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Tuesday, July 17, 2012

An Invitation to Governor Chris Christie

I don't have much politically in common with New Jersey Governor Chris Christie.  We are polar opposites when it comes to social issues or the role of government, but the Governor and I do have one thing in common:  We both struggle with weight and deal with it in a public arena.  Granted, my public arena is much smaller than the Governor's but none the less, we are still judged by how we look.  Me because I am a dietitian and dietitians are supposed to "look a certain way" and the Governor because, well, he's a Governor.  I've written about my issues with weight here so I don't need to rehash that old story.  Regardless of the reason, people will look at us and draw a conclusion.

Gov. Christie did an interview with ABC Nightline this month where the issue of his weight came up.  Read the full article here and watch a video excerpt below.  The Governor makes some honest and personal observations about his struggle with his weight.  He shares how he as struggled with weight for 30 years and how his job makes making healthy choices difficult.  You don't have to be a Governor to identify with that, right? Those are issues that all of us deal with but there are much deeper issues that affect our food choices. Near the end of the article, the Governor says,
“I’ve been living with it for a long time, and I’m going to try to get better,” Christie said. “And if I can get better, that’ll be great for me and for my family and for the public who likes me … it’s something that’s not easy. If it were easy, I’d already have it fixed.”
Governor Christie is a very successful, intelligent and driven individual.  You have to be to run for and get elected to political office.  He is "fixing" important social and political issues every day. His career is defined by successfully dealing with problems. But, despite all that success, power and motivation, he can't "fix" his weight.  Again, you don't have to be Governor to identify with that, right?

It's a common misconception that we can "fix" our weight.  We need to realize that what we need to fix is not the number on the scale but rather the way we think about food. What the Governor needs to do is make peace with food.  You don't have to be Governor to identify with that either.

So, I'm extending an open invitation to Governor Christie.  Governor, you don't need another meal plan or diet that promises results.  Let's talk, man to man, about something men don't usually open up about: how we use food to cope with our emotions.  Let's start a conversation about how food can be our best friend and worst enemy.  Let me help you make peace with food.  Let's start the discussion so you can start listening to your body, honoring your hunger and fullness.  Governor, ditch the food rules that you've grown up with and let's talk about how you can start to give yourself permission to eat again. This isn't a fad diet, this is Intuitive Eating.  I am here waiting for your email.  I'm available for Skype or FaceTime calls so no need to come out to Los Angeles either.  You don't need to be a Governor to open up and talk about food.  My invitation extends to anyone else out there that is ready to make peace with food. 

As always, I welcome your comments.

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Monday, July 9, 2012

Yoda Was an Intuitive Eater!

Photo courtesy of Starwars.com
Just like almost every other kid who grew up in the 1970's, I am a big fan of Star Wars.  Even the new ones hold a special place in my heart.  There was just something about seeing Luke Skywalker blow up the Death Star, watching a lightsaber battle and hearing Darth Vader breath that captured me.  Now as a father, it has been fun to experience all that again as I watch those movies with my son.  I've tried to get my daughter to watch but she's more interested in other things...sigh.  Watching the movies again I've been able to see some new things and messages that I had never noticed before.  I've even noticed some interesting things that connect Star Wars to Intuitive Eating.

One of the central themes in all the Star Wars movies is The Force.  It is a simple good vs. bad archetype but also something deeply spiritual.  The light side of The Force revolves around ideals and themes like mercy, benevolence, patience, healing, compassion and enlightenment while the dark side is aligned with fear, anger, aggression, hatred and jealousy.  When I thought about The Force, I realized that in some ways Intuitive Eating and dieting is just like the light vs. dark side of The Force.  I'm not saying that if you are on a diet you are like Darth Vader, but I would like to illustrate a few themes that I've thought about.

Although not written in the book, there is a definite spirituality to IE.  To make peace with food, you need to be a Jedi on some level. You must have patience, compassion towards yourself and your body, and merciful to your vulnerability.  You also need to understand that to make peace with food, you must heal your mind, body and spirit.

But dieting is the way of the Sith or dark side of The Force.  Dieting and focusing on weight is filled with fear of failure, anger at the food rules, hatred of our bodies and jealousy of the "appearance of success" of others.

