation of foods high in sirtuin activators, which are believed to increase your metabolism and burn fat.

The vastlyreduced caloric intake is the main issue health experts have with the diet.And because its so restrictive, its not a practical long-term weight losssolution. In other words, if Adele starts eating a more typical 2,000 calorieper day diet again, she could easily gain back all the weight she lost.

For the first week of the Sirtfood Diet, followers stick to drinking three green smoothies per day with just one small meal. Though Adele lost a huge amount of weight following the plan, once she returns to normal eating that weight can come back.

With restrictions like that, its easy to see how the singer lost a considerable amount of weight. However, nutritionists caution that following these types of diets can be dangerous for your body. Famed personal trainer Alice Liveing called out Adeles trainer on Instagram, calling her methods shady.

For the record, no credible trainerwould agree to their client eating only 1,000 [calories] a day, Clean EatingAlice wrote. She went on to accuse Adeles trainer Camila of using her celebrityclients to gain notoriety.

Besides just the eating plan, Adele alsoincorporated a newworkout regimen which included a combination of cardio, circuit training, andPilates.

Besides the Instagram caption, I usedto cry but now I sweat, Adele hasnt been too candid about her dramatic weightloss or the impact its had on her life. The Grammy-award winner split from herhusband Simon Konecki in April 2019 and finalized her divorce in September.

Its clear that Adele is on a journey ofself-discovery as a single mother with a total lifestyle overhaul. But fans hopeshes not overdoing it with an overly restrictive diet that may not be veryhealthy.

View original post here:
Adele Lost Weight Following the Trendy Sirtfood Diet, But Experts Say It Could Be Dangerous - Showbiz Cheat Sheet

When former US Rowing National Team member Mike Holbrook didnt make the 2012 London Summer Olympics due to a back injury, he quickly put on weight.

I was pretty disappointed, devastated, depressed, Holbrook, 36, tells NBC News BETTER.

He quit sports, but says he still ate like an elite rower. Soon, the 6 foot 6 inch tall Holbrook was tipping the scale at over 300 pounds.

Over the next several years, Holbrook, who lives in Seattle, made multiple attempts to lose weight. He ran a few half-marathons, he says, and would shed some pounds only to gain them back.

Last January, after Holbrooks then-girlfriend, Alyssa, accepted his marriage proposal, he knew he wanted to transform both his body and his outlook for good.

I thought: I have to do something now, he says.

Over 7 months, Holbrook lost 50 pounds just in time to say I do to the woman he loves.

Heres how the former national team athlete got back his edge.

As a former rower who once trained up to 6 hours a day, Holbrook knew that too much exercise would increase his hunger, which he feared would hurt his weight-loss goal. He decided to burn calories instead by incorporating small amounts of exercise into his daily work routine.

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A manager at a busy tech company, Holbrook made a rule for himself. Every day, he takes the elevator to and from the 32nd floor of the skyscraper where his workplace is located. He is only allowed to use the elevator twice a day: once in the morning when he arrives at work, and once in the evening when he leaves. On whatever floor the elevator happens to stop first, he has to get off and use the stairs the rest of the way. And if he needs to go to another floor for a meeting between those periods, he must use the stairs.

Climbing up and down stairs often, in a rush to avoid being late helps Holbrook burn calories throughout his busy day.

For the first few weeks and months, I was kind of winded when I got to the meetings, he says, but yesterday I was late, and I got 10 floors in about two and a half minutes, which is doing two stairs at a time, and I recovered in about 30 seconds, and I was good to go.

Holbrook downloaded the weight loss app Noom on his phone. The app calculated the amount of weight he wanted to lose, gave him a calorie budget for each day to reach his weight-loss goal, and provided a colored food grading system that showed him how calorie dense specific foods were.

Its the idea that the volume of food that you eat is more important than the actual calorie content, he says.

Foods that are lower in calories are graded green or yellow, he says, whereas higher density foods are graded in red, which makes his budget easy to visualize.

For example, grapes are graded green, while raisins are red (a half cup of raisins has about 220 calories versus 50 in a half cup of grapes, according to Berkeley Wellness). So he could easily see that a bowl of grapes would be more filling and less caloric than a handful of raisins.

I eat 40 grapes a day its a huge, overflowing of the bowl that I eat them in but if you had 40 raisins, it wouldnt even look like a small handful, he explains.

It doesnt feel restricted because youre satiated, he adds, and youre full because you continue to eat a fairly large volume of food.

Holbrook says he still eats some red foods, like chocolate and potato chips, but is careful not to go outside his budget. Every night before bed, he enjoys a few caramel chocolates. His wife helps him by nibbling the corners, he says, so he isnt eating the entire chocolate.

Still being able to enjoy some red foods helped him lose weight in the long term, he says. I am at peace with allowing myself to enjoy a little bit of any food, I think thats what made it sustainable, says Holbrook.

