Category Archives: non-diet

Walking the Aisles Talking about Food

It is Okay to Shop in the Middle of the Grocery Store

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Have you heard that you must shop the perimeter of the grocery store to be eat healthy? The idea is that all the healthy foods are on the outer circle of the store. Following that logic, the foods in the center aisles must be horrible for your health. I call bullshit.

I’m writing to you today from my home in Florida where “hurricane season” has come up on the 2020 Jumanji dice. In planning for the potential for a power-blip from the incoming storm, I ordered some shelf stable foods from Instacart for delivery today. Shelf-stable foods get a bad rap from health-promoters. While some deserve the unhealthy reputation, there are many health-promoting foods to be found in the aisles.

Besides, fearmongering about foods and the “health halo” judgment from those with food privilege pisses me off.

You can find plenty of articles on healthy-foods in the aisles, so let me share just a few of the shelf-stable foods that are typically a part of my heart-healthy, nom-focused eating style.

Walking the Aisles Talking about Food

Dried beans… every week.

Hubs and I have been enjoying chickpeas (garbanzo beans) in our salads for the past few months. Extra delicious when you toss in some feta cheese, sliced almonds, and top with a spicy vinaigrette! Black beans are another family favorite. Last weekend, I cooked up a pound of dried black beans, then portioned them into baggies in 1-cup servings and froze them. Now, I just grab a bag from the freezer each time I use one up and they are ready the next day.

I wrote about how amazing beans are a while ago. And for the cost – mon dieu – dried beans are the way to go! A 16-ounce can of beans has about 1 1/2 cups of beans. You can buy a store brand can for around $1.00. Dried beans though, that 16-ounce bag makes about 6 cups for the same price. I can do that math. Four times as much if you take the time to cook your own beans.

If we lose power, the beans will need to get eaten first since they’ve been cooked. Roll up black beans mashed with avocado from the countertop and some shelf-stable salsa in a thin flatbread and you have a tasty wrap.

Peanut Butter.

Not only do the dogs enjoy the natural peanut butter to get their daily pills down, hubs and I are huge peanut butter fans. I add some to my protein shakes for thickness and flavor, stir it into yogurt, mix it with salsa for a spicy sauce, top rice cakes with it (plus banana and a sprinkle of cinnamon), and eat it right off the spoon. If we lose power, we can just spread some peanut butter on a rice cake or banana and have a nice, filling snack.

Any nut butter will be a heart-healthy delicious choice so don’t get stuck wondering which nut or seed is the most nutritious, just choose what you enjoy. And check the label to make sure there is no sugar added or sugar alcohols (xylitol is toxic for dogs). It’s a winner if you see just the nut/seed and salt on the ingredients list.

Fruit Cups.

I’m on a mandarin oranges jag. These little beauties are great in yogurt, cottage cheese, tossed in those salads, or just straight out of the cup while leaning over the sink. I’m a macro-counter and when I need more carbs in my day, these work great. My hubs adds them to some bourbon drink he likes too. Look for the ones packed in their own juice or with no sugar added.

While these are found in the perimeter of the store (so I’m a little off topic), I am talking about foods to eat if you lose power. So, I will throw in that many fruits can be kept on the counter like bananas, apples, and peaches oranges as well as tomatoes and avocados.

Soup and Canned Chicken.

Not weekly staples but great if we lose power. Soup is easy to heat up on the propane grill. Canned chicken can be mixed with mayo and mustard packets and spread on a slice of bread with a tomato from the kitchen counter.

I hear you groaning “but the sodium, so much salt!” I would agree.

We choose the lower-sodium versions. You could also rinse of the chicken if sodium is a concern (but we don’t). And remember, if you eat a high sodium lunch, that will balance out if you eat a low sodium dinner. Your health isn’t broken by the healthfulness of one meal. Nutrition gives us the grace of time and cumulative effects.

Via Packs & Shelf-Stable Almond Milk.

A storm is coming and I won’t be without coffee. Enough said.

Plus for protein, I use the almond milk as a base for a protein shake – made with some shelf-stable protein powder – and grab a handful of walnuts to keep my macros balanced.

