Monday, March 15, 2010
THE WEIGHT OF WELLNESS
Saturday, February 6, 2010
DEAR MICHELLE
As I was driving home from work a couple of months ago, I turned on the radio and caught the end of a story about Michelle Obama. She had given a speech that included her intention to launch a campaign to prevent childhood obesity, using a quote that suggested this generation of children would live shorter lives than their parents.
Immediately, I went into high alert and promised myself that I would at least write a letter explaining my point of view and my expertise in this area. But the holidays, family, and all of the other daily demands that can interfere with the best of intentions distracted me. When President Obama announced his wife’s initiative during the State of the Union address, I felt more saddened than surprised by what lays ahead.
I have the greatest respect for Mrs. Obama and have no doubt that she passionately believes in her mission. I think that her focus on weight and weight loss only goes to show how our culture normalizes the beliefs that you must be thin to be healthy, and that through changes in eating patterns - usually in the form of dieting - everyone can achieve a smaller body size. If this is what you believe, then a campaign that focuses on childhood obesity makes sense.
What I would give to meet Michelle at a local Starbucks for a cup of coffee and conversation! As I have with so many friends and colleagues, who also held similar views, I’d talk with her about what I’ve learned in my work with clients over the years, and how the science now supports these ideas.
I’d tell Michelle how wonderful it’s been to see her growing vegetables at the White House with children who can now appreciate the beauty of nature and the taste of fresh foods. I’d agree that making fruits and vegetables accessible and affordable for all children is a goal that would improve the quality of our children’s health. I’d applaud efforts to make physical education available on a daily basis – for children of all sizes – in our schools. I’d encourage her to figure out ways for organizations to support families so that all children have access to all kinds of activities, rather than spending hours in front of the TV (although sometimes, just chilling out in front of the TV after a demanding day at school is the perfect activity – just ask my children!)
Then I’d ask Michelle to take weight out of the equation. After all, good health is much broader than a number on the scale. I’d point out to her that there are thin children who are unhealthy, and ask if she is aware of girls who purge or use dangerous diet products to keep their weight low. I’d ask her if she knows that there are children who fall in the higher BMI categories that eat fruits and vegetables every day, are physically active, and come from a family where their genetic inheritance means a larger body size.
I’d also have to respectfully wonder if she’s familiar with the multitude of studies that challenge the notion of thin as most healthy. Katherine Flegal of the Centers for Disease Control released her findings in 2005 that showed no difference in death rates for people in the overweight and lower end of the obesity categories. In fact, she concluded that only people at either extreme – very large or very thin – had increased risk, with those who are the thinnest carrying the most risk. Two other long-term studies came out this past year – one from Canada and one from Japan – that also confirmed people in the “overweight” category of BMI actually live the longest lives.
I'd hope I'm not boring her with research and statistcs, but then I'd remind myself of the value Barack Obama places on science. I'd describe a huge study by Steven Blair, who was with the Cooper Institute at the time, that found obese-fit men have half the death rate of thin-unfit men, suggesting again weight is not the key factor when it comes to health. I'd point out that plenty of research shows yo-yo dieting, in which people repeatedly lose weight and regain the pounds, actually leads to health problems, such as heart disease and type 2 diabetes.
By now it might be time to refill our coffee, but if I could keep the First Lady’s attention for a little longer, I’d like to raise her awareness about the discrimination faced by children who are fat. Kids get bullied all the time, and body size is a frequent target. I'd ask her to imagine the experience of a large child when there’s a campaign to support obesity prevention at the highest level – by none other than her - a warm, kind and loving mother! I'd ask her if she understands the implications of her message: if obesity is “bad,” - and you are large - then you are not okay. I'd implore her to think about what that does to the self-esteem of our children, which I know she cares about very much. I'd like Michelle to know that even though I don't believe this is her intention, the campaign affects all children because the covert message is that if you're not already fat, you'd better do everything in your power not to gain weight - or else you will no longer be acceptable.
Now that we’ve (hopefully) established a connection, I’d like to get a little more personal in my conversation with Michelle. I want to broach the topic of her daughters, and how they will grow up to feel in their own bodies. I’d explain to her that it’s wonderful she viewed her daughter’s body size as “perfect,” and that her doctor was wrong to focus on their weight.
I'd suggest that the best way to raise healthy daughters is to help them stay connected to their hunger and fullness, provide them with a wide variety of food, and tell them to follow their dreams! I’d explain how focusing on food restrictions creates deprivation and frequently leads to the very weight gain she is trying to prevent. I'd share with her how I’ve worked with so many women over the years who felt great shame about their bodies - often triggered by a negative comment made about their body by someone who loved them - leading to a lifelong struggle with food and weight.
