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Tag: nourishment

‘Clean’ Eating: Magic or Mayhem?

This month, we feature an article published by Outside Magazine that discusses the clean eating trend in depth.

Bonus: the article includes perspective from one of our own here at Nutritious Thoughts – Margaret Ruch, MS, RD, LDN!

Is ‘Clean Eating’ Good for You? Not Really.

Trying to eat perfectly all the time is a losing battle

The clean-eating trend isn’t new, but it is ever present. It’s a hashtag on Instagram, a hot topic on Twitter and Reddit, and a whole category of food blogs, cookbooks, and magazines. While this approach to eating looks a little different for everyone, it always promotes whole foods and warns against processed options and added sugars. Some clean-eating plans even eschew whole-food staples like dairy, grains, and naturally occurring sugars. Despite the trend’s prevalence—and the fact that “eating clean” as a term sounds benign enough—health experts are wary of the approach for a handful of reasons. Here’s an overview of why athletes should steer clear of the trend.

“Clean Eating” Is an Ambiguous Term

There’s no agreed-upon definition of clean eating. “Generally, it’s about eating foods that are less or not at all processed. It’s always a form of restrictive eating, and for some people, it leads to avoiding whole food groups,” says Margaret Ruch, a registered dietitian who specializes in sports nutrition and disordered eating. The paleo version of clean eating, for example, emphasizes protein, vegetables, nuts, seeds, and some fruit, but it cuts out dairy, grains, legumes, added sugars, and processed foods.

The flexibility of what constitutes clean eating can lead adherents down a path of increasing restriction. The diet promises to be the cure for all kinds of ailments: fatigue, bloating, acne, weight gain, and even some chronic illnesses. If someone adopts of a couple of rules (like cutting out sugar and processed carbs) and doesn’t see benefits, it’s likely they’ll keep adding rules and cutting out foods until they do. “It’s a slippery slope—you want to eat healthier, but there’s really no end goal for clean eating, no way to know you’re doing a good job with it,” says Heather Caplan, a registered dietitian, distance runner, and former running coach.

Plus, while diet certainly impacts health, it’s unrealistic to give it so much power. Factors that are totally out of our control (genetics, for one) play a huge part in our health outcomes, as do things like our relationships, location, and socioeconomic status. “I say that to comfort people, but it’s often jarring. Just because you eat ‘perfectly’ doesn’t mean you’re definitely going to be healthy,” says Caplan.

You Need More Calories Than Veggies Can Provide

“Proper nutrition can play a big role in sports performance, but proper fueling has more to do with getting enough—enough energy, enough carbs, enough protein, enough fat, and enough fluid,” Ruch says. In other words: prioritizing nutrient-dense food is good, but the most important thing is to make sure you’re giving your body the calories it needs to perform and recover properly.

“No matter how you define clean eating, it’s about cutting out certain foods, which makes it much harder to get enough food overall,” Ruch says. “If you’re not consuming as much energy as you need, that really can damage your body in the short and the long term.”

It’s Tough to Get Enough Carbs from Whole Foods 

Exactly how many carbs a person needs depends on several factors—age, gender, weight, activity level, genetics—but “for endurance athletes, carbs should generally be about 50 to 60 percent of your total food intake,” Caplan says.

“If you define clean eating as no processed carbs, it’s going to be really tough to reach your carb needs because of all the fiber that comes with unprocessed carbs,” she says. Fiber increases a food’s volume without increasing its energy, so it makes you feel full more quickly. If you’re also cutting out whole grains and legumes, it’ll be even tougher to fulfill your carbohydrate needs.

Processed Carbs and Sugar Are Great Workout Fuel

Complex carbohydrates from whole foods are great choices most of the time. They’re more nutrient dense than processed carbs, and they digest slowly for steady energy. They’re not a good source of quick energy, though. “I wouldn’t recommend that someone eat a sweet potato or a slice of Ezekiel bread right before working out—they will be slow to enter your bloodstream,” Ruch says.

“So many athletes aren’t getting adequate carbs, usually because they’re afraid of sugar,” she says. “Processed carbs and sugars are great when you need blood sugar quickly, like when you’re about to go on a run or do any kind of intense or long workout.”

Plus, whole carbs preworkout can cause an upset stomach. Fiber is resistant to digestion, which means you’ll likely deal with some bloating and a sensitive stomach while your body breaks down fiber-rich foods—inconvenient during, say, a long training run. “Some people need a low-fiber preworkout snack, like white bread or cereal,” Caplan says. “Other people, like me, can tolerate more fiber and be fine.” If your gut isn’t having it, don’t hesitate to switch to a processed-carb snack or sugar (like a honey stick) that’s easier for your body to break down.