I could go on and on because I love food. Why else would I do what I do for a living? But I will stop here and instead ask, what are your favorite healthy finds in the aisles?

Share in the comments and let’s all help each other find those shelf-stable foods so we can get rid of the food fear and just start enjoying the fact that we have safe, readily available, and healthy options for everyone.

Yours in good health,

-Coach Alexia Lewis RD

A Gift: Enjoy the Holidays without Sabotaging Your Health

anti-diet, coaching, Diet, diet culture, Dietitian, goals, health, health coach, health goals, Healthy Diet, holiday eating, new years resolutions, non-diet, weight, weight loss, weight loss industry, wellness, willpower, , , , , , , , ,

I am beyond excited to announce a gift to you from me and N.E.W. Motivation Coaching. Because I am so unhappy with the Diet Culture / Weight Loss wheels turning as we come to the end of another year, I am giving away – yes free – both a video course and a booklet this year. 

Survival-Guide-Image

Unfortunately, December is a month when many feel overwhelmed with stress and give up on their health goals believing they will return to healthy habits in January when they make their resolutions.

There is some good in this actually.

If you look at the research on willpower, it indicates that people are not as successful at white-knuckling it / sucking it up / using their willpower to [insert goal here: stick to their meal plan, exercise daily, go to sleep on time, etc] when they are either stressed or depressed.

The trick is to manage the stress or depression first and then re-focus on health goals. If you are stressed in December, then relaxing on your health goals may be 100% appropriate. 

Giving up entirely to eat like a jerk and couch surf for 4-6 weeks, however, can result in a pretty big back-slide on health complete with weight gain and loss of cardiovascular endurance and muscle mass/strength! Oh, and an increase in blood pressure, cholesterol, blood sugars, and those other health concerns that are totally impacted by your daily food and activity choices.

So, what do we do?

I’ve got an idea: Find a way to both enjoy the holidays and keep some focus on your health goals. It is so very possible to do with a few tricks & tips up your sleeve!

Planning

The free course gives you 5 realistic tips to coast through the holidays while staying true to your health – and weight – goals as well as 3 worksheets and a health coach walks you through making your personal strategy in the videos so you can enjoy the holidays without sabotaging your health!

You also get tips for making traditional holiday foods healthier AND a list of which herbs and spices pair best with which foods so you can reduce fat and sodium without sacrificing flavor.

This course is designed for:

– Dieters who are tired of the repeated cycles of weight loss and regain who want to find peace with food, activity, and themselves so they can improve health and weight

– Adults with – or at risk for – chronic lifestyle diseases who want to find realistic and enjoyable ways to approach lifestyle changes so they can reduce their risk for chronic diseases and live a healthier life.

– People who are confused or overwhelmed with all the conflicting rules and information about nutrition and exercise who want to sort it out so they can find a lasting, realistic plan that works in their unique lives.

True-Health-Requires-Balance

I offered this information last year as an in-person class and just didn’t get to share it with enough people! So this year we are giving it away in order to get this good info into the hands of more people who need this type of support and guidance during the season.

Check it out – try some tips before the next big holiday meal in just a few short weeks – and share this with anyone you think may benefit from it! There is no limit on how many freebies we give away so share it as much as you would like to!

Here is the link text: https://new-motivation-coaching.teachable.com/p/our-favorite-5-tips-to-enjoy-the-holidays-without-sabotaging-your-health

So you know, this is only 50% of the tips we share in our Love Yourself Healthy Plan. We will be sharing more on that soon!

Yes, you can eat the pecan pie AND be healthy.

Abracadabra – you’re thin!

anti-diet, Diet, diet culture, Dietitian, exercise, fake science, health, health coach, health professional, Healthy Diet, non-diet, nutrition, weight, weight loss, weight loss industry, wellness, , , , , ,

I have to share that I’m feeling kind of sad, angry, and disillusioned. It’s that time of year, I know. That time where every crazy idea about weight loss and getting ripped invades every media outlet in our lives.

I should be used to it; but I’m not.

It makes me sad because of all the bullshit out there.

