Are you in? Fat Talk Free Week 2014

Your voice is powerful.
I really appreciate the leadership of Delta Delta Delta and their vision for Fat Talk Free Week.

This year’s Fat Talk Free Week kicks off tomorrow and runs through Friday, October 20th.

I value taking a week – with the hope it will extend longer – to intentionally redirect fat talk in our heads, with our friends or about others to more honest, life-giving, respectful dialogue.

We all need a break from the “I am so___”, “If only I were___”, “I hate my _____”, “I am not ______ enough” conversation.

Scarcity culture is exhausting. (Click to Tweet)

Bullying others or ourselves with fat talk only fuels deeper pain and fat talk represents attempts to manage the parts of our story triggered by pain, fear, loneliness, anxiety and more.

Which is why taking a break from the fat talk is important. Even more important is to get to the heart of the meaning of our fat talk by talking about our hurts in a constructive manner – with the right person at the right time.

Taking a break from fat talk does not mean stuffing your pain.

Early in my training in the treatment of eating disorders and trauma, I was told “fat” is not a feeling. Over a decade of treating men and women taught me differently – that it is often a fight to have a positive relationship with their body and their reflection in the mirror. They also taught me how the quick fix pressure to “just love their body” often backfired because they felt so ashamed for not loving, let alone liking, the body they have been given.

So, yes, stopping the fat talk is needed. Desperately. But we cannot stop there.

We still need to talk about how we are feeling and develop a better way to tolerate struggle and negative emotion. Distressing life events, brain chemistry imbalances, family of origin, temperament all can alter our trust in ourselves, our bodies and others.

When we are feeling out of control – focusing on our bodies or comparing ourselves to others is a common default. Turning on ourselves or others with biting, judgy, harsh words only fuels more biting, judgey, harsh words.

At the heart of fat talk is a lot of hurt and insecurity which needs to be voiced and given some air time. Our struggle feeling comfortable in our skin along with our desire to feel connected is real. Fat talk is an attempt way to hot wire connection or appease our inner critic.

What we really are searching for is to know if we are ok, we are loved, we belong. When there is doubt about our worthiness, we often look to others to approve or disapprove of our worth. We all struggle with this dance. Belonging and connection are innate desires.

And for those with faith, I see this matter of worthiness dig even deeper as they feel like they are the exceptions to God’s wild and radical love and grace.

It is a constant recalibration to stop externalizing our worth to others and redirect our worth to the One and those who truly matter.

Fat Talk Free Week is not just about semantics or becoming the word police. It is a chance to listen to your heart and see where you are feeling convicted for operating outside of your authenticity.

When fat talk surfaces, it is an opportunity – and a risk – to change the conversation.

Words are powerful. Your voice matters. Choose wisely.

Cheering you on –

Rebecca

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You are invited! Potentia Celebration + Open House

I know there is never a lack of events, meetings, parties and kid activities to add to your calender but I am hoping those of you in the San Diego area can squeeze in some time to drop by our Celebration and Open House next Friday, October 24th between 4-8PM.

It will be a great time to not only see the new workshop/play therapy space and meet the new Potentia therapists but also to connect with other friends and colleagues from the community.

Great food – including a pumpkin “everything” spread – and  a chance to win some fun raffle prizes are added bonuses for stopping by our gathering.

Please register if you can attend so we can plan accordingly.

With gratitude –

Rebecca

OpenHouseFlier-graphic

 

 

 

 

 

 

 

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Potentia is 6!

Potentia is turning 6

Several years ago, I had this picture in my head of a beautiful space where people could receive collaborative and specialized care all under the same roof. Six years ago this month, Potentia’s incorporation papers were filed and the dream started to take fruition.

I can laugh now but looking back six years ago, things were a little nutty. My first born was just a little over 2 months and I was clumsily learning how to integrate all of my new loves and passions on very little sleep.

Today, I am a little more rested. And my family has grown along with Potentia.

I am in awe and filled with gratitude looking at how the seed of a vision planted in my heart + mind has turned into something so much more.

As we celebrate our six year milestone, we are in the process of expanding: more office space, new clinical team members – including two male therapists – and new service offerings such as individual and group consultations on EMDR and Eating Disorders (CEDS) along with Child Centered Play Therapy.

Even our website is in the process of getting freshened up.

Whew!

And I am pleased to introduce you to five therapists who are a part of this season of Potentia’s growth: Moe Perdomo, Hannah Branch, Brian Resiwg, Kayla Walker and Roxanne Strauss.

Look at them all spiffy here…

Interns formal 2014

And here they are showing their brave and getting a little silly. Silly is so good for the soul!