Holbrook lost 50 pounds just in time for his wedding in July. But there was a problem: the tux he ordered months before was too big, and he had to order a new one with a custom fit. But he says it was worth it.

I just felt amazing standing up there and telling this woman that I love her, and crying a little bit, he says.

Holbrook says he also sleeps better and no longer suffers from back pain, adding every second of every day is better.

I feel really jazzed when I come into work every day, he says.

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How this man lost 50 pounds: Incorporating exercise into his work schedule cracked the code - NBC News

The whole30 diet is just what it sounds like 30 days of eating only whole foods, meaning foods that haven't been processed or refined. At the same time, you cut out dairy, grains, and added sugars, to name just a few. What's left ends up looking pretty much like every other extreme low-carb diet.

The inventors, Melissa Hartwig Urban and her ex-husband Dallas Hartwig, describe the diet as a type of elimination diet. Elimination diets are used under medical supervision to identify specific foods to which you may be sensitive, or allergic.

Notably, thanks largely to social media, people are adopting whole30 more like a standard weight-loss diet. And while many personal accounts indicate that it may have helped some individuals with weight-loss short-term, some experts aren't impressed with the diet. Here's what you should know before trying the whole30 diet.

The whole30 diet involves a lot of restrictions. The website even includes guides to help people navigate some of the more specific bans. The main points of the diet are:

Don't eat:

Do eat:

The whole30 website says that dieters should not focus too much on weight loss. In fact, you're advised not to weigh yourself or take body measurements for the entire 30 day period.

Instead, according to the inventors' theory, you stop eating many different types of food at once to "reset" your body. When it's over, you slowly add back each type of food group and observe how your body reacts.

For example, if you add milk back into your diet and start getting stomach aches again, it is possible that you have trouble digesting lactose.

However, some critics of the whole30 diet say that it may not do what it intends, as taking a break from certain foods can cause you to react badly to them when you add them back to your diet.

One advantage of the diet is that it encourages people to cook more and move away from highly processed foods, says Carrie Dennet, MPH, RDN, a registered dietician nutritionist.

However, "this diet also makes it difficult to enjoy meals with others," says Dennet. You may have a hard time keeping it up without becoming socially isolated.

Moreover, the US News & World Report's panel of medical professionals report that the diet's highly restrictive nature is another mark against it, calling it the "antithesis of a long-term healthy dietary pattern."

In fairness, the whole30 diet is only meant to be done for 30 days. No more, no less.

There's no published research that evaluates whether, or not, the whole30 diet works or is even safe in either the short or long-term.

It is concerning that the whole30 diet can potentially lead to nutritional deficiencies, say Dennet. "The reality is that the more foods or food groups you take 'off the table,' the harder it is to meet nutritional needs."

Dennet also advises that people should only do elimination diets under the supervision of a registered dietitian who can help you determine the best elimination diet to follow for your specific needs since food sensitivity and allergies are different for everyone.

Continued here:
What is the whole30 diet? Why experts call it the 'antithesis' of a healthy diet - Insider - INSIDER

THE cookie diet has taken Instagram by storm - and is being touted as a quick and easy way to lose weight.

Stars including Married At First Sight star Jessika Power have claimed they eat the "appetite suppressing cookies instead of breakfast and lunch to blitz body fat.

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However, the diet has now been slammed by a nutritionist.

Controversial reality star Jess Power has thrown her support behind the Cookie Diet, an unusual weight loss method health professionals have labelled unsustainable that was first popularised in the US a decade ago.

Power promoted the diet in an Instagram post last week, writing that the cookies contain a special blend of proteins (which) turn it into an appetite suppressant.

She said: "All I really wanted was something to curb my cravings, suppress my hunger and maintain my weight Ive been working out harder and having the energy during the day to be active but Ive lost the craving to constantly want to snack!

But it didnt take long for the Australian telly star to be slammed for promoting the diet.

This is all bulls**t, one person commented on her post, while another added: You should not be promoting fad diets like this!!

According to its website, the Cookie Diets cookies naturally suppress hunger and it claims there are no failures if you follow the regimen properly.

It works in two phases; the Weight Losing Phase and Weight Maintenance Phase. A one week supply of the cookies starts at 40 while a one month pack costs 117.

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During the first phase participants are told to eat 1-2 cookies every 2 hours plus a dinner of lean meat plus salad/veggies.

Then, participants can eat eat healthy meals and enjoy the cookies as a healthy, low calorie snack between meals.

The Cookie Diet was invented by US doctor Sanford Siegal in 1975, who used to prescribe it to patients in his weight loss clinics, before it became available online.

In 2007, Dr Siegal and his son Matthew Siegal launched CookieDiet.com, making the diet available widely.