Just this week, I’ve seen very disturbing ads. Disturbing on one hand because they are utter ridiculousness. Disturbing on the other hand because of people’s reactions to them… or should I say blind faith in them being their magic bullet for weight loss. Oh, yeah, without having to do anything except buy and use this magical new product.

Have you seen the ad for lycra pants with some magical compound woven into the fabric that is absorbed by your skin and melts fat away yet?

Really?

I mean really – think for a moment and tell me if you believe this? If this were true, everyone would know about this magical potion that melts body fat – no work required, just rub it on and abracadabra – you’re thin!

I also just saw and ad for exercises no one over 40 should do because hormones.

What the bloody hell?

I couldn’t watch it all but this charlatan has a whopping 4 studies he is using to back up his claim that women over 40 shouldn’t do cardio because it messes up their hormones (again, what the bloody hell?). Oh and I guess cardiovascular health is not as important as your weight even though heart disease remains the #1 killer in the USA?

Ummm. Okay, let’s move on ignoring this major fact.

The next part was that this guy can show you the 12-minute exercise plan that will keep you burning fat and calories for hours after you exercise (spoiler: pretty much all exercise has this impact – Learn more about EPOC.)

Damn you science.

Yes, hormones are a big part of weight loss and metabolism. But the detox metabolism tea or the 12-minutes of exercise a day aren’t going to fix them or abracadabra – we’d all be thin!

But the worst part for me is the comments. This is what makes me angry.

It’s not what I’d expect of people crying BULLSHIT! No, it’s the vulnerable and hopeless pouring out their health problems in a comment and asking if the program will work for them.

People peddling this bullshit to these people should be ashamed of themselves. 

get-pissed-off

Of course, we also have had the supplements and pills around for decades now. Someone is still making money off them (off of you?) or they wouldn’t still be peddling this particular type of snake-oil.

The claim, as always, is just take these pills, no exercise or food changes required and abracadabra – you’re thin!

At least the shakes let you know you have to give up eating twice a day and instead drink their miracle shakes.

Listen, there is some evidence (as in research, not testimonials) for pills and supplements for weight loss but the fine print is usually along the lines of people losing an extra few pounds (not a lot of weight) when they also exercise and/or change their food. It’s not just the pills, people. And there’s not a big difference in weight lost with the pills.

Do you know what you are risking for that extra 5 pounds off loss with a pill or supplement?

Well, if it’s an over the counter supplement, just liver failure or death because these are not regulated.

If it’s a prescribed medication, then it’s just insomnia, damage to liver or heart valves, increased blood pressure, seizures, and diarrhea – fun!

But hey – 5 more pounds! Woo!

Learn more about weight loss prescriptions and supplements and the difference in how these come to market.

At least with the shakes you know you are going to be starving yourself – no matter how “filling” the shakes claim to be, it’s not food and there is no chewing.

But sure, take in a mere 700-1000 calories a day and you will lose weight… and stall out your metabolism so when you stop the shakes (because come on it is not a life-time plan), all that weight you re-gain is going to be fat instead of muscle now because you have wrecked your metabolism.

They should put that in the ads too #truthinadvertising.

Pyramid-Schemes

Actually, one of my favorite studies on an MLM shake product was provided by a seller and touted as proof that their shakes are different. The punchline? After actually reading the journal article, it turns out they gauged their weight loss shakes a success because the shake users regained less weight after one year than other dieters.

WTH? Regained less weight.

Right. Not actually losing weight… but regaining less weight back. Wow.

This all makes me disillusioned because here I am – hello – peddling health and weight loss through exercise and nutrition changes along with lifestyle management for stress and sleep.

Yawn. Boring.

And what? I expect people to do some work?

Yes. Work smarter, not harder; but work nonetheless.

At any rate, these are some random thoughts from a dietitian health coach as the money-making season begins for weight loss.

I have no real point today.

I’ll sit by and bite my tongue… and hope that someday we can see behind the abracadabra curtain and believe that common sense is sexy again.

