National Nutrition Month

Marci Anderson - Tuesday, March 02, 2010
I'm Blogging National Nutrition Month 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!

Here's to happy eating and happy reading.  

Your neighborhood nutritionist in Cambridge,
Marci

Improving Body Image

Marci Anderson - Tuesday, March 02, 2010
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.

1.) The Body Image Workbook: An 8 Step Program for Learning to Like Your Looks by Thomas F. Cash, PhD

2.) A Blog on Psych Central called "Weightless" by Margarita Tartakovsky, MS.

Healthy Weight Week

Marci Anderson - Tuesday, January 19, 2010
You might not know it, but this week has been officially named "Healthy Weight Week."  As a dietitian in Cambridge who specializes in the treatment of eating disorders and works predominantly with women who struggle with their weight and body image issues, I'm pretty sensitive to the topic of weight.

It's been my experience that pre-occupation with weight and body size is extremely unhealthy and incredibly unproductive.  I've worked with clinically obese/morbidly obese clients who agonize over their excess pounds and fear the implications it has for their health. 

On the flip side, I've worked with plenty of women who appear to have very normal/healthy body weights but also obsess over their desire to be thinner.  This results in hours spent at the gym accompanied with guilt about they did/did not eat the day before.  

Or more commonly for many of my nutrition clients, their weight and body obsession leads to eating which becomes disordered to the point of starvation, binging, purging, laxative abuse, etc.

It saddens me to see the number of women who waste their precious time thinking, agonizing, and lamenting over their bodies and what they put into them. So naturally, I have mixed feelings about an entire week focused on that very topic.

However, when I found the website for the Healthy Weight Network I was thrilled to find out what they intend "Healthy Weight Week" to be about:

The 17th annual H ealthy Weight Week is a time to celebrate healthy living habits that last a lifetime and prevent eating and weight problems, rather than intensifying them, as diets do.

Traditionally many Americans begin a diet the first week in January and "blow" it the second week. Healthy Weight Week, the third week, is a time to stop dieting for good and help people normalize their lives. It’s a welcome antedote to the dieting and bingeing that typically begin the New Year!
Healthy Weight Week promotes healthy nondiet lifestyles for children and adults of every size. It helps them move ahead to healthy habits they can live with long term – sound, reasonable habits that allow them to live well and get on with their lives. Eat well, live actively, and feel good about yourself and others.


It's my philosophy that your "healthy weight" is:
  • Partially determined by your genetics
  • A range of a few pounds that may vary depending on the time of month
  • Where your body goes naturally when you are eating when hungry, stopping when satisfied, and usually a result of physical rather than emotional or social hunger
  • Is supported by a moderate exercise program

It's also my philosophy that your "heathy weight" is NOT:
  • Determined by a scale, jeans size, or weight chart
  • Attained by calorie counting, low cal diets, and excessive exercise
  • Necessarily what you weighed when you graduated high school :)

So let's celebrate what it really means to find a healthy weight- treating your body with respect, feeding yourself appropriately, enjoying the movement of exercise, and trusting that your body will find it's natural healthy place.

If you are interested in learning more about this approach, here are a few books I HIGHLY recommend:

And a couple of websites to check out too:

Here's to a new look at what it means to find your "healthy weight."

2010 Food Trends

Marci Anderson - Wednesday, January 06, 2010

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?

Media Literacy vs. Thin is In

Marci Anderson - Sunday, December 13, 2009
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! 

Food Rules

Marci Anderson - Monday, October 12, 2009
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?

Holly Clegg's Cookbook "Eating Well Through Cancer"

Marci Anderson - Friday, August 07, 2009
I have an absolute love for reading and buying cookbooks.  Everytime I get a new one, my husband wonders if I don't already have enough recipes to choose from...I reassure him that you can never have too many cookbooks.  And one of my very favorite cookbooks is one I received while teaching a nutrition class for people undergoing different types of treatment for cancer.  It's called "Eating Well Through Cancer" by Holly Clegg.  The recipes are simple and tasty.  Plus each section is organized by topic (i.e. pre-treatment, dry mouth, constipation, etc.) to meet the varying needs of each stage of treatment and potential side effects.  She has also co-authored the book with an oncologist so there is all sorts of practical information for patients and caregivers.

I shared the cookbook with my Mom a couple of years ago because I had been raving about one of the many delicious recipes in the cookbook.  She bought it and loved it too.  So when a good friend of hers was diagnosed with cancer, she thought giving her the cookbook would be a nice way to say that she cared.  I'd like to share with you the thank you note that my Mom received from her friend.

Thank you so much for thinking of me and sharing the "Eating Well Through Cancer" cookbook with me. Many times "healthy" cookbooks can be much more healthy and way less tasty. This book has so many delicious looking recipes for the whole family.

I appreciate your notes and recommendations on some recipes you've already tried and enjoyed.
I decided to read the book cover-to-cover and found so much truly useful informatin about dealing with specific problems during the different phases of treatment, and which recipes would be useful at specific times. This book is TOTALLY AWESOME!! Thank you so much!

Most of you probably know someone who has, is, or will have to deal with cancer and the difficulties of cancer treatment.  This may be a great resource for you to share with others.  Or if you are looking for a new cookbook for everyday cooking, I highly recommend it!  I also have Holly's Freezer Friendly cookbook which I also love.

