1 Palak Thakore Critical Update Essay Wayne State University English 3010 2 Palak Thakore is an undergraduate student at Wayne State University who is pursuing a bachelor’s degree in Nutrition and Food Science. She has taken classes such as Nutrition and Health, Introduction to Food Science and various science courses relating to her major like Microbiology and a Nutrition laboratory course. In 2009, she participated in a research study, as a student aid, for the Nutrition and Food Science department at Wayne State University, which focused on the effects of different types of fats on the human body by studying the results of the experiments on laboratory gerbils. Thakore has extensively researched Nutrition journals such as the American Journal of Clinical Nutrition and the American Society for Nutrition to gather information about fasting and diet studies for different populations of people. In the modern society, diet and fasting affects millions of people in the United States. Regardless of the reason for beginning the fast (religious, weight loss, detoxification), everyone who chooses to start one should be thoroughly knowledgeable about the risks and benefits that come from their choice. A lack of understanding about diet or fasting methods and their effects on one’s body can pose potentially dangerous health problems, or on the other hand, possible conspicuous benefits they may be looking for. Those who already have certain diseases such as diabetes or cardiovascular problems should take extra measures to educate themselves prior to a diet or fast. Increasingly popular today are many extreme forms of dieting whose objectives are to remove an entire essential food group or even ingest dangerous chemicals. Culturally, fasting has become a social norm and is accepted widely due to the influence of religions on 3 people’s lifestyles. Fasting can be safe and effective sometimes, but certain fasts call for practices that can have extra positive and negative effects on one’s body. In today’s society, dieting or fasting is often considered by people of all nationalities and religions. Whether it is for a religious reason or to reduce their weight, “about 45 million Americans diet each year” (CNN.com). Although the definition of dieting can be interpreted differently by each individual, statistics such as this one stress the need for a large population of Americans to be thoroughly informed about the diets and/or fasts they choose to follow. Ideally, people who wish to begin a diet or fast should seek the advice of their physician, or a nutritionist, first. Dieting and fasting can have many effects on one’s health and well-being, and before beginning a diet or fast, it is important to be informed about the risks and benefits it can impose. In order to be informed prior to beginning a diet or a fast, one must understand the basics of healthy dieting and fasting and what it entails. Most of us do have a general knowledge of what dieting is and how it can be accomplished, however what we may not know are the physical stresses and unsafe measures we could be putting our bodies through. According to the Geeta Patel, a nutritionist working in the Detroit area, “a diet can be defined as a time period in which food consumption is closely monitored and altered by the individual in order to safely and effectively achieve certain goals such as weight loss, improved health or detoxification” (Patel). Many people who begin a diet or a fast overlook that healthy dieting has certain protocols that should not risk one’s health. Also, dieting does not only limit food consumption, but also adds the component of physical activity. Depending on the person’s health history, existing medical conditions and desired goals, a nutritionist can provide a diet plan that incorporates 4 varied levels of exercise to cooperatively work with healthy nutrition. Dr. Kathleen Zelman, the director of nutrition for WebMD, says that “in theory, one could drop as much as twenty pounds in a week following a very ambitious eating and exercise plan, devoting more than seven hours per week to rigorous exercise, and under a physician's care like we do on the television program” (Zelman). However, extreme measures such as this are not safe for most people because they cannot be undertaken by someone who, for example, is a diabetic and needs to regulate blood glucose levels constantly. Nutritionists recommend that a safe and effective diet will allow for two to three pounds weight loss per week given that exercise is incorporated and caloric intake is not less than 1,050 to 1,500 per day. However, total weight loss in pounds per week can also vary depending on the person’s initial weight and health condition. One of the most common reasons for fasting is due to religious purposes, and this is what differentiates fasting from dieting. According to the Nutrition Journal, “fasting is defined as a partial or total abstention from all foods, or a select abstention from prohibited foods”, and “the three most commonly studied fasts are caloric restriction (CR), alternate-day fasting (ADF), and dietary restriction (DR)” (Trepanowski). Healthy fasting has been shown to be beneficial when it is done in the caloric restriction method. Fasting can have many different restrictions such as prohibition of certain foods and liquids, and certain times where eating is allowed, for example, dawn to dusk for some religions. Similarly to dieting, some of these guidelines can cause harmful effects on the body and are not health promoting, but some can be very beneficial. Therefore, it is important to be educated about fasting to know how one’s body will react to the stresses 5 that fasting can create, especially if certain diseases are affecting one’s health condition. Although the methods for safe dieting are known about, often they are ignored because it may not be the quickest route to losing weight or achieving the results of a diet. Due to this, many people may, sometimes unknowingly, rush into extreme measures of dieting, which can be detrimental to one’s health. For example, one of the most well-known weight loss/detoxification diets widely used by a number of well-known Hollywood celebrities to shed weight quickly is the Master Cleanse