Cheese and Strangulation by Bedsheets

anti-diet, Diet, Dietitian, HAES, health, health coach, health goals, health professional, No body shame, non-diet, wellness, , , , ,

I say when your press release gets no press, make your own! We will get to the cheese; but first:

FOR IMMEDIATE RELEASE

Dieting is Making You Bigger

Say Hello to Jacksonville’s Only Health at Every Size® Nutritionist

Jacksonville, Florida – July 2017 – There is a movement growing among health professionals called Health at Every Size® which, among other things, rejects the use of weight as an indicator of health and believes that weight is largely unchangeable by individuals. There is only one registered HAES® practitioner in the Jacksonville area. Search the listings here.

Regardless of what the celebrities and infomercials who promote a Diet Culture say, the fact is that the majority of dieters only temporarily lose weight. In the long-term, they regain the lost weight plus more. Many of them will then go back on a diet – and this weight cycling is detrimental to health. Following restrictive diets and intense work-out plans provides temporary weight loss results at the expense of mental health and self-esteem with the result often being an out-of-whack metabolism and eating binges. Social relationships can also suffer as food rules, good food/bad food beliefs, and guilt or shame about food choices become more consuming.

Many people think if someone is overweight, they are not healthy. The truth is that not everyone who has a large body is sick/unhealthy – and not everyone who has a small body is well/healthy. One cannot make judgements about someone’s health based on their body size. Many larger bodied people are healthy in terms of lab values, freedom from chronic conditions, and ability to exercise and live independently. All the diseases and conditions that obesity supposedly causes are nothing more than associations and correlations – things that happen together – not necessarily one thing causing the other.

For some fun correlations to illustrate this point, see Spurious Correlations and you can “prove” that eating cheese leads to death by strangulation by bedsheets… or that eating margarine leads to happier marriages (or at least less divorce filings)…

Beware-the-cheese

You see my point?

(And if you don’t, I’ve got a heckuva deal on some swampland I can sell you down here in Florida… hit me up!)

As a HAES® practitioner, registered dietitian, and certified health coach, I can offer a welcome change of pace for people who choose to reject the diet culture and prefer to work on improving health through mindful eating, enjoyable exercise, self-acceptance, and realistic, flexible lifestyle habits.

Get more information or see our upcoming events.

What Is this No-Diet / Anti-Diet Thing Anyway?

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Now that you are exploring the idea that diets don’t work, are you wondering what that leaves you with if you still want to improve your health and lose weight? It is a scary place to be. Many dieters have been dieting for a very long time and not having the structure and those good/bad thoughts about food and eating habits can result in feeling very lost and uncertain. We certainly are not comfortable trusting our bodies since we are not happy with how our bodies look. We certainly cannot trust our bodies because our bodies are always hungry (um, yeah, because we are starving our bodies on diets!).

Life with no diet plan? No food rules? How will we know what to eat? How will we keep from eating way too much food or binge-eating? We will dive in to the deep end with food and just get bigger!

So many times when I start working with a new client, I hear a very familiar story. It goes something like this:

What I ate yesterday? Oh, well, that was a bad day [laughs] but okay. I got up and I had a cup of coffee with a splash unsweetened coconut milk and honey – I know sugar is bad but honey is natural – and I ate 1 packet of instant oatmeal made with water. I was hungry mid-morning but I was good and didn’t eat until lunch time! For lunch, I had a salad and a diet soda. What was on the salad? Oh, it was just lettuce and tomatoes with one of those tuna packs. No, no dressing or croutons – I can’t eat those! By 4:00 I was so hungry but I drank a lot of water to fill up my stomach and I managed to make it home without eating! For dinner, we had grilled chicken and I had a few broccoli florets. My husband had some rice but I know carbs make me fat so I skipped that. To drink, I had a couple glasses of red wine – I’ve heard that’s good for my heart, right? I was so good yesterday and was so proud of myself but then, I was so bad. I just could not stop eating after dinner. I know I’m not supposed to eat after 6pm… are you sure you want to hear this? Okay, well, first I had some crackers with cheese… and then I had a lo-calorie popsicle… and then I had a big bowl of chopped pineapple… and I was still hungry and well, I knew I blew it at that point and was being bad so I went ahead and ate one of those big microwave bags of popcorn and before bed I had some ice cream! So far today though, I’m being good again and eating right.