It became famous during this period for its endorsements with US celebrities, including Jersey Shores Nicole Snooki Polizzi, who said she used the diet to lose weight after too much partying.

But its perhaps most famous for its public fallout with Kim Kardashian, who in 2009 blasted the Cookie Diet, claiming it was using her name to promote its product, Fox Newsreported at the time.

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Kim, who was then a spokesperson for a weight loss shake company, tweeted: Dr. Siegals cookie diet is falsely promoting that Im on this diet. NOT TRUE! I would never do this unhealthy diet! I do QuickTrim!

If this Dr. Siegal is lying about me being on this diet, what else are they lying about?

In response the Cookie Diet took legal action against her, suing her for making a derogatory statement about their diet.

The Cookie Diet was brought to Australia in 2018 by Australian company, OzHealth Pharma, where its been growing its profile.

The cookies themselves have sugar listed as the number one ingredient

Nutritionist Rick Haydidnt mince his words, telling news.com.au following the Cookie Diet was not exactly the healthiest way to lose weight.

Although there is a healthy eating plan that goes alongside the cookies, the cookies themselveshave sugar listed as the number one ingredient, which in my opinion doesnt make these cookies an obvious choice when looking to lose weight sustainably and healthily, he said.

This is very 1985 to me.

Labelling it a fad diet, Mr Hay said the cookies could lead to people not getting enough nutrients and warned any weight loss could be just short term.

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You may not get a good nutrient profile, and some people may think that they can just eat cookies all day which is way too restrictive, he said.

Instead of turning to the diet cookies Mr Hay recommended people looking to lose weight turn to plant-based options, which are high in fibre and help to reduce cravings naturally.

Eat lots of plant-based meals both vegan and vegie, as they deliver good amounts of fibre and help with nutrient density, Mr Hay said.

You should make your plate colourful, if its mostly beige or cookie coloured then we have a problem.

You also need to move more no ifs ands or buts if you want sustainable weight loss you have to exercise.

Power declined to answer news.com.aus questions about her support of the diet, except to say she had been eating the cookies for the past month.

In a statement OzHealth Pharmas COO George Iskander defended the diet, saying he was very confident in the product since it had been around for 40 years.

A lot of nutritionists will be against our diet, they believe it to be a fad, he said. If it is, its the longest running fad in history.

Mr Iskander, who is also a pharmacist, said there had been a spike in interest since Powers post advertising the diet.

We have had a lot of influencers reach out to us and we provide them with the product and allow them to make their minds up about it, he said.

Mr Iskander said he was very confident in the product and refuted claims they contained high amounts of sugar.

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We are very confident in our product as it has been around for over 40 years in the US.

Mr Iskander stressed there was nothing harmful in the cookies and they are normal low calorie cookies.

Show the ingredients to your doctor and always follow his or her instructions, he said.

This article was originally published on news.com.au.

Excerpt from:
Weight loss: New cookie diet is taking Instagram by storm but does it really work? - The Sun

February marks FebFast, the month where people are encouraged to forego their favourite vice, such as alcohol or sugar, in support of disadvantaged youth in Australia.

The idea of giving up something, cold turkey, even just for a month is something that most people can find hard to wrap their heads around.

However, the concept of fasting isnt a new one, in fact it has been around for a long time, and it boasts some amazing results for participants. Interestingly though, many people dont know exactly how it works, why its effective or how to go about it safely.

In a nutshell, fasting is a broad term for a variety of different fasting methods that all involve restricting your daily calorie intake to a relatively narrow window of time each day.

One popular method for intermittent fasting, is the 5:2 diet. This involves eating normally for five days in the week and then restricting your calorie intake to 500-600 for two days of the week. Another example is the 16:8 method, which involves adopting an eight hour window and fasting for the remaining 16 hours of the day.

By this point you might be asking, why? Fasting can have some major health benefits, including enhanced sleep, improved mental health, reduction in the likelihood of chronic diseases like diabetes and heart disease and promotes weight loss. It works like this:

Eating large meals before bed has been proven to negatively impact your sleep, promoting a more restless and less refreshing sleep.

However, fasting gives your digestive system a chance to settle down, bringing your body back to energy saving mode. It helps you to wake up feeling far more refreshed and energised, with a body clock that has become more synchronised.

Anxiety disorders have been known to be linked to a persons sleep, noting the importance of having a good sleep cycle to help improve the symptoms of anxiety.

Therefore, fastings ability to restore equilibrium in that area, demonstrates its ability to lessen anxiety. It also steers participants away from foods that inevitably lead to energy crashes, with quick serotonin boots and can actually worsen a persons symptoms over time.

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Fasting is known to improve certain blood markers such as increasing good cholesterol (HDL) and reducing triglycerides (TG), which are a type of fat present in the blood that is known to promote heart disease, as well as reducing blood pressure and heart rate.