Restrictive Eating Creates Nutrient Deficiencies

Nobody wants to get sidelined by a stress fracture, and diet plays a big role in bone health. Eliminating dairy affects your calcium and vitamin D intake. “If you’re not replacing that dairy with something else, you’re likely going to be deficient,” says Ruch. And relying on supplements won’t cut it; studies have consistently shown that these supplements don’t reduce the risk of osteopenia, osteoporosis, or fractures, and that your best bet for good bone health is getting adequate calcium through your diet. (If you have a dairy allergy, you can get calcium and vitamin D from fortified products, like nondairy milks.)

Whole grains also provide important micronutrients, including vitamin E and various B vitamins such as riboflavin, thiamine, niacin, and folate, that offer critical support to digestion, the nervous system, and more, Caplan says. “Most whole grains are fortified with folate or folic acid, and sometimes iron.” All of these nutrients are essential for good health, and while it’s possible to get them elsewhere, grains are an easy and inexpensive source.

Diet Can Cause Mental and Emotional Stress, Too

“When we talk about health, we have to take into account not only the nutritional value of what we’re eating but also emotionally how we feel when we’re eating a certain way,” says Breese Annable, a psychologist who specializes in disordered eating, chronic dieting, and body image. Although a less rigid style of clean eating might be fine for some people, too many food rules can have a big negative impact on overall health, Annable says. For example, if you avoid social gatherings for fear of not being able to eat “clean,” you’re isolating yourself, which can have its own negative consequences. Plus, chronic stress has been shown to impair sports recovery.

Stressors of rigid clean eating might include spending more money on food (whole foods are generally more expensive) and constantly denying yourself the foods you’re craving. “There’s a trade-off between any potential benefits of following a certain diet and the stress you put on yourself when you’re so rigid and inflexible,” Ruch says. “This is true even if you do manage to get enough energy and nutrition from a diet.”

The Bottom Line

Clean eating essentially paints foods as being good or bad. “It creates this sense of morality around food,” Annable says. But health isn’t black and white, and thinking of food that way won’t do you any favors. If anything, it sets you up for feelings of guilt and failure when you inevitably break whatever diet rules you’ve set for yourself.

“It’s harmful to put labels on your diet and yourself, instead of just saying you eat a flexible diet and you’re mindful about your food intake,” Ruch says. There’s nothing wrong with wanting to eat healthfully, but the best approach is to focus on eating mostly nutritious foods while thinking of the occasional less nutritious treats as just part of an overall healthy balance. In other words: ditch the idea of clean eating, and embrace the fact that no one meal or food choice will make or break your health.

Direct article link here: https://www.outsideonline.com/2391283/is-clean-eating-good

Spring Time Blues

The weather is warming, daylight lasts longer, and the world seems to be blooming…and it expects you to be doing the same.

This month, we feature a very important blog post by Carolina Partners in Mental HealthCare, PLLC that highlights the pressure we may feel to present ourselves to the world as happy, energetic, and carefree this time of year and how it is perfectly alright (and actually makes sense) if “happy-go-lucky” is not everyone’s reality during the Spring season.

Check the post out below!

IT’S SPRING! WHY YOU DON’T HAVE TO FEEL HAPPY

Spring is finally here. People are wearing shorts, the birds are infectiously happy, flowers are blooming everywhere. In the grocery store today, a man told me, “You look so sad. Be happy! The weather is beautiful.” While there’s always room for gratitude in our days, and nice weather certainly can be something to be grateful for, I’m here to tell you why you don’t have to be happy.

There are admittedly many proven mental health benefits to Springtime. The increase in daylight provides a boost in one’s serotonin levels (serotonin is a crucial ingredient for feelings of happiness). And during the new season, people don’t need to expend as much energy to fight off the drowsiness that occurs when it’s darker outside. Also, people tend to socialize in the Springtime more, which comes with other mood-enhancing benefits; for example, laughing with friends or hugging loved ones, both of which release important endorphins.

With all of this bright light, social bustle, and beautiful, blooming nature, there can be an unspoken expectation to be as happy as possible all the time. But, for a number of reasons, many of us don’t feel happy during Spring … or we don’t feel as happy as other folks seem to think we should. And I would like to detail a number of reasons for why we may not feel happy, despite the beautiful weather and chipper social milieu:

  • The expectation to be happy itself can be stressful, and can, perversely, end up making us feel less happy. It is very alienating to be pressured to feel a certain way when you don’t already feel that way to begin with, and this social pressure is severely heightened in Springtime.

