Tag Archives: health coaching

Vitruvian Man Logo

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You may have noticed that N.E.W. Motivation Coaching has an updated logo. We kept the Vitruvian man – because reasons below –  but made the graphic simpler and more visually friendly.

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Why Choose this Image?

You may know that the Vitruvian Man is a sketch done by Leonardo Da Vinci which represents the “perfect proportions” for man. The circle and square which surround the Vitruvian Man provide the touch-points for the length of the arms and legs as they move from one position to another.

It’s an art and a science: A multi-faceted approach. Leonardo’s new twist – to place the circle and square on top of each other – combine science and art. This is similar to our approach.

(1) We are firmly grounded in science, research, and evidence-based practice. We know the research and we keep up with new findings. We understand that the plural of anecdote is not data… yet we realize there are always outliers in research studies who may not fit the data trends. In other words, even if the research does NOT support something for a group on the whole, we are open to pursuing alternative paths to health as long as it does not bring you any harm!

(2) Making lifestyle changes that “stick” for the long-term is an art. We won’t throw information at you and tell you to make it work. Information is everywhere and if all it took was having legit info, then everyone would be exactly where they wished they were with health and weight. We do not believe our role is to tell you what you should do, what you should want for your health (or weight), or how to go about it. We instead focus on discovering your uniqueness (including your personal and environmental strengths and challenges) and then tweak, adjust, and experiment to create individualized goals to baby-step you to success. We use coaching and behavior change techniques to challenge you to think in new ways, but you will always make your own decisions.

Many body types can fit. Weight does not determine one’s overall health and yet many continue to focus on this one narrow view to judge their own health and the health of others. We like that a body with little fat and a body with lots of fat can both fit into the circle and square. The image is not body-shaming and embraces that all sizes belong.

What N.E.W. Stands For

Nutrition. The founder is a Licensed Nutritionist which means we can provide you with nutrition coaching and medical nutrition therapy. (More information on the differences here.)

Exercise. As an American Council on Exercise Certified Health Coach, we can get you started with activity and exercise safely.

Wellness. Health is more than food, exercise, and body weight. We work with you on finding health-life balance, improving sleep habits, managing stress, and figuring out all your Plan B’s for when life and situations throw you off course.

If you want more details, check out N.E.W. Motivation Coaching for upcoming workshops, group challenge classes, and individual coaching/counseling.

What do you think of the new logo and what it represents?

An Open Letter to my Dietitian Colleagues

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What good is an RD’s opinion?

Our opinions – they do not matter. Hear me out.

What we personally think about alternative sweeteners, grains, and organic foods– this does not matter. We are not the “body of evidence” or the final authority on how people “should” eat. Our opinions may be based on years of research (hopefully) or they may be based on the latest nutrition trend (unfortunately). So, our opinions: they may stink.

Our opinions, however, carry a LOT of credibility.

Our profession touts us as “THE food and nutrition expert” and holds us aside, seemingly on a pedestal when compared to other health professionals and educational tracks. We have years of schooling and internships to teach us to interpret, and sometimes perform, research studies. This training does set us apart and people seek out our opinions; but it does not make our opinion valuable to anyone other than ourselves.

There is a need for education about food and nutrition – many people are misinformed, lack an deep understanding of science and physiology, and have been led to the dark side of junk science and the business of selling health. We cannot be a part of this problem RDs! Please stop telling people what they should eat to be: good, pure, healthy, clean, and angelic. Please stop telling people about how we personally eat and which foods are bad, toxic (really??) and the devil personified.

It’s just food. And our opinions have no place in someone else’s dietary choices (except maybe our partners or children… and boy-hardy don’t they feel lucky to live with RDs #sarcasm).

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Our job, our role, what we have been trained and educated to do, is to evaluate the research, separate the invalid bull from the valid conclusions, and share what we, as a field of study, currently know about food and nutrition. Yes, you may have to actually read a bunch of peer-reviewed research studies. #sorrynotsorry.

I learned a valuable lesson during my internship: the opinion of the person asking for your opinion is what really matters. People ask for an RD’s opinion to have their beliefs confirmed or to receive praise for “correct” choices. The trouble is that getting asked for our opinion gives us a launching pad to talk about our ideas – and don’t we all love doing that? Sure we do! But next time, take a beat and say, “That’s an interesting question and I can certainly give you some information; but let me first ask what you think about that?”