These factors lead to improved heart health, and a lower chance of cardiovascular disease.

Theres more research to show that fasting successfully lowers blood glucose and insulin levels and is therefore an effective preventative method and treatment for management of type-2 diabetes.

During fasting, your body replaces burning glucose (carbohydrates) to burning fat as its primary source of energy and fuel. This results in gradual weight loss, as well as improvements in glucose regulation, blood pressure and heart rate, which in turn aids the effectiveness of endurance training.

However, it must be noted that the results will not happen straight away and require dedication to fasting, with results expected to occur after 10 weeks.

Overall, it is important to remember when intermittent fasting, is how to go about it safely, as its benefits reach way beyond shedding some extra kilos. The most essential safety tips to keep in mind when fasting are:

The 5:2 diet is a good example of this, as you only fast for two days and are still receiving 25 percent of your daily calorie requirements. Longer fasting periods can increase risks associated with fasting, such as dehydration, irritability, fainting, lack of energy and hunger.

This is also where the 5:2 diet is beneficial, as this can reduce the risk of fainting and the other aforementioned risks. Eating small amounts on fast days is far more sustainable that doing a complete fast and then bingeing on the weekend.

You get 20-30 percent of your fluids from food, so dramatically cutting your food intake will therefore have an impact on your hydration levels throughout the day. Aim to drink two to three litres of water on fast days but be careful to listen to your body, your thirst will tell you when its time to drink more water.

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If you're sick and tired of counting calories or jumping from one diet to the next, this news might come as a welcomed reprieve.

It can be tempting after a fast to fill up on all the foods you missed out on, but this can leave you feeling bloated and tired and can impact any long-term weight loss goals. On your off days, try to stick to a normal eating routine and incorporate as many of the food groups as you can.

If you begin to feel unwell or become concerned for your health, stop fasting straight away. While tiredness, hunger and mood changes are normal, feeling sick is not.

If you start to experience symptoms of dizziness, nausea and vomiting, chest pain or stomach pain, diarrhoea, or loss of consciousness please see your healthcare professional.

Apart from the wonderful cause behind FebFast, youre certainly not short of reasons to partake in fasting this year.

Featured image: Supplied/Getty

Excerpt from:
Does Intermittent Fasting Work? A Dietitian Answers Everything You Need To Know - 10 daily

Theres a lot going on in the markets, and the only certainty is uncertainty. To cut through the fog, investment bank Goldman Sachs has been releasing reports on the stocks that it believes will bring returns to investors despite a cloudy economic horizon.

David Kostin, Chief U.S. Equity Strategist at Goldman, believes that the Coronavirus outbreak won't have a lasting impact on the markets, and said in a note, Investors who believe the economic consequences of the coronavirus will be limited should increase exposure to cyclicals and value stocks.

With this in mind, we pulled up three of Goldman Sachs recent stock picks which the renowned investment bank thinks can soar in the coming months. Using TipRanks Stock Comparison tool, we were able to read the fine print on what 2020 has in store for the three tickers. Lets take a closer look.

Simply Good Foods Company (SMPL)

Well start with a mid-cap food and snack business, Simply Good Foods. In business since 2017, when it was formed through a corporate merger, Simply Good Foods develops and markets nutritional snacks and foods. The company operates in Colorado and Connecticut, where it offers nutrition bars, ready-to-drink shakes, and confectionery products under the Atkins and Simply Protein brand names.

Early in January, SMPL released its fiscal Q1 earnings results, and the numbers showed that the nutritious snack business is solid in the Rockies Front Range. Revenues were way up year-over-year, coming in at $152.15 million, for a 26% annual gain. EPS was also strong. At 22 cents, it was up 22% year-over-year, and 4.7% above the forecast. It was the third time in a year that SMPL beat the EPS forecast.

In the second half of 2019, SMPL completed its acquisition of competitor Quest Nutrition. The move cost SMPL $1 billion, which the company paid through a combination of cash and credit. Its important to note that SMPL racked up its earnings and revenue annual gains while adding $460 million to its outstanding loan balance. SMPL management has plans in place to pay down a large portion of the debt during fiscal 2020.

Goldman analyst Jason English is bullish on SMPL, adding the stock to his firms Conviction List. The analyst wrote, We add Buy-rated SMPL to the Americas Conviction List given its portfolio of advantaged brands, especially in the bars segment, and reiterate our Buy rating on BRBR given the appeal of its Premier Protein brand. We see compelling fundamental rooted upside for both, as well as M&A optionality."

