position paper on fad diets - national nutrition council · 2018-10-04 · weight loss as it may...

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5th National Conference of Nutrition Action Officers 23 August 2018 Policy Statement on Fad Diets

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Page 1: Position Paper on Fad Diets - National Nutrition Council · 2018-10-04 · weight loss as it may pose potential health risk and dangers. Instead, the NNC recommends the adherence

5th National Conference of Nutrition Action Officers

23 August 2018

Policy Statement

on Fad Diets

Page 2: Position Paper on Fad Diets - National Nutrition Council · 2018-10-04 · weight loss as it may pose potential health risk and dangers. Instead, the NNC recommends the adherence
Page 3: Position Paper on Fad Diets - National Nutrition Council · 2018-10-04 · weight loss as it may pose potential health risk and dangers. Instead, the NNC recommends the adherence

What areFad Diets?

Any dietary regimen or practice promoted for weight loss and improvement of health that does not form part of standard dietetic-led weight management advice

Page 4: Position Paper on Fad Diets - National Nutrition Council · 2018-10-04 · weight loss as it may pose potential health risk and dangers. Instead, the NNC recommends the adherence

Characteristics of a Fad Diet

Makes dramatic claims that are not

supported by evidence

Nutritionally imbalanced

Promise of rapid weight loss

(>1 kg/week)

Does not include improvement in

health and exercise

Provides no health warning to those with pre-existing

medical conditions

Based on anecdotal

evidence and/or testimonials

Page 5: Position Paper on Fad Diets - National Nutrition Council · 2018-10-04 · weight loss as it may pose potential health risk and dangers. Instead, the NNC recommends the adherence

Classifications of Fad Diets

CLASSIFICATION EXAMPLES

Calorie Restriction Very Low Energy Diet (VLED), Military Diet, Blood type/Cohen, HCG Diet

Low Carbohydrate, High Protein Atkin’s Diet, Paleo Diet

Moderate Carbohydrate, High Protein

Zone Diet, South Beach Diet

Low Carbohydrate, High Fat Ketogenic Diet

Avoidance to certain food groups Gluten Free, Macrobiotic Diet

Fasting Intermittent Fasting, Water Fasting

Detox Juice Fast, Master Cleanse

Page 6: Position Paper on Fad Diets - National Nutrition Council · 2018-10-04 · weight loss as it may pose potential health risk and dangers. Instead, the NNC recommends the adherence
Page 7: Position Paper on Fad Diets - National Nutrition Council · 2018-10-04 · weight loss as it may pose potential health risk and dangers. Instead, the NNC recommends the adherence

Overweight by age/population group

4.96.1 6.1 6.7

8.3 9.2

24

26.628.4

31.1 31.1

0

10

20

30

40

2003 2005 2007 2009 2011 2013 2015

Under-five 5-10 y/o

10.08-19 years old ≥20 years old

Lactating women

Source. National Nutrition Surveys. Food and Nutrition Research Institute, DOST

Page 8: Position Paper on Fad Diets - National Nutrition Council · 2018-10-04 · weight loss as it may pose potential health risk and dangers. Instead, the NNC recommends the adherence
Page 9: Position Paper on Fad Diets - National Nutrition Council · 2018-10-04 · weight loss as it may pose potential health risk and dangers. Instead, the NNC recommends the adherence

Positive Effects and Advantages of Certain Fad Diets

Rapid and substantial weight loss

1

Counters “diet fatigue”

2

Choice for a weight loss strategy

3

Some studies back up claims

4

Page 10: Position Paper on Fad Diets - National Nutrition Council · 2018-10-04 · weight loss as it may pose potential health risk and dangers. Instead, the NNC recommends the adherence

Negative Impact of Fad Diets

Short-term success, long-term failure

Nutritionally imbalanced

Poor diet adherence and long-term

behavior modification

Induce stress and cause disease to certain organs

Lack focus on the importance of health and PA

Psychological implications

Page 11: Position Paper on Fad Diets - National Nutrition Council · 2018-10-04 · weight loss as it may pose potential health risk and dangers. Instead, the NNC recommends the adherence