diet. Master Cleanse is “a starvation diet whose adherents swallow nothing but a concoction of lemon juice mixed with maple syrup, water and cayenne pepper, as well as salt water and a laxative tea for 10 days” (Moores). The intention of the diet is to detoxify the body by flushing out the harmful substances, reduce caloric intake to extremely low levels, and consume no other foods besides the drink concoction. The problem that nutritionists have found with this diet is the depletion of essential food groups such as carbohydrates, proteins, lipids that are required by the body for normal functioning. Some of the side effects of the diet proved its dangers as large numbers of followers showed “vitamin deficiencies, muscle breakdown, and blood sugar problems” (Moores). Furthermore, the depletion of vitamins can result in the weakening of the body’s immune system to fight infections and inflammation. The problem is that when people in the United States look upon celebrities as role models for ideal weight and take upon the diets of the celebrities, they ignore consulting a nutritionist about the risks of the diet, but merely focus on the superficial weight loss benefits. Given the popularity of the Master Cleanse diet, with higher 6 numbers of people attempting to follow it there could be serious health concerns for a great number in the United States. For example, Cosmopolitan, a magazine written for young women which features a different female celebrity on the cover every month (along with her weight loss and beauty secrets), reported that in 2010, over 3,021,720 households subscribe to the magazine. If all the women who read the magazine took on the Master Cleanse diet without researching its dangers first, the number of ill people in the United States would skyrocket. Also, research has shown that the body has no need for detoxification diets because a healthy diet and exercise will naturally allow your body to detoxify, according to Dr. Nasir Maloo, a gastroenterologist at Capitol Gastroenterology Consultants Medical Group in Sacramento, California. These facts would remain hidden if a dieter did not take the very crucial steps of consulting a nutritionist or physician or conducting research prior to beginning the diet. Another trend that is on the rise is the use of dangerous diet pills to aid in quick weight loss. Although the Food and Drug Administration (FDA) places bans of diet pills containing lethal chemicals in the United States, the pills are still available for purchase through the internet or internationally. Similar to extreme diets, when quick weight loss is guaranteed in the form of a pill that only needs to be ingested once a day and involves no other restrictions, it becomes more attractive to consumers and lethal chemicals in the pill are simply disregarded. The Japanese Lingzhi 24-Hour Diet pill is a prime example. It boasts a product that is all-natural (another marketing method used to attract consumers), a 24-hour turnaround time, no exercise, and no change to one’s normal diet. To anyone in the nutrition field, the 24-hour time promised to reduce fat is an instant red flag, given that healthy dieting measures allow for losing two to three 7 pounds per week. However, even a simple internet search query can quickly reveal that the main ingredient has been shown to cause kidney, heart and liver failure and it is not approved by the FDA. Diet pills and extreme methods of dieting must be analyzed by a nutritionist or physician, because they can be very dangerous, if not lethal, to one’s health. It is estimated that approximately 87.1% of people in the United States associate themselves with one of the five major religions of the world. Christianity, Islam, Hinduism, Judaism and Buddhism all contain a component of fasting as a form of prayer or repentance for their higher powers. With proper research and seeking advice from a nutritionist, these fasts can be very beneficial to one’s health if followed correctly. Usually, fasting restricts “bad” foods, ones that contain high levels of fat and carbohydrates. This can be beneficial because the body resorts to fats stored in adipose cells, and these cells also contain stored toxins which are, in turn, released. For example, in Hinduism, unmarried girls and women follow a week long fast called Vrat. The nutritional guidelines of this fast are that followers cannot consume any salt, or any modified products that contain it (like corn syrup), for a week. However, this is a healthy fast which is not dangerous to health because salt is substituted by fruit sugars, vegetables, and other glucose containing foods. Also, sources for iodine such as cow’s milk and certain vegetables are substituted to prevent deficiencies. Although the widely known religious intention (to attain a devoted husband) of this fast is why most women choose to follow it, Vrat also allows for health benefits on the body. Because the intake of salt is decreased, excess water weight is drained from the body resulting in weight loss. Also, the intake of fruits and vegetables is increased highly, as this is a permitted 8 food during the fast. In India, the country that has the highest number of Hinduism followers in the world, women consume higher amounts of the Amla fruit during the Vrat fast, also known as Indian Gooseberry. It contains high amounts of vitamin C, antioxidants, and cancer fighting agents. The Vrat fast is an example of some of the hidden benefits of fasting that may go unheard of if not researched prior to beginning the fast. Thus, these benefits reflect the need to be informed before starting a fast because whether there are risks involved or benefits, like in this case, it is imperative to know how what you eat, or do not, affects your health. Dieting and fasting can raise health concerns for people who are generally in good health and do not possess any high risk diseases. Therefore, for a person that has been diagnosed with diabetes, consulting a nutritionist is absolutely vital to prevent further harm or deterioration to their body. As a diabetic, the underlying problem one face’s is to control glucose. Today, even newly diagnosed patients are highly recommended to consult a nutritionist by their physician upon the onset of diabetes