Interns silly 2014

These new interns are joining me and our veteran Potentia team members:

The Potentia team is equipped with an understanding of:

  • the brain
  • non-diet approaches to wellness
  • the power of your story (owning, respecting and telling it)
  • the influences of shame and vulnerability

so we can be the best support to people seeking meaning in their struggles and desiring sustained relief from their pain.

All of our psychotherapy clinicians are trained in EMDR, which is an approach that helps people who are stuck because of tough life events, anxiety, depression, compulsive behaviors, loss, blocking beliefs, perfectionism and more. We also have therapists who offer specialized support with:

  • Shame Resilience and The Daring Way TM method
  • Food and Body Issues
  • Couples Issues and Premarital Counseling
  • Teen and Family Issues
  • Transition
  • Pastors Kids and Missionary Kids

I am excited to see where this now collective dream takes all of us as we continue to trust, pray, learn, grow and serve.

And to those of you who have a dream on your heart, respect it. Sketch or write it out. Share it with someone who will not talk about all the barriers to your dream but instead be a support to it.

Be careful to not compare it, minimize it or let the desire for certainty squelch your hope. Your dream is precious and it is placed on your heart for a purpose. It may not be logical or make sense. It may be painful to be in the inbetween of it being unfulfilled.

I get it. I wrestled with all of this over the years. Still do. The waiting, the tests of faith, the investment of time and resources, the trust are the refining part of the dream. Pace yourself and stay the course.

Cheering you and your dream on –

Rebecca

PS – Please make sure you are on our email list so you can stay up to date on our offerings, events, blog posts and receive an invitation to our upcoming  fall open house.

 

 

 

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America’s Love/Hate Relationship with Saturated Fats By Dr. Megan Holt, DrPH, MPH, RD


Let’s start off with an overview of saturated fatty acids, and how they differ from poly or monounsaturated fatty acids.

Saturated fatty acids (SFA’s) have the following characteristics distinguishing them from other fatty acids (trans, monounsaturated & polyunsaturated):

  • solid at room temperature
  • occur naturally in foods
  • referred to as ‘saturated’ due to their having no double bonds along the carbon chains that comprise these saturated fatty acids

Unsaturated oils, on the other hand, are liquid at room temperature, primarily found in higher concentrations in plant sources (with the exception of fatty fish) and have one (mono) or multiple (poly) double bonds along the carbon chain.

Contrary to popular belief, foods do not consist of one type of fatty acid. Rather, foods are composed of varying percentages of unsaturated and saturated fatty acids.

For example, SFA’s comprise roughly 13% of the fatty acids in olive oil, and 65% of the SFA’s in butter.

SFA’s are found in higher amounts in dairy products (ex: cream, butter, milk, cheese) as well as in meats (bacon, sausage, chicken fat, mutton), ghee, suet and lard.

Palm oil, palm kernal, coconut and cottonseed oils contain a larger percentage of SFA’s (relative to the other plant based fats), though they lack the cholesterol contained in animal sources.

Examples of SFA’s include:

  • lauric (palm kernal oil, coconut oil, vegetable shortening and is also used in )
  • palmitic (palm oil, tallow, processed foods to enhance texture)
  • myristic (palm kernal oil, coconut oil, butter)
  • stearic acids (cheese, sausage, bacon, ribs, beef/ground beef, candy, cocoa butter)

These fatty acids are also commonly used in conjunction with sodium hydroxide, creating a product commonly found in soaps, shampoos and cosmetics (ex: sodium laurate and sodium palmitate).

For several decades, foods high in SFA’s were demonized by public health and nutrition experts, citing numerous studies suggesting that SFA’s were disease promoting.

Saturated fats were linked to increased LDL (‘bad’ cholesterol), a primary risk factor for heart disease.

Current American Heart Association guidelines suggest limiting calories from saturated fat to less than 7% per day (or roughly 16g or 140 calories).

SFA’s were somewhat vindicated when evidence emerged several years ago suggesting that trans fatty acids (partially hydrogenated oil) were more offensive, as they not only raise LDL, but decrease HDL (or ‘good’ cholesterol).

Recently, however, results of a meta-analysis of 72 studies (including both observational studies and randomized controlled trials) on saturated fat intake and heart disease published in the Annals of Internal Medicine found no association with SFA intake and risk of heart disease – basically stating saturated fats were found to have no influence, positively or negatively, on heart disease.

The results were highly publicized, and largely misconstrued by media.

Results of the published study actually read as follows:

“Current evidence does not clearly support cardiovascular guidelines that encourage high consumption of polyunsaturated fatty acids and low consumption of total saturated fats.”

Critics of the study, including nutrition experts from the Harvard School of Public Health (one of whom actually authored the study) are calling for a retraction or revision of the paper.