I’d wager that the conversation doesn’t come back around to our opinions at all.

Our actions should be in service to our clients.

Let’s try to stop focusing on being right, stop talking so much, and start listening more. Let’s focus on helping people be real with their food choices instead of making them feel “bad” for not eating “right.” Let’s use our expertise to give people evidence-based information instead of our opinions.

Let’s help people in the way that RDs really excel – by knowing and keeping up with the ever-changing body of evidence and by helping people figure out how to apply the information relevant to them to their unique lives in a way that supports a physically and emotionally healthy long-term relationship with food and nutrition.

Now, go forth and be awesome!

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Who Is the Best Health Professional to Help with Creating New Lifestyle Habits?

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With so many options for a finding a health professional to help you move towards your health goals, how do you know how to choose? Let me be clear that your medical doctor is your first partner but you only get so much in-person time there! Let your doctor help guide your decisions about what to work on; then find a health professional to find the best strategies to get it done!

First, figure out how you want to approach your goals – do you want to focus on nutrition, on activity, or on a combination of many things: sleep, stress, time management, consistency, overcoming your typical challenges? This will guide you to the best person to help you. Second – and so important – is to find someone who makes you feel comfortable. Finally, make sure they have relevant education and hands-on experience. You want to make sure it is safe before you put your trust and health in someone’s hands!

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Before jumping in to the many types of health professionals you can choose from, let me start with some key differences.

Nutrition Education / Nutrition Recommendations / Medical Nutrition Therapy.

Anyone, even you, can provide nutrition education as long as you are not paid. You can look up credible guidelines (American Heart Association USDA’s Choose My Plate,  etc.) and share the information one-on-one or in a group as “nutrition education” in general terms. Now, if you decide to charge people for the education, you should probably check out the laws in your state because that changes things. In the 46 states in the U.S.A. that have license laws for nutrition , only certain professionals can (legally) make nutrition recommendations or practice Medical Nutrition Therapy. A nutrition recommendation would be giving you a meal plan or recommending a specific food change/supplement. To illustrate the difference, giving education is saying, “What we know about X is Y;” making a recommendation is saying, “If you are concerned about X, you should do Y.”  Medical Nutrition Therapy / MNT is giving recommendations about a dietary/nutrition approach for any health condition from a gluten sensitivity to heart disease or cancer. This does not involve diagnosing health conditions but it does include dietary “treatment” for health conditions.

Exercise Education / Exercise Foundation / Exercise Training.

Exercise education is like nutrition education. Anyone can speak in general terms about credible information regarding exercise and activity if not paid. An exercise foundation is getting someone started with exercise. It may be assessing you for exercise readiness, screening you to find out you should talk to your doctor first, or helping you start a beginner’s program designed by an exercise agency/trainer, such as an easy walking program. It should not make you breathless, involve lifting anything, or be hands-on exercise guidance one-on-one or in a group setting. Exercise training (personal training) is making recommendations by giving you a workout routine they designed or doing hands-on instruction and guidance (leading you through a work out).

As an aside for both of these definitions of terms: many people are more successful when given education and having a discussion with their health professional about how to apply it. Getting a recommendation is what many people think they want, only to find out those recommendations don’t stick for long. We all know that someone else telling you what to do rarely works for long… we tend to start tweaking things or just straight-up stop, right? A health professional skilled in having the conversation with people about behavior and lifestyle changes can be just as – if not more – helpful in the long-term than someone who can make recommendations.

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Types of Health Professionals

Certified Health Coach. If you want to focus in many areas, this is your go-to professional! Just know that there are many different types of coaching certifications with some being intensive and some being laughable – so ask questions. The more intensive certifications can require a NCCA-accredited certification/license or an associate’s degree in a health-related field as a prerequisite, followed by additional education (classes, readings, practical videos, critiqued practice of coaching skills) and a proctored exam. They can coach you in many areas of health and wellness including nutrition education, exercise education (and possibly building your exercise foundation), sleep, stress, time management, consistency, overcoming challenges, etc. They should also be skilled in motivating you to change and dispelling health myths.

