Weighing Heavy on Your Mind

Recently, I had the pleasure of talking with Judith Matz, LCSW, director of The Chicago Center for Overcoming Overeating, Inc. and co-author of The Diet Survivor’s Handbook: 60 Lessons in Eating, Acceptance and Self-Care.

The book’s subtitle makes you want to hug yourself, doesn’t it?

First, throw your scale in the trash; then hug yourself.

You see, you have much better things to do than weigh yourself. And that’s why I interviewed Matz. I’ve blogged before about the reasons to scrap your scale, and since I was preparing to write an article on the topic for the May 2012 issue of Healthy & Fit Magazine, I wanted to hear her expert opinion.

Without scooping my own story—which I’ll post here after it’s published—I’d like to share a few of my favorite insights from Matz.

But first, please know that in some instances it’s important and helpful to be weighed, such as for medical reasons. Other than that, it’s best to stay away from the scale. Why? Weighing yourself can do more harm than good.

The mere act of stepping on the scale sets the tone. “When people weigh themselves often, it’s not a neutral act,” says Matz. “It comes from a negative place: A place of control, judgment and shame.” In other words, by stepping on the scale, you’re manifesting your belief that there’s something wrong with your body that needs “fixing.” Is that what you really want to be telling yourself?

Adding insult to injury, the scale talks back.

The scale as judge and jury. “When you use a scale, you give tremendous power to a small box–an external source,” says Matz. “You’re allowing the scale to tell you if it’s going to be a good day or a bad day.”

Isn’t there more to you than the number on the scale? “The scale diminishes us,” says Matz. “Who you are is much bigger than the number on the scale. You can’t weigh your worth or wellbeing.”

Stay tuned for more, including what to do instead of weighing yourself.

In the meantime, “Think of what you could do in the world if you weren’t so preoccupied with your weight,” says Matz.

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No time for family meals?

If you wish you could provide nourishing meals and snacks for your family on a regular basis but think a busy schedule makes it impossible, read on . . .

What’s important to you?

There are many benefits to eating together as a family. Take a moment to choose the benefits that are important to you.
For your kids:
__ Improved academic performance
__ Better nutrition
__ Improved language development (vocabulary)
__ Better self-esteem
__ Better sleep habits
__ Fewer behavioral problems
__ Reduced risk of eating disorders
__ Reduced risk of obesity
__ Reduced risk of substance abuse
For you:
__ The opportunity to spend more quality time with your family
__ Fewer behavior problems to worry about
__ A more relaxed atmosphere at the table
__ Knowing you’re helping your children grow up healthy

Where’s the time?
It’s possible to make time for things that are important! As the saying goes, “If there’s a will, there’s a way.” If family meals are important to you, making them a priority is the only way to ensure they’ll be a part of your life and your family’s life on a regular basis.
Preparing meals and snacks takes time. It’s hard to find the time, but it’s possible to make the time. Making time in your family’s schedule for planning, preparing and eating meals may require letting go of other commitments—both your and your kids’—that aren’t as important. Also, there may be other areas in daily life that can be streamlined and simplified to make room for the high priorities. Here’s a great article on how find everyday life balance.

Lower expectations
Another thing that can be let go: Perfection. Make grocery shopping, meal planning and meal preparation as stress-free and easy as possible. There are many books, cookbooks and online resources that offer free meal planning tools and quick and easy recipes. And start slow. Plan to have dinner together a couple nights a week for starters. As your confidence and skills grow, add another meal.

Find support
Find friends and relatives who are interested in cooking quick/easy meals and share ideas, tips and recipes. “Like” Ellyn Satter’s page on Facebook for information and support regarding child feeding issues. Ask your spouse to help with grocery shopping, meal preparation, or both!

Get started
To feel understood and get inspired, I highly recommend reading Secrets of Feeding a Healthy Family by Ellyn Satter. This book includes excellent advice and perspective, meal planning tips, meal preparation guidance, and quick and easy recipes. Other resources:

Here’s to enjoying food and family!

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The Bottom Line about Body Weight

“Frighteningly Fattening Fall Foods”
“25 Diet-Busting Foods You Should Never Eat”
“Drop 5 Pounds in a Week”

Headlines like these make me cringe. The titles ooze negativity, guilt, bad advice—even scare tactics. And the first is from a well-respected medical/health Web site. Et tu, Brute?