If Yoda was the master of all Jedi, then he must have been the most enlightened, the most at peace and the most insightful.  With all that inner peace and wisdom, then in my opinion, it goes without saying that he would, of course, also be an Intuitive Eater.  Don't you think he was at peace enough to listen to his body and respect his hunger and fullness?  Since he was to insightful, he must have had some great coping skills when he was emotionally vulnerable instead to heading right to food.  And with all that enlightenment, he probably also loved his body.  Although small in stature, he was powerful.  For a 900 year old, it looked like he had a pretty positive body image.  Those are the exact skills all of us need to become Intuitive Eaters.

If you don't think I'm a nerd already, well then stand back because I'm going to share some Yoda quotes with you.  Yes, I'm quoting Yoda!  I added some key words [in brackets] to reframe your thinking from Star Wars to Intuitive Eating to illustrate my points.
  • Fear is the path to the dark side [of dieting]. Fear leads to anger. Anger leads to hate. Hate leads to suffering [and more dieting].
  • Don't think. Feel. Be as one with The Force [Intuitive Eating]. Help you, it will.
  • Clear, your mind must be.
  • Patience!
  • A Jedi [Intuitive Eater] must have the deepest commitment, the most serious mind.
  • Beware of the dark side [dieting]. Anger...fear...aggression. The dark side of The Force [dieting] are they. Easily they flow, quick to join you in a fight. If once you start down the dark path [of dieting], forever will it dominate your destiny, consume you it will.
  • The dark side [dieting] is not stronger, but quicker, easier, more seductive.
  • You will know the good side from the bad when you are calm, at peace. Passive.
  • You must unlearn what you have learned.
  • Not believing [in your own intuition] is why you fail. 
I know, I might be reaching on some of these but some are so perfect when it comes to our relationship with food. I honestly feel that dieting leads to anger, and anger leads to hating ourselves.  Hating ourselves is suffering and that leads to more dieting.  It is a cycle that we need to break.  I also feel that Intuitive Eating is a difficult journey and it is definitely not an easy path but there are "Jedi" out there to help you.  To trust your intuition and make peace with food is the path to calm, peace, enlightenment, self-compassion and  healing.   May The Force be with you! Or as my Twitter friend Elisa Zied said, "May the Fork be with you!"

Sunday, July 1, 2012

Bad Body Image - Not Just for Women Anymore

Since diving into Intuitive Eating and using it with clients, I've made an anecdotal observation that I'm not sure is correct but here goes: Intuitive Eating appeals to women much more than men.  Intuitive Eating is not gender-biased in any way but I've noticed this because in most cases, making peace with food forces you to deal with your emotions, something us men have trouble doing.

But does that mean men are not struggling with losing weight, with improving their health or with body image issues?  Obviously the answer is no to the first two but men's body issues is not necessarily a common topic.  

Here are some statistics about male body image and eating disorder issues: 
From the National Association of Anorexia Nervosa and Associated DisordersAn estimated 10-15% of people with anorexia or bulimia are male.  Men are less likely to seek treatment for eating disorders because of the perception that they are “woman’s diseases.”
From the National Eating Disorders Association: Approximately 10% of eating disordered individuals coming to the attention of mental health professionals are male (Wolf, 1991; Fairburn & Beglin, 1990).  Boys are three times more likely than girls to be trying to gain weight (28% versus 9%). The cultural ideal for body shape for men versus women continues to favor slender women and athletic, V-shaped muscular men (Rosen & Gross, 1987).
If you do a Google image search on positive body images, most of the results are images of women.  They are inspiring messages that I am happy to see, but there are relatively few that show any men.  If you add the word "male" in the middle of the same search you find more randomness to the images that come up.  But the few male-specific pictures that do come up are almost all "the ideal" image of a man: six pack abs and well defined muscles.  There are no pictures of "curvy" guys holding up a positive statement about their love handles.  There are no men standing in front of mirrors with "You Are Beautiful" written on it.  I don't have a six pack nor well defined muscles and, like I'm sure many other people will understand, I've struggled with body issues.  So where is our inspiration?

The difference between the search results is striking especially for me--since I know both as an individual and as a clinician--how strongly our body image affects our food choices.  Perhaps the lack of awareness is the exact result of the problem that so often plagues us men; we don't like to share our feelings.  Until we can begin to deal with our body issues and accept that making peace with food might mean sharing some of those emotions we have buried inside, we will never break the cycle.