It is a way-too-familiar story because it is the pattern of most of the people I talk to who are trying to diet. If you read that again and look for food rules and good/bad language, it will jump out at you. If you total up those calories (sorry, dietitian-brain took over) – or think about how much food was eaten before the after-dinner snacking began  – you know it is not enough to fuel a body! Of course you are hungry. You are starving your body. Yes, I know it’s on purpose because you want to lose weight but it backfires every single time, doesn’t it?

And no, it’s not because you aren’t good enough; aren’t strong enough; didn’t try hard enough. It’s because: physiology. Undereat… undereat…. Ignore hunger… undereat… binge! See you again tomorrow diet!

But without a diet plan, we now are staring into a void. Without the rules, what is left?

break-free-from-dieting

There is a new buzzword out there: anti-diet (or reverse dieting). It has been around for a while but maybe you just haven’t seen it before. Other names you may have heard are no-diet, non-diet, mindful eating, intuitive eating, and some others. It is about listening to your body – and yes, you can trust your body – once it has learned it can trust you not to starve it again… although that may take a little time. Your body has learned that starvation is always coming if you are a repeat dieter. But with time, you can get past that point and get back in sync with your body.

What does a non-diet approach look like? It may be different for different people but here are some ideas – and I’m sure you could add your own ideas to this list once you get the hang of it:

  • Eating foods you like in amounts you desire, which means
    • Eating when you are hungry instead of ignoring your body when it is crying out for fuel and energy
    • Stop eating when you are satisfied from a meal. Yes, this takes practice and it is hard work; but doesn’t that make more sense than eating a set number of calories or points or only green foods?
  • Consider what you want for your health and choose foods that move you in that direction
    • For example, if you are working on lowering cholesterol then eat more foods with fiber and unsaturated fats
  • Focus on quality nutrition by swapping out nutrition-poor foods for more nutrition-rich foods
  • Allow yourself to eat what you really crave and enjoy – have those treats and other foods you love and told yourself you would never eat again
  • Following that, only eat foods that you enjoy. I do have one pretty big food rule that I recommend we all follow: Never eat something you don’t like. Seems elementary but a lot of people choke down “healthy” foods and drinks that they hate
  • Find activity that you truly enjoy regardless of the intensity or “calorie burn” and then do it consistently (and joyfully!)

Answer a question for me: Are these positive guidelines or negative ones?

The diet industry has made people hate themselves into desiring to change by following rigid and ridiculous rules. This approach is all about loving ourselves into change with flexible and enjoyable guidelines!

Think about it. The diet culture banks on you hating your body. You hate your body and so you diet and exercise because your body is wrong, it can’t be trusted, it’s signals must be ignored, and you are not worthy. You must eat a certain way (diet), obsess about food, power through the physical and emotional pain of hunger, and don’t forget to exercise to as a penance for eating. And maybe one day, after you suffer the consequences of “getting yourself back” after having “let yourself go,” you finally can be deserving of love and worthy and valuable.

The no-diet approach is based on loving yourself and realizing that your body is worthy and beautiful, you can trust it and listen to its signals, and if it never changes, you are enough, you are valuable, and you are worthy. You eat because food is nourishing – and delicious – and you get to exercise and move your body in ways that feel good. These things are rewards, not punishments!

And listen, you can still seek to improve your health. There is nothing wrong with that. Do you think those who strive to be millionaires shrug their shoulders and stop trying because the majority of people don’t make it? Heck no. If that were the case, then millionaires would only be born, not self-made. Self-made millionaires seek to improve on their weaknesses and put in the hard work. They read, meditate, get up earlier, work harder, and improve themselves. Do you think they hate themselves until they make their first million? Heck no! (So why do you hate your body until you lose weight?). They believe in themselves, they love themselves, and they know they are worthy of achieving their dreams.

Breaking the diet mindset is not easy work.

A funny thing happens with weight when many people stop dieting… not right away; but over time, people’s weights settle at the weight that is best for their bodies. You may lose weight if your body has a lot of weight on it because you are treating yourself poorly with food and not being active and then you start treating yourself better by eating nutrition-rich food and getting more active; but weight is not the focus. You may gain weight if you’ve been dieting forever and now you break all your “diet rules;” but the research doesn’t indicate that weight is gained with a non-diet approach and weight is not the focus. If you lose weight, great! If you don’t lose weight, great! If your weight doesn’t change, great! Once you can embrace that, you will have flipped off diet culture and be on your way to living a happier, healthier life!

