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Food Isn’t Medicine

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Social media can be an effective source of health promotion among health professionals and organizations. Medical nutrition therapy is a part of evidence-based health practice that uses diet and food to support the treatment of diseases, and it is a clear demonstration of the role that diet and food play in managing chronic disease. Since the UNSW study ended, Emma has been missing it – especially when something as simple as a lettuce became unaffordable. “I really miss those basic things – I miss broccoli, cauliflower, all of that,” she says. She has reverted to some of her old “stodgy” foods, because they are cheaper. The development of chronic diseases continues to be complex and may be attributed to non-diet-related causes, including genetic risk, exposure to environmental toxins, or autoimmune conditions. Advocates believe better targeted, supported and funded prescriptive approaches are needed and that’s where the idea of food as medicine comes in. Wu and colleagues recently conducted a study involving 50 people with type 2 diabetes who were finding it hard to afford enough food. The group were “prescribed” a free box of fresh fruit, vegetables, wholegrains, lean meats and dairy – delivered to their home every week. They also had regular access to a dietician and were given recipes and advice on how to prepare healthy food using the ingredients.

At best, these claims blow small bits of evidence way out of proportion—sure, raisins contain nutrients that can contribute to healthy blood pressure, but eating them won’t magically cure hypertension. And at worst, the claims are pseudoscience. Yes, food contributes to health and plays a role in the prevention and management of certain diseases, but food isn’t medicine, and no diet can replace good health care. We Can’t Always Control Our Health

Both MNT and a nutritious diet can help improve health outcomes, but neither is a replacement for health care. (In fact, MNT is typically provided by a dietitian, which means that it’s a form of health care.) The best way to catch and treat potential problems early on is by scheduling regular visits with your primary-care provider. These include a variety of herbs and spices, legumes, nuts and seeds, whole grains, and fruits and vegetables. According to the 2020-2025 Dietary Guidelines for Americans, the core of a healthy diet is built on high intakes of a variety of nutrient-dense foods and beverages, including:

It's refreshing knowing there's a doctor out there fighting to break down a lot of the shame-driven decisions we make, and that food holds no moral value over us. Sarah Nicole Landry (@thebirdspapaya)The simplest approach would be to subsidise access to fresh vegetables. “[Vegetables] have such a powerful effect from a health perspective, yet there is such a common perception that they’re unaffordable – and these days they potentially are in some communities,” Lambert says. Vegetables ‘have such a powerful effect from a health perspective, yet there is such a common perception that they’re unaffordable’, says Dr Kelly Lambert. Photograph: Diego Fedele/AAP

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