Recognizing Orthorexia

Everyone eats. And with that, everyone has their own relationship with food. Which is why everyone seems to be an expert in nutrition. Your Auntie Em announces that she’s going vegan at family dinner on Sunday, (your Italian grandmother is pissed) while your classmate from college is bragging how she’s now an ambassador of a new supplement that you NEED in your life. Everyone’s talking and everyone is OBSESSING over the food they are consuming. Not only that, they’re telling you to do it… adding you to the equation.


When diets and eating behaviors become obsessive, they can backlash and become dangerous.


Today’s Dietitian explains that orthorexia is the unhealthful obsession with eating nutritious food that can lead to diets so strict that they have health-related consequences. These consequences may include malnutrition and/or social isolation. Many times these individuals are cutting out major food groups, leading to unintended weight loss and overall nutrient deficiencies. Orthorexia can also lead to social isolation as it prevents you from doing the things you used to do with friends or family. Yeah, like the diet that says you can’t drink or eat any processed food so you’re stuck inside meal prepping “clean foods”  on a Friday night while you’ve friends are out. Darn.

  • Orthorexia vs Eating Disorders. According to the National Eating Disorder Association, orthorexia is not technically considered an eating disorder. With that being said, there is, however, many similar aspects between the two. Those who engage in those rules of “clean eating” and strict diets place themselves at risk of harming not only  their physical body, but also the way they think and feel. Many engage in this disordered eating as a way to gain control. This sense of control is what commonly fuels the eating disorder, anorexia; meaning they can control what they put into their body, even if they can’t necessarily control their weight or appearance.
  • More than just eating healthy. Not everyone who chooses to “eat healthy” is considered orthorexic. Orthorexia is heavily defined as the controlling obsession and, more importantly, how the individual reacts to the diet. So, just because you see your co-worker eating a salad while you’re eating a pull-pork sandwich doesn’t mean she’s orthorexic. It is really when individuals become inflexible; for example, an “all or nothing” way of thinking. If your co-worker is judging you as you eat your ice cream - claiming it has way too much saturated fat while she’s counting the amount of almonds to put in her salad, then we have a problem.
  • #SocialMedia. Over the years, social media has developed into a double-edge sword. It’s not just about sharing your vacation view anymore, it's also used an educational tool. Consumers now use social media to find nutrition advice - what to eat, what NOT to eat, how to look, or how to exercise. Although these million follower bloggers want to help - they may actually be doing more harm. Social media invites the comparison, negative self talk, and overall pure judgement of food and body size.. More importantly, dietitians, dietetic interns and nutrition students are more at risk. Crazy? No way - we are taught from day one the importance of healthy eating and the risks of diet-related chronic disease, but we’re never formally taught that it’s okay to gain weight, it’s okay to eat dessert, and it’s okay to not exercise every day. (Hint - it is okay.)

Listen to your body. Not your judgmental conscience. Not your mom. Not your almond counting co-worker. Healthy has become a wacky term - but a small piece of advice to you is to stop judging all together - yeah i’m talkin' bout judging the way you look AND the way your plate looks. If you feel like a salad one day, order it. If the next day you want a burger, then get that too. If eating food starts to feel like a sudoku puzzle, or even worse, a punishment take a moment to ask yourself what YOU really want.

Facing the Truth: FAD DIETS

Fad Diet = a quick, promising, life changing plan to weight loss, or a "healthier life". What they don’t tell you is that  these diets don’t work. Why? Because change isn't always a quick fix or an simple checkmark. Diet culture has definitely caught on to this definition, the buzzwords, and most importantly, how people are reacting to them. So… what do they do? They call it something else:

HEALTHY Lifestyle
Short term nutrition reset
HEALTH Journey

Anything that will curve your belief of thinking its a “diet”. But it is one. One in disguise. Very sneaky.

It’s not the New Year - but summer is (slowly) approaching and these fellas are in season. Let’s dive in and debunk:

  • Whole30: Okay - yes, you push whole fresh fruits & veggies. Sweet. But you also bash nutrient filled items such as legumes (gimme the fiber), dairy (uh, calcium!!), grains (more fiber and uh energy??? Gluten??? anyone???). I will repeat, ANY DIET/PLAN/JOURNEY THAT TELLS YOU TO STOP EATING A FOOD GROUP IS A NO-GO. They also tell you that you can’t snack, okay so what if I’m hungry 10 minutes after breakfast? Are you giving me permission to have my second breakfast? And oh, yes… what happens to me on day 31? Binge binge binge and more binging because I just deprived myself of the foods that my body not only wanted, but needed, for the past month.
     