Do you want to learn more? Please join our upcoming Redefining Healthy Book Club: Readings to Break the Diet Cycle and Live the Good Life. We will meet virtually and in-person if you are in the Ponte Vedra, Jacksonville, St. Augustine area of Florida.

Yours in Good Health,

-Alexia Lewis RD

This article is Part 4 of 4 in “Health versus Weight as a Focus for Wellness” which will be published during the month of June 2017.

Part 1: The Continuum of Approaches to Health: Thoughts from a Curvy & Healthy Dietitian Health Coach

Part 2: Who is the Best Health Professional to Help with Creating New Lifestyle Habits?

Part 3: If Diets Don’t Work, How Can a Health Coach Help Me?

References & Resources

T.L.Tylka, R.A. Annunziato, D. Burgard, et al, “The weight-inclusive versus weight-normative approach to health: Evaluating the evidence for prioritizing well-being over weight loss,” Journal of Obesity, vol 2014, article ID 983495, 2014. View at: https://www.hindawi.com/journals/jobe/2014/983495/.

A. Bombak, “Obesity, Health at Every Size, and Public Health Policy,” American Journal of Public Health, vol. 104, no.2, pp. e60-e67, 2014. View at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3935663/

If Diets Don’t Work, How Can a Health Coach Help Me?

anti-diet, Diet, Dietitian, HAES, health, health coach, health goals, non-diet, weight, weight loss, wellness, , , , , ,

Have you heard that diets don’t work?

Actually, all diets work. Any way you can dream up to cut calories will usually result in weight loss (assuming no underlying health conditions, sleep and stress are in check, you have a healthy gut microbiome, have not screwed up your metabolism from a history of chronic dieting, etc. etc. etc.). So go for it – paleo, atkins, intermittent fasting, no white foods, whatever – they all work until you stop following them.

Ah, there’s the catch. Who could follow any of them for a lifetime? So, diets only work short term. Health is not a short term proposition. Diets don’t work.

The ugly truth is that an overwhelming majority of dieters regain the lost weight (plus more!). Many others have knocked their metabolism and hormones out of whack (making it easier to gain weight) and may have jeopardized their health physically and emotionally by going on a diet. What’s worse is that weight cycling (the on/off diet lose-and-regain weight cycle) is not at all good for your health.

It’s all doom and gloom for dieting when you look past the initial honeymoon phase when your weight is dropping. Need to have that gall bladder taken out after a low-fat diet? Obsessing about food all the time after calorie counting? Feeling like a failure, unworthy, unlovable after losing and regaining weight again? These are the promises diets should make. #truthinadvertising. You must be crazy if you want to go on a diet. Who wants results like that?

dietsdontwork

Well, a lot of people do. We are all bombarded by diet culture and fitspo and it is natural to want to lose weight, to model what you see, to want to fit in with current societal norms. We live in a shake-pushing weight-shaming world and large-bodied people face discrimination every day. Our beliefs about dieting and weight are so very skewed from media outlets and celebrities and fitness bloggers.  Many blame themselves for not being able to lose weight on a diet (wrong answer) instead of blaming the multi-million dollar industry that is banking on the fact that you will blame yourself instead of the diet plan and spend your money in the diet industry again and again and again.

But, check it. If the majority of diets fail, then at least some dieters are successful, right? I hear the optimist in you. I get it. That next diet, well, it’s so alluring and promising and well, maybe you are in that Miracle Minority who can diet and keep weight off for life! Maybe.  Maybe not.  I’m not a fortune teller. Even though I know the research about diet outcomes, it is not my job to force that on you. So, go ahead if you want to try just one (or three or five) more diets. I’ll still be here when you are ready to try out something different.

How Can I Help You?

If you want to work on your health and wellness, then I want to work with you. This is where the education part of my job is. Let’s talk about why you believe that the next diet is “the one” and let’s work through how you are thinking about dieting – the process and results and struggles – and see where you end up. It is better to for you to explore your options and for me to give you a safe place to unload and investigate some new ideas.

