Anyone who knows me well, knows that I think measuring things like weight and BMI isn't all that useful.  I just don't feel that the information tells us a whole lot about our health. I believe that it gives us a sliver of information, not the whole picture.  I believe that focusing on behavior is much more important.  Working towards healthier eating habits and moving our bodies more is far more productive for our health than being concerned about the number on the scale (which for someone who works with eating disorders knows that weight tells very little about health).

Check out the book "Big Fat Lies" if you are interested.  The author describes (in detail) the flawed data that our current BMI and weight charts as based on.  I highly recommend it.

Just today, a client forwarded me an article I couldn't help blogging about because it's just so darn ridiculous.    Apparently a new study shows that your neck measurement may actually be a better way to determine your body fattness.  What!?  As if we need another number to be concerned about.  

The study authors had the following to say:

"We've been using BMI to advise parents and patients for making healthy choices," he said. "Unfortunately, often we tell someone their BMI is 27 or 30, most of the time it doesn't mean much. To tell you that your neck is wide, these are some of the risks associated to it -- that we feel people would be able to relate to it better than BMI."

I couldn't help but laugh. Let me be so bold as to offer you some advice- stop obsessing about numbers.  Stay focused on what you can do today and every day to be healthy: get plenty of sleep, stay hydrated, eat lots of produce, make an effort to move your body, you get the idea.

Yesterday, I received several emails with a link to this article on a condition called "Orthorexia."  Most people read the article and wondered if it was serious, wondered if it wasn't some sort of exaggeration or joke.  

And while I admit, reading about it online may seem strange or even ridiculous, it is a true disorder that affects both the physical and emotional health of a lot of people.  Just read my recent client spotlight. What began as "healthy eating" and exercising for her, quickly became orthorexia, which then became a much more severe eating disorder that required residential treatment and intensive outpatient care.  

Now of course I believe in healthy eating and exercise- my life is committed to supporting it in myself and others!  BUT, the distinction between healthy living and orthorexia are two important words: unhealthy obsession.  You can read more on the Orthorexia home page, written by Dr. Steven Bratman who coined the term and wrote the book "Health Food Junkies." 

<Ironically, I just loaned my copy to a client who has suffered mental, emotional, and physical distress FOR YEARS due to an unhealthy obsession with "healthy" eating and exercise.> My clients who suffer from orthorexia share a single characteristic- the obsession diminishes rather than enhances their quality of life.  Relationships suffer, social isolation ensues, they have often feel paralyzed, depression/anxiety is worse, sleep patterns are affected, etc.  

My philosophy is that moderation with food, exercise, and in life- is the key!  And I also believe that we are meant to find enjoyment, satisfaction, and fulfillment from the food we eat.  Anything taken to an extreme is unhealthy.  If you have always been interested in "healthy" living and are curious as to whether or not you are taking a bit too far, the assessment below may be helpful to you.  This is taken from Dr. Bratman's book.

Dr. Bratman suggests that you may be orthorexic, or on your way there, if you:
o Spend more than three hours a day thinking about healthy food.
o Plan your day’s menu more than 24 hour ahead of time.
o Take more pleasure from the “virtuous” aspect of your food than from actually eating it.
o Find your quality of life decreasing as the “quality” of your food increases.
o Are increasingly rigid and self-critical about your eating.
o Base your self-esteem on eating “healthy” foods, and have a lower opinion of people who do not.
o Eat “correct” foods to the avoidance of all those that you’ve always enjoyed.
o So limit what you can eat that you can dine “correctly” only at home, spending less and less time with friends and family.
o Feel guilt or self-loathing when you eat “incorrect” foods.
o Derive a sense of self-control from eating “properly.”

Bratman suggests that if more than four of these descriptions applies to you, it may be time to take a step back and reassess your attitude toward what you eat. If they all apply, you’re in the grip of an obsession.

This seems to be a controversial topic.  I'd love to hear your thoughts.

Striving to live a balanced life in hectic Harvard Square,
Marci

I just finished reading "Good-bye Ed, Hello Me" by Jenni Schaefer and I am a HUGE fan.  Jenni wrote about being "in recovery" in her first book "Life Without Ed" (which is also a phenomenal book that I highly recommend).  But in this follow-up book, she talks about what life is like and what life has to offer post-eating disorder recovery.