  • Alkaline Diet: This one gets me. Basically these fellas are saying that you must feed your stomach alkaline base foods (so, foods that aren’t acidic to make sure you don’t mess up the pH of your system and imbalance all the metabolic action happening there). News flash: our bodies are smarter than us. Our tummies normally have an acidic pH. This is why a lot of nice juices are secreted to properly engage in digestion. Sooooo, no matter what you eat, a thick orange or the most bland cracker, your tummy will be able to do its job and digest it, metabolize it, absorb it, and send it on its way. Truly very easy - all you have to do is eat in order for it to do its job. Miraculous.
     
  • Macros Diet: Also known as IIFYM -- “If It Fits Your Macros.” Your what? Your macronutrients - carbohydrates, fats, proteins. This diet is usually for those who are super into Crossfit, bodybuilding, etc. It’s an obsession and it probably isn't fun. It’s counting calories which makes eating food turn into your math homework. It promises to cut all cravings and decrease hunger. You start with appropriate percentages based on how much you exercise and what your body type is. Toss the calculator and the belief that feeling hungry or having cravings is a bad thing. Please.

    Trust me, I know that people are constantly looking for a quick cheat sheet on how to eat the perfect amount of foods to lose the perfect amount of weight to lead to the perfect life. But it’s not really a thing… Eat the foods you want to eat. Maybe you are diggin’ that kale salad for lunch, but if the cookie by the register is flirting with you then grab it too. The more you view your diet as a rule book, the more “guilt” you’ll feel when you don’t abide it. Not only is that not right, it’s just not fun.

Passing on Paleo

Many individuals find that a list of directions eases their way of living. Directions, or principles, propose a guide for you to follow, ensuring that you not only stay on track, but more importantly, not fall off of it. This is the mechanism of D I E T S .

Recently, the Paleo Diet has been popping up as one of the top trends for millennials within the past few years. However, the culture of the diet is replicating the way humans lived 12,000 years ago. So, once again, the attempt in remaking the wheel is in full swing.

Taking the term, “paleo” from the the Paleolithic era… this diet demands individuals to only eat the foods that “cavemen” (ok, hello! And cavewomen!) ate over 10,000 years ago. This limits your choices to fruits and vegetables, nuts and seeds, meat, poultry, and eggs. Say goodbye to grains, legumes (beans), and dairy. Why is it a trend? This diet promotes a decrease in the risk of inflammation and disease development; oh of course, and to lose weight. Although this diet is encouraging the public to increase their fruits and vegetables, which definitely will serve some benefits to your body, it also raises a lil red flag:


ANY “DIET” THAT TELLS YOU TO IXNAY ANY FOOD GROUP IS A NO GO.


But, why?

Well, restriction within the diet leads to harmful and detrimental behavior. Following a diet that states, "You can't eat this food, that food, and this other food" restricts you from consuming it. Whether a diet says "You can't eat beans" or "You can't eat cookies" - they're both restrictions. Further, this may include, and is not limited to, various nutrient deficiencies and also begins to ignite an obsession of food and diet culture. (*Disclaimer: This does not include eliminating food items due to a disease or allergy.) Let's dive into these two major food groups:

  1. Carbohydrates. As I wrote in my last post, carbs are not the bad guy. However, the type of carb does matter. Reviewing the term, “whole grains” includes items such as brown rice, quinoa, whole wheat bread, amaranth, and barley. When you ditch the carbs here, you’re also ditching the fiber. The 2015-2020 Dietary Guidelines for Americans are constantly reminding health professionals to promote the consumption of whole grains daily. With this, recent research has also concluded that the consumption of whole grains is known to reduce the risk of developing various diseases including heart disease, diabetes, and cancer. So, think before you exclude the carbs; you now might want to invite them (and fiber) to the party. They’re a #whole lot of fun.
  2. Dairy. This food group has also been thrown on that wagon of “bad foods” that grains are on. Dairy items such as cow’s milk, cheese, and yogurt are excellent sources of protein, calcium, and vitamin D. Paleo practitioners explain that there are other ways to add such vitamins and nutrients into your body: for example, spinach. The dark, leafy green vegetable is known by consumers to be a wonderful source of calcium. Looking at the label, they’re not wrong.
    In one serving of spinach you get 27 mg of calcium. However, only 5% of  the amount of calcium that is consumed is actually absorbed (a.k.a, used) by the body.. This refers to the bioavailability of spinach in the human body. Meaning - let’s say you eat about 4.5 cups of spinach (121 mg of calcium), you’re actually only able to absorb - and use - 6 mg of calcium.

