A word about diet culture

I talk about diet culture pretty frequently – I almost always bring it up with clients, and I’ve mentioned it in most of my blog posts so far. In this post, I define diet culture and share a few thoughts on how it affects us and what we can do about it.

In 2019, the diet industry grew to a $72 billion industry, and it is still booming. Its impact is perhaps most obvious in the media – on television, in our Instagram feeds, in advertising we hear on the radio. But we also hear diet tricks and tips in our workplaces or out with friends, and are inundated with dieting books and weight loss programs. Diet culture refers to the belief system underlying this massive industry, and which nowadays permeates our society in countless ways. Here’s my definition of diet culture: it’s a belief system that promotes thinness as the ideal, prescribes weight loss as a way to increase happiness and self-worth, and assigns moral values to food choices. In the process, this mindset oppresses those who don’t match the ideal and convinces people they need to spend their money and time on shrinking their body.

You don’t have to be on a diet to be enmeshed in diet culture. In fact, it’s pretty hard not to be. Starting from a young age, we pick up diet culture messages and learn that our bodies don’t look like they “should.” These messages come in many different forms and places, and we all hear and see them constantly throughout our lives. Sometimes diet culture comes across in obvious ways – such as advertisements for a new fad diet, before and after photos, or an “anti-obesity” campaign. Sometimes it is more subtle – praise from a friend for looking “thinner,” a fat joke on a TV show, or comments like the ones I’ve been hearing recently about weight gain fears during the pandemic.

Christy Harrison of the Food Psych podcast and author of the book “Anti-Diet” has a nickname for diet culture: “It’s a sneaky, shape-shifting thing that robs people of their time, money, health, happiness, and so much more, which is why I’ve nicknamed it The Life Thief. It can be hard to spot, and yet in Western culture, it’s everywhere.” 

Let’s be clear: dieting doesn’t work. Research shows that dieting actually leads to weight gain over time, as it disrupts our body’s natural weight regulation. Moreover, dieting often leads to weight cycling (yo-yo dieting) which is far more harmful to health than staying at a higher weight. Diet culture and all the messages that come with it are distracting people from more important matters, weakening their body image, and setting them up for failure. If dieting actually worked, I suppose it wouldn’t be a $70 billion dollar industry – but people feel they are the ones to blame for their dieting failures, and so they keep going back to it, even though dieting is repeatedly failing them.

I’ll share a couple thoughts on ways you might lessen diet culture’s impact in your own life.  

First, perhaps it’s time to change up your social media feeds.  Clear your feeds from accounts that promote weight loss, encourage dieting, or talk about “good,” “bad,” or “clean” foods. Stop following hashtags that make you feel bad about your body, that lead you to make unhelpful comparisons, or that equate thinness with improved health outcomes. And add some accounts that normalize larger bodies! Following people of a diverse range of body shapes and sizes can be a powerful way to heal, to reduce internalized weight stigma, and to simply be exposed to and reminded of the fact that bodies come in all shapes and sizes, and that’s normal. If you need some recommendations, check out this article, which lists body positive Instagram accounts in different spheres, including activists, yogis, fashion, and more.

Second, get rid of the dieting tools! The scale, the weight loss app, calorie counting, food rules – you don’t need them. It can feel really scary to let go of these things. This way of thinking and being feels unknown and foreign to many of us who have grown up in diet culture. Reading HAES-informed books, listening to podcasts, and talking with a weight inclusive, non-diet therapist or dietitian can be supportive resources as you let go of the dieting mentality and move toward intuitive eating and body acceptance. A few of my favorite resources to recommend as you get started include the podcasts Food Psych by Christy Harrison and Body Kindness by Rebecca Scritchfield, and the books Nourish by Heidi Schauster and Body Respect by Bacon & Aphramor.

You can see why I talk about this a lot. Diet culture makes it really hard (but not impossible!) to recover from an eating disorder. It makes it really hard to learn that you don’t have to restrict food, avoid food, or diet to be healthy. It makes it really hard to accept your body as it is and to know your self-worth. We have to talk about diet culture, do the important work of dismantling it, and move toward creating a culture of acceptance.

My approach part 1: HAES

“So what’s your approach?” This is a question I get asked frequently as a nutrition therapist. I always give a brief overview – I pull from many different frameworks and modalities to provide individualized care.  This blog series will serve as a much lengthier version of my answer to this question. I’ll take a look at each of the nutrition concepts and counseling modalities I subscribe to, starting with Health At Every Size (HAES). HAES is actually more of a movement, a paradigm shift, and a way of thinking about healthcare that has served as a foundation for my work, which is why I’m starting here.

My introduction to HAES (took way too long)

Like many other dietitians, when I graduated from my dietetic internship I had never heard of HAES. I was trained under traditional dietetic principles, which were grounded in a weight focused health care paradigm. The focus was on how to change people’s body size to make them healthier – a message that we are all familiar with thanks to the diet culture we live in.

Then, like many dietitians, I started seeing clients for nutrition counseling, and began to get a sense of how damaging weight loss messages can be. Many of my clients were eating very little and felt frustrated that they continued to gain weight. Some felt like they couldn’t have the foods they loved for fear they would eat too much. Many clients were switching from one diet to the next and experiencing weight cycling, usually ending up at a higher weight than when they started. The list went on. Two things most of my clients had in common were 1) they were trying to change their body size but couldn’t, and 2) they were experiencing some level of disordered eating.

No surprise that my training had done little to help me come alongside these clients. Fortunately, during this time, I came across HAES principles and immersed myself in it, eventually choosing to go back to school to study disordered eating. I wish it hadn’t taken over five years of studying nutrition for me to discover it! I know I speak for many dietitians when I say that the discovery of HAES has completely transformed my nutrition counseling practice and is the reason I am still a dietitian.

HAES Principles

HAES is a weight neutral approach that has come about due to considerable concerns and evidence that a traditional weight focused approach is not only ineffective, but harmful. If you’d like to take a look at the growing body of evidence supporting HAES, check out this paper as well this post on some of my favorite HAES studies.  I can also recommend Bacon and Aphramor’s book Body Respect for a deeper look into the science behind weight and the HAES approach – including great insights on the social determinants of health.

The main thrust of HAES is to support people of all shapes and sizes in having peace with their bodies and moving toward compassionate self-care. HAES is grounded in respect – for our own selves, others, and for body diversity. HAES also has a key emphasis on bringing critical awareness to people’s own body knowledge and lived experience, while challenging scientific and cultural assumptions. (Bacon & Aphramor, 2014).

HAES In Practice

HAES shifts the focus from weight onto behavior change.  In my practice, what that means is that instead of looking at weight loss as a measure of health, we focus directly on adopting positive behavior changes. Instead of diets, counting calories, or weight checks, we do the important work of body acceptance, rediscovering how to eat intuitively, and building the skills needed to move toward a healthy relationship with food and movement. As a nutrition counselor I come alongside my clients – the experts on their body – and support them in taking care of their nutrition and self-care needs in a compassionate way.

Approaching health from a HAES perspective can be a really big shift in thinking – it was for me too!  I find it necessary to discuss these concepts early on and to come back to them often, as it can take time to explore questions and grapple with the information. Feelings of anger and frustration may come up when considering the reality of weight stigma and the damage of diet culture. At the same time, talking about health from a HAES perspective can feel so obvious, and like such a relief. Having these important discussions about a weight neutral approach lays the groundwork for disordered eating treatment.