Which would lead me to a touchy subject. Speaking mother to mother, and wife to wife, I'd wonder if she might have a long talk with her husband who reportedly referred to their older daughter as "chubby." I have no doubt that if he understood that gaining weight is a natural part of female development and that the power of his statement - which is now public - can have a devastating effect on his daughter(s), he'd rethink how he talks about the wonder of their beautiful, developing bodies. I'd encourage them - as a couple - to stand by their commitment to diversity, and publicly acknowledge that this value extends not only to racial, ethnic and religious diversity, but to size diversity as well.
I'd suggest to Michelle that we all have a lens through which we view information, and I understand that she - with full support from the President - truly believes that this campaign will improve the lives of our children. So before we end our conversation, there's just a couple of more things I'd need to share.
Michelle, remember your statement that this generation of children will live shorter lives than their parents? I think you were referring to the quote by S. Jay Olansky, Ph.D. stating, "The current generation of children is the first generation in modern American history projected to have shorter life span than their parents."
I knew I had heard some challenge to that, so I sent a message to a list serve I'm on, and I want to share with you these responses:
Dr. Linda Bacon told me that she writes in her book, Health At Every Size: The Surprising Truth About Your Weight, "This proclamation was drawn from an opinion piece published in the prestigious New England Journal of Medicine and offered no statistical evidence to support its claim, though you would never know it from the authority it has been granted in the media. Consider this before you buy into the hype: Life expectancy has increased dramatically during the same time period in which our weight rose (from 70.8 years in 1970 to 77.8 years in 2005) and continues to hit record highs."
And then a couple of days later, Dr. Jon Robison, Assistant Professor at Michigan State University posted, "Also, when Olshansky was questioned about the validity of these predictions in an article in Scientific American entitled Obesity: An Overblown Epidemic (June 2005) he replied, 'These are just back of the envelope, plausible scenarios. We never meant for them to be portrayed as precise.' And yet they published them in one of the major medical journal in the world - and the Journal permitted it."
I'd sincerely hope that this information would make Michelle reflect on what she's putting out in the world - and how to truly make the world a better place. I'd give her a wonderful resource from the Academy for Eating Disorders, an international, professional organization, that offers guidelines to promote the health and well-being of all children.
Finally, I'd leave Michelle with an article that appeared on February 1, 2010 in the Huffington Post by Laura Collins Lyster-Mensh.
It is so moving that I am going to print it here:
"In the eating disorders world, putting any child on a diet is not only unacceptable but appalling.
In the eating disorders world, a father referring to his child as "chubby" and commenting on her eating habits is not only frowned upon it is reviled.
In the eating disorders world a mother who felt her children were "perfect" should not be corrected by a doctor who points to the children's weight as altering that.
In the eating disorders world it is well-known and embraced that healthy children rapidly gain weight as they approach puberty.
In the eating disorders world it is understood that dieting is an unhealthy behavior, that healthy weight is whatever one's body ends up with when they are behaviorally and mentally healthy - a wide range of body shapes and sizes. Average weight people can be unhealthy, and non-average weight people can be healthy.
Behaviors, not weight, are appropriate health goals.
But OUTSIDE the eating disorder world none of the above is true. In fact, most people believe the opposite on every single point, and are not aware of any other way to think or that the science supports all of the above. I am sucker-punched to read that our First Family put their daughters on a "diet" because they feared "obesity" and no doubt will be lauded for it.
This is not an eating disorder issue, however, and it should not be only us who know this and speak out about it. These are medical, social, and ultimately self-defeating errors in thinking that do harm to all children and all of us. I am very sad today."
________________
Michelle, thank you for the coffee and conversation. You have a lot of power. Use it well.
Eat well! Live well! Be well!
Judith
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Monday, January 11, 2010
HAVE WE GONE BANANAS?
The original Morning Banana Diet was created by an Osaka pharmacist to help her husband lose weight. By following the simple plan, he dropped 38 pounds. Word spread like wildfire and soon stores across Japan couldn’t keep bananas on the shelves.
Now, Americans are joining the bandwagon, losing weight and enjoying the benefits of increased fruit consumption.
As a leader in nutrition education, DOLE wanted to create a healthier banana diet that substitutes well-balanced meals and nutritious recipes for the “all you can eat” approach.
Explore the Recipes section for two weeks of healthy and low-calorie recipes for the Dole Banana Diet!
Next, I clicked on their two week diet menus. So, here's the magic bullet: Start every morning with two Dole bananas (do they have to be Dole or will Chiquita work as well?) The rest of the day involves lots more varieties of Dole fruits (Dole fruit cups, Dole raisins) snacks that consist of Dole red peppers and Dole broccoli (do I detect a pattern here?) and some small amounts of protein. No fat anywhere in sight. A total of about 1,200 calories per day if you follow their menus. How do you spell H.U.N.G.R.Y.?!!!
Dole is not alone in using the marketing tactic of promising weight loss to sell their product. While I was thinking about writing this blog, a Special K commercial appeared on TV with the tagline: Lose up to 6 pounds in 12 weeks. V8 Juice asked: What's your number? The Dairy Council recommended: Drink more milk to lose weight. And multigrain Cheerios suggested: More grains. Less you.