English backs his Buy rating with a $34 price target, suggesting an upside potential here of 41% in the coming year. (To watch Englishs track record, click here)

SMPL has the luxury of a unanimous Strong Buy consensus rating. The average price target, $33, gives the stock an impressive 37% upside from the current share price of $24.06. (See Simply Good Foods stock analysis on TipRanks)

WW International, Inc. (WW)

Next up is Weight Watchers, the well-known diet program. What is less well-known about the company is that it is a billion-dollar empire, founded not just on weight loss programs and products, but also on fitness programs and healthy habits assistance. The companys programs are designed to steer customers towards better overall health and wellness, not just weight loss and the company brings in over $1.5 billion in annual revenues, based on customer subscriptions.

In September 2018, Weight Watchers rebranded itself, using the initials WW as the name, to emphasize the shift to health and wellness. The move was well received in the industry, and WW has shown steady earnings in 2H19. In Q3, the company brought in $348.6 million in revenue, and showed EPS of 68 cents, beating the forecast by 1.5%.

Looking ahead to Q4, the forecast predicts a sequential drop but continued year-over-year gains. EPS is expected at 37 cents. To put the quarter in context, the company has a history of stronger Q1 and Q2 performances, followed by lower second-half numbers. In other good news for the company, in December WW announced that it will be extending its partnership with Oprah Winfrey into the year 2025.

Jason English, quoted above on SMPL, also reviews WW for Goldman Sachs. Looking at the stocks prospects going forward, he wrote, WWs fundamental (and stock price) performance has historically run in cycles. Positive inections in these cycles have typically been accompanied by multifaceted layers of new news to engage the consumer On the back of our increased subscriber growth rate assumptions, our FY20 EPS expectations rise 47% and now rest 20% ahead of FactSet consensus we also see potential for WWs valuation to re-rate higher

Seeing a discount in the stock at current prices, and strong positive prospects with the continuance of the Oprah partnership, English upgraded his stance on WW from Neutral to Buy. Supporting this, he gives the stock a $48 price target, implying a strong upside of 28%. (To watch Englishs track record, click here)

WW shares get an even split from Wall Street, with 3 Buys and 3 Holds averaging out to a Moderate Buy consensus rating. Shares are selling for $37.34, and the average price target, $43.40, indicates room for 17% growth to the upside in the next 12 months. (See WW stock analysis on TipRanks)

Dominos Pizza, Inc. (DPZ)

The last stock on our list might seem incongruous, after health snacks and Weight Watchers, but Dominos Pizza has long been a staple of the stock markets. And, for the last two years, the company has been the worlds largest pizza delivery chain, by sales volume. The Ann Arbor, Michigan based company brings in approximately $3.5 billion in annual revenue which is a whole lot of pizza served.

Dominos has been feeling pressure in the past year from the advent of third-party delivery companies (think GrubHub or Uber), which have been cutting into the fast-food industrys margins. Dominos image is built on fast delivery a promise it has held to since the 1990s. The company has pushed back, with PR initiatives like fixing potholes, and with practical initiatives in robotic delivery systems. A program for the latter is under development in Houston, Texas.

The pizza company is predicting mixed results going forward. In the Q3 report, DPZ beat expectations, with EPS at $2.05, while revenues, at $820.8 million, were almost exactly on the forecast. Looking ahead, the company lowered its forward guidance, citing increased delivery competition. In its note on earnings, management said it expects sales growth of 7% to 10% over three years, as opposed to the previous figure of 8% to 12%. At the same time, the company has a history of overcoming obstacles (it successfully turned around its reputation for poor quality in the early 2010s) and its last quarterly report showed that cash on hand had more than doubled while long-term debt declined slightly. DPZ will report Q4 results next week, and analysts expect EPS to come in at $2.94, for substantial gains both sequentially and year-over-year.

Writing up DPZ for Goldman, Katherine Fogertey noted the upcoming quarterly release as reason for optimism. She writes, [W]e expect the companys overall commentary to support their long-term unit and system sales growth targets. Namely, we are encouraged by what we view as industry leading franchisee returns and expect fortressing can help delivery growth in carryout and further improve DPZs competitive advantage versus third party aggregators.

In line with her upbeat view of DPZs prospects, she upgraded her outlook and gave the stock a Buy rating. Her price target, $320, implies an upside potential of 16% over the coming year. (To watch Fogerteys track record, click here)

Dominos Pizza shares are currently selling for $274.85, and have an average price target of $309.92. This gives the stock an upside potential of 13% in the coming year. Wall Streets analyst corps is somewhat divided on this one, but leans toward buying with 10 Buy ratings, 4 Holds, and 1 Sell, DPZ gets a Moderate Buy from the analyst consensus. (See Dominos Pizza stock analysis at TipRanks)

The views and opinions expressed herein are the views and opinions of the author and do not necessarily reflect those of Nasdaq, Inc.

View post:
Goldman Sachs: These 3 Stocks Are Poised to Soar by at Least 15% - Nasdaq

In the United States and many other countries, a dietitian is a board-certified food and nutrition expert. They are highly educated in the field of nutrition and dietetics the science of food, nutrition, and their impact on human health.