Things I loved about the book:
Guides to developing a new identity that isn't connected to body, weight, or an eating disorder
Short chapters that can be read in 5 minutes- easy to pick up and put down
Practical self-help tools and exercises
Importance of incorporating spirituality into your recovery
Suggestions and insight for friends and family of those struggling with an eating disorder

I highly recommend this book for anyone hoping to recover from an eating disorder, those in recovery from an eating disorder, as well as family/friends who are trying to support someone through their recovery.  Happy reading!

I have always been frustrated by Oprah's need to drag the entire United States on her latest diets, weight gains and losses.  But this article gives me hope hat she may finally be "getting it."  I'm grateful for her sharing a brief interview with author Geneen Roth.  Please check it out.  

Geneen is the author of multiple books on the topic of eating disorders, emotional eating, and binge eating.  Her latest book "Women, Food, and God" is next up on my reading queue.  The book's basic premise: how you eat reflects your fundamental beliefs.  It's the process of understanding and redefining those beliefs that allows you to permanently change your relationship with food.

At the risk of sounding terribly cliche' this book is certainly "food for thought."

In case you didn't know, it's National Nutrition Month.  A time to celebrate delicious and nutritious eating all month long!  The American Dietetic Association has provided a Good Nutrition Reading List that you may find helpful.  I'm currently reading "The Rules of Normal Eating" and am lovin' it!

Many of the clients that I see for individual nutrition counseling struggle with their body image.  I was scoping out some resources and came across a couple I thought were worthy of sharing.  I hope they may be of use to you or someone you know.

Marion Nestle, author of “Food Politics,” “Safe Food,” and “What to Eat” and professor in the nutrition, food studies and public health department at New York University was recently interviewed by the San Fracisco Chronicle about her food prediction trends for 2010.  I highly recommend checking out Nestle’s blog for a ton of really reliable/non-biased nutrition information.  But in the mean time, here are Nestle’s Top 10 predictions with regards food, nutrition, and diet.

Q: What do you think will happen with food and nutrition in 2010?

A: I wish I could read the leaves while I drink tea, but the best I can do is tell you which issues I'm going to be watching closely this year. Hunter Public Relations recently asked 1,000 Americans which food-related issues they thought were most important in 2009. The top three? Food safety, hunger and food prices. For the decade, the winner was childhood obesity.

I have my own top 10 list of hot-button issues for 2010, and here they are:

Hunger: More than 35 million Americans get benefits to which they are entitled under the Supplemental Nutrition Assistance Program (formerly, food stamps). The economy may be improving, but not quickly enough for millions who have lost jobs, health care and housing. Will Congress do anything this year to strengthen the safety net for the poor? It needs to.

Childhood obesity: Rates of childhood obesity may have stabilized, but we all want to figure out how to prevent kids from gaining so much weight that they develop adult chronic diseases. I expect to see more efforts to improve school food and make neighborhoods more conducive to walking to school, riding bikes and playing outside.

Food safety regulation: Congress is sitting on a bill to give the Food and Drug Administration some real authority for food safety. The bill does not do what is most needed - establish a single food-safety agency - but is a reasonable step in the right direction. Let's hope Congress gets to it soon.

Food advertising and labels: The long-dormant FDA and Federal Trade Commission are getting busy at last. In the wake of the Smart Choices fiasco (go to sfgate.com/ZIZT), the FDA is working to make package labels less misleading and easier to understand.

The agencies have proposed nutrition standards for products marketed to children. These voluntary standards fall far short of my preference - an outright ban on marketing junk foods to kids - but puts food companies on notice that their products are under scrutiny.

The FDA is also working on designs for front-of-package labels. I'm hoping it chooses a "traffic-light" system that marks foods with a green (any time), yellow (sometimes) or red (hardly ever) dot. Expect plenty of opposition from the makers of red-dotted products.

Meat: The meat industry has been under fire for raising food animals under inhumane conditions, using unnecessary hormones and antibiotics, mistreating immigrant labor, and polluting soil and water. Now it is also under fire for contributing to climate change.

Recent films like "Food, Inc." and "Fresh" and books such as Jonathan Safran Foer's "Eating Animals" are encouraging people to become vegetarians or to eat less meat to promote the health of people and the planet. I'll bet the meat industry pushes back hard on this one.

Sustainable agriculture: The back-to-the land movement has loads of people buying local food, choosing foods produced under more sustainable conditions and growing their own food. The number of small farms in America increased last year for the first time in a century. Seed companies cannot keep up with the demand. It will be fun to follow what happens with this trend.

