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Wednesday, March 14, 2012

Parents Have the Greatest Influence

Parents, did you know you have the most influence on your kids? It may not feel like it at times, but you actually do. And this includes your influence on your kids' relationships with food. If you are trying to make change in your family (especially in your kids' lives related to food), as many of you are, focus on the behaviors you are modeling. Exhibiting the behaviors you want to see is going to have the greatest impact on your child's ability and willingness to change.

These aren't easy changes to make. If you are working with us in order to see change in your kids, you are a critical piece of this process. This is why we devote many sessions to you parents. Just as it is important for us to be working with your kids it is also important for us to spend time on you: helping you achieve your goals, and helping you to be the change you want to see in your kids. The following are some ways to assess where you are at. As you work on changing your behaviors, talk with your dietitian anytime for extra help.

Top Ten Ways Parents Can Model a Balanced, Healthy Relationship with Food
1.    Set daily meal and snack times for yourself, not just your family

2.    Eat with your kid, do not just feed them

3.    Acknowledge your own food preferences and attitudes and how that influences your family’s meals

4.    Stop talking about how much was or was not eaten at meals-including your own

5.    Do not comment about weight (yours, theirs, or anyone else, even if joking or you think your kids aren’t listening)

6.    Reward yourself with NON-FOOD rewards like “you time” or a spa treatment instead of food

7.    Share what passions you have about cooking and healthy eating with your family

8.    When no longer hungry, stop eating. (This is a shift in focus. We are used to asking ourselves if we are full versus asking ourselves if we are no longer hungry. This will lead to a big difference in calorie intake at the end of the day.)

9.    Set boundaries at the table: what you prepared is the meal, do not make special food or become a short order cook when food is refused.

10.    Forgive yourself for not being perfect and be okay with trying again and again. Practice makes perfect!

Weekly Challenge: Choose one item on this list to work on in the following week. Have fun!

Tuesday, March 6, 2012

Pregnancy Nutrition and some of my Pregnancy Experience

Our monthly email reached you yesterday and part of our updates announced that I am pregnant. I thought this would be an opportune time to share a very brief introduction to pregnancy nutrition and some of my personal experiences thus far.

Pregnancy Nutrition 101
Sometimes we are able to plan for babies and other times they come as surprises. Either way, nutrition can and does play a vital role at every stage before and after pregnancy. From maintaining optimal menstruation, to the newly conceived human embryo implanting in the uterus, all the way through development  and birth, and finally with recovery and breastfeeding (not to mention the proper nutrition needed to maintain the mom's own optimal health while these little tikes grow up). Although the body can compensate well at times for inadequate nutrition, these are great reasons, especially for surprise babies, to be practicing healthy nutrition in our general day to day lives.

A few great pre-pregnancy guidelines:
1. Start prenatal supplements  three month's prior to conception

One of the most important reasons to prevent neural tube defects. The neural tube develops within the first month of  pregnancy and later becomes the brain and spinal cord. Adequate folic acid intake helps prevent neural tube defects when a woman may not even know she is pregnant. 

For general nutrition to maintain adequate folic acid, include  in your diet foods that naturally contain folic acid like leafy green, beans, and citrus. Here is a helpful list from March of Dimes. 1 
o    Fortified breakfast cereals (look on the label to see if the cereal 
       has been fortified with folic acid)
o    Lentils
o    Asparagus
o    Spinach
o    Black beans
o    Peanuts (only if you do not have a peanut allergy)
o    Orange juice (from concentrate is best)
o    Enriched breads and pasta
o    Romaine lettuce
o    Broccoli

There are MANY specific nutrients that are vital to pregnancy. Read more about them here or better yet, talk with your dietitian at Creating Peace with Food for more information and for creating an intake plan that is right for you. 2

2. Maintain adequate nourishment by fueling yourself every 3-4 hours throughout the day until bed with balanced meals and snacks.

This will help normalize your blood glucose levels which will help decrease nausea, referred to as morning sickness. It is also helpful to learn this rhythm of meal preparation and eating to maintain energy in general. This is a healthy practice for all people.