Maybe our body issues are not the same as our female counterparts, but they are there.  Maybe we don't care as much about being "thin" but we do care about being "bigger."  How can we lift more, build more muscle, look more cut and which foods will help us get there?  Just check out a Men's Fitness cover one day. Regardless of our goal, we have our own food rules and our own issues with food.

Intuitive Eating is not gender specific. Making peace with food has nothing to do with male or female.  Listening to your body's hunger and fullness and respecting your body is a part of all of us.  Although learning to share your emotions might come more naturally to women, it is not exclusive to them.  Men have the capacity to share and can learn the benefit of guided support to help change how they think about food.  So men, don't be afraid to pick up the phone, send me an email or pick up a copy of Intuitive Eating.  It is a journey worth taking.  


Sunday, June 24, 2012

Why I Garden

This summer is the third year that I've planted a vegetable garden in our back yard and each time I learn something new.  You might think, "Well of course he has a garden, he's a dietitian." I originally planted my garden for almost that exact reason but also because:  
  • I wanted my twins to know where fruits and vegetables come from. 
  • I wanted to have more control over my food and where it comes from so a garden seemed like a great way to accomplish that.
  • I wanted to see if I could actually get anything to grow!
Now, I must confess that I am a very low maintenance gardner.  I water, I weed, and I harvest and probably not as often as I should.  I basically have a Ron Popeil attitude: I set it and forget it.  I would not say I have a green thumb, it's more yellowish and probably from over or under watering, I don't know which.

As the years go on, though, my garden has become more than I expected.  It all started a few days ago,  my daughter said something to me that really made me think.  She's 4 1/2 and when we were outside watering together she said, "Dad we have to share the food we grow, right?  That's what we are supposed to do with our garden."  She probably said this because she noticed that if we have something ripe to harvest, and we are going over to a friend's house, we bring whatever we pick as a gift. 

After thinking about what my daughter said for a couple of days I realized that yes, part of the fun of having a garden is that I get to share my harvest with friends.  

My garden is not just about what I do to the dirt and to the plants, it's about what the dirt and plants do to me.  If I spend 5 minutes outside in my garden, I notice I am more relaxed.  I am so proud when I see a small piece of fruit or vegetable start to form.  I feel accomplished.  I also get great joy from watching my kids look for worms, pick ready-to-eat vegetables, and help choose what to plant each year.  Although my yield each harvest is relatively small, nothing tastes as good as a vegetable that you grew in your own yard. 

My garden helps connect me to my food which is another exercise in Intuitive Eating.  I want to savor each bite of cucumber, corn, tomato or pepper that comes from my own work. 

To really understand what a garden can do for you, watch the YouTube video below from a recent Ted Talk. 

 


So how is my garden doing this year?  Here are some pictures so you see how things are going.  And I will add more photos as things continue to grow.  As always, I welcome your comments and thoughts.

Starters I purchased for planting.  Total cost ~$25

Two raised 4x4 beds divided into 1x1 squares ready for planting
Plants organized in their 1x1 plot

Planted and ready to grow!

Our first jalepenos 

This kids chose to plant "burpless" cucumbers!

Look how things have grown so far
Summer squash flowering after just a few weeks.



Wednesday, June 6, 2012

AND Done

Photo Courtesy of EatRight.org
Photo Courtesy of Coca-Cola.com





This time of year creates some angst in my life. It around this time of year that I get my renewal notice for my membership to the Academy of Nutrition and Dietetics (AND). For the past few years I have really struggled with whether or not I should renew my membership. I have written about my issues with AND here but to put it succinctly, I do not like the fact that AND partners with organizations like Coca-Cola, Hershey's, Mars Inc., General Mills and Kellogg's. I think that it sends the wrong message about our organization as a whole--whose primary goal is to promote good nutrition--while taking money from companies whose products are mostly thought of as not healthy.

 This year I have decided I will no longer be a member of the Academy. What happened this year to change my mind? Two things.

First, I found out that the Academy's new President, Ethan Bergman will be carrying the Olympic torch in England this year. That seems innocent, right? Then I found out that Mr. Bergman received the honor of being a torch bearer because he was selected by Coca-Cola (a major Olympic sponsor). What message does it send when our professional organization President does something as public as carrying the Olympic torch because Coke sponsored him? To me, it paints a picture that the two organizations have a pretty close relationship.