Critics have pointed to the limitations of meta-analyses as one potential problem, as numerous studies are combined and summarized, despite vast differences in methodologies (particularly across nutrition literature).

They also cite conflicting findings from numerous large scale population studies that link plant based/vegetarian diets (and lower intake of animal products) with health and longevity (Framingham, Adventist Health Study, China Study).

Another author (there were fourteen) has stood by the study’s findings, but insists that the conclusion of the meta analysis only suggested that we need further research to better understand the relationship between SFA’s and heart disease.

She has also supported continued adherence to American Heart Association’s parameters for SFA intake, stating that relaxing the guidelines would be premature at this point.

There are a number of studies in progress looking at the influence of particular saturated fatty acids on health outcomes, inspired by recent findings that suggest that all fatty acids are created equally.

The results of Annals of Internal Medicine study are intriguing indeed, and warrant further attention.

But until we have more evidence, the large majority of experts recommend continuing to keep SFA intake to a minimum and acquiring dietary fat from plant based sources (examples include olive oil, avocado, nuts and seeds). We must also consider the steep environmental cost of meat consumption (10-15 pounds of grain is required to produce 1 pound of meat).

Bottom line: It’s a bit too soon to begin piling meat and cheese on your plate, but the results do suggest that more work needs to be done before we fully understand the relationship between SFA’s and heart disease.

And please be cautious when relying on media to interpret results of complex studies.

What can we conclude from the referenced study and other similar studies on SFA’s and health?

  • It seems that not all SFA’s are ‘equal’, and the way that they influence disease risk is not well understood and deserves further attention, so avoid dogmatic teachings around good food/bad food.
  • While we seek to better understand the SFA/health relationship and await further study results, please still proceed with caution when adding SFA’s to your intake.
  • Foods that are high in SFA’s (meats, dairy) are also often high in preservatives (and other artificial fillers) and sodium. Quality of meat/dairy DOES have a meaningful effect on the nutrient density, so going organic/grass fed IS worthwhile if you’re able.
  • Good nutrition is a complex picture with many shifting parts, and research is moving away from studying the influence of single nutrients on health outcomes, so be wary of these kinds of studies.
  • Lean on a plant based diet for necessary fats and proteins such as beans, lentils, nuts, seeds and whole grains (budget friendly AND protective), and supplementing with high quality (organic/grass fed) meat and dairy products when you do want to include animal fats.

Questions, thoughts and reflections? Please post them below. I look forward to continuing this important discussion with you.

In good health –

Megan


Study Reference:
Rajiv Chowdhury, Samantha Warnakula, Setor Kunutsor, Francesca Crowe, Heather A. Ward, Laura Johnson, Oscar H. Franco, Adam S. Butterworth, Nita G. Forouhi, Simon G. Thompson, Kay-Tee Khaw, Dariush Mozaffarian, John Danesh, Emanuele Di Angelantonio; Association of Dietary, Circulating, and Supplement Fatty Acids With Coronary Risk: A Systematic Review and Meta-analysis. Annals of Internal Medicine. 2014 Mar; 160(6):398-406.

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Scarcity and the Cracks in the Road

2014-04-18 08.48.08

On our walk to my daughter’s school this morning, we ran into a couple of power-walkers from the neighborhood.

One of the power-walkers stopped and asked us to weigh in on a bet between the of them.

“These newly paved roads – how long do you think it will take until they start showing cracks? One month or two months?”

The roads still had a pretty strong smell of tar emanating from them and they also seemed a bit delicate as the tar was still soft and settling. I shrugged, “I do not know… maybe even sooner?”

The woman did not like my reply and huffed off. The suggestion the perfectly paved roads were not going to last was simply. not. ok.

I hollered after my power-walking neighbor in all of my nerdy therapist glory:

“Hey! There is nothing wrong with a few cracks in the road.”

The woman stopped, turned around and took off her rather large sun hat, setting her stern eyes on me while placing her hands on her hips as she said,

“I once had a contractor tell me if you have a crack and you can fit a dime in it, you are in some deep trouble.”

Turning on her heels, off she went to finish her morning power walk.

Ugh.

I started getting all defensive for the poor cracks in the road. And the pressure the newly paved road had on it to stay…perfect.

And so began a conversation in my head with the power-walking neighbor telling her the cracks are just a reflection of:

  • how hard the road works
  • how much pressure the road tolerates day in and day out
  • how the road has been neglected and not cared for well. The road is just doing what it is made to do and cracks are inevitable.

Conversations in my head and feeling defensive for an inanimate object were good clues a nerve had been touched.

I took a deep breathe and checked the source of my vulnerability.

