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So What's The Difference Between A Health Coach And A Dietician/Nutritionist?

Writer: NancyNancy

A question I often get is what a health coach even does, and how legitimate of a service can be offered if it differs from a registered dietician or nutritionist. Below is a quick breakdown of the differences between the two roles, to better inform your decision of what will work best for what you're looking for:


Physical Setting

Integrative Nutrition Health Coach:

  • majority are self-employed or in gyms, spas, the heath food industry, corporations, doctors' offices, wellness centers

Registered Dietician/Nutritionist:

  • majority are in hospitals, long-term care facilities, doctors' offices, food industry, public health, government


Session Approach

Integrative Nutrition Health Coach:

  • largely client-driven

  • usually initiated by client's decision to make some type of large change

  • not diagnostic - emphasizes ongoing coaching plan to meet goals

  • dietary nutrition is the secondary focus

  • discusses non-food forms of nourishment, which my include spirituality, career, physical activity, relationships, and other lifestyle factors in addition to dieting habits

Registered Dietician/Nutritionist

  • may or may not be client-driven

  • usually initiated by doctor recommendation or prescription

  • diagnostic treatment plans often regulated by insurance companies

  • dietary nutrition is the primary focus

  • may discuss fitness but focuses on behaviors centered around food


Client Analysis

Integrative Nutrition Health Coach:

  • does not diagnose/treat; assesses clients' overall well-being while allowing clients to drive convo and determine areas of desired focus

Registered Dietician/Nutritionist:

  • diagnoses clients' nutritional imbalances and concerns using the process of identifying problem, cause, and symptom in order to support pursuit of a treatment plan


Client Intervention

Integrative Nutrition Health Coach:

  • makes general, low-risk recs to help clients enact basic, health-supportive modifications and habits; recs might include: developing strategies to incorporate more physical activities, adding in more fruits and veggies and drinking more water to crowd out sugar, processed grains, and caffeinated beverages; learning to nurture good relationships; identifying career aspirations and developing strategies to actualize these goals; deepening spiritual practices through meditation, nature, or religion to enhance self-fulfillment

Registered Dietician/Nutritionist:

  • makes specific nutrition recs, often using food components such as calories of energy, grams of protein, and milliliters of water, based on activity level, stress level, and body composition

  • may recommend specific doses of vitamins, minerals, or other therapeutic supplements supported by nutritional assessment findings

  • may request or recommend further laboratory tests from a physician


Nutrition Theory

Integrative Nutrition Health Coach:

  • focuses on whole foods; avoids breaking down needs to macro and micronutrient level

  • may promote several different dietary theories tailored to the needs of each unique client

Registered Dietician/Nutritionist:

  • focuses on food components like macronutrients (carbs, protein, fat) and micronutrients (vitamins and minerals)

  • many diet plans based on one-size-fits-all government-developed guidelines


Client Goal

Integrative Nutrition Health Coach:

  • in addition to specific goals, focuses on teaching clients to eventually be self-sufficient by learning to observe the body's response to various lifestyle and dietary modifications and choosing health-promoting behaviors that work for them on their own

Registered Dietician/Nutritionist:

  • usually specific goals, such as weight loss, blood glucose content, or blood pressure normalizations, which often require ongoing guidance and maintenance


Educational Background

Integrative Nutrition Health Coach:

  • doesn't require an undergraduate degree or academic prerequisites

  • doesn't require passing a national exam to practice

  • trained on basic scientific concepts of metabolism with an emphsis on whole foods and healthy lifestyle components, such as physical activity, career, relationships, and spirituality; trained to coach and hold clients accountable for lifestyle choices

  • IIN requires an intensive, year-long course to provide the training that future clients deserve and demand

Registered Dietician/Nutritionist:

  • requires at least a bachelor's degree, 50% hold master's degrees or doctorates

  • requires passing a national exam

  • trained in-depth on disease states, biochemistry, metabolism, and macro and micronutrients, such as carbs, fats, protein, vitamins, and minerals

  • requires certification through national certifying body to practice


Career Characteristics

Integrative Nutrition Health Coach:

  • new, emerging, quickly evolving profession tailored to address healthcare crisis

  • forward-thinking, holistic - combines traditional health concepts with both ancient and modern practices

  • science and experientially-based recommendations

  • little to no government or food industry influence

Registered Dietician/Nutritionist:

  • founded on concepts established in 1917, slowly evolving

  • traditional, allopathic, medically established health concepts

  • science-based recommendations

  • strong government and food industry influence



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