During Pregnancy:
1. Maintain prenatal supplement intake and nourishing yourself every 3-4 hours
2. Foods to avoid 3:
o  Undercooked meat, poultry, eggs
o  Raw fish and shellfish
o  Fish with higher levels of mercury like shark, swordfish, king 
    mackerel, and tilefish (see more on fish here) 4
o  Smoked seafood (safe when cooked)
o  Deli meat (heat until steaming)
o  Unpasteurized milk products (especially beware of soft cheeses 
    unless clearly labeled that they are made with pasteurized milk)
o  Large quantities of Vitamin A
o  Caffeine (a small amount can be okay but it depends on the 
    person. See here for more information and talk with your doctor 
    or meet with us for more information)
o  Alcohol
o  Unwashed produce

3. Other than the avoids mentioned above, an array of whole foods will nourish you and your baby well.

These are not the only areas that affect nutrition and pregnancy though. Our Creating Peace with Food Meal Plan tailored for you is perfect for adequate nutrition for you and for your pregnancy. Working with us is a great way to cover all of your bases, have a consistent and reliable reference point, and learn how to change behaviors needed to maintain adequate health before, during, and after pregnancy.

Some meaningful experiences and some interesting areas I did not expect:
o  Morning sickness does not mean morning only.
o  Nausea can actually be a very good sign of a healthy pregnancy. 
    If you don't have morning sickness this does not mean something 
    is wrong and on the other side of the spectrum, severe sickness is 
    not healthy for pregnancy. We can work with you to determine 
    what is normal and what is not.
o  Miscarriage occurs more often than I thought: 15-20%5 among 
    women who know they are pregnant. Great sensitivity is due to 
    mom's and dad's related to miscarriage. Also, the inability to 
    conceive deserves great sensitivity as well. The chance of getting 
    pregnant under the age of thirty is about 25-30%6 each month. 
    This leaves a lot of room for not being able to get pregnant too.
o  You may not like many vegetables for a time! All the more reason
    to have an adequate base provided by a prenatal supplement and
    by a well rounded diet before conceiving.
o  If I knew that I would develop a hefty distaste for coffee, I 
    probably would have known I was pregnant a few weeks 
    earlier than when we found out.
o  Cravings may not be like what you see on movies and you may 
    not really have them.

We look forward to assisting you in your family nutrition journey through pregnancy, motherhood and fatherhood, and family life.

Information referred to in this blog:

Friday, February 24, 2012

Performance, Athletes, and Disordered Eating

This week we will explore  one of the common misconceptions about eating disorders and athletics.

The Misconception
When we work with athletes engaging in or struggling with disordered eating behaviors, we sometimes hear that their athletic performance improved with the onset of their disordered eating behaviors. This causes confusion, understandably; How can performance improve when an athlete is undernourished? Surprisingly, athletic performance may initially improve with insufficient energy intake. This does not mean that all people who engage in disordered eating will have improved athletic performance; however, it does happen for some. Improved performance in this manner comes with many costs, some of which we will note later in this post. Some physiological changes that may take place to increase athletic ability are:
  1. The up-regulation of the hypothalamic-pituitary-adrenal (HPA) cortex
  2. An increase in cortisol, epinephrine, and norepinephrine
  3. And relative VO2 Max may increase as well
We will not describe these further in this blog post; however, these all affect athletic performance.

Why we Feel this Misconception Needs to be Corrected
Many feel that shedding light on this misconception may increase the frequency of eating disorders: if athletes know their performance will improve, won't that make disordered eating more attractive?

We do not believe so and this is why: we have never had a client or heard of anyone who has recovered from an eating disorder who wishes to return to their disordered eating behaviors. It is not worth it to them. Performance may have initially improved and that is sometimes an additional initial motivator to continue disordered eating behaviors; however this  improved performance fades and additionally, the athlete begins to center their entire world around burning calories and losing weight. What was once an intention to improve performance, quickly evolves into total obsession with food and weight loss.

We also do not believe the misconception is helpful. If athletes do not know that performance will initially improve and then they see this improvement, they may want to continue their behaviors and may not see anything wrong. Additionally, if we are able to clearly present facts, we are also able to educate athletes of the slippery slope and dangers of engaging in disordered eating patterns. Education will unveil the truly harmful consequences eating disorders can have on not only athletic performance, but the athlete's life in general.

Liz Natale, who battled with anorexia and was a member of the Texas team that won the 1986 NCAA cross-country title, stated it well: eating disorders are "like (anabolic) steroids for men. You'll get results, but you'll pay for it."  The one change we would make to this statement is that men and women are affected by steroids and the same is true for eating disorders. Can anabolic steroids  help athletic performance through physiological changes? Yes. Can they be harmful? Absolutely. Can eating disorders help athletic performance through physiological changes? Yes maybe, initially. Can they be harmful? There is no "can"; eating disorders are always harmful.

For more information regarding anabolic steroids, please see the following links: 

For more information regarding athletes and eating disorders, please visit: