Noakes won’t stop twittering
SPORTS scientist Professor Tim Noakes will “certainly continue to spread information on Twitter”, after he was cleared of unprofessional conduct by the Health Professions Council of South Africa (HPCSA).
“If the capacity of Twitter to spread information effectively and cheaply in this way was ever to be regulated, we come closer to the state described by George Orwell in his book 1984… I will certainly continue to spread information on Twitter,” Noakes told the Cape Times.
Noakes faced losing his licence to practise as a doctor when, in 2014, he had advised Pippa Leenstra on Twitter to wean her newborn baby on to a low carbohydrate, high fat (LCHF) diet.
“Advocate Adams’ ruling is that simply answering a tweet as a doctor does not establish a doctor/patient relationship. This is important, since if it did, one would not even be able to answer a simple question like: Doc, should I stretch before the Two Oceans Marathon, or is it advisable to sleep eight hours a night?”
Claire Julsing-Strydom, a former president of the Association for Dietetics in South Africa (Adsa), had lodged the complaint, and testified that Noakes had given unconventional medical advice in his tweet, which had not been based on evidence.
Adsa president Maryke Gallagher said the hearing, although divisive, has placed significant awareness on the importance of nutrition.
In a statement she said: “We respect Professor Tim Noakes for his work as a sports scientist. He is a well respected A-rated scientist and is respected in academic circles. His work is pioneering and he has always tested conventional thinking. But, we have differed with Professor Noakes on this issue. We have no personal gripe with Professor Noakes. Our concern has always been about the health of babies,” Gallagher said.
In February 2014 Leenstra had tweeted Noakes and nutritional therapist Sally-Ann Creed about whether it was safe for mothers to be on the Banting diet while breast-feeding.Noakes had replied on Twitter: “Baby doesn’t eat the dairy and cauliflower.
“Just very healthy high fat breast milk. Key is to ween baby on to LCHF.”
A tweet as a doctor does not establish a doctor/patient relationship
THE Professional Conduct Committee has found Professor Tim Noakes innocent of unprofessional conduct.
As we trusted, Noakes, founder of The Noakes Foundation, has welcomed the fact that the Professional Conduct Committee of the Health Professions Council of South Africa (HPCSA) has found him innocent of unprofessional conduct. The decision was a 4-1 majority.
This ruling has far-reaching implications for every South African because it gives the seal of approval to the low-carb high fat (LCHF) diet that Noakes and The Noakes Foundation advocate.
The Noakes Foundation asserts that dietitians and nutritionists should revise the advice they give clients, especially diabetics and those with insulin resistance. We advise adopting a more contemporary approach to dietary advice, one that is in line with other countries that have accepted the evidenced-based LCHF approach for diabetes and insulin resistance management. It also calls for a review on policy.
“We fought the battle for the health of all South Africans” said Noakes, “Now you know the truth; that you have been misinformed for 50 years. We all have been and the consequences on our health have been dire.”
The HPCSA charged Noakes with unprofessional conduct for giving “unconventional advice” to a breastfeeding mother on a social network. The charge arose from a single tweet in February 2014 when Noakes advised a mother that she could introduce her baby to a LCHF diet – a diet essentially high in healthy fats, proteins and vegetables and low in sugars and grain-based processed cereals.
The complainants were not able to produce evidence to support their view that a conventional low-fat diet had advantages over a LCHF diet. Nor did they present sound reasons for saying that the content of the tweet was unprofessional and “unconventional”.
The Noakes Foundation feels that the vitriolic attack on Noakes as an esteemed A1 rated scientist has been a massive injustice to the Noakes family and also to all medical professionals, who in effect paid for this three-year ordeal through the funding of the HPCSA.
The immediate focus of The Noakes Foundation will be to change the dietary guidelines given to people by doctors, dietitians and nutritionists.
Many health professionals are not properly informed and are operating on outdated information that does not serve their clients metabolic or biological needs – now it is our commitment to help update them.
The hearing began in June 2015 and finally reached its conclusion in April 2017 – the costs reached into the tens of millions for each party and made headlines as “the nutrition trial of the century”.
The Noakes Foundation saluted The Professional Conduct Committee chairperson, Joan Adams, for maintaining the utmost level of impartiality and proficiency throughout the enquiry.
Spence is communication executive at The Noakes Foundation.