Wednesday, 12 September 2012

Holly Harris is Eating in the Absence of Hunger

A parent provides, a child decides. How is this related to childhood obesity?

This is my 3 minute thesis on children 'eating in the absence of hunger'.

Does the use of maternal control feeding practices predict eating in the absence of hunger in a sample of children aged 3-4 years old?


The big question on my lips. To be continued...



Holly Harris is Eating in the Absence of Hunger

Sunday, 9 September 2012

5 Serves of Emerging Information from the ICD


A student’s perspective of the ICD- in Retrospect



To prevent my brain from exploding, I would like to dish out five newly acquired facts from the ICD onto your plate.





1. It has been found that 85% of children that live in Ireland eat potato chips every week and the average intake is 410g per week!



2. The rates of food insecurity in the far north reserves of Canada is extremely high- approximately 75% of people don’t have access to enough food at certain times of the year. Indigenous Canadians are a particularly vulnerable group. This is mainly a result of ‘winter roads’ which are only open 6-8 weeks each year.



3. Has anyone heard of the proteus effect? I hadn’t until I attended ‘Weight loss using the web: evidence and opportunities to advance practice’. Apparently this situation occurs when an individual operates under a ‘digital persona’ in virtual world. It has been found that an individual’s behaviour (in reality) is likely to conform to this digital self-representation. For example, if a person sees their own virtual avatar running on the treadmill or filling their shopping trolley with fruits and veg, they are more likely to undertake this behaviour in real life. Confused? Check out http://cluboneisland.com/ to learn more about this online virtual world of weight loss. 



4. I have been trying to wrap my head around ‘nutrigenomics’… and I am still processing this. Hence, I went straight to the DAA website to find out:



“Nutrigenomics uses a persons’ unique genetic information to reveal their risk of disease and can be used to develop individualised eating plans to lower disease risk and improve health.”


Our old friend Sylvia Escott-Stump (one of the authors of Krause) delivered an extremely detailed symposium of this, which brought me back to the days of biochemistry.  This technology is currently available in the USA will be available to dietitians in Australia in the future. Using this tool will give us the opportunity to personalise eating plans to meet an individual’s GENETIC needs, thus preventing diseases long before they occur. Welcome to the future.


5. Alright kids, there is now an established link between sugar sweetened beverages (SSBs), salt intake and risk of obesity is children. This mechanism is thought to function through increased salt intake in a child’s diet, causing a rise in plasma sodium levels, leading to thirst. Kids these days are more and more likely to quench this thirst with widely available soda, vitamin water, fruit drinks and the rest of them (pretty much everything BUT milk and water), causing increased energy intake and promoting fat storage. This has been found in studies conducted in Australia, the UK and the US. One study found that 64% of children consume SSBs everyday. With every 1g salt consumed in a child’s diet, there is a 32g increase in SSB consumption.

INNOVATING! Thoughts?


Holly Harris
Student Dietitian

Wednesday, 5 September 2012

International Congress of Dietetics- A student’s perspective


Day 1



The first expectation I had anticipated before making my way down to Sydney to attend the ICD was four solid days of back-to-back lectures. I may be crazy for wanting to do this, but now I am ever grateful for that decision where my brain met in the middle with logic. My lecturers were always thrilled to mention the ICD at any opportunity, whether they planned to be presenting or just attending. I understand now, simply from day one. I must say that the unorthodox scenario of watching your lecturers get lectured or supervisors learning was a satisfying experience. And in a room of up to 2000 dietitians from all over the world, I came to the realisation that for the first time, I felt that I wasn’t a student.

Professor Sandra Capra was among the first speakers to open the ceremony to discuss dietitians as leaders of the past, present and future. Her well-executed speech was uplifting and motivational, yet strong and straightforward.  Relevant to the theme of “LEAP” (Leadership, Evidence and Advancing Practice):

PAST- A number of leaders of nutrition and dietetic influences in Australia were acknowledged. To the students, I would like to mention Joan Woodhill, the first dietetic student in Australia.

PRESENT- Sandra mentioned a quote by Autry (2001):


Leadership, like life, is largely a matter of paying attention.”


I believe this quote is relevant to all students studying nutrition and dietetics. You can interpret your own individual meaning from this quote. Personally, I feel that this quote encourages me to broaden my mind of the profession, beyond the all-necessary medical nutrition therapy. Dietetics is an extremely selfless profession, achieved by paying attention to others, putting your wants and needs after the patient/ client/ community.

FUTURE- This is where we come into it. Another quote by Sandra that particularly resonated with me was:


“We need to have (student) dietitians tomorrow ready, and not today ready.”


I interpret this as always looking into the future, in addition to what is immediately present. This means thinking outside of the box of nutrition, and anticipating arising issues affecting the profession through innovative ways. This allows us to be prepared for any scenario we are confronted with, and be ready to take action if these opportunities occur.

I would like to mention a few ironies:

·      The food puns. To name a few- “The banquet of knowledge” and “cracking the nut” have thus far been favourites.
·      The water is the first to disappear form the ‘Cocoa-cola’ stand, despite abundance of Cocoa-cola soft drinks.
·      The overwhelming proportion of women to men. Of course I have finally accepted that nutrition and dietetics is a female-dominated field, and frankly, I’m fine with that. But this is less than desirable minutes after a break where a lengthy cue occupies the perimeter of the women’s bathroom.
·      There is food EVERYWHERE. That goes without saying- there should obviously be a ridiculous amount of food, but this is insane. I had many testers of new supplement products, yoghurts, nuts, digestive prebiotics and chocolate (I plan to do chocolate again tomorrow). There is a new soft drink product to be released which contains a half less sugar and replaced with Stevia. I will let you have your own opinion on that, but they were very excited at pushing this soft drink promotion at dietitians. Congratulations on the bravery. 

I would like to conclude this entry with an inspiring and very personal moment shared by Lynne Daniels at the Hot Topics sessions titled “Growing the research arm of the profession”. She mentioned that 35 years ago, at the 1977 International Congress of Dietetics held in Sydney, she was, like you and I, a student too. She revealed her self doubt when attending the conference that she was so ‘inspired’ and ‘never thought that she would be as good as the women presenting’. Now, one of the most well-respected dietetic icons and, who I believe, an inspiring leader in the profession, she was honoured to be presenting at an internationally recognised and prestigious conference.  To say the least, my admiration for her explained the extensive amount of notes written during her 30 minutes speech. And a blend of being mortified yet proud when she sat next to me after her speech and could clearly see all the notes I had written in response to her speech. But I don’t think I was the only person in that room that felt extremely motivated by the talk.

Hopefully more freebies tomorrow. I plan to update you with the developments of the congress.

Holly Harris
Student Dietitian