The second thing that finally tipped me over the edge was the Academy's press release after Mayor Bloomberg's proposal to ban the sale of large sugary beverages (soda) in New York City. In case you don't know the original story you can read it here. The proposed ban has sparked a lot of debate on the role of government in regulating our diet and the impact if sugary beverages on obesity. The Academy of Nutrition and Dietetics released a statement on the ban. In brief they said,
"The Academy supports strategies designed to encourage people to make healthful food choices," said registered dietitian and Academy President Sylvia Escott-Stump. "To date, most bans and taxations like the New York proposal are based on theoretical models. There is conflicting research on whether these programs actually result in behavior change that leads to positive health outcomes." Escott-Stump added: "As a science-based organization, the Academy of Nutrition and Dietetics believes there must be an evaluation component to these programs. We need to measure behavior changes across the population as a result of the program. Then, we can determine if the changes are long-term and whether they contribute to a reduction of chronic diseases like obesity and diabetes." 
 This release is so "blah" and without opinion that I was blown away! Why not take a stand on the topic either way instead of such a wishy-washy, wait-and-see attitude?  At least join the debate! Did AND hold back because their major corporate sponsor is Coca-Cola? Is AND holding their tongue because they don't want to bite the hand that feeds them? It sure seems that way to me.

There are a number of dietitians that feel like I do and according to this article,  61% of dietitians who are members of the Hunger and Environmental Nutrition (HEN) dietetic practice group (DPG) opposed AND's corporate sponsorship.

After much thought and discussion with colleagues whose opinion I value, I decided to vote with my pocket book.  I am not renewing my membership because I do not support the Academy's position on corporate sponsorship.  AND has many things to offer RDs but I choose to not participate until they change their stance on this issue.

I know that some of you will disagree with this opinion and I welcome your comments.  It is discussion and debate that is needed on this topic.  I am taking a stand...will you?

Monday, May 14, 2012

Dr. Oz Wants You to Slimdown for Summer!

Photo courtesy of Oprah.com
I don't watch Dr. Oz firstly because I have more important things to do during the day but secondly and most importantly, I think he is full of it!  There, I said it!

But I have to admit, he is like a train wreck, however.  I see something he says or writes, and I can't turn away despite all my best intentions.

The train wreck I couldn't turn away from this time was a link I saw via Twitter to his Swimsuit Slimdown Plan.  The article starts by evoking fond memories of your childhood, spending carefree days on the beach or by the pool.  It goes on to point out how many of us avoid these situations as an adult because of the fear of getting into a bathing suit.  The article pulls at your emotions and then reels you in with the common "diet mentality" hook:
You can stay inside all summer, wearing layer upon layer to hide your trouble spots, or always swim in a scuba suit. Alternately, if you’re ready to crank up your confidence, you can follow Dr. Oz’s smart and simple steps to lose weight, feel fit, and regain the confidence you need to wear your bathing suit
What is this amazing plan you ask?  Well let's take a closer look.  It starts like any other fad diet with simple, easy steps to losing weight and a better life.  The first step is to "Sip Smart" with a drink made from 1 cup of grapefruit juice and 2 tablespoons of apple cider vinegar.  Sounds a little tart to me, and maybe to some others too because Dr. Oz allows you to add 1 teaspoon of honey to make the drink a little more palatable. How generous of you doctor! The premise for this drink, (which is supposed to be consumed before each meal) is that it is high in Vitamin C which Dr. Oz argues will help burn fat DURING exercise.  He cites one study (no link supplied of course) which found that participants with adequate Vitamin C levels burned 30% more fat during moderate exercise than those with lower Vitamin C levels. I found the study that the article references here but I could find no others that support this finding...shocking right? The final sentence is another example of Dr. Oz's fad diet sell:
Drink Dr. Oz’s secret slimdown drink before every meal and you’ll literally burn away your fat while enjoying a citrusy delight.
Part two of the plan is my favorite.  The "slimdown salad" is comprised of 1 bunch of dandelion greens, 1 cup of watermelon and parsley.  The "diet" says that you'll get plenty of healthy protein from the dandelion greens.  Yes, you will get protein from the dandelion greens but according to this nutrition data, you'll get a whole gram of protein for each cup of greens.  One measly gram!  Seriously Dr. Oz, no one on your staff could Google "protein content in dandelion greens" and find that one gram of protein will not fill you up?  The watermelon is included in the salad because it is a "good source" of arginine, "which might promote weight loss" according to a study quoted by Dr. Oz.  The study was from the Journal of Clinical Nutrition and can be seen here.  I'll let you read the full article but the basic gist is that lab rats (n=8 in each of four treatment groups) that were supplemented with over 1 gram of arginine per day had less fat accumulation than the other groups of rats.  So, arginine MAY help prevent fat mass accumulation (according to 1 study of just 24 rats) but this begs the question how much arginine is in a serving of watermelon?  Well there is a total of  86.7 mg per 1 cup.  Wow, an amazing 86.7 mg!  Stand back fat, prepare to meet your doom.  IF the study on arginine is true and it helped, why would you only choose 86.7 mg of arginine?  If you wanted arginine in the salad, why not just add one cup of cooked lentils to the salad which would give you 1380 mg of arginine, 16 grams of dietary fiber and 18 grams of protein?  Now that will fill you up!  But this salad is not being sold to you for taste or for flavor but only as a miracle fat burner high...a quick fix.

