Can’t Follow a Diet?

Whether you are a chronic dieter or a newbie at dieting—you know diets are tough to “stay on”.

Lack of willpower or personal shortcoming is often sighted as the reason people can’t follow a diet. I believe that lack of willpower is not the reason for diet failure, but the diet itself. There is little to no evidence that shows dieting works to reduce body weight (and keep it off) in large sample sizes of people. Most studies indicate that dieting works for a while, but isn’t a long-term solution.

If you have been on several diets this may sound familiar: You are able to follow a diet for a few weeks or months, then you get side-tracked and go “off” the diet and then re-gain lost weight.

There are so many bad things about dieting, beside dieting’s ineffectiveness, I don’t know where to begin. But, here are just a few of my gripes about dieting:Continue reading→

Your Brain on a Diet

by Alison Pelz, LD, RD, CDE, LCSW

In my last post, New Year’s Resolution: Ditch the Diet, I explained that dieting is ineffective form of weight regulation for most people, is a risk factor for developing an eating disorder and can wreak havoc on our self-esteem.

In this post I am excited to share Dr. Sandra Aamodt’s TEDS talk-the neuroscience behind why dieting doesn’t work.

Dr. Sandra Aamodt, a neuroscientist, explains how our brains regulate our body weight like a thermostat which makes dieting an ineffective way to lose weight.

Dr. Aamodt’s talk starts out a little dry and slow, but hang in there. She offers compelling research on how to improve your health regardless of body weight, throws in humor and her personal experience with dieting. Which had me laughing and crying by the end.

It is definitely worth 12 or so minutes of your time.

New Year’s Resolution: Ditch the Diet

by Alison Pelz, LD, RD, CDE, LCSW

Yes, that is right. Set a New Year’s Resolution NOT DIET in 2015 (or really ever again).

Why you ask? I will give you five good reasons:

1. Dieting doesn’t work for long-term weight regulation. Scientists don’t have any good data that shows dieting works consistently in reducing weight, long-term, in populations of people.

2. Dieting can lead to weight gain. Dieting can produce short-term weight loss, but more often than not, it leads to regaining of lost weight and sometimes even more. Some clinicians argue that the losing/gaining weight cycle (sometimes referred to as weight cycling) is what causes health problems in overweight and obese individuals (Versus elevated body weight.).

3. Dieting is a known risk factor for developing an eating disorder. The causes of eating disorders are very complex and researchers have identified several risk factors for developing an eating disorder which include dieting, temperament, gender, etc. Not to say that all people who diet will develop an eating disorder, but it may increase your risk.

4. Dieting can make us feel a little crazy. At the start of a diet there is promise that the diet will bring control over eating (and sometimes our lives). But, ever notice when you are dieting that you spend more time thinking about food? Or that when your dieting you begin to feel very uncomfortable around food? Maybe you avoid certain social situations because you are dieting. I would argue that dieting leads to more preoccupation with food, weight/shape which leaves less head space to think about other things.

Additionally, when we aren’t able to follow our diet (Not because of laziness or lack of will power by the way, see 1#.) it can lead to an increase in feelings of shame and failure. These feelings can often drive us further from self-care and in some people it can lead to OVEREATING.

To learn more about the psychological effects of food restriction click here.

5. Dieting doesn’t equal improved health. See #1, #2, #3, #4

In my next few posts I will discuss further reasons why dieting doesn’t work and what one might do as an alternative to dieting.

5 Things About Binge Eating Disorder Perhaps You Didn’t Know

by Alison Pelz, LD, RD, CDE, LCSW

At the Austin Eating Disorder Specialists professional group meeting in November I had the pleasure of hearing Dr. Susan C. Mengden, the co-executive director of the Eating Disorder Center of San Antonio, present on “Treating Binge Eating Disorder in an Intensive Outpatient Setting”. She offered some good reminders about Binge Eating Disorder that I would like to share:

1. Binge eating disorder (BED) is the most common type of eating disorder. It affects men and woman almost equally. External risk factors for BED, according to Dr. Mengden include physical/sexual abuse, bullying, family dynamics and poor self-esteem and/or shyness.

2. Up to 30% of those seeking weight loss services most likely meet the criteria for binge eating disorder. Weight loss or weight loss surgery does not cure binge eating disorder. Before any type of weight loss is considered the binge eating disorder must be dealt with or weight loss is almost impossible. If you feel that you may have binge eating disorder, consider getting screened for it and don’t try to diet your way out of it—most likely dieting will make the BED worse.

3. Anger and anxiety is are the predominant emotions that lead to binge eating. That is, anger and anxiety are the emotions that most often trigger binge eating episodes. I like to remind clients that eating disorders are functional. That is, there is some benefit that the sufferer is getting out of doing the eating disorder behaviors. Eating disorders are not due to lack of will power on the sufferers’ part. Overeating helps, short-term, soothe uncomfortable emotions.

