I was recently asked to give an interview on essential fatty acids. I was actually thrilled to talk about this because getting enough essential fatty acids (omega-3) in your diet is essential to brain health, mental health, and satiety! Through the 90's dietary fat got a very bad rap. But slowly people seem to be coming around to the idea that fats are crucial to eating well.
In fact, did you know that inadequate dietary fat is association with increased levels of anxiety and depression! Seriously.
So what's your biggest obstacle to getting more omega-3s into your diet?
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,
Most of us associate February with Valentine's Day. And we all know what that means- chocolate. But February isn't just for celebrating love and candy. The American Heart Association has deemed the month of February American Heart Month.
If you tend to feel a bit blue during the winter months, you are not alone. Rates of depression increase during the winter, including people who suffer from SAD (Seasonal Affective Disorder). In fact, recent findings suggest that the severity of eating disorder symptoms for bulimia peak in the Fall & Winter months.
2. Many schools open their gyms up to the community for walking programs so check a local school.
3. Turn up the music and dance. A friend lost 19# by doing this for 60 minutes a day with her kids.
4. Take family night to another level with a game like Wii Fit.
5. Use a pedometer and make your own records for as many steps in a single day.
6. Get outside in any season: In the summer, go for walks, hike a new trail, go for a bike ride, kayak, canoe, swim. In the fall, do your own color tour - bring your camera and walk through the beautiful colors. In the winter, ski - downhill can be expensive but if you already have the equipment night skiing is cheaper, cross-country skiing is a great work out, go ice skating, slide down a hill in a toboggan - climbing up the hill is great exercise, go snow shoeing, have a snowball fight, build a snowman. In the spring, take a walk to see all the flowers and trees budding and waking up from their winter slumber.
7. Take work breaks: 30 min at lunch, 15 min in the morning and afternoon. Other people get a smoke break, right?
8. Commercial Break Competitions: Do some routines with hand held weights (or improvised wts from filled water bottles). March, climb stairs, do jumping jacks, push ups, etc.
9. Play like your kids and with your kids. Get down on the ground with them, do somersaults, climb, run, skip, jump, play tag, toss and chase a ball. Have Fun!
10. Join a club or team.
This November, join the American Diabetes Association in a national movement to Stop Diabetes.
November is American Diabetes Month®—a time to shine a spotlight on a serious disease that leads to potentially life-threatening complications such as heart disease, stroke, kidney disease, blindness, and amputation.
This year, we need to take a bolder, more audacious approach to American Diabetes Month. Consider that:
•24 million children and adults in the United States live with diabetes
•57 million Americans are at risk for type 2 diabetes
•1 out of every 3 children born today will face a future with diabetes if current trends continue
We ask you to join the American Diabetes Association in launching a national movement to Stop Diabetes – help us confront it, fight it, and most importantly, stop it.
Here's how you can become involved:
•Share. Inspire others to join the movement by sharing your personal story. Visit stopdiabetes.com and join us on Facebook and Twitter to learn about all the exciting ways to be a part of the Stop Diabetes movement. Invite your family, friends, and co-workers to join this effort as well.
•Act. Whether you want to walk*, bike* or simply tell a friend, there will be many ways to help us build momentum for the Stop Diabetes movement.
•Learn. The American Diabetes Association has many resources throughout the country to help Stop Diabetes. If you, or a loved one, already have diabetes* or are at risk* for developing it, we can provide medical, lifestyle and motivational information to prevent this disease from taking control of your life and the lives of those around you.
•Give. Sign up with your local American Diabetes Association office to help raise money for diabetes research, federal and state advocacy and public education.
This month I'll be providing a few tips that you can use if you have diabetes or know someone who does. Stay tuned!
Turns out that October 20th, 2009 is World Osteoporosis Day. Additionally, the National Osteoporosis Foundation is celebrating its 25th anniversary. They've developed several useful handouts:
25 Facts about Your Bones & Osteoporosis
25 Calcium Rich Foods
25 Ways to Improve Your Bone Health
25 Ways to Prevent Falls
While you might not be able to control some of the risk factors for developing osteoporosis (being female, Asian/Caucasian, and getting older) there are a handful of really important things you can do NOW to prevent osteoporosis.
You may already know this but consistent exercise is one of the best things you can build healthy bones. And the National Osteoporosis Foundation has a great article on their website. Below is a basic run down of the types of exercises and their effectiveness in improving bone health.
Weight-bearing, High-Impact Exercises are best for building bones in people who do not have low bone mass, osteoporosis or are frail.
Some of these exercises include:
Weight-bearing, Low-Impact Exercises can also help to build bones and are safer for people who cannot do high-impact exercises.
Some of these exercises include:
Elliptical training machines
Low impact aerobics
RESISTANCE AND STRENGTHENING EXERCISES
These exercises include activities where you move your body, a weight or some other resistance against gravity.
Functional movements, such as standing and rising up on your toes
Using elastic exercise bands
Using weight machines
Lifting your own body weight
NON-IMPACT ACTIVITIES (BALANCE, FUNCTIONAL AND POSTURE EXERCISES)
These exercises can help you to improve balance, posture, and how well you move in every day activities. These exercises can also help to increase muscle strength and decrease the risk of falls and broken bones.