Walking home, I found myself looking at the cracks in the road that had not been repaved yet. Some were small and others could hold a roll of dimes.

And I could not shake the heaviness I was feeling about the neighborhood walking buddies already betting on when the newly paved road was going to “fail” to be “perfect”.

Wow.

The pressure to be perfect and meet all of the various standards of those who see us when we show up in life is truly intense at times.

We devote a lot of time, effort and resources to covering up or trying to get rid of our own imperfections.

Scarcity fuels critics like my two power walking neighbors.

Scarcity shows up ever where.

Bathing suit season, finals, tax time, finding a job or changing careers, relationships, parenting, creativity – you name it – there are a whole host of triggers these days that make chasing the perfection carrot a daily grind.

Seeing the messy, the cracked as beautiful is hard when your lens on life is in defend/perfect mode.

Cover Up. Protect. Do Not Be Seen. 

The critics are here to stay. As long as there are products to be sold and love to be desired, the critics will be present.

I do my best to push back on the power and influence of critics in the world and in my head.

But one of the most effective, sustaining and rewarding resources to managing the relentless critics has been developing my own life-long shame resilience practice.

Doing this work involved me getting clear on:

  • my personal shame triggers. Shame work is trauma work and trauma work is shame work.
  • how I respond when my shame is triggered.
  • what vulnerability is,  is not and how vulnerability is the pathway to living the life I am called to live.
  • who my go-to support team is in my life. And how sometimes my support team shifts depending on the season and the issue.
  • who I thought I was striving to be and who God is calling me to be
  • how best to care for, rest and feed my body and my soul
  • what values guide my decisions personally and professionally
  • the importance of maintaining good boundaries so I do not overextend, live in regret or resentment
  • how to move away from unhealthy perfection and towards healthy striving.

My shame resilience practice has helped me understand – in action, not just intellectually – the concept of wholehearted living:

“Wholehearted living is about engaging in our lives from a place of worthiness. It means cultivating the courage, compassion, and connection to wake up in the morning and think, ‘No matter what gets done and how much is left is undone, I am enough.’ It’s going to bed at night thinking, ‘Yes, I am imperfect and vulnerable and sometimes afraid, but that doesn’t change the truth that I am also brave and worthy of love and belonging.” – The Gifts of Imperfection by Brené Brown Ph.D. LMSW

Cracks and all, we need to dare to show up and be seen.

If you are ready to develop your own shame resilience practice, please join us at one of our upcoming (re) Define Courage workshops. This work is life-giving soul work that helps you take insight to sustained change so you can (re) define the cracks in your life.

How do you feel about the cracks in your story? Do they allow shame to drive your choices or do they inspire you?

Cheering you on and respecting the cracks in the road –

Rebecca

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Faith Fasting and Disordered Eating

photo
Post interview smiles with Amy Cyr

Last week I had the pleasure of doing an on-camera interview for undergraduate PLNU communications student, Amy Cyr.

Inspired after reading this article, Amy focused her story on faith fasting and explored how fasting in your faith community may be a trigger to develop disordered eating patterns or engage deeper in an already existing eating disorder.

After interviewing leaders from various faiths who practice fasting as a spiritual discipline, Amy shared concern about the lack of awareness around eating disorders and how community or individual faith fasting may be an unintentional trigger to engage in unhealthy/unsafe practices around food and body issues.

I was touched by Amy’s savvy insights and desire to discuss an issue that is complex and important. Since eating disorders are so misunderstood and also the most deadly of all mental illnesses, it has become a passion to educate leaders of faith communities about eating disorders and how faith fasting may become an unintentional pitfall for the communities they are serving, leading and supporting.

In honor of this season of Lent and fasting for other faith communities, I have posted the information from Potentia’s Fasting and Eating Disorder flier below.

Spiritual fasting is an important discipline that can have many benefits. Please keep the following in mind when considering a spiritual fast:
• When fasting from food, daily hydration is essential for sustaining LIFE.
• Fasting can trigger eating disorder symptoms in persons, especially those who have recovered or are in recovery for these issues.
• If at any time the goal of a fast shifts to primarily losing weight, it is no longer a fast but a crash diet. Fasting should not be used as a tool to promote weight loss. It’s ineffective, and it also lowers metabolism.
• Many who struggle with food and body issues will engage in a fast as a mask for their disordered eating. Given the prevalence of eating disorders, disordered eating, dieting, and body shame in our culture, regularly focusing your community on the priorities of the fast is crucial.
• Food restriction tends to intensify food related obsessions and talk, and this can persist for some time even after the fast.  This kind of talk can also be very triggering for someone struggling with food and body issues.  Encouraging a “no negative food or body talk “ pledge during a fast is wonderful to include at the start of a fast.
• Validating and encouraging other non-food options for fasting can help people struggling with eating disorders and disordered eating have the freedom to participate in a fast with their community.
• Many report feeling like a bad or not good enough person of faith if they choose to not participate in a fast “perfectly” ie: fasting from food. Helping individuals in your community to make the best decision for their mind, body, and soul is respectful and empowering.
• Fasting is not recommended for active persons that wish to continue with exercise during the fast.  Our bodies need the fuel (and electrolytes) before and after exercise, and throughout the day!
• Certain groups should never participate in fasting, and these include: children, elderly, pregnant women, persons with a history of disordered eating (or currently struggling) or are undernourished, persons who have problems with blood pressure (or are on medication for blood pressure), kidney disease, diabetes or are prone to hypoglycemia, persons with unique nutritional needs or nutrient deficiencies (just to name a few).
 