The other two parts of this genius summer slimdown is to buy a $40 bottle of aminophylline cream to reduce cellulite and a "sculping" exercise routine that can be done in just 5 minutes each morning.  Since I'm a dieitian I'll focus my critique on the nutrition content of the article and just summarize these two points simply by saying they are more quick fixes from the doctor.

This article bothers me on so many levels.  First off the research Dr. Oz is highlighting are singular studies on a topic and without large scale validity.  Secondly, the nutrition advice does not support the "diet's" goals and it looks like it has come out of a lab and not based on building appealing, delicious and nutritious meals.  Why would I want to drink vinegar and grapefruit juice before each meal?  Come on! Lastly, the reason this bothers me the most is that Dr. Oz is abusing his MD credential.  He is another example of how celebreties use their name to promote a quick fix to weight loss.  Is this any different than Kirstie Alley or Charles Barkley?  Sure Dr. Oz is not selling any supplements but he is selling himself, his reputation and in this case, a fad diet.

There is no simple four step plan to health, weight loss or summer happiness.  This is just another in a long series of diets that MIGHT help you temporarily but they won't provide any long-term solution.  Your solution to health lies within you.  You will discover your own healthy life when you finally reject the diets, honor you hunger, make peace with food, respect your fullness and stop using food to cope with your emotions.  That is how Intuitive Eating works.  Why not start to listen to what your body is telling you about your food choices?  With some practice you will begin to intuitively know what foods make you feel best. 

As always, I welcome your comments.

Monday, May 7, 2012

"Intuitive Eating? That Sounds Dangerous"


That is exactly what my close friend's doctor said after their most recent visit this week.  Apparently my friend has gained some weight over the past two years and the doctor said she was concerned about the trend.  My friend mentioned that I'm a dietitian and of course what did the doctor say, "You should have him make you a meal plan." My friend, who has been trying to become an Intuitive Eater, tried to explain some of the basic principles.  That is when the doctor laid out the gem that is the title of this blog post.  Her next sentence was, "I would intuit to have a candy bar every day."  Well doc, maybe that is just what your body needs.

Intuitive Eating (IE) is scary for some people.  Imagine what it must be like after years of dieting and the constant good vs. bad fight going on in your head to then say, I can eat whatever I want.  The answer is yes...yes you can.  One of the basic principles of IE is to make peace with food.  This means giving yourself unconditional permission to eat.  When we don't have permission to eat what we crave, we hide what we eat, we binge and most of all we feel guilty and like a failure when we do "cheat."  Until you break down all the existing food rules and diet mentality, you can not learn to listen to your body and choose the foods that honor your health.

I feel horrible now because my friend is once again obsessed with the scale.  They are once again looking at diet books and different tools to help that silly number on the scale go in the right direction instead of focusing on their health.

I think what upset me the most about the doctor's comments was two things.  First, the doctor dismissed IE like it's just some trivial notion...that eating what we crave and making peace with food is something from a science fiction movie.  That couldn't be farther from the truth.  IE is written by accomplished RDs, it's based on research and we are finding that Intuitive Eaters are healthy individuals.  The second is that doctors have influence over people.  And to make a comment like that to someone who is struggling to listen to their intuition is a real set back into their diet mentality.  This is the exact sort of situation that believers of Intuitive Eating struggle with all the time.  It is part of all of our journeys.

If you would like to read some of the research on IE, just click here.  Also, weight is not the only determinate of good health and some would argue that weight is actually a very poor indicator of health. If you are interested in learning more about that go here and here.

As always I welcome your comments.