or as a pre-diabetic. The nutritionist will devise a healthy diet plan to reduce weight and control blood glucose levels that they can incorporate into their lifestyle. As far as fasting is concerned, it can be incorporated into the diet plan if one advises the nutritionist of it. The nutritionist can tailor the diet plan according to one’s culture, lifestyle and medical needs. Generally, nutritionists place healthy carbohydrates, fiberrich foods, fish, and the “good” fats into a personalized diet plan for the patient. Of course, variations do occur based on the patient’s general health and personal preferences. Foods that are avoided or incorporated minimally are saturated fats, Trans fats, cholesterol, and sodium. In addition to a diet plan, a patient who has diabetes can 9 also learn insightful methods about their diet that they would not know if they did not consult him/her. According to the Mayo Clinic, nutritionists take a “few different approaches to creating a diabetes diet that keeps blood glucose level within a normal range” (Mayo Clinic). These are counting carbohydrates because they essentially metabolize into glucose, the exchange system which places foods into groups that equally contain carbohydrates, protein, and fats and have the same effect on blood glucose levels, and the glycemic index, which is a scale that puts high-glucose foods at the top and high-fat foods at the bottom. According to these three methods, the nutritionist will create a customized diet plan for the diabetic which will not only provide them will healthy food options, but may also decrease the physiological effects of diabetes, or even hinder the onset of full diabetes for a pre-diabetic. A consultation with a nutritionist if one has diabetes is essential because they need to put additional focus on their diet if they choose to go on one. Also, a diabetic must pay close attention and learn about nutritional information about the foods they consume, which can be done best by a nutritionist. With healthcare costs rising in the United States, the price for a consultation to a nutritionist has also rose in the last few years for those who are not covered by insurance. Today, it costs approximately $50 dollars per hour to consult a nutritionist, and they require more than one consultation to accurately devise a proper diet plan for their patient. However, the need to become educated and informed about dieting methods, fasting and diet pills is on the rise because the hundreds of new products that are introduced each year. Given that one is in general good health and is looking to begin a diet or a fast, he/she can reduce the costs associated with nutrition counseling 10 by conducting their own research using credible sources. Some examples are books and reliable internet sources. Many nutritionists write books that contain information about nutrition or its relation to a certain disease. “Tell Me What to Eat if I Have Diabetes” by Elaine Magee, a registered dietician and has a master’s degree in public health, is a good source for someone looking to gather information about diabetes and nutrition. However, the downside of using a book instead of a real nutritionist is the diet plan will not be tailored to one’s individual needs (say, one wants to incorporate fasting). Also, credible internet sources such as WebMD and Mayo Clinic can be used to reference information about healthy methods of dieting and fasting. But, some internet sources may seem reliable but if not peer reviewed, may contain false or misleading information. Nevertheless, the best option for someone who is choosing to begin a diet or a fast is to consult a nutritionist to learn about potential risks or benefits. Dieting and fasting affects a large portion of people not only in the United States, but internationally. Although it is important to know about the benefits of a diet or fast, it is even more necessary to know about the risks it can pose on one’s health. Many diseases known today are related to poor nutrition, and the detrimental effects are only furthered upon beginning a diet or a fast that could be harmful. Those who have certain diseases like diabetes, cardiovascular problems, and healthy people should always consult a nutritionist prior to beginning a fast or a diet. Sometimes, harmful diets can combine with preexisting conditions in the body or trigger negative effects which can be detected by a nutritionist in conjunction with the patient’s physician. The small, but absolutely essential step could yield a healthier lifestyle or unsafe threats to the body. Additionally, many fad diets and pills are readily available to purchase that do not 11 require approval by the FDA, because they are not sold in the United States. Thus, these diet methods and pills do not need to disclose nutritional information and can conceal lethal chemicals used in their production. However, an experienced nutritionist who has studied about these drugs and health dieting/fasting methods can advise a patient to steer away from these perils. Finally, religious fasts can be very beneficial, and consulting a nutritionist can help to uncover these hidden positives which helps the patient because he/she may choose to fast more often. Prior to beginning a diet or a fast, it is absolutely critical to understand the risks and benefits that one can attain from it. Certain types of diets and fasting methods can be detrimental to a healthy person, and could be further detrimental to someone who has a disease such as diabetes. If all elements are considered fasting can absolutely be beneficial, but it is important to consult a nutritionist to confirm the positives being imposed on the body. Entering a diet or fast without being informed can lead to serious health risks, so it is important to complete research and consult a nutritionist to obtain an approval for your actions. Performing the appropriate research and consulting a nutritionist could mean the difference between a healthy life or serious health concern that may arise in the future. 12 Works Cited Lagorio, Christine. "Diet Plan Success Tough To Weigh - CBS News." Breaking News Headlines: Business, Entertainment & World News - CBS News. 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