    The recommended Daily Value of calcium for adults is 1,000 mg.

    One serving of nonfat (skim) milk is 300 mg of calcium. Not only is milk’s calcium content higher than that of spinach, its bioavailability (32%) is more efficient, as well. This means, if you’re consuming a glass of skim milk at breakfast (300 mg of calcium) your body is able to use 96 mg of calcium, compared to the 6mg you get with 4.5 cups of spinach.

Now this is not me throwing a dig at spinach - they’re a cool fella and they are packed with a variety of known and beneficial nutrients. My attempt here is to explain the crucial, crucial, crucial IMPORTANCE of food when it comes to following a diet. If you’re ditching a food group because #fitspofranny is a size 2 in Lululemons you have to understand what those foods bring to the table: is it protein? Calcium? Omega-3s? What do they provide and where can you then get them now that you’re not inviting that said food group to your plate. Can you get it in another food? Or do you have to run to CVS and pick up a multivitamin. Cutting out large food groups that are packed with essential nutrients, such as dairy, is likely going to require the individual to invest in dietary supplementation.

As alway, if you’re ever concerned, lost or have questions - find a dietitian. They’re superheroes and super smart when it comes to all things food. The goal is to maintain your wellness journey long term - and no that does not mean making sure you cut out “bad foods” from your diet; it means strengthening the relationship you have with food. Which foods make you feel good? Don’t ask the blogger on instagram, ask yourself.

Doctor's Orders: STOP EATING BREAD

As I complete my Clinical Dietetics rotation of my internship, I cannot help but take a small step back and reminisce on the past 4 months. The thrill of slipping into a fresh white lab coat each morning, the confusion of a complicated TPN calculation, the fury when a physician interrupts your consult and pushes you out the room and the pain when a patient’s first line is, “My doctor told me to stop eating bread”.

If I had a dollar for every time I heard this ridiculous, yet innocent, line I believe I could pay off the tuition of my internship itself.


PEOPLE, MAYBE YOU, AND EVEN DOCTORS ARE CONFUSED, THINKING THAT BREAD IS BAD.


OMG GUESS WHAT NEWS FLASH BIG BIG BIG DEAL HERE: It’s not.

Let’s start from the way beginning and set some things straight. Bread contains a sugar known as glucose. This is bread in its simplest form, so you won’t see this on the bag’s Nutrition Facts label. (Side note: Glucose is not to confused with the protein GLUTEN, which is also found in bread.) As soon as you place that piece of toast in your mouth, enzymes are secreted and it’s GO TIME. They start breaking down that piece of bread as soon as it hits your tongue. When you chew and then swallow that bread it goes down your esophagus, sending it your stomach, where further enzymes are secreted to continue digestion. Once the stomach is done with it, it goes to the small intestines where the absorption begins. This is where that glucose is taken to your bloodstream sending it to all the cells and organs of your body -- allowing you to read this article, drink your morning cup of coffee and run to the gym. Thank you glucose. Thank you bread .

So why is my doctor and my favorite blogger telling me to dodge the bread aisle? Well, carbs. Right? Everyone’s screaming carbs are bad for you but let me give you a little small secret, it’s the TYPE of carb.

Meet whole grains. They’re not as simple as that piece of white bread. They’re… complicated. Literally, we call them complicated carbohydrates. Why? BECAUSE THEY’RE PACKED WITH SO MANY MORE NUTRIENTS and take more to digest than the simple guys. Whole grains are in a very committed relationship with another carbohydrate called fiber. Fiber is a slowpoke. Takes her time. And doesn’t care. Let’s view a scenario:

Simple (white) carbohydrates is a 17 year old who just earned their driver’s license. It’s their first time in the car alone, music is bumping and they are speeding down 95, all by themselves. Fiber is the parent now hopping in the passenger seat of the car. You think that 17 year old is still speeding? No way. They are taking their time, abiding by the speed limit.

This is what happens in your body. Simple carbohydrates digest, absorb, and reach your bloodstream very quickly causing spikes in blood sugar and overall hunger. Whole grains don’t move so fast with fiber in the front seat, so your blood sugar doesn’t spike and you stay fuller longer, avoiding any unnecessary overeating.