What are your thoughts about the intersection of fasting with food and disordered eating?

What do you think about faith communities encouraging fasts from non-food items so everyone can participate in a community fast, regardless of their health?

Have you ever seen someone take a fast too far and turn it into a weight loss strategy?

I look forward to hearing from you on this complex and important topic.

Cheering you on  –

Rebecca

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Unpacking 5 Common Questions on Exercise and Wellness with Megan Holt, DrPH, MPH, RD

NoteRespect is looking at soreness

Note from Rebecca: The word “exercise” is often used in conjunction with the word “diet”. Exercise is indeed an important and necessary part of anyone’s wellness lifestyle. Yet the word itself is often misunderstood and loaded with expectations, shame and fear. Megan Hold, DrPH, MPH, RD unpacks some common questions and misunderstandings around exercise and how to care for our body when we are moving it and the importance of developing an intuitive relationship with exercise.

Q: Exercise is always a good thing, right?  I often read and hear that exercise makes our immune systems stronger.

A: Exercise is one of many stressors the body receives, and like other stressors, produces ill effects when introduced at a time when the body is overloaded.

Intermittent (spontaneous) very high intensity exercise and continuous over training (even if done at lower intensity) can compromise immune function.

For example, 90+ minutes of high intensity exercise may result in days of dampened immune function.  (“Intensity” can also look different from one person to the next, as we must consider baseline fitness levels).

During exercise, we experience an increase in cortisol ‘stress hormone’, which in turn increases blood pressure and cholesterol.  These effects are transient when exercise is balanced and appropriate, but over training can result in chronically high levels of cortisol, decreasing our immune function.

Other risk factors for infection include:

  • inadequate sleep,
  • weight loss,
  • poor quality of diet,
  • under nutrition/low calorie intake,
  • stress.

All of these things, including exercise, challenge homeostasis and therefore, can contribute to increasing susceptibility to illness.

On the flip side, exercise also attenuates stress, which bolsters our immune systems, though this occurs after the exercise but and in the scheme of a balanced training regimen.

Those who engage in moderate intensity exercise 4 days per week are nearly half as likely to use sick time relative to their sedentary and their ‘over trained’ counterparts.

Exercise stimulates phagocytosis, which can essentially be described as the gobbling up of illness producing bacteria by macrophages (the ‘big eaters’ of the immune system).

Immune parameters are enhanced for hours after exercise (and even longer if program is balanced and ongoing/continuous) but the benefits are compromised when one pushes too hard and denies themselves the rest that they need.

Q. What does research tell us about exercising when feeling under the weather?

A. Generally, if symptoms are ‘above the neck’ (i.e. the common cold) low intensity exercise is OK, such as walking or gentle yoga, though listen to your body and rest when symptoms are at their worst.

Wait at least 5-7 days before reintroducing moderate to high intensity exercise.  Cold weather does not increase risk of catching a cold…it simply results in close contact to a greater number of people, which increases transmission of bugs.

When symptoms are ‘below the neck’ or more involved, wait 1 ½ to 2 weeks before reengaging in workouts of moderate or high intensity.

Q. What are overuse injuries, and what are the primary risk factors for overuse injuries?

A. Overuse, in short, result from a culmination of ‘too much too fast’, repetitive movements, improper training techniques, inadequate rest and musculoskeletal system overload.

Half of kids 6-18 engaging in athletics will incur an overuse injury, with highest risk going to runners. Other major risk factors include lack of a period (being on birth control doesn’t ‘count’ if the period is absent without birth control), prior injury and inadequate calorie intake, which stimulates muscle catabolism and hinders muscle recovery.