That’s why I was so psyched to read, “Fat? Who Cares! Why Weight Doesn’t Matter” in the October issue of More magazine.

It’s a fascinating, enlightening, and liberating article. It’s filled with evidence-based information and damn good advice. And it summarizes so beautifully what I’ve come to know and understand after 20 years as a registered dietitian and also someone who struggled with body image and weight from ages 13 to 26.

To get the most from it, please read the entire article. But since I can’t contain my enthusiasm about the content, here are the highlights. (Thank you, More magazine and those who know that health can come in all sizes!).

• Dieting almost never works. A research review of 20 years of weight-loss programs found that dieters initially dropped pounds (usually 5-10% of their body weight), but when the dieters were followed over time, almost all regained the weight they’d lost. Often, more weight is regained than was lost. Only about 5% of dieters maintain their weight loss.
• Dieters don’t fail. Diets fail.
• In studies that find associations between overweight and heart disease or shorter lifespan, the results are likely due to being sedentary, not being fat.
• Weight cycling (yo-yo dieting) is linked to many health problems such as increased cholesterol level, blood pressure, inflammation, and insulin resistance; and decreased immune function.
• The focus on weight has resulted in widespread body discontent rather than improved health. Instead, the focus should be on being physically active and eating more nutritious foods.
• Being thin does not equal being happy.

The bottom line is this: It doesn’t matter how big your bottom is, or any other part of your body. But, for the health of it . . .

• Find a way to move your body that you enjoy
• Choose nutrient-rich foods you like/love whenever possible
• Eat (most often) according to your hunger and fullness cues.

What do you think?

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Happy Halloween (Unless you’re strict about sweets, that is.)

An online forum for kids asked, “What is your favorite holiday and why?” Jamie, age 9, said:

“I like Halloween the best because I like the fall when the trees change color and the air is cool. I like wearing a costume, going trick-or-treating, the party at school and all the scary stuff. I like eating the candy too.”

How sweet! What a shame if Jamie was allowed only a few pieces of candy or if he was completely banned from the candy he gathered while having so much fun trick-or-treating.

It happens, though. Many parents restrict their child’s intake of sweets due to over-concern about sugar intake. With the current focus on sugar as the new “evil” food, I expect that more and more children will experience tricks instead of treats.

Besides taking the fun out of Halloween, restricting sweets can backfire, causing children to overindulge with sweets when they have the chance.

So, what’s the best way to handle Halloween candy? Parents can provide structure for candy-eating and then trust and allow their child to eat the candy according to his or her appetite.

Registered dietitian and child feeding expert Ellyn Satter explains how:

  • After trick-or-treating, let your child eat as much of the candy as he wants.
  • The next day, allow him to do the same.
  • Then, have him put the candy away and relegate it to meal and snack time: a couple of small pieces at meals and as much as he wants at snack time. Offer milk with the candy.
  • If he can follow the rules, your child gets to keep control of his stash. Otherwise, you do, on the assumption that as soon as your child can manage it, he gets to regain control.

Here’s to a stress-free, power-struggle-free, enjoyable-for-everyone Halloween!

More: “The Sticky Topic of Halloween Candy,” EllynSatter.com

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Bullying: What’s a Parent to Do?

As many children do, my daughter experienced a “pudgy period” during her preteen years. She also experienced bullying. During sixth grade, a certain boy made mean remarks about her weight as they passed in the halls. When my daughter told me about it, we talked through her feelings. That was a good thing to do.

But I also expressed my anger at the boy’s behavior and suggested she retaliate. “What’s different about him?” I asked my daughter. She told me that he had a big nose. “Well, just give it right back to him: Tell him that he doesn’t know what he’s talking about because his nose is so big he can’t see straight.” That wasn’t such a good thing to do.

According to child psychology experts, it’s best to tell kids not to respond to bullying by fighting or bullying back, because the situation can quickly escalate into violent behavior.

Here’s another reality check: Bullying can begin as early as preschool.