 

  • The warmer weather can make it more difficult to think clearly on a physical level. Ideally, Spring is a time of moderate levels of warmth that help us adjust to the oncoming heatwave of the Summer. But in reality, Spring is often dramatically warmer than we expect or want it to be, and those changes usually happen without warning.

 

  • A third reason is that many of us need to spend our days indoors during these lovely Spring days. Students are busy studying for exams. Office workers continue to spend eight hours a day inside, regardless of the season. That disconnect between desire and reality can be very demoralizing.

 

  • Some people experience a problem with sinuses during this time, which can make simple things like going on a walk in your neighborhood very unenjoyable.

 

  • Perhaps most importantly, it is important to remember that the regular ups and downs of life continue to happen in Spring, despite the shifting climate. For some folks, Spring is the anniversary of a loved one’s passing. Other people are experiencing terrible illness. There are folks who lose their job in Spring, or get into a car accident. The mere existence of warm weather and budding cherry blossoms does not erase the usual tribulations of life.

While there are likewise many reasons to enjoy the season, it’s important that we be aware of our own impulse to assume that everyone else is happy, or that everyone else should be happy, or that we should be happy. Spring is a time of should-ing. We “should” all over each other during this season, a practice that often makes even the enjoyable aspects less enjoyable.

As you move about in the world during this season of opening and renewal, remember to hold yourselves and others in a place of understanding and compassion. If you find yourself feeling sad, angry, frustrated, hopeless, etc., remind yourself that those emotions are a part of life, no matter the season. The same goes with other people whom you interact with. Every season is the right season to treat yourself and others with compassion, and to reach out for the help that you need.

To access other posts from the Carolina Partners in Mental HealthCare, PLLC blog, follow this link: Be Well Blog

Is ‘National Nutrition Month’ a Recovery-Positive Campaign?

As registered dietitians dedicated to the prevention and evidence-based treatment of eating disorders and disordered eating, we found ourselves asking the following questions leading into National Nutrition Month®:

  • Does National Nutrition Month® (NNM) align with Eating Disorder/Disordered Eating (ED/DE) recovery?
  • As Health At Every Size® (HAES) informed professionals, to what extent might we ethically support participation in this month-long campaign focusing on nutrition and physical activity to our clients, our peers, friends, loved ones…ourselves?

The quick answers?

  • A little bit, kind of, sorta…
  • Proceed with caution

Here’s a more in-depth look at our perspective:

Let’s begin by explaining a little bit more about NNM!  NNM was created by the Academy of Nutrition and Dietetics (AND), the largest organization of food and nutrition professionals in the United States. AND defines NNM as follows:

What is National Nutrition Month®?

National Nutrition Month® is an annual nutrition education and information campaign created by the Academy of Nutrition and Dietetics. The campaign, celebrated each year during the month of March, focuses on the importance of making informed food choices and developing sound eating and physical activity habits.

– Academy of Nutrition and Dietetics (AND)

We’ve done a thorough review of the National Nutrition Month website for 2019 and wanted to share some thoughts with you.

What we appreciated about this year’s theme:

  1. The 2019 NNM theme is self-titled (“National Nutrition Month®”) which makes it more inclusive of many different topics of discussion – including eating disorders and disordered eating! Win!
  2. Many of the educational materials encouraged making sustainable changes towards achieving balanced food and movement routines that are individualized. We love this approach!
  3. Mental health and motivation for change (which are totally intertwined with eating and moving our bodies) were not excluded from the conversation!

What we could have done without:

  1. The language! Reviewing the NNM website brought up a much larger conundrum – the way we speak about nourishment in our society. The language we use to address nutrition and movement is morally charged. The “good/bad” or “right/wrong” polarization is not recovery-positive and continues to drive us farther away from seeing food as just food and moving our bodies as joyful and drives the shame wagon. Shame does not motivate people to adopt health-promoting behaviors.
  2. Weight management. Encouraging weight management through portion control and calorie tracking is not an approach that is respectful and accepting of all body shapes and sizes and promotes the message that larger bodies are inherently in need of “fixing” or must be controlled in some manner. Nah, nah, nah. Not buying it. Weight management is not weight neutral. It’s not HAES-informed. It’s not recovery-positive. It’s oppressive and unethical to prescribe disordered eating behaviors to people living in larger bodies. Also, there is a body of evidence against it.