My hope is that you will move towards the anti-diet/non-diet approach. In fact, many people I work do relax their food rules and find a happy place with food and exercise. If you partner with me then you get a coach to educate, explore, discuss, trouble-shoot, brainstorm, encourage, motivate, and challenge you. You get someone on your side working right there next to you until we find what works for you to reach your health goals.

When you are ready to break the diet cycle and focus on your health, I will still be here.

Yours in Good Health,

-Alexia Lewis RD

This article is Part 1 of 4 in “Health versus Weight as a Focus for Wellness” which will be published during the month of June 2017.

Part 1: The Continuum of Approaches to Health: Thoughts from a Curvy & Healthy Dietitian Health Coach

Part 2: Who Is The Best Health Professional to Help with Creating New Lifestyle Habits?

Part 4: What Is This No-Diet / Anti-Diet Thing Anyway?

References

T.L.Tylka, R.A. Annunziato, D. Burgard, et al, “The weight-inclusive versus weight-normative approach to health: Evaluating the evidence for prioritizing well-being over weight loss,” Journal of Obesity, vol 2014, article ID 983495, 2014. View at: https://www.hindawi.com/journals/jobe/2014/983495/.

A. Bombak, “Obesity, Health at Every Size, and Public Health Policy,” American Journal of Public Health, vol. 104, no.2, pp. e60-e67, 2014. View at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3935663/

P. Sumithran and J. Proietto, “The defence of body weight: A physiological basis for weigh regain after loss,” Clinical Science, vol. 124, no. 4, pp. 231-241, 2013. View at: http://www.clinsci.org/content/124/4/231.

S. Wolport, “Dieting does not work, UCLA researchers report,” UCLA Newsroom, 2007. View at: http://newsroom.ucla.edu/releases/Dieting-Does-Not-Work-UCLA-Researchers-7832 or the study that was the basis for the article here: https://www.ncbi.nlm.nih.gov/pubmed/17469900.

R.R. Wing and S. Phelan, “Long-term weight loss maintenance,” American Journal of Clinical Nutrition, vol. 82, no. 1, pp. 222S-225S, 2005. View at: http://ajcn.nutrition.org/content/82/1/222S.short.

R. Chastain, “Do 95% of dieters really fail?” Dances with Fat, 2011. View at: https://danceswithfat.wordpress.com/2011/06/28/do-95-of-dieters-really-fail/ (a nice summation with links to more information).

The Continuum of Approaches to Health: Thoughts from a Curvy & Healthy Dietitian Health Coach

anti-diet, Diet, Dietitian, HAES, health, health coach, No body shame, non-diet, reverse dieting, weight, , , , ,

Health is a field overwhelmed with experts and more who claim to be experts.

On one end of the spectrum are those offering quick, easy ways to get skinny and ripped for no effort and a few bucks. And boy, do those “experts” ever look the part – slim, muscular, portraying a “healthy” body – and they want you to know that they have the 30-day challenge, the magic shake, the recipe book, the 15-minute a day work-out, and the supplements that – this time – they promise – can make you be look just like them! Wooo! Hold on a minute though. They are also genetically blessed to fit the current “ideal body” type, they are most likely malnourished and dehydrated from the pre-photo-shoot dieting phase, they are contoured with make-up magic and lighting, and then, finally, because all that is still not “good enough,” they are photo-shopped into “perfection.” You’ve seen all the “before and after” pictures. This can make the even most self-confident people reconsider themselves and hold their bodies up for comparison. Welcome to the Diet Culture.

Then there’s me. I choose not to belong in the diet culture. I do not look the part. I do not promise you fast results or sell you weight-loss, muscle-burning, metabolism-boosting products because no matter how many times you buy the plan, the shake, the pills – in the end, the diet will fail you.