Signs that a child is being bullied
• Reluctance to go to school/leave home
• Skipping school
• Reluctance to talk about school
• Not participating in activities once enjoyed
• Unexplained cuts or bruises
• Missing belongings; “lost” money
• Increased sadness or anxiety
• Not eating or sleeping well
• Steadily decreasing academic performance

What’s a parent to do?

Practice prevention. Children pick up on behaviors from adults. Parents can help by spending quality time with their child and modeling respect for others around multiple issues, including body size and shape.

Instill self-esteem. Children with low self-esteem are more likely to be bullied. Parents can help foster their child’s self-esteem by setting consistent, age appropriate limits.

Encourage communication. A child who is verbally assertive can deflect bullying behavior. Parents can help by teaching their child “feeling words” (I feel angry, upset, sad, etc.) and encouraging their children to use them. Parents can also teach children to verbally set boundaries for others’ behaviors. For example, when being teased, a child can say, “Stop bothering me!” and then walk away from the offender, to seek adult help if needed.

Promote bullying awareness. Children may be confused by bullying behavior. Parents can help by describing and discussing bullying with their child so he or she will know when it’s happening and what to do.

Practice problem solving skills. Children may not know how to handle a bullying situation. Parents can help by coaching children to think through problems and solutions for themselves.

Resources:

Stop Bullying Now

Stop Cyber Bullying

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Have a Picky Eater? Don’t Panic!

So, there’s a little one in your life who’s personal menu of “likes” is limited?

Will she only eat white foods? Is he asking for PB&J at every meal? Is she refusing to eat vegetables?

It may help to know that picky eating phases are normal*. They can happen for a variety of reasons:

  • The child is going through a slow period of growth and isn’t very hungry.
  • The child is flexing his or her “independence” muscles.
  • Children are naturally cautious of unfamiliar foods.

These suggestions for managing meals and snacks will keep parent’s sanity and the child’s wellbeing intact.

Don’t:

  • Label your child as a picky eater (it’s a negative term). The picky eating is most likely a phase. But the phase may last longer and may become a power struggle if parents react negatively to the behavior and/or to the child.
  • Panic and try to persuade or force your child to eat. Pushing food (this includes the “one bite” rule and the “clean plate” club) will backfire. Even during picky eating phases, your child will get the nutrients needed for health and growth. If you’re still worried, ask your child’s doctor to assess his or her growth.
  • Be a short-order cook by only serving your child’s favorite foods. This obstructs your child’s exposure to new foods and his opportunity to try and learn to like them.
  • Allow eating or drinking (other than water) between meals and snacks. To be a good food-taster and eater, the child needs to come to the table hungry.

Do:

  • Relax! Family meals will be more enjoyable for everyone.
  • Respect your child’s appetite and food preferences. Allow your child to decide what and how much to eat from what’s offered.
  • Continue to offer a variety of foods, including those your child doesn’t like. And include at least one food your child likes at each meal or snack (bread is usually a favorite).
  • Offer meals and snacks at reliable times. Offer only water between meals and snacks.
  • Have a positive, accepting attitude about your child’s eating, body shape, size and weight.
  • Be a positive role model by eating a variety of foods and trying new foods. However, refrain from pointing out that you are doing these things—role modeling is about showing, not telling.
  • Take your child to the doctor for regular medical checkups.

Most of all: Don’t give up! It may take a few weeks or even a month of handling meals and snacks in this way before you and your child settle into a positive attitude about food and eating.

*Check with your child’s doctor if picky eating eliminates many foods or entire food groups from your child’s diet, which may indicate a pediatric feeding disorder.

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The Nutrients You (and your family) Need

You and your family are most likely missing out on four key nutrients needed for health, according to the 2010 Dietary Guidelines for Americans.

A review of research conducted by the Dietary Guidelines committee of nutrition and health experts concluded that most Americans don’t get enough of what the committee calls “nutrients of concern”: calcium, potassium, vitamin D and fiber.

Many of us eat too many calories, but not enough essential nutrients. For optimal nutrition, the trick is to focus on nutrient-rich foods: foods that are concentrated sources of nutrients, but not concentrated sources of calories or fat. Nutrient-rich foods include fruits, vegetables, whole grains and low-fat and fat-free milk, cheese and yogurt.

