Tag Archives: diet culture

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.

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.