For this month's fitness fact blog post, I decided to highlight the new Let's Move website I mentioned on Monday's blog post.

For those of you who listened to President Obama's State of the Union address on January 27th, you likely heard him introduce his wife's initiative to tackle childhood obesity.

As a dietitian who works in the field of eating disorders, I am a member of MEDA (Multi-Service Eating Disorder Association).  MEDA is a phenomal resource for clinicians, family members, and individuals struggling with eating and body issues.  I recently received an awesome handout from Amy Armstrong, who is the clinical director at MEDA.

The handout is designed specifically for individuals and family members of individuals with an eating disorder.  But I think the holiday tips are helpful for anybody.  Enjoy and happy holidays!

ADVICE FOR FAMILY AND FRIENDS

For individuals struggling with an eating disorder, the holidays can evoke feelings of uncertainty and anxiety. Although the media promotes holidays as a time of celebration, for someone with an eating disorder the holidays can be a reminder of an ongoing struggle to make peace with food. Providing support during the season and ensuring that the home is a place where she/he will not be judged is essential to the healing process. Here are some
helpful tips as to how to create a positive environment.

• When friends and/or family have not seen each other in a long time, they may be tempted to comment on changes in weight or appearance. Be a friend and help dissolve conversations or comments about food, weight, or overall appearance. You will be creating a more positive atmosphere for people to enjoy each other’s company and to remember the experience as a wonderful time.
• Perhaps sitting down to one meal as a family would help someone struggling with an eating disorder feel more comfortable, instead of “grazing” on food throughout the day. Do not forget to discuss these options with your family and welcome all input.
• Try to avoid emotionally charged discussions before or during mealtimes. The energy of a charged discussion can lead to feelings of anxiety. Often holidays are the only times people are able to catch up on experiences, political issues, sports, etc., but it is helpful to try and limit these types of electric conversations for after meals.
• Indulging is a natural part of the holiday season. People eat foods they normally wouldn’t eat and often they end the day feeling very full and sometimes very regretful. For some people it is common to make comments like, “I feel so fat” or “I shouldn’t have eaten that much.” These comments can have a devastating effect on someone struggling with an eating disorder. Do not support or encourage these types of remarks.
• Try to be a good role model for your loved one with an eating disorder. It is important for your loved one to witness your healthy eating as a way to connect with her/his feelings and priorities. Remember, eating disorders are about emotions and not about food.
• It is not uncommon for eating disorder symptoms to increase during the holiday season. Try to avoid getting into power struggles over food and do not ever force someone to eat. Be positive and maintain a healthy, nonjudgmental attitude toward her behavior.
• If your loved one is withdrawn or isolating herself/himself from mealtime and other holiday activities, gently try to bring her/him into discussions or activities. If she/he rejects your efforts, do not take it personally and try to understand this behavior as part of her/his eating disorder. Always remember to take care of your own needs and to enjoy yourself, your family, and your friends.
• Attempt to spend time connecting with your loved one struggling with an eating disorder in non-food related ways. Set time aside to take part in an activity of her/his choosing. Taking walks, playing games, or watching a movie together can help decrease anxiety by taking the focus off food and eating.
• Do not forget to communicate with concerned members of the household. What feelings are emerging? Do they feel that they are handling the situation well? Seeking support and learning how to communicate feelings in a positive way is essential to understanding your role in the process of the recovery.

Information compiled by MEDA, Inc. 2002
www.medainc.org

With all of the confusing headlines and shifting recommendations about eating, it’s no wonder many people feel uncertain about their diet. However, there is a large body of research that suggests one of the very best things you can do for your family is eat together! I found a relevant article on the Children’s Data Bank website which cites the current benefits of simply eating together on a regular basis. Family meals and parental presence at meals is associated with:

• A more nutritious diet with higher intakes of fruits, vegetables, and dairy products
• A decreased risk of developing disordered eating habits in adolescence (especially girls)
• Teens that are less likely to get into fights, think about suicide, smoke, drink, use drugs, delayed initiation of sexual activity, and better academic performance

If you’d like to read a more in depth article which cites the current research, click on this link. There is also a great article from the Multi-Service Eating Disorder Association (MEDA) about the benefits of family meal time. Feel free to share it with your family and friends.