At the end of the day, individuals have to realize that carbohydrates and sugars are found in more foods than just bread; like vegetables, fruits, milk, yogurt and other dairy products. So, “cutting out carbs” technically involves more than skipping the loaf of bread. Whole grains are important and the TYPE of carb is the important piece. Different types found in different foods creates the whole balanced/plate theory. Carbohydrates fuel you in everything you do whether its running the Boston marathon or taking a final exam. If you come across ANYONE saying “never eat this” no matter what it is… you might want to reconsider their advice. Certain foods benefit you more when eaten in moderation, but none should be marked as “off limits”. Trust me, if you want the bread, then eat the bread.

There's (No) Need To Change

Okay - okay - okay- it’s here. Yes, the new year is here. It’s brand spankin' new and it’s all in your face:


“10 WAYS TO LOSE 10 POUNDS IN 10 DAYS IN THE NEW YEAR”

“KEEP YOUR RESOLUTION WITH THIS GYM MEMBERSHIP”

“BRING IN 2018 WITH THESE 6 FOODS THAT WILL MAKE YOU LIVE LONGER”


Again, okay okay okay… we get it. But do we? Do we truly understand the way to change, or even better, the need for it? Do we even NEED TO CHANGE? 2018’s got me thinking I’m doing something wrong for maybe what, 3 weeks? Right? Is that how long the average resolution lasts? Well, according to Forbes,  8% of individuals actually succeed in keeping their new year goal. Why is that? Why do people give up? Why do people “fail” at change?

I was at a yoga class this past week. My younger sister actually had dragged me out of bed to enlighten me in this small, 90° hot box with 50 other individuals at 9:30 in the morning. So here I am, on my mat, in the back of the class trying very hard to focus on what the instructor is saying. Ten minutes in and I’m getting restless and feel myself giving up, maybe after the fourth time falling over from my crow pose. She calls us into Tadasana - mountain pose. This is simply standing with your feet flat on the ground and your hands by your sides with your fingers spread. It’s comfortable. But what the instructor said truly engaged me - “Start here and be present. Find what works for you today in your practice, on your mat. And let that be enough.”

Now not every moment in our lives can be as calm, comforting and quiet as a yoga class. Trust me, I’ve tried. But, we are able to use our skills that we perform on our mat, the patience and mindfulness, in our everyday lives. Now to answer the question you’re probably thinking - what does my yoga class have to do with your New Year’s resolution? Everything.

Resolutions tend to not work because there are too many rules and way too much pressure. To the point where if you don’t follow it one day, then there goes the white flag, thrown… buried… forgotten. These resolutions won’t work if they come from your Facebook feeds, the ads on your television or your favorite blogger’s Instagram. They need to come from you. YES, you. Things seem more attainable when quantified so let’s make a short list of How to Achieve my New Year’s Resolution:

  1. BE SELFISH, AND THINK ABOUT YOURSELF. Before you pay for a new membership or buy a new juicer, take a moment and ask yourself: “What do I want?”. Notice that doesn’t ask what your favorite blogger wants, or what the gym is promoting - it’s asking you to think about yourself and pick one thing that you want. It could be anything - from going to bed an hour earlier to walking your dog more. Whatever it is, pick one thing and start small.

  2. DITCH THE DIET. As fun, easy, and sexy as they may appear - they don’t work, and they’re not fun. Why would you want to follow a plan that makes you feel as guilty as stealing a cookie from a girl scout when you slip? One diet only allows you to drink black coffee and the other is screaming that you need to eat like a caveman. Well, what if you love cream in your coffee and enjoy bread? Find something that fits your needs and wants and follow it at your own pace.

  3. IS THIS FOREVER? Because if it aint, then cut it out. Resolutions tend to fail because they’re extreme. The reason I ask if you’re going to do it for the rest of your life is because if you won’t, then it won’t last. And this isn’t me advising you to go on a juicing cleanse forever... please don’t do that. Resolutions are short lived because they’re marked as short term. This is a journey people!! A very realistic life journey. As in, things will happen and you will slip from your plan, you are indeed human. So reflect, learn, and better yourselves… leaving the media out of it.

Yoga’s is exactly like a typical New Year’s Resolution. They are both viewed as very difficult. However, both don’t have to be. The practice of yoga performs the same pose to the class, allowing each individual to personalize it. Allowing each individual to find their own capacity, their own passion, their own challenge, and to strengthen that. It allows what you perform on your mat that day to be enough. Take this when you begin any change. It will not be perfect at the start, no one expects it to. Do what you can and get there at your own pace. Some days may be better than others and that will be okay. As long as you show up, stay mindful, and do your own best. Don’t ever punish yourself for not reaching it - let what you do today be enough.