Recommendations for Weight Loss

• Weight loss requires an individualized and interdisciplinary approach

• Combination of consumption of healthy diet, physical activity, and behavior modification

Page 12: Position Paper on Fad Diets - National Nutrition Council · 2018-10-04 · weight loss as it may pose potential health risk and dangers. Instead, the NNC recommends the adherence

• Nutritionally Adequate

• Moderation + Variety + Balance + Proportionality

• Limit intake of processed foods, trans fat, free sugars

• Ecological and Sustainable

DIET

• 150 mins moderate-intensity, 75 mins vigorous-intensity PA in a week (WHO)

• Includes muscle-strengthening activities at least 2x a week

• Expend 300 kcal/session (PASOO)

PHYSICAL ACTIVITY

• Effective behavioral strategies for weight loss

BEHAVIOR MODIFICATIONS

Page 13: Position Paper on Fad Diets - National Nutrition Council · 2018-10-04 · weight loss as it may pose potential health risk and dangers. Instead, the NNC recommends the adherence

Population-based approaches to address overweight and obesity

Complementation with population-based interventions to promote healthier food environments, food systems and behavior-change communication

Page 14: Position Paper on Fad Diets - National Nutrition Council · 2018-10-04 · weight loss as it may pose potential health risk and dangers. Instead, the NNC recommends the adherence

Timeline of activities

First presentation to NNC Technical Committee

27 Mar 2018

Revisions on First Draft

April 2018

Conduct of Consultation Meeting with Experts

7 May 2018

Revisions on Second Draft

8 May – 10 June 2018

Second Presentation to NNC Technical Committee

11 June 2018

21 June 2018

Dissemination of Policy Statement on Fad Diets

Approved

Approved by the GB

Page 15: Position Paper on Fad Diets - National Nutrition Council · 2018-10-04 · weight loss as it may pose potential health risk and dangers. Instead, the NNC recommends the adherence

Policy Statement onFad Diets

Fad diets are not recommended for

weight loss as it may pose potential

health risk and dangers. Instead, the

NNC recommends the adherence to

a holistic, sustainable, adequate

and nutritionally-balanced diet,

complemented by an active

lifestyle and lifelong behavioral

modifications.

Page 16: Position Paper on Fad Diets - National Nutrition Council · 2018-10-04 · weight loss as it may pose potential health risk and dangers. Instead, the NNC recommends the adherence

Policy Statement onFad Diets

It is also the position of the NNC

that individual efforts to address

overweight and obesity must be

complemented with population-

based interventions, particularly on

the promotion of healthier food

environments, food systems and

public awareness through

behavior-change communications,

to prevent further increase in

overweight and obesity

prevalence in the country.

Page 17: Position Paper on Fad Diets - National Nutrition Council · 2018-10-04 · weight loss as it may pose potential health risk and dangers. Instead, the NNC recommends the adherence

Dissemination of thePolicy Statement onFad Diets with monitoring and reporting to NNC Governing Board

1. Registered Nutritionist-Dietitians

2. Local health and nutrition workers

3. Associations, organizations, and other stakeholders related to nutrition, health, and fitness

4. Academe in Nutrition and Dietetics, medical and allied fields

5. General public (publication in major dailies, websites and social media)

Page 18: Position Paper on Fad Diets - National Nutrition Council · 2018-10-04 · weight loss as it may pose potential health risk and dangers. Instead, the NNC recommends the adherence

Actions of NAOs

1. Be familiar with the policy statement for consistency in messages

2. Help disseminate the Policy Statement to your constituents

Page 19: Position Paper on Fad Diets - National Nutrition Council · 2018-10-04 · weight loss as it may pose potential health risk and dangers. Instead, the NNC recommends the adherence