Q. I am feeling pressured (from self and/or others) to overdo my exercise? What can I do?

A. Give yourself permission to decrease intensity when you need to, and kindly thank yourself for showing up!

Increase the intensity again when you feel like you have the energy to challenge yourself. Resist adding intensity/weight/incline speed because someone else is doing so, or the instructor of your fitness class insists upon it if you know that it’s too much for you.

You’re there for you, not for them, and it’s OK to modify.  Remember, they won’t be around to nurse your injury, so it’s up to you to know your limits.

Believe it or not, cardio is not the only component of fitness. Equally important are flexibility and muscular strength building exercise, particularly for the sake of preventing overuse injuries and building/maintaining bone mass.

A ‘balanced’ regimen may include:

  • yoga,
  • strength training (‘sculpt’ classes)
  • swimming or running/hiking
  • bike riding (moderate to high intensity)

Try to engage other people in your workout regimen, even if this ‘compromises’ intensity just a little bit. Friends who move for fun and wellness can help to keep you from engaging in the craziness of calorie counting or compensatory exercise. Healthy relationships and interactions are also great for your health. =)

If you find that you’re worrying throughout the day about how you’ll fit in your workout, take a breather until you have time to make it a priority without adding to your already overfilled plate.

This is especially true if you’re active a few days/week, but feel inclined to stick to a rigid 5,6,7 days at any cost. If you’re exercising for health benefits, but obsessing daily about how to make it happen ‘perfectly’, the impact of the stress defeats the purpose.

Q. I missed my class and now I’ve blown it. I missed yesterday’s as well, and now I am in a real bind because I am going out to dinner, and I don’t feel like I have ‘earned’ the calories.

A. This is the picture of a not-so-healthy relationship with food and exercise.  Take a walk instead, even if it’s not what you had in mind, and thank yourself for being flexible.

Carbohydrate and protein are a MUST after exercise, as they serve to decrease muscle and joint tissue damage (and no, a low carb protein shake does not suffice, even if it has, like, fifty grams of protein).

This includes an adequate intake of grains. And grains are not the devil. We have decades of research supporting the health benefits of whole grains in the diet, including, but not limited to, their being a great source of antioxidants, fiber, and essential anti-inflammatory fats.

Finally, don’t neglect dietary fat. The anti-inflammatory benefits are tremendous (which means inflammation is buffered by protective qualities of fats, primarily the plant-based fats, which means lower risk of injury).

Don’t wait until you have an overuse injury and are stuck with a bandaid approach to ‘fixing’ it and explore the benefits of a few choice lifestyle modifications, which can prevent, delay onset or aid in healing. Aim for your intake to be at least 30% of calories consumed from fat sources.

How do you define your relationship with exercise?

Do your trust your body to tell you when you need to rest?

Thanks for reading and please post your questions below in the comments section regarding all things exercise and wellness.

In good health –

Megan

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Practical Tips on How to Support a Positive Relationship with Food

How you feed, move and rest

Note from Rebecca: Parents and caregivers have so much pressure these days. Trying to make ends meet, juggling busy schedules while giving the best care to their kids is simply A. LOT. Read the following post by Megan Holt, DrPH, MPH, RD and listen to what nuggets tug on your heart with grace and compassion. Caution against reading this and letting the “I am a good/bad parent” critic run rampant and instead think about what is working and what areas re: this subject may be good to focus on making a change. One at a time. And commit to not doing any of this perfect but messing it up a lot as you seek to care for you and your family well – one bite, one step, one thought, one prayer at a time.  

How do family and friends influence your relationship with food, exercise and body image?

Perhaps surprisingly, peer influence on eating behaviors is much less pronounced than that of parents.

Kids raised in an obesogenic home environment (easy and regular access to foods consistent with a poor quality of diet, sedentary living quarters and/or limited access to safe outdoor play areas) are more likely to adopt these poor eating habits, but modeling intake of so-called ‘healthy’ foods does not necessarily model a healthy relationship with food.

A few examples of eating behaviors and other measures that are heavily influenced by habits of parents:

  • Fruit and veggie consumption of kids increase proportionately with parent’s intake
  • Tendency to lean on fast food/drive thru’s versus cooking at home increases in later adolescent years (and beyond) if parents model this behavior

On the flip side….Parents and caregivers who diet chronically or focus on weight or shape or fatness (even if only theirs) are more likely to experience the following with their children:

  • poor self-esteem
  • disordered eating patterns
  • body image issues and body dysmorphia
  • weight cycling (versus achieving and maintaining a stable weight)
  • orthorexia, or obsession with healthy/perfect/clean eating

What’s a parent to do?!

Given that obesity prevention is indeed a primary target of public health interventions, how is it possible that such an environment overly focused on weight and size may be less than helpful at times?