Check out Holly's website.  She has several cookbooks as well as free recipes posted online. 

Diet & Health Care Reform

Marci Anderson - Wednesday, March 18, 2009
While the excitement surrounding the election of our 44th President of the United States is slowly dying down, the buzz on politics certainly hasn't diminished in my neck of the woods.  While the economy is certainly the most talked about topic, I've been happy to hear both President Obama and his wife address issues of health, diet, and nutrition.  So, I was intrigued to read an article in the San Francisco Chronicle this morning, which addresses the issue of politics, food, and what our new President can do to support a healthcare policy that helps to reduce the incidence of chronic disease.

The author of the article, T. Colin Campbell, is the author of a book "The China Study."  If you are at all interested in the link beween diet and the development of "Western Diseases" (think cardiovascular disease and Type II diabetes), take a look at his website and consider reading the book.  His findings are quite significant. 

In this article, Dr. Campbell suggests 3 health care improvement strategies to President Obama:
1. Change the way government develops its dietary guidelines.  Currently, these guidlines are heavily influenced by large money-making industries such as sugar, dairy, and the meat industry.  He suggests a clear rule: "no scientist with financial ties to the food and drug industries should chair - or choose the members of - panels that set dietary guidelines."
 2. President Obama should establish a new institute at the National Institutes of Health dedicated exclusively to exploring the link between diet, health and disease. Today, there are 27 institutes and centers at the National Institutes of Health, but none devoted to nutrition, despite the great public interest in the subject.
3. Congress should require that medical schools - as a condition of receiving federal grants - offer residency programs on dietary approaches to preventing and treating disease.

I'd be interested to hear your thoughts.  Do you think President Obama has the determination and ability to promote policies that are not influenced by powerful lobbyists?  Would these changes improve the delivery of health care services?  What would the lasting impact be on the health of our citizens?

The Feeding Relationship: Parents & Children

Marci Anderson - Sunday, March 15, 2009
I just got back from serving on a health panel at my church here in Cambridge.  I thoroughly enjoyed talking about my topic of choice (food and nutrition) for two hours.  While there was a wide variety of questions that I addressed, a common theme focused on the feeding relationship between parents and children.  While my practice focuses primarily on adult nutrition, I have been amazed to see how our grown-up feelings, attitudes, and behaviors about food stem from our interactions with food as children.

Nearly all parents care deeply about the heatlh and well-being of their kids.  But as most parents have experienced, dinner time can turn into a source of anxiety and frustration as you try to feed your family well.  Even the most well-intentioned parent can find themselves engaging in a power struggle, battling over broccoli and cookies. 

Ellyn Satter is a Registered Dietitian specializing in teaching people how to feed a healthy family.  I highly recommend visiting her website.  And if this topic interests you, check out her book "How to Get Your Kid to Eat...But Not Too Much."  She provides a wealth of knowledge and gives you the tools you need to raise a healthy family....without the dinner time battles.

Grocery Shopping Part I: Preparation

Marci Anderson - Saturday, February 28, 2009

Ever since I was a little girl, I loved to grocery shop.  I’d join my Mom on weekly visits to Basha’s grocery store.  The spray of water descending on the heads of lettuce in the produce section, perfectly lined rows of canned chili and sliced peaches, and brightly lit displays of giant glazed donuts in the bakery was truly exciting.  Yes, I discovered early on that I loved food.  I love to look at it, shop for it, organize it, prepare it, and of course eat it.

 

Needless to say, not everyone shares my love of the grocery store.  Rather, grocery shopping has been relegated to the list of dreaded yet unavoidable household chores.  So, this blog posting is the first in a five-part series which attempts to provide a few simple solutions to navigating the place I love…the grocery store.

 

Part I: Preparation

I confess, I have some slight (ok, perhaps more than slight) OCD tendencies.  Translation: I like my life organized!  I promise that if you will spend a bit of time each week deciding “what to buy” your food life will be much more manageable.  At least you won’t have to resort to Frosted Flakes for dinner.  Here are four simple steps to follow:

1.) Post your grocery list in a visible place in your kitchen.  My list happens to be organized by food group and tacked on to my refrigerator door (email me if you'd like a copy).  When something runs out, it’s immediately added to the list.

2.) Determine what recipes you will be making that week (yes that will require that you look online, through cookbooks, or magazines) and write them at the bottom of your list.  Having the recipes written down will serve as a useful reminder when you cannot quite remember why you bought that red pepper…. Add all of the ingredients that you will need for each recipe to your grocery list.

3.) Consider keeping a running list of recipes you’d like to try and “keeper recipes” for future reference.  Again, email me if you’d like to use mine.  Tip: keep them in a handy dandy 3-ring binder, along with recipes that have been torn out from a magazine or printed from the internet.

4.) Bring your list to the store and use it as your loyal guide.  This list will aid you in your quest to select nutritious food (Part II), use your time wisely (Part III), and of course save money (Part IV).

 

Next week we’ll talk about what to buy in terms of good nutrition.  Although Marion Nestle has written a fabulous book on the topic (“What to Eat”), you don’t have to read the entire 587 pages.  In fact, it’s not as complicated as the food manufacturers make it out to be.  I promise.