To help you and your family get the “nutrients of concern” needed for health, make sure many of these foods are in your grocery cart. For recipes and meal ideas that include nutrient-rich foods, visit the Nutrient Rich Foods Coalition and National Dairy Council Web sites.

Calcium: For bone health, dental health and heart health
Food sources: Milk, cheese, yogurt, sardines, salmon with bones, broccoli, almonds, calcium-fortified orange juice, fortified cereal
Fun way to fit it in: Parfait made with vanilla yogurt, granola and fruit; Vanilla Banana Almond Smoothie

Potassium: For bone health and heart health
Food sources: Bananas, milk, yogurt, oranges, tangerines, grapefruit, kiwi, tomatoes, carrots, potatoes, almonds, beans, peas, lentils, dark green vegetables such as kale, collard greens and spinach
Fun way to fit it in: Baked potato bar with a variety of toppings; Mixed-fruit salad with yogurt-based dressing; Carrot Cake Smoothie

Vitamin D: For overall health including bone health, and reduced risk of many chronic diseases
Food sources: Milk, yogurt with vitamin D (check the label), salmon, sardines, tuna, mackerel, eggs, fortified cereal, vitamin D fortified orange juice
Fun way to fit it in: Heartfelt Tuna Melt; Salmon Seashell Chowder

Fiber: For gastrointestinal health (including regularity), heart health, weight management and prevention of many chronic diseases such as diabetes
Food sources: Vegetables, fruit, whole grains, cooked dry beans and peas, nuts
Fun way to fit it in: Oatmeal topped with sliced banana, chopped walnuts and brown sugar; Layered Broccoli Salad

Nutrient-rich foods taste good!

Share your favorite nutrient-rich recipe…

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Myths about Child Nutrition

With so many sources of nutrition information—many that aren’t reputable—myths about child nutrition run rampant. As a parent or caregiver, taking myths at face value may negatively impact your child’s health. Here’s the straight scoop on some potentially harmful myths.

Myth: To decrease risk of chronic diseases, low-fat foods are a good idea for children.
Truth: Very young children need fat for proper growth and brain development. For this reason, after a child is weaned from the breast or bottle, whole cow’s milk is recommended between ages 1 and 2 years. After that, the American Academy of Pediatrics recommends most children drink reduced-fat (2%) or low-fat (1%) milk, but it’s important to talk with your child’s doctor to find out which type of cow’s milk is best for your child. Other than that, children should be offered a wide variety of food and given the choice about what and how much to eat. Children need a moderate amount of fat, so low-fat varieties of foods such as low-fat crackers, cookies or cheese aren’t necessary.

Myth: If a child’s weight for height is above the 95th percentile, the child has a weight problem and intervention is needed.
Truth: Some children have weights that naturally track above the 95
th percentile (as my daughter’s did) and, at the other end of the spectrum of normal, some children are naturally thin. In order to accurately assess growth and weight, a qualified medical professional plots a child’s height and weight over months and years on a special graph (a growth chart) and looks at how a child’s height and weight have tracked over time (the child’s growth curve). A sharp increase or decrease in the child’s growth curve may indicate a feeding/eating or health issue.

Myth: Kids need to snack often so they don’t get too hungry.
Truth: To provide proper nutrition and foster trust, parents are responsible for offering their child three meals and approximately three snacks on a regular schedule each day. Only water should be provided between these eating occasions. This helps ensure that when it’s time to eat, the child comes to the table a little hungry, which helps the child be a better eater.

Myth: When a child eats more or less than usual, a parent needs to take control and either restrict food or strongly encourage the child to eat.
Truth: Since children naturally go through alternating periods of slow, steady, and fast growth, their appetite and the amount of food they eat will vary. Some days a child may be ravenously hungry, other days a child may not be interested in eating. Children’s appetites are marvelously accurate regulators of food intake for proper growth and health (as long as they are not restricted from eating or bribed or cajoled to eat) and they will eat what they need in order to grow well.

Myth: Children who don’t like to eat vegetables won’t get the nutrients they need.
Truth: Children can get the nutrients they need from fruit and other foods if a variety of foods are offered. However, don’t give up on a child who won’t touch vegetables. Keep offering a variety of raw and cooked vegetables without comment or pressure, and the child will most likely try vegetables eventually and may even learn to like them.