4. Restriction is often common in binge eating disorder. Usually with those who struggle with binge eating have chronically dieted and tend to diet (or restrict food) on a regular basis. Restriction is well documented to exacerbate binge eating (Can’t mess with biology!) and food restriction can lead to increase anxiety (see #2).

5. Body dissatisfaction is present in almost all cases of binge eating disorder regardless of body size. Body dissatisfaction and the drive for thinness usually leads to dieting. Improved body image is needed to help in the recovery from BED.

To learn more about Binge Eating Disorder go to:

Binge Eating Disorder Association

National Eating Disorder Association Continue reading→

An ED Professional’s Opinion on FDA’s Requiring Calories

by Alison Pelz, LD, RD, CDE, LCSW

I feel so so very torn about the FDA’s new requirement of putting calorie counts on menus of restaurants, movie theaters, amusement parks, etc…..I do not recommend people tracking their calories to regulate their weight or for health reasons as it gets us away from eating intuitively.

Calorie counting promotes dieting behavior (which we know doesn’t work for long term weight regulation). Dieting is a known risk factor for developing an eating disorder (ED). And calorie counting may exacerbate eating disorder symptoms in someone who is in recovery from an ED.

And to my knowledge, the jury is still out if putting calories on menus is helpful in improving overall health.

On the other hand, I do think we need to improve the quality of our food in this country in order to promote the health of our nation and our environment. I wonder if requiring food establishments to be transparent about calories, if it would force the food companies to improve overall food quality???

I am the first one to admit I don’t have the answer to our dilemma, but I do feel like Life Time Fitness may be onto something here… In their magazine, Experience Life, in their recipe section they do not include nutrition information (calories, carbohydrate grams, etc.) . Unlike other popular “health magazines”.

Not only does Experience Life magazine exclude nutrition information of their recipes, they go the extra mile and provide a health promotion message instead. Here is their explanation as it appears in their recipe section of the magazine:

“Why No Numbers?

Readers sometimes ask why we don’t publish calories, carb and fat counts with our recipes. We believe that if you’re eating primarily whole, healthy foods (array of sustainably raised vegetables, fruits, nuts, seed, legumes, meats, fish, egg, whole-kernel grains, and healthy fats and oils), you really don’t need to stress about the numbers (which are often inaccurate or misleading anyway). We prefer to focus more on food quality and trust our bodies to tell us what we need.”

Sounds good to me. Folks what do you think????

Medical System: Friend or Foe in Reducing Body Shame?

by Alison Pelz, LD, RD, CDE, LCSW

Aren’t we suppose to feel good about the medical care we receive? Don’t we want to feel empowered by our medical team to improve our health? And we certainly don’t want to feel ashamed of our bodies when we visit a medical provider. Unfortunately, body shame and frustration is what some feel when they leave their providers office.

It has been my clinical experience that people often feel shame about their weight when going to the doctor. I think this is particularly true for those with larger bodies. According to a 2012 Rudd Center for Food Policy and Obesity policy brief titled “Weight Bias: A Social Justice Issue” indicates that in a study of 2,449 overweight or obese women, 69% experienced weight bias by doctors. And 52% indicated that weight bias had occurred on more than one occasion. Rudd Center’s policy brief indicates that weight bias in medical practices is a deterrent for seeking medical and preventive care.

Weight Stigma Awareness week sponsored by the Binge Eating Disorder Association (BEDA) was last week . I was glad to see that BEDA had an information sheet (Toolkit ) on how to talk with your provider medical about weight.

Unfortunately, well meaning and highly qualified health professionals including doctors, can sometimes be a barrier to patients accessing medical care. Part of the work that I do with clients is to help them navigate the health care system in such a way that feels empowering vs. demoralizing.

Here are tips to help feel empowered, not shamed, about body weight at medical appointments:

Before going to the doctor take stalk in how you feel about your body. Do you feel as though your body weight is affecting your health? Do you believe that you have to be a certain size to be healthy? Have you experienced bullying from family or friends about your body? Are you comfortable in your body? Do you have a distorted body image? Getting clear about your own experience and beliefs about your body may make it easier to communicate with your healthcare team around body image.

Remember we are health care consumers. Just like we shop around for a new car-visit different dealerships, test drive different makes and models-we can shop around for medical providers. For example, if trying to find a new primary care doctor schedule an initial appointment with the sole purpose of assessing if the doctor is a good fit for you. Think of it like taking a car for a test drive.

Before visiting your doctor think about how you want the discussion of body weight to go. BEDA’s toolkit suggests encouraging your health care team to “focus on health vs. weight”. Imagine yourself saying something like,”I know body weight is one component of my health. I am here today to talk about how else I may improve my health, besides focusing on my weight.” Or, “I am looking for a new primary care doctor that I can collaborate with. My last doctor ridiculed me about my weight. How can we make that different in your office?” If you are not ready to have a discussion with your doctor about your body weight then state that.

Write down questions ahead of time. And if comfortable, bring a friend or family member along to the appointment.

Click here to read the toolkit from the BEDA.