Some of these exercises include:
Balance exercises. Exercises that strengthen your legs and challenge your balance, such as Tai Chi, can decrease your risk of falls.
Posture exercises. Exercises that improve your posture and reduce rounded or “sloping” shoulders can help you decrease the risk of fractures, especially in the spine.
Functional exercises. Exercises that improve how well you move can help you in everyday activities and decrease your risk of falls and fractures. For example, if you have trouble getting up from a chair or climbing stairs, you should do these activities as exercises (try standing up and sitting down several times until you are tired).
Yoga and Pilates can also improve strength, balance and flexibility; however people with low bone density or osteoporosis should avoid certain positions to prevent fractures. These include forward-bending exercises. A physical therapist should be able to help you learn which exercises are safe and appropriate for you.
NON-WEIGHT-BEARING, NON-IMPACT ACTIVITIES
These exercises can be part of a well-rounded exercise program, but do not help to build bones. If you like these activities, try to add in others that work your bones
Some of these exercises include:
Stretching and flexibility exercises
So get your body movin' today, your bones will thank you for it! You may want to check out an old posting I did on Vitamin D supplemenation. Calcium and Vitamin D supplementation is essential for healthy bones.
Did you know that October marks the 25th year of Breast Cancer Awareness Month (BCAM)? The purposes of this annual campaign is to increase awareness, raise funds for research, and promote prevention and early detection.
Please note that Friday, October 16th is National Mammography Day. Take this as an opportunity to schedule a mammorgram or encourage a loved one to schedule a mammogram today. You could be saving a life.
The BCAM website is filled with lots of information and tools for patients, information about the disease, and a listing of opportunities to help the cause. While breast cancer is not totally preventable, it's important to remember that there are a few important things you can do to be as healthy as possible.
1.) Begin scheduling regular mammograms and screenings at the age of 40.
2.) Obtain a clinical breast exam annually.
3.) Perform monthly breast self-exams. This goes for women in their 20's and beyond.
4.) Choose a diet that is rich in fruits, vegetables, and foods naturally high in fiber (think whole grains, fruits, vegetables, beans, and legumes).
5.) Limit your alcohol intake to <1 drinks per day.
6.) Stop smoking if you are currently in the habit.
7.) Stay active! A brisk 30 minute walk on most days of the week does the trick. But it can be a lot more fun to find something you enjoy: exercising with a friend, taking a dance class, walking your dog, etc.
Check out a blog post I wrote earlier about Holly Clegg and her fanastic cookbook "Eating Well Through Cancer." Here's a recipe for Yam Biscuits she recommends for the day of chemotherapy. This can be a great resource for anyone who is currently undergoing treatment for breast cancer.
Everyone who is reading my blog is aware of how important it is to take care of your bodies as best you can. All you can do is your very best, so try not to get overwhelmed and stressed. It may be helpful to choose one thing you can do a bit better and focus on it...even if that means reaching out to your Mom, sister, or best friend.
Many of you may know someone who has been diagnosed with Celiac Disease. What was once considered an incredibly rare and often undiagnosed disease has gained more attention by clinicians, food manufacturers, and the media.
The only treatment for celiac disease is to follow a gluten-free diet (harder than it sounds), so as a dietitian I've counseled clients with celiac disease. Additionally, a close family member was recently diagnosed with the disease. While I've never experiened what it's like to live with celiac disease, I do have a sense of how difficult it can be to follow a gluten-free diet. Some of the frustrations include skipping out on foods you love (forever), finding gluten-free options while dining out, and the extra cost of buying special gluten-free products.
I recently came across a great article in the New York Times that addresses the last issue, the expense of eating gluten-free. Here are the tips they offer:
1.) Avoid stocking up on special gluten-free products. Try to base your diet on foods that are naturally gluten-free.
2.) Do your research. It takes time and patience to find products that do not contain ingredients with gluten.
3.) Try making your own gluten-free products such as breads and cakes.
4.) Check out this great website: Gluten Free on a Shoestring
5.) Look for well-priced bulk items at chain stores. Trader Joes carries a fantastic brown rice pasta and Wal-Mart stocks Alf's puffed brown rice cereal for $1/bag.
6.) Join a support group. You'll get great cost-saving tips and vendors often come and provide samples.
7.) Itemize your tax return. If your expenses exceed 7.5 percent of your adjusted gross income it qualifies as a write off. "You can deduct the excess cost of a gluten-free product over a comparable gluten-containing product."
8.) If you have a flexible spending account at work, ask your plan's adminstrator if you can use it to buy gluten-free products.
Also, be sure to check out Shelley Case's website and consider buying her book "Gluten-Free Diet: A Comprehensive Resource." She is an RD with Celiac Disease and her book is the Bible for Celiac Disease. You can also sign-up for her free newsletter, check out her blog, and listen to her podcasts. Because food and food products are always changing, it's essential to stay current.
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.