Through extensive training, dietitians acquire the expertise to provide evidence-based medical nutrition therapy and nutritional counseling tailored to meet an individuals needs.

They are qualified to practice across a span of settings, including hospitals, outpatient clinics, research institutions, or local communities, to name a few.

To earn the credentials of Registered Dietitian (RD) or Registered Dietitian Nutritionist (RDN), a person needs to complete the criteria set forth by governing bodies like the Academy of Nutrition and Dietetics (AND) in the United States or the Dietitians Association of Australia (1, 2).

Additionally, in some countries, people may earn the title of registered nutritionist, which is synonymous with registered dietitian and requires certification from a governing body.

These are professional organizations that oversee the field of dietetics in their respective countries.

To clarify, the credentials of RD and RDN are interchangeable. However, RDN is a more recent designation. Dietitians can choose which credential they would rather use.

To earn these credentials, dietitians-to-be must first earn a bachelors degree or equivalent credits from an accredited program at a university or college.

Typically, this requires an undergraduate science degree, including courses in biology, microbiology, organic and inorganic chemistry, biochemistry, anatomy, and physiology, as well as more specialized nutrition coursework.

As of January 1, 2024, all dietetics students must also hold a masters degree to qualify for their RD board examination in the United States (3).

In addition to formal education, all dietetics students in the United States must apply for and be matched with a competitive internship program accredited by the Accreditation Council for Education in Nutrition and Dietetics (ACEND).

Similar internships may be required in other countries.

Internships typically expose the student to 9001,200 unpaid supervised practice hours across the 4 domains of practice, with careful adherence to competencies, or specific areas of study, complemented by in-depth projects and case studies outside of those hours.

Furthermore, the student must usually pass an exit exam mirroring the content of the board exam before completing the internship. The successful completion of these requirements qualifies them to take a board examination.

Finally, a dietetics student who passes the board exam in their respective country can apply to become a registered dietitian.

Earning dietitian credentials requires national board certification. Whats more, many states, such as Texas, California, and Nebraska, require that dietitians be licensed in order to practice (4).

The process of licensing sometimes has additional requirements, like passing a jurisprudence exam. This is meant to ensure that dietitians practice under a code of conduct to protect public safety.

The dietitian must also continue their professional development by completing continuing education credits, which helps them keep up with the ever-evolving field.

There are four main domains of practice for dietitians clinical, food service management, community, and research.

Clinical dietitians are those who work in an inpatient hospital setting. Outpatient dietitians may also work in a hospital or clinic, but they work with people who arent admitted to inpatient care and are usually less ill.

Both inpatient and outpatient dietitians provide support to the medical team to treat many acute and chronic illnesses. Dietitians in long-term care facilities may also supervise the nutrition of people with serious conditions that require ongoing care.

They follow standards of practice and detail a persons medical history and current status, including lab work and weight history. This allows them to assess acute needs, prioritizing life-threatening conditions.

Inpatient and outpatient dietitians also provide nutrition education to people with specialized needs, such as those newly out of surgery, in cancer treatment, or diagnosed with chronic illnesses like diabetes or kidney disease.

In the outpatient setting, they give more in-depth nutritional counseling working towards a nutrition-oriented goal.

Dietitians may also work in other settings like research hospitals, universities, or food service management.

They can advocate for public policies and provide expertise in the community setting, such as school districts or public health organizations like Women, Infants, and Children (WIC).

Food service management dietitians oversee the production of nutritionally adequate food that meets food safety guidelines within a large organization, such as a school district or military base.

A community dietitian can help design and implement programs aimed at populations instead of individuals, such as community cooking initiatives or diabetes prevention interventions. They can also advocate for public policies with a focus on nutrition, food, and health issues.

Research dietitians typically work in research hospitals, organizations, or universities. They operate within a research team headed by a primary investigator and carry out nutrition-focused interventions.

Once dietitians have earned their credentials and are working in the field, they can go on to specialize in a particular subcategory, such as pediatrics or sports dietetics.

Finally, dietitians may also run private practices to provide services like nutritional counseling.

They may additionally teach in an academic or research institution or write about nutrition-related topics. Others may work as health and nutrition experts in media or as public speakers.

Dietitians are qualified to manage nutrition therapy across a span of acute and chronic conditions. The type of conditions they treat depends most on the setting of their practice.

This means that they can treat nutrition problems that may arise from cancer or its treatment, as well as work with a client to prevent the onset of diabetes.

In hospitals, they treat a range of people, such as those who are clinically malnourished, as well as those who require nutrients via feeding tubes.

Dietitians also treat people undergoing bariatric (weight loss) surgery or those with kidney issues, as these individuals can have many nutritional restrictions and benefit from individualized care to fully meet their bodies needs.