At the other end of the spectrum are the weight-neutral, anti-diet, non-diet, Health at Every Size®, body-positive, and No Body Shame approaches. I embrace these values and know that health can have nothing to do with weight. Yes, I know it is difficult to believe but it is supported by research and my personal clinical experience. Not only have I worked with many clients who have great health by all measures regardless of their body size (larger, smaller, and in between); I also have pretty good health (see blog) regardless of my body size. Weight does not cause poor health; weight is associated with some health conditions. This is not at all the same thing. And – these associations disappear when confounding factors are controlled. And as far as obesity leading to increased mortality (earlier death), that also goes away when metabolic health (good labs) and physical fitness come into the picture. No one has any obligation to (attempt to) control their body size; all bodies are worthy and you are, in fact, “good enough” and deserving of all you want in the body you have right now. Assuming you are not a jerk, in which case I take that back.

Then there’s me. As I started this article series, I was admiring these principles yet clinging to weight loss because (1) that is what people want, and (2) it is difficult to let go of weight-focus after living in diet culture. The more I researched weight loss sustainability and weight’s actual influence on health, the easier the shift to a weight-neutral focus became. I walked into this blog believing there was still some value in including weight as one of many – not the only or the most important – parameters to measure change.  The research flies in the face of that belief so I have changed my professional opinion.

And – oh happy day! Through this process, I have realized that I am not alone. There is a community of health professionals who also believe this. There is an alternative to the diet culture – a safe, evidence-based, real-life, flexible, option to focus on health over weight through a weight-neutral approach.

So, where does this leave me?

When I started writing – confused. Now that I am on the end of the research and writing – angry. I am angry that there is so much pressure, misunderstanding, and stigma surrounding something that we should celebrate – our bodies. I am angry that this was not more of a factor in my education, training, and continuing education. I am angry that such a lie (weight loss is easy and sustainable and oh so important for your health) has been perpetuated and ingrained into every aspect of our American culture.

I am breaking free of the diet culture personally and in my practice. This is not easy because “Hello, my name is Alexia and I am a chronic dieter” since my first week-long fast at the age of 13 who is sitting firmly in the “overweight” category by all measures you could make. I understand wanting to lose weight because I have that desire due to a lifetime of cultural pressure. I do not know what to do now with the pride that has been my friend since I have been tracking my calories (on and off) for the past 10 years. I am not sure where I put all of that right now. But that’s okay.

I am more and more firmly planted in the non-diet culture. I also understand this approach because, regardless of my weight, I am healthy, active, and happy. I have worked with my clients to help them relax their food rules and enjoy delicious food without guilt. I love the freedom and flexibility of a non-diet approach. Now I get to walk the walk – instead of just talk the talk then go home and count my calories (which I have not done since I started this blog series a few days ago so that is a start!).

All I know, and you may have noticed by now, is that I am a (beautiful, messy) work in progress just like you. I know I have passion for helping others with their goals. This is absolutely the right field for me because I am so fulfilled when I get to see people reach goals or when that “something” clicks for them. I get to be their partner in literally changing the path of their lives. It is an honor to be a part of this type of transformation for people and I am grateful for it every day.

I guess that’s bigger than any label I could put on myself.

Yours in Good Health,

-Alexia Lewis RD

This article is Part 1 of 4 in “Health versus Weight as a Focus for Wellness” which will be published during the month of June 2017.

Part 2: Who is Best Health Professional to Help you With Creating New Lifestyle Habits?

Part 3: If Diets Don’t Work, How Can a Health Coach Help Me?

Part 4: What Is This No-Diet / Anti-Diet Thing Anyway?

References:

A. Bombak, “Obesity, Health at Every Size, and Public Health Policy,” American Journal of Public Health, vol. 104, no.2, pp. e60-e67, 2014. View at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3935663/

K. M. Flegal, B. K. Kit, H. Orpana, and B. I. Graubard, “Association of all-cause mortality with overweight and obesity using standard body mass index categories a systematic review and meta-analysis,” Journal of the American Medical Association, vol. 309, no. 1, pp. 71–82, 2013. View at http://jamanetwork.com/journals/jama/fullarticle/1555137.

L. Bacon and L. Aphramor, “Weight Science: Evaluating the evidence for a paradigm shift,” Nutrition Journal, 2011. View at https://nutritionj.biomedcentral.com/articles/10.1186/1475-2891-10-9.