Certified Personal Trainer. For exercise, this is your go-to professional! The same agencies that certify Health Coaches may also certify Personal Trainers so the requirements for this certification are similar except that only a high school diploma and current CPR certification are required. Personal Trainers can do exercise education, foundation, and training. They will know how to work around any injuries you have; but they cannot diagnose or treat injuries (that’s medicine) or help with injury recovery (that’s physical therapy). They can lead you through workouts or design an exercise program for you to follow on your own. For nutrition, dig a little deeper into their training. Legitimately credentialed personal trainers will have some education in nutrition and they can obtain extra certifications in nutrition (quality of programs vary); however, they are limited to nutrition education.  They should also be skilled in motivating you to change and dispelling exercise myths.

Registered Dietitian / State-Licensed Nutritionist. For nutrition, this person is your go-to professional! They will have an undergraduate (or master’s) degree in health / nutrition science and have completed 1,200 hours of hands-on practical internships. They can do nutrition education, make recommendations, and provide MNT. “Registered Dietitian” and “Dietitian” are legally protected titles in most U.S. States. “Licensed Dietitian/Nutritionist” is a title for those who have a license from their state’s Department of Health (same as a medical or trades license). In terms of exercise, they can provide exercise education and let you know if your “calories burned” part of the energy equation is low; but they cannot do any exercise foundation or training work with you. They should be skilled in motivating you to change and dispelling nutrition myths.

Nutritionist / Nutritionalist / Nutrition Counselor / Etc. Go make yourself a web page and business card – I’ll wait – congrats you are now a nutritionist! Would you put your health in the hands of someone simply because they have a good eye for design and a compelling way with words? Or because some new and interesting eating or exercise thing they did worked for them? Please be smarter than this. Some “schools” will give people a nutritionist title and it may mean nothing (very little training) or it may be more intensive; either way, unless they are a “licensed nutritionist” they can still only legally do nutrition education in many states. Ask questions before working with someone with this kind of title.

Mental Health Counselor. At times (lots of times), food and exercise issues are rooted in emotional and mental health. The previously listed health professionals help you with the “outside work” (doing things) and can help you work through some of the smaller internal mental challenges with creating new lifestyle habits. They can also help you identify if some more involved “inside work” (thinking things) might be helpful and refer you to a therapist. This is a great person to have on your team; just be sure to find someone state-licensed.

Where do I fit in? I’m so glad you asked!

I am a Certified Health Coach (American Council on Exercise), Registered Dietitian, and State-Licensed Dietitian/Nutritionist (Florida); but my approach is different from many other RDs.

I have had clients tell me they were not interested in working with me because I am an RD; but they gave an RD one last try. After a while, they confessed this to me that all they got before were handouts and food rules and it was not helpful. There was no flexibility; just “here, do this.” Thankfully, I do not speak about all RDs here – as practitioners, we are as different as the people you will find in any other helping field.  You will not get a handout, some food rules, and a plan from me and I will not tell you how you should go about reaching your goals. Someone else’s plan (even mine!) will not work for you for long – and it certainly does not get you near the goal of making changes stick for a lifetime.

My job as I see it is to help you examine your goals and how they fit into your lifestyle, break your food rules, and explore the many options you have to reach your goals. Then we set about finding a few small, flexible, realistic ways for you to move towards those goals. I will not tell you what you should or should not do.

Don’t enough people already try to tell you what to do?

Yours in Good Health,

-Alexia Lewis RD

This article is Part 2 of 4 in “Health versus Weight as a Focus for Wellness.”

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

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 & Resources:

Health Coach Certification, American Council on Exercise: https://www.acefitness.org/fitness-certifications/health-coach-certification/default.aspx

ACSM Certified Personal Trainer, American College of Sports Medicine: https://certification.acsm.org/acsm-certified-personal-trainer

5 Steps to Become a Registered Dietitian Nutritionist, Academy of Nutrition & Dietetics: http://www.eatrightpro.org/resource/career/become-an-rdn-or-dtr/high-school-students/5-steps-to-become-a-registered-dietitian-nutritionist