Authors Brooke Kantor and Hannah Borowsky hit the nail on the head in this excerpt from “The Obesity-Eating Disorder Paradox” from Harvard Political Review:

“Failing to deal with the reality of America’s obesity problem for fear of perpetuating an unhealthy obsession with body image would be a disservice to the public and perilous for the health of the nation.
 However, it is equally detrimental to attempt to tackle obesity by promoting restrictive diets and extreme exercise regiments.
 Adopting approaches that focus on positive attitude and lifestyle changes not only protects against eating disorders and issues of body image, but also is actually more successful in preventing obesity.
Therefore, America need not choose one fight over the other. The solutions to both issues are actually one in the same.”

————–

Within the disordered eating treatment bubble, we often hear parents eating patterns described as follows by the person struggling (particularly early on in treatment):

  • “My parents are health nuts. I NEVER see them eat dessert.”
  • “We never had ‘bad’ food in the house growing up”
  • “Mon/Dad never missed a day of exercise”
  • “Mom/Dad was always on a different diet, and Dad/Mom would eat just about anything.”
  • “Mom/Dad never sat down for a meal…s/he would skip breakfast and just pick at food, but s/he did drink a lot of coffee.”

A few words of wisdom when it comes to promoting a healthy relationship with food with any of the young people you care for:

  • Avoid characterizing food in moral or black/white terms (‘good’/’bad’)
  • Sit down whenever possible to meals, and enjoy meals with minimal distractions (emails, TV, etc.)
  • Model breakfast eating and honor hunger and fullness (versus leaning on caffeine to ‘pull through’ and dull the appetite….kids pick up on this.)
  • Avoid introducing movies such as “Supersize Me” or “Food Inc.” (even with the best of intentions) too early on, as teenagers are too young to manage these concepts without thinking in extremes
  • Promoting exercise for the sake of weight loss/burning calories, especially for kids or parents with orthorexic tendencies can be detrimental
  • Do not use food as reward or punishment. Ex: Kid gets in trouble at school and parents withhold dessert that night as part of disciplinary effort.

Call to action:

Journal/write about the following:

Design an eating style for yourself with the assumption that weight will not be influenced in either direction. 

What would it look like?

Consider the following: quality of life, energizing nature of foods chosen, food availability, flexibility and enjoyment/palatability of food. 

How would you go about meeting your body’s needs? How might this be different if you were also considering potential weight shifts?

Need help or are stuck with these calls to action? Please let me know how I can be a resource to you and your family. It gives me great joy to help people make sustaining lifestyle changes while pushing back on the toxic culture around food, exercise and body image.

In good health,

Megan, DrPH, MPH, RD + Potentia’s Coordinator of Nutrition and Wellness megan@potentiatherapy.com

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A Not So Celebration of the History of Popular Diets

I Choose Respect Over Body Shame
I Choose Respect Over Body Shame

“Insanity: Doing the same thing over and over and expecting different results” – Albert Einstein

In honor of Respect Your Body Month, Potentia’s Coordinator of Nutrition and Wellness – Megan Holt, DrPH, MPH, RD – compiled a timeline and unpacked the history of  fad diets and their many claims. Somewhat humorous and ridiculous at times, this list is not an endorsement of any of these trends but is intended to reflect the the constant ebb and flow of claims on what is true health. We support a non-diet, intuitive eating approach to feeding – when appropriate – and are passionate about educating the community on the dangers of fad diets and the diet mentality. – Rebecca

1863 Banting’s Diet: One of the first documented low carbohydrate diets. William Banting was a carpenter and undertaker. “Bad” foods included sugar/starch, butter, milk and beer.

1830 Graham’s Diet: A Presbyterian Minister, Sylvester Graham, touted a ‘bland’, vegetarian diet free of milk, meat, alcohol, white bread and ‘excitatory’ spices (which, upon intake, cause a person to become ‘lustful’).

1920 Inuit Diet: Vilhjalmur Stefannson, an Arctic explorer, noted improved health and quality of life among persons living in Arctic regions by eating a diet consisting predominantly of whale blubber, raw fish and caribou, with minimal fruit and vegetables.  Thus, the Inuit Diet was born.

1930 Dr. Stoll’s Diet Aid: One of the first liquid supplement diets, shakes were given out as meal substitutes in local beauty parlors in efforts to popularize this diet.

1930 Hay’s Diet: Dr.Hay warned of ‘digestive explosion’ from consumption of fruit, meat and dairy at the same meal. He urged separation of foods into alkaline, acidic and neutral meal/snack categories.

1950 Grapefruit Diet: Consists of having ½ grapefruit daily, and minimal caffeine. Fatty meats, particularly bacon, may be consumed liberally, as the combination of grapefruit and saturated fat is “claimed” to accelerate the burning of body fat.