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Eat What You Have a Taste For

I’ve noticed how a certain friend of my daughter’s has a “normal” relationship with food. In a world of mixed up messages about food and eating, it’s heartening to see a teen who’s innate hunger and fullness cues have not been overridden by a culture that’s obsessed with thinness, dieting and judging food as “good” vs. “bad”.

My daughter’s friend enjoys food just as she enjoys many other aspects of life. She listens and attends to what her body tells her about her hunger and fullness. She eats what she feels like eating, without judgment.

And she knows what she needs in terms of food and isn’t reluctant to voice those needs. While on summer vacation with our family a few years ago, she had a taste for apples and asked me to buy some. I was more than happy to do so. This summer, she was mourning a breakup with her boyfriend and asked for Oreos and milk. I added Oreos to the grocery list for our next trip into town.

When the Oreos arrived, she sat and the table with my daughter and ate as many Oreos dunked in milk as she was hungry for. It was obvious that the Oreos helped her feel better. Then, she went on with her day.

If she had ignored her craving for Oreos and eaten something else such as the graham crackers that were already in the cupboard, she probably would not have been satisfied or felt better. That’s what happens when needs aren’t met.

In a study recently published in the Journal of Clinical Investigation, researchers infused either a fatty acid solution or saline solution into the stomachs of volunteers who felt sad or neutral. Brain scans showed that the volunteers who were feeling sad felt better after receiving the fatty acid solution. The study indicates that fat-rich foods may attenuate the brain’s response to sad emotions.

“Normal” eating encompasses eating for emotional reasons: happiness, sadness, or boredom. It’s amazing how our bodies know what we need in order to feel better. All we have to do is pay attention and take care of ourselves.

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Kids’ Just Desserts

As a registered dietitian and a mom, I’m a huge proponent of a common-sense and research-based approach to feeding children developed by registered dietitian and social worker Ellyn Satter called the Division of Responsibility in Feeding. I see it as an extension of well-adjusted, responsible parenting techniques where parents take leadership and provide children with autonomy.

When parents use this approach, feeding children goes smoothly, meals are a pleasant experience for everyone, and children eat and grow well.

In a nutshell, the Division of Responsibility is this: Parents are responsible for the what, when, and where of feeding. Children are responsible for the how much and whether of eating.

Dessert within the Division of Responsibility
In terms of mealtimes, this means that parents put a meal on the table (including dessert, if desired) and the child takes it from there: The child gets to decide what they will eat from what is provided and how much they will eat.

Many parents are skeptical of this approach (until they try it for a couple weeks). The hardest part for parents to swallow is offering dessert with dinner. “What about dessert?” parents ask with anxiety in their voices. “If I gave my child dessert with the meal, he would eat it all and not eat anything else.”

If the child has been restricted in any way regarding food and eating, he will probably go “hog wild” with dessert and other foods after parents initiate the Division of Responsibility. At first. But once the child realizes that his parents have changed their ways—that they’re serious about sticking to the parent’s role in feeding and trusting the child to take care of the child’s role in eating—the child will eventually relax and eat normally. He will eat what he’s hungry for and in the amounts he needs to grow well.

You don’t have to serve dessert every day, but if you do, serve it along with other foods, not after everyone is full from the meal, and certainly not as a reward for eating a particular food or for eating the entire meal.

Why is it important to serve dessert with dinner instead of after? It role models a healthy relationship with food. It reinforces that fact that dessert is not “special” or more important than other foods. It reinforces the fact that there are no “good” or “bad” foods.

Tips for Serving Dessert with Dinner
Follow the Division of Responsibility’s recommendations and:
• Set the table with one serving of dessert for each person. There are no second helpings for dessert.
• Let your child eat the dessert at any time during the meal: before he eats other foods, while he eats other foods, or after he eats the other foods he has chosen to eat and in the amounts he wants.
• Dessert options can be traditional desserts such as cookies, cake, pie and ice cream, but also nutrient-rich foods such as pudding, yogurt parfaits, and fruit (including applesauce).

“My advice to you is not to inquire why or whither, but just enjoy your ice cream while it’s on your plate. That’s my philosophy”. ~Thornton Wilder

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