Eating disorder dietitians have usually acquired additional training or education to treat this population. They work with a team of psychotherapists and doctors to help individuals recover from these disorders (5).

Eating disorders include chronic starvation (anorexia nervosa) or binging and purging (bulimia) (5, 6).

Sports dietitians specialize in optimizing nutrition for enhanced performance in athletes. These dietitians may work in gyms or physical therapy clinics, as well as with a sports team or dance company (7).

Dietitians can apply their expertise across a broad range of settings, such as hospitals, research institutions, and sports teams. They may prescribe nutrition therapy to help treat or prevent acute and chronic illnesses.

In some countries, people may translate their title as nutritionist rather than dietitian, though their educational background closely resembles that of a dietitian.

However, in the United States and other countries, a nutritionist is a person with an interest in nutrition and diet. There is no legal precedent for this term, so anyone can call themselves a nutritionist.

As a nutritionist has no legal standing in the United States, there is no code of conduct or standards of practice established to describe what they do.

They may apply their interest in nutrition to anything from running a food blog to working with clients.

However, because uncredentialed nutritionists typically lack the expertise and training for medical nutrition therapy and nutrition counseling, following their advice could be considered harmful (8).

Further, nutritionists in the United States dont have to abide by a code of conduct, which are designed to protect the public and avoid conflicts of interests in promoting haphazard supplements or food products (8).

In the United States and many other countries, no degrees or credentials are required to be a nutritionist. You simply need an interest in the field.

However, alternative education and certifications may earn someone the title of Certified Nutrition Specialist (CNS).

Those with CNS credentials are health professionals like nurses or doctors with advanced health degrees who have sought out additional coursework and completed supervised practice hours, as well as passed an exam overseen by the American Nutrition Association.

Unlike RDs, CNSs do not prescribe nutrition therapy, though they can oversee community nutrition education programs.

In the United States, nutritionists have no legal standing to treat health conditions. Giving nutrition advice without the proper knowledge and training can be harmful, especially when counseling those with health conditions.

Moreover, those without credentials may see clients who seek approaches to nutrition that are outside the scope of traditional medicine.

However, this is typically less evidence-based, which may pose a health risk.

In the United States, nutritionist is a term that carries no legal meaning. Therefore, anyone can call themselves a nutritionist. Yet, alternative education and certifications may grant titles like Certified Nutrition Specialist.

Read more:
Dietitian vs. Nutritionist: What's the Difference? - Healthline

CHICAGO Losing weight remains a top goal for half of American adults, according to The NPD Group.

Around 25% of consumers will follow a specific diet plan in 2020, the market research company said, up from approximately 20% in 2016. Top diet plans include the low-carb, high-fat ketogenic or keto diet, and intermittent fasting, an eating pattern that cycles between periods of eating and periods of fasting. Around 5% of consumers follow the keto diet while 4% follow intermittent fasting.

Instead of adhering to a formalized diet or nutrition plan, 16% of consumers said they follow their own diet, which may include a range of personalized dieting patterns. Among the most common are eating more healthful foods and beverages and limiting the amount of food eaten, NPDs Health Aspirations and Behavioral Tracker Service found. The remaining percentages of consumers who follow a diet plan to lose weight are fragmented across a variety of other diet programs.

From the standpoint of food manufacturers and food service operators, dieting and trying to lose weight are big consumer behaviors, said Darren Seifer, food and beverage industry analyst at NPD. The opportunity is to help consumers follow through on their goals by positioning products and menu items to a specific diet, like keto-friendly, or innovate on new products that deliver on what consumers are looking for in terms of dieting or losing weight.

Not all consumers seeking healthier options are trying to lose weight, though. NPD also found that close to a quarter of U.S. adults reported being on a nutritional plan with the goal of promoting long-term health, but not necessarily weight loss.

Read the original here:
Half of U.S. adults want to lose weight in 2020 - Food Business News

Eat healthier, lose weight, drink less alcohol, quit smoking these are some of the most common health-related new year resolutions. However, while its easy to resolve to make positive lifestyle changes on Jan. 1, challenges and barriers to success can emerge in the following weeks and months.

Dr. Marc Feldman, assistant professor of family and community medicine at Baylor College of Medicine, says only 46% of Americans who have made these and other resolutions have stuck to them after six months. Heres why:

Want to make your goals stick? Heres how:

If your resolution is to lose 60 pounds by spring break, thats likely not realistic. Instead, set a goal of bringing your lunch instead of eating out or taking a walk during your lunch break.

These goals help promote behaviors that will lead to long-term weight loss, said Emily Monfiletto, a senior registered dietitian at Baylor.

Build momentum toward your long-term goal. For example, if your resolution is to start exercising, take the first step by building no-cost, achievable activities into your daily routine, like going on short walks, taking the stairs instead of the elevator, or doing calf lifts while brushing your teeth. Then, you can tackle a gym membership or running a 5k.