1980 Cabbage Soup Diet: This plan advises the consumer to consume cabbage soup at meal times for seven consecutive days, with the stepwise addition of beef, fruit, vegetables, brown rice and skim milk.

1980: Fat free/very low fat: Emphasized elimination of fat in the diet, given its caloric density and link to development of cardiovascular disease. Manufacturers quickly adapted by producing fat reduced versions of our favorite foods, using sugar to enhance palatability.

1990 Atkins Diet: Popularized by Dr.Robert Atkins, initial phases demand a carbohydrate intake not greater than 20g/day, and exclusion of fruit, starches/grains, added sugar, starchy vegetables and beans/legumes. Caffeine and alcohol are forbidden, but meat, eggs and oils may be consumed liberally.

2000 South Beach Diet: Essentially a tamer version of Atkin’s, partakers are allowed to include a greater percentage of calories from carbohydrates in the form of fruits, vegetables and whole grains in later stages, and are discouraged from over consumption of fatty meats/foods rich in saturated fats.

2000 Master Cleanse: Users are ‘detoxified’ by adhering to a strict regimen that includes a mixture of water, lemon juice, maple syrup and salt. The diet was originally publicized in the 1940’s by an alternative healer by the name of Stanley Burroughs.

Present day fad: The Paleo Diet, also referred to by some as the ‘Caveman’ diet, advocates a diet mimicking that of our Paleolithic ancestors. The Paleo diet features exclusion of processed grains/oils, legumes and dairy.  This sort of an eating style is not new, as it was initially popularized in the 1970’s, though it’s made a comeback in recent years.

Despite their obvious differences, many of these diets all share a few common features (aside from the lack of credentials or expertise of behalf their wealthy creators): They erroneously suggest that we can manage health/weight through black and white thinking, they don’t ‘work’, they aren’t sustainable and they lack supporting evidence.

What do you think about this list? Would you add to it?

How do you respect your body through how you feed yourself?

Please join the conversation over on Potentia’s Facebook page on Choosing Respect Over Body shame.

In good health –

Megan

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I choose respect over body shame – will you join me?

I choose respect (over body shame)

 

February is often a month dedicated to bringing awareness to food and body issues, with the last week of the month specifically focused on Eating Disorder Awareness.

I have been a big supporter of this time of year for the last decade. There is such a need for more understanding, awareness and education on eating disorders and related issues. They are deadly, misunderstood and too often unintentionally perpetuated by many who mean to help those struggling with these issues.

Whether you have a history of struggling with disordered eating, negative body image or are really passionate about wellness, sometimes you may have a bad body image day, week, month or more.

In a culture where a good portion of the few thousand messages coming at us a day are focused on our body, health, and image, it is hard to not internalize some of the scarcity, comparison and shame hurled at us.

So, even if you are at a place where you can generally say, “I am ok as I am — mind, body and soul” it seems completely understandable to me that there are seasons, bumps in the road per se, where your relationship with your body is not always full of love.

Many in recovery are ashamed and fearful of having a season where their old ways of thinking and being make a comeback. So the masks of “everything is perfect” go up and the fear of showing vulnerability spikes.

I started seeing some masks pop up in my clients and friends hiding the fear of being seen struggling; not having it all together; not being seen as holy enough…

We can’t force a love relationship with our body. Building or rebuilding trust with your body takes time. Eating disorders, chronic illness, abuse, depression, anxiety, and shame induced by cultural ideals of beauty all can rob you of your ability to trust your body.

So many people have a hard time loving their body, let alone liking it. Sometimes you have to start from a place of respect before you move to love.  

I hear many share their frustration with how body-focused they are and offer a lot of self-judgement because their brain is stuck obsessing about what the scale says, what the mirror reflects, and what is eaten.

Food and body issues are real. Call it what you want — I think it is time to redirect the judgements that pop up about these struggles and try to really understand what is at the root of the pain.

From my perspective, when someone’s sense of comfort, peace and wellness is attacked, it impacts all other areas of their life. These are not trivial, self-indulgent, self-absorbed issues.

In an effort to debunk the stigma around body image struggles and normalize these common struggles, I gathered colleagues, teachers, parents, pastors, students, and business owners for an “I choose respect” photo shoot at Potentia.

We are posting an “I choose respect” feature photo every day this month on the Facebook page and the response has been so encouraging.

And here is a special gift for you inspired by I choose respect over body shame month: our Respect Your Body Creed.

(click to download)
(click to download)

What is your respect your body creed or mantra?

Share in the comments below and, if you feel bold, post a picture here or on our Facebook page letting me how you choose respect over body shame.

Cheering you on —

Rebecca

 

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