Thread by @StreetSmartRD

The devil works hard but the Academy of Nutrition & Dietetics works harder

ICYMI they quietly proposed new guidelines for "evidence-based" interventions for o*****y

In there, they recommend a daily 500-750 kcal deficit and suggest not using #HAES to improve quality of life

It should be obvious, but this is NOT the move. I cannot endorse what will perpetuate a culture of weight stigma and anti-fat bias in the profession and allow harmful practices to continue to be recommended to those in fat bodies under the guise of it being "evidence-based"

You can read them here:
andeal.org/public-comment…

Worth noting, the highest evidence grade they can give is 1B (Moderate) and the majority of these proposed recommendations fall under 1C or 2C (Low)

In other words: THEY CAN'T EVEN BACK UP THEIR OWN BULLSHIT. They're relying on their thinly veiled savior complex and questionable intentions + everyone's collective fatphobia to forge ahead on this

If "the true effect may be substantially different from the estimate of the effect" how tf is it "evidence-based" to recommend something* that clinicians and the public alike readily call out as harmful?

*extremely low calorie ranges and disordered eating behaviors

Evidence-based practice involves three things:
1. The best available data from well-designed studies
2. A clinician's expertise and experience
3. A patient's preferences and values

They can't even satisfy the first one when it comes to weight science and health outcomes

The majority of weight science research doesn't adequately control for weight bias or the harmful effects of weight stigma, and uses very homogenous populations without robust screening for ED histories or past dieting patterns

In other words, the current evidence sucks for predicting if the standard of practice is at all helpful for improving health outcomes through intentional weight loss via restrictive dieting

And a #HAES framework was never intended to be used for weight loss. The Academy is really making a spectacle of themselves by repeatedly getting this so, so wrong. They know by now...they just don't care

These proposed guidelines are open for public comment until March 25, 2022. I highly recommend you participate. Make it known that these new guidelines are not only far from evidence-based, but do not align with clinician or patient preferences and values

andeal.org/public-comment…