SMART goals are Specific, Measurable, Achievable, Relevant and Time based. When goals are too generic, its hard to even get started, Monfiletto said.

Turn the goal of eating healthier into a SMART goal by tracking food and exercise through an app or journal, developing a plan of action after reviewing data, and making a back-up plan for days that more hectic.

Roadblocks are going to arise, Monfiletto said, but they shouldnt derail your resolution. One way to reduce them is to plan for busy days, week or months, and prepare for changes in routine.

Dont focus on the slip when it does happen; rather, focus on how you are going to get back on track. Also make sure to celebrate success, even if it seems small.

A support network is key to success, says Dr. Lizabeth Riley, an assistant professor of family and community medicine at Baylor. This can come in the form of a social network of friends, attending group exercise classes at a local gym, and even through online- and app-based fitness trackers.

Were in an electronic age, and so many things at our fingertips can be valuable resources, she said. Make use of apps like My Fitness Pal and Lose It. Many of them even have chat and networking functions so you can connect with others.

Dr. Marc Feldman, Dr. Lizabeth Riley and Emily Monfiletto are with Baylor Medicine. Learn more about healthcare services at Baylor.

Have resolutions? Heres how to keep them

Focus your resolution on lifestyle improvement, not outcomes

-By Dana Benson

More:
It's not too late to get started on resolutions - Baylor College of Medicine News

Pharmacists can play an integral role in managing patients with inflammatory bowel disease (IBD) through medication management.

IBD includes the 2 conditions, Crohn disease and ulcerative colitis (UC), which involve chronic inflammation of the gastrointestinal (GI) tract. Crohn disease is characterized by inflammation that can affect any part of the GI tract.1 Inflammation occurs in the large intestine (colon) and rectum for UC.2 Symptoms of IBD include diarrhea, fever, abdominal pain, bloody stool, reduced appetite, and weight loss.2

Treatments and Counseling Points

Treatment for IBD generally involves either pharmacotherapy or surgery. An important counseling point is to avoid nonsteroidal anti-inflammatory drugs such as ibuprofen or naproxen, as these medications can exacerbate IBD symptoms and increase the risk of bleeding.3,4 Pharmacists can recommend acetaminophen for patients with IBD needing pain relief. The American College of Gastroenterology (ACG) clinical guidelines recommend management based upon disease extent, severity, and prognosis.3,4

Many of the same medications can be used to treat both UC and Crohndisease. Patients with mild UC can be treated with anti-inflammatory medications such as aminosalicylate therapies (5-ASA) as a first step in the treatment process.3 The 5-ASA medications (eg sulfasalazine, mesalamine, olsalazine) are generally well tolerated, and adverse effects may include headache, nausea, abdominal pain, vomiting, rash, and fever. Sulfasalazine has shown to be effective for treating mild-to-moderate symptoms of colonic Crohn disease.4

Corticosteroids (eg prednisone, budesonide) are generally reserved for patients with moderate-to-severe UC or Crohn disease.3,4 However, long-term use is not recommended due to the high risk of adverse effects including hypertension, increased blood glucose, cataracts, weight gain, osteoporosis, and psychiatric symptoms. One study showed that there was excessive steroid use in approximately 15% of patients with IBD.5

Anti-tumor necrosis factor (anti-TNF) medications such as adalimumab (Humira), golimumab (Simponi), or infliximab (Remicade) are biologics that can reduce symptoms and heal the intestine in patients with UC.5 Adalimumab, certolizumab pegol (Cimzia), and infliximab are the most effective anti-TNF therapies to treat moderate-to-severe Crohn disease.6 These medications may cause injection sitereactions, increase the risk of developing infections, and may cause changes in liver function so patients should beclosely monitored.

Biosimilar products are available for many of the anti-TNF drugs, which could make these medications more affordable for patients. Vedolizumab (Entyvio) is a biologic that is another option for UC and Crohn disease in patients who have failed other medications.3,4 Tofacitinib (Xeljanz), an immunomodulatory drug that decreases inflammation, is another option for UC.3 The FDA added a Boxed Warning regarding an increased risk of blood clots in patients taking tofacitinib 10 mg twice daily dose and discussed that this medication should be reserved as second-line therapy for individuals who failed or cannot tolerate anti-TNF drugs.6 Natalizumab (Tysabri) is effective for Crohn disease in patients who do not respond to conventional therapies, but it is associated with a rare brain disease known as multifocal leukoencephalopathy.4 Individuals must be enrolled in a special program to use the medication. Ustekinumab (Stelara) is used for moderate-to-severe Crohn disease that has failed other therapies and just received FDA approval on October 21, 2019 for UC.7

Read this article:
What Pharmacists Should Know About Trends in IBD Treatment - Drug Topics

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