Genetically modified (GM) foods: My book, "Safe Food," comes out in a new edition this year, so I am paying especially close attention to debates about GM foods. The FDA's 1994 decision to prohibit labeling of GM foods continues to haunt the food biotechnology industry. By now, nearly all American soybeans and sugar beets (95 percent) are GM, as is most corn (60 percent). But when the U.S. Department of Agriculture approved GM sugar beets in 2005, it neglected to perform the required environmental impact assessment. On that basis, environmental groups want to ban further planting of GM sugar beets. The dispute is now in the courts.

Chemical contaminants: The FDA has yet to release its report on the safety of bisphenol A, the plastic chemical that acts as an endocrine disrupter. Shouldn't it be banned? The bottling industry says no. Watch for fierce arguments over this one.

Salt: Nutrition standards allow 480 mg sodium (the equivalent of more than 1 gram of salt) per serving. A half cup of canned soup provides that much. A whole cup gives you 4 grams and the whole can gives you 8 grams - much more than anyone needs. Nearly 80 percent of salt in American diets comes from processed and restaurant foods. Companies are under pressure to cut down on salt. Will they? Only if they have to.

Dietary advice: The new edition of Dietary Guidelines for Americans, which the government publishes every five years, is due this year. What will it say? I can't wait to find out.

Those are the issues I am tracking these days. My one crystal-ball prediction? We will be hearing a lot more about them this year.

As I a dietitian who is constantly thinking about food and nutrition, I have some ideas about what will be hot topics this year.  What are your predictions?

I recently blogged about Ralph Lauren and the fashion industry’s constant stream of messages and images which negatively affect women’s self-esteem and feelings of self-worth. And unfortunately, the glorification of a thin body is so pervasive in our society; it’s becoming more and more difficult to question its validity. I’m currently in the middle of reading one of the most fascinating and thoughtful books on the topic “The Religion of Thinness” by Michelle Lelwica. I hope to write a brief book review when I finish it, as I feel like it’s a book every woman ought to read, regardless of her weight, feelings about her body, or her relationship with food.

But at the end of the second chapter, Lelwica cites three awesome organizations whose mission is to promote positive media messages. Check them out. 

**Mind on the Media: a national organization dedicated to “inspiring independent thinking and fostering critical analysis of media messages.” Through their “Turn Beauty Inside Out” program, they empower boys and girls to begin grassroots discussion, and sponsor events in their communities to increase awareness of the media’s influence on girls’ development.

**Girls, Women + Media Project: sponsors “I-CAN” (Involved Consumers Action Network) which offers information about consumer issues related to women and girls, and suggestions on how to take action.

**New Moon Girls: is an online community and print magazine targeted to girls ages 8-14 and designed to build positive body image and self-esteem through chatting, poetry, artwork, videos, and more. It is a phenomenal resource amidst the barrage of negative messages targeted to this vulnerable age group. Rather than telling our young women they need change, re-shape, and mold their body to some phony standard, they need to hear that they are intelligent, capable, and acceptable just as they are.

I’m currently working part-time as a dietitian/nutritionist in Somerville at a day treatment program for eating disorders called Laurel Hill Inn. As I grapple with the complex reasons that so many women (and increasingly more men) suffer from disordered eating and severe body image disturbance, I can appreciate the fact that the media is one very powerful aspect of this multi-factorial problem. I try to advocate for and promote any organization which strives counter the negative messages which permeate our society. If you know of any other positive resources or websites, please post them! 

Today, theNew York Times magazine is all about food. One of the articles, written by Michael Pollan caught my eye. It's about food rules.  Basically, his premise is that culture might have more to teach us than the government or trained nutritionists. 

Pollan says "If we can’t rely on the marketers or the government or even the nutritionists to guide us through the supermarket woods, then who can we rely on? Well, ask yourself another question: How did humans manage to choose foods and stay healthy before there were nutrition experts and food pyramids or breakfast cereals promising to improve your child’s focus or restaurant portions bigger than your head? We relied on culture, which is another way of saying: on the accumulated wisdom of the tribe."

So I'm interested to know- do you have food rules that you live by?  If yes, what are they?  Do you think food rules can be helpful or harmful?  Pollan solicited for readers food rules.  Check out this "food rule slideshow" to see some of the responses.

Interestingly enough, I was planning to blog later on this month about a fantastic book called "The Rules of Normal Eating" by Karen Koenig that has some great suggestions for helpful food rules.  Check back later on in the month for my book review.

I do have some pretty simple food rules that I try to live by:
1.) Eat breakfast
2.) Eat when hungry, stop when full as much as possible
3.) Eat foods I crave
4.) Eat fruits and vegetables everyday

What are your food rules?