Compliance on a Healthy Diet
Posted: Sun Aug 03, 2014 11:05 pm
Thanks for sharing Dr. Esselstyn's recent audio interview, Jeff. (Shared here: https://www.facebook.com/JeffNovickRD/p ... 4210225125)
We have discussed compliance in the past for intensive lifestyle interventions, and how, for many, it is very easy to deviate from a program's healthy guidelines:
- viewtopic.php?p=447218#p447218
- viewtopic.php?p=445150#p445150
However, Dr. Esselstyn's and Dr. McDougall's recent studies both boast incredibly high compliance:
- 89% in Esselstyn's case (http://dresselstyn.com/JFP_06307_Article1.pdf)
- 80% for McDougall (https://www.drmcdougall.com/misc/2014nl/jul/140700.pdf)
In addition, statements from Ornish, Barnard, and Pritikin seem to reflect similarly high compliance for those who follow their guidelines, even over a longer duration.
With our toxic food environment, I would think that compliance over the long term would be much lower. This low predicted compliance seems to be more reflective of your comments about the challenges of long-term adherence to the program and the reality of the poor state of diet in the developed world. (Here was one example of compliance: viewtopic.php?p=447218#p447218
and on the unhealthy, developed diet: viewtopic.php?p=454543#p454543)
Is there a reason that you can see for this discrepancy between observed compliance in a research setting and actual compliance in a real-world environment? While I would love to be optimistic that a healthy diet can be easily adopted and incorporated by the vast majority (>80%) of the population, the reality seems to be much different. Thus, I would really appreciate any insight you may have on this issue.
Determining how likely individuals are to comply with health guidelines seems like it would be crucial for planning and implementing important issues like health policy changes, and so it appears it would be very important to understand this apparent discrepancy.
Thanks so much for helping us comprehend the issue of compliance and all the other topics you are kind enough to publicly discuss. I look forward to continue to learn from you, and I sincerely appreciate your efforts.
Please have a great day.
Warmly,
Michael
We have discussed compliance in the past for intensive lifestyle interventions, and how, for many, it is very easy to deviate from a program's healthy guidelines:
- viewtopic.php?p=447218#p447218
- viewtopic.php?p=445150#p445150
However, Dr. Esselstyn's and Dr. McDougall's recent studies both boast incredibly high compliance:
- 89% in Esselstyn's case (http://dresselstyn.com/JFP_06307_Article1.pdf)
- 80% for McDougall (https://www.drmcdougall.com/misc/2014nl/jul/140700.pdf)
In addition, statements from Ornish, Barnard, and Pritikin seem to reflect similarly high compliance for those who follow their guidelines, even over a longer duration.
With our toxic food environment, I would think that compliance over the long term would be much lower. This low predicted compliance seems to be more reflective of your comments about the challenges of long-term adherence to the program and the reality of the poor state of diet in the developed world. (Here was one example of compliance: viewtopic.php?p=447218#p447218
and on the unhealthy, developed diet: viewtopic.php?p=454543#p454543)
Is there a reason that you can see for this discrepancy between observed compliance in a research setting and actual compliance in a real-world environment? While I would love to be optimistic that a healthy diet can be easily adopted and incorporated by the vast majority (>80%) of the population, the reality seems to be much different. Thus, I would really appreciate any insight you may have on this issue.
Determining how likely individuals are to comply with health guidelines seems like it would be crucial for planning and implementing important issues like health policy changes, and so it appears it would be very important to understand this apparent discrepancy.
Thanks so much for helping us comprehend the issue of compliance and all the other topics you are kind enough to publicly discuss. I look forward to continue to learn from you, and I sincerely appreciate your efforts.
Please have a great day.
Warmly,
Michael