*Caveat: National Nutrition Month was not created specifically for those in recovery from ED/DE, but for the general United States public.  However, even so, language equating terms such as “weight management” and “portion control” as being “right” can be harmful for at-risk populations and creates unnecessary vulnerability to developing ED/DE behaviors.

Suggestions for observing NNM in ED/DE recovery:

  1. Celebrate how far you’ve come! Take this opportunity to reflect on how eating and movement patterns have become more sustainable and balanced.
  2. Set goals. How might you propel your recovery forward this month? What would it look like to take steps to strengthen our relationships with ourselves and with food, movement, and recovery?
  3. Increase your food variety – try some new foods this month!
  4. Take up space and use your voice. Be in a larger body. Be fat. Exist as you are.

We love our field, our colleagues, and the wealth of valuable knowledge provided by AND, and we hope to continue to shift the way nutrition and wellness are presented to the general public to be more inclusive and less stigmatizing!

Check out what other ED/DE clinicians have said about NNM over the years:

https://marcird.com/my-take-on-national-nutrition-month/

https://veritascollaborative.com/blog/blog-national-nutrition-month/

https://www.sovcal.com/recovery/having-an-eating-disorder-during-national-nutrition-month/

 

 

 

Resolutions…or Revolution?

Happy New Year, Everyone!

…And welcome to “resolution” season.  As we turn the page to a new chapter – 2019 – it is likely we will all have some exposure to the concept of changing something (or things) about oneself “for the better”.

Traditionally, resolution setting tends to revolve around our bodies and our behavior.  Commercials for diet and weight loss programs become more pervasive, the local gym puts up a shiny new billboard offering $20 off membership, we are encouraged to pick apart the pieces of ourselves that we find unsatisfactory, and we ride off into the sunset on the new trendy wellness bandwagon.

While there is nothing wrong with desiring change and embracing a collective opportunity to kick-start it all, we invite you to challenge the typical narrative this time of year and consider the idea of a revolution rather than a resolution.  What would it be like to look at goal setting from a place that wasn’t appearance-focused?  What other aspects of life are there to look at when considering working on oneself?  What if the resolution was that you are enough…let’s repeat that…You. Are. Enough. as you are without making a single change whatsoever?

We chose a few of our favorite perspective-shifting articles and blog posts to share with you this month that are centered around self-acceptance, body respect, and revolutionizing what it means to resolve to take better care of ourselves.  Enjoy!

Julie Dillon’s two-part take on why it makes sense to want to lose weight…and how to navigate these feelings from a place of self-respect:

it’s not body love or acceptance that’s first, it’s respect.

weight loss is a seductive fantasy…here’s why.

Ragen Chastain’s (Dances With Fat) notes on sustainable personal goal setting:

Non-Diet New Year’s Resolutions

Eating Disorder Therapy LA’s suggestions for alternatives to typical resolutions:

Don’t Diet! 10 Alternative New Year’s Resolutions

 

 

Holiday Survival Guide: ED Recovery

Here we are again. It’s holiday time.

Regardless of what, when, where, or how you celebrate, the hustle and bustle of the season has the potential to be overwhelming and sometimes, downright scary. So how do we navigate nourishment of our bodies and our minds in the midst of the chaos?

Check out these ideas below:

  • Make a plan. Seriously. Do it. Even if you don’t think you need to. 
    • Events involving food will likely be unavoidable over the next few months. Food is a normal part of human connection and gathering and for those in recovery from an eating disorder or disordered eating, this fact may feel quite anxiety-provoking. To say it simply, this is not the time to “wing it” or “see what will happen” or “talk about it later”. Taking the time to discuss these events, the food, and the fears around it all may be the ticket to maintaining recovery efforts.
  • Give support, get support.
    • Stay in touch with your support systems, people! It is very easy to skip your usual weekly support group or neglect to call back an accountability partner when we are feeling inundated with the many pressures of the holidays (family, travel, food, celebration, obligations, and the list goes on…). The heart of the matter is that because of these very pressures, you may need more support now than you’re able to realize…and we are thinking that may also ring true for the accountability partner from which you missed a call!
  • Make space for emotion. 
    • Everyone’s relationship to this season is different, yet we are all more stressed than usual in one way or another. Recognizing the nuances of your needs and waving ‘hello’ to whatever emotions or feelings you may be experiencing is a great first step to being able to cultivate a holiday-specific self-care regimen. See our August Blog Post on more ideas for gentle self-care during high-stress times!
  • Cope effectively. 

Do you have any tried and true methods for surviving the holiday season? Share your tips and tricks in the comments below!