I had the opportunity to go see Food, Inc. last night.  If you care at all about the food you feed yourself and/or your family please go see it!  It's essentially "Fast Food Nation" and "Omnivore's Dilemma" rolled into a well-research, eye-opening, and entertaining 90 minute film which traces our food supply from farm to plate.  In short, the American food system is extremely disfunctional.  It wreaks havoc on our environment, local economies, and heavily subsidizes the food that is making America sick.  While it's discouraging to see how far off the mark we are, the film ends with a host of simple ways we can start changing the system.  You are voting with every dollar you spend on food.  So starting spending wisely!  Buy less processed food, buy fewer animal products, eat more local produce and buy it locally if you can, join a CSA, buy organic if you can afford it, support organizations which promote sustainable living.  I'd encourage all of you to see the film, read through the website, and take a look at what you can do support a healthier food system here in America.  There is power in the almighty dollar!

Here's a link to the website which is a fantastic resource to learn about the issues, watch the film's trailer, sign petitions which support a healthy food system, and gather resources from reading lists and blogs.  I highly recommend it.

Here's a link to movie reviews

Here's the movie trailer

In an attempt to save money, more and more people are cooking at home. And while this may be cheaper, are you certain that your food is more nutritious? Brian Wansink, author of “Mindless Eating” suggests that the nutrition gatekeeper of your house (the person who buys and prepares most of the food) influences more than 70% of the foods you eat. Wanksink queried 770 family cooks and was able to classify them into 5 distinct types. Take the quiz and determine what type of nutrition gatekeeper you make.

1) When I prepare a meal, I typically:
a) Rely on classic dishes my family has always enjoyed.
b) Follow a recipe step-by-step.
c) Substitute more healthful ingredients.
d) Go all out and try to impress my guests.
e) Rarely use recipes and like to experiment.

2) Some of my favorite ingredients are:
a) Lots of bread, starches and red meat.
b) Beef and chicken.
c) Fish and vegetables.
d) A trendy ingredient I saw on the Food Network.
e) Vegetables, spices and unusual ingredients.

3) In my free time I like to:
a) Visit with friends and family.
b) Organize the house.
c) Exercise or take a fitness class.
d) Be spontaneous and seek adventure.
e) Take part in creative or artistic pursuits.

4) My favorite things to cook are:
a) Home-baked goodies.
b) Casseroles.
c) Foods with fresh ingredients and herbs.
d) Anything that lets me fire up the grill.
e) Ethnic foods and wok dishes.
 
5) Other people describe me as:
a) Really friendly.
b) Diligent and methodical.
c) Health conscious.
d) Intense.
e) Curious.

There may be overlap in the answers you give, but is there one letter that you picked most often? Here’s what your answers say about your cooking style:

a) Giving: Friendly, well-liked and enthusiastic, giving cooks seldom experiment, love baking and like to serve tried-and-true family favorites, although that sometimes means serving less healthful foods.
b) Methodical: Talented cooks who rely heavily on recipes. The methodical cook has refined tastes and manners. Their creations always look exactly like the picture in the cookbook.
c) Healthy: Optimistic, book-loving, nature enthusiasts, healthy cooks experiment with fish, fresh produce and herbs. Health comes first, even if it means sometimes sacrificing taste.
d) Competitive: The Iron Chef of the neighborhood, competitive cooks have dominant personalities and are intense perfectionists who love to impress their guests.
e) Innovative: Creative and trend-setting, innovative cooks seldom use recipes and like to experiment with ingredients, cuisine styles and cooking methods.

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.