Have we gone bananas? How is it that every food is now part of the latest diet plan? Actually, the answer is quite simple. If you restrict calories - and all of these advertisements have the caveat that you must combine their product with a low calorie diet and exercise to get results - you will lose weight. Of course they forget to tell you that you will feel deprived, your metabolism will slow way down, and ultimately you will gain back the weight and then some - but that wouldn't help their sales. And I guess some of us just want to believe.
Here is the most outrageous diet promise of the season: Taco Bell now has a spokesperson. If you haven't heard about her yet, Christine lost 54 pounds by eating the "Fresco" items offered at Taco Bell. In their marketing campaign, they refer to this as the Drive-Thru Diet. Before you swallow the whole enchilada, keep in mind that she was limited to 1250 calories a day (about the same as the banana diet). And they are clear that results aren't typical. Did you see that? Results aren't typical!
The truth is that any food could claim to be part of a diet for weight loss. How about:
Chocolate: For a richer, sweeter, thinner you
Potato chips: Enjoy the crunch. Chip off the pounds
Ice Cream: The latest scoop: one bowl a day - and two on sundae - melts the weight away
Just focus on that food, keep your calories under 1250, increase your exercise and voila - another diet plan doomed for failure.
So what is a diet survivor to do? In my last blog entry I talked about avoiding the magazines that sell diet and weight loss messages. But I'm not prepared to avoid all of the foods that are now promoting themselves as weight loss aids. I like milk. I even like Taco Bell. And I love bananas!
Instead, I'll do what I've always done: pay attention to the way a food tastes and how it feels in my body. I'll eat the foods I enjoy and stay away from the ones I don't. I'll remember that no single food is magic, and that variety is the spice of life! And when those weight loss labels are staring me in the face, I'll remind myself that choosing bananas has absolutely nothing to do with my body size, and appreciate the flavor and nutrients they provide.
In fact, I'm going to replace that weight loss mentality with the adorable image I have from my childhood of the banana dancing away as it sang a song - now that's the type of creative marketing we could use a little more of!
Eat well! Live well! Be well!
Judith
Sunday, December 27, 2009
MAGAZINE MADNESS
- First, take a deep breath. And now another one.
- Remember that if any of them really worked, they wouldn't need to keep coming up with more.
- Finally, a little humor always helps. With that in mind, I thought I'd make an attempt at rewriting some of my "favorites."
Thursday, December 24, 2009
DO YOU KNOW WHAT TIME IT IS?
Many times, on our hikes, Jim and I would talk about writing a book together about how the wise words hikers say about trekking were really words for living. For example, we’d hear a fellow hiker say, “Sometimes you have to look up and assess if you are on the right path.” Or, “My goal was to get to the summit, but now I realize that the beauty was in each step.” And, “The unexpected views as your travel along take your breath away, but you have to remember to stop and look up.” We never did write that book, but we had great fun with these pearls of wisdom and we shared wonderful times of abundance together: in spirit, laughter, meals and community.
Two months ago, the rabbi told me that Jim was diagnosed with terminal cancer. I hadn’t talked to him since we were together in Spain, three years ago. The rabbi told me that he wants to hear from the people in his life. “Send him an email,” he advised.
I had planned to.
Later that week, I searched through my email contact list, and realized that I didn’t have his email. I made a mental note to ask a mutual friend, or the rabbi, for his email address.
I didn’t follow through.
I thought about Jim, he was on my mind and in my heart, but I didn’t send that email.
“I have time,” I thought. I’ll do it soon…
After the problems left on my doorstep were solved, the errands were run, when life slows down…
I didn’t know what time it was.
How many of us put off what needs to be attended to now…in this moment. I think we see it all the time:
“I’ll take the dance class I’ve always wanted to take when I lose weight…”
“When I’m thin, I’ll let myself become involved in a relationship…”
“When my daughter gets into preschool, I’ll sign up for that painting class…”
“When my son gets into college, I’ll start my novel…”
“I’ll start living the life I truly want next month, next season, next year…”
Skillful living means being mindful of what time it is in our lives, and then acting from a place of wisdom. Sometimes you get a second chance, sometimes you don’t.
Jim died yesterday morning, before I sent him that email.
I missed what time it was.
If you look at the universe, we are a second, a split second. But our lives are part of that universe, and that second holds everything. If we understand that second, if we understand how important it is to pay attention to the present, to see clearly, we will understand what time it is in our lives, and we will act.
In the physical sense, attuned eating allows you to feed yourself in a consistent and loving manner. In a spiritual sense, attuned living allows you to pay attention to the world around you and to respond in a way that is life affirming and sustaining.
We don’t do it perfectly. Sometimes we miss the cues, or we’re off the mark in our response. Those are the times we need to be open to and learn from.
I wish I responded differently. I wish I knew what time it truly was…time to stop, and to be present with Jim in his dying. Now, it is time to remember Jim and to honor him by working toward living more in the present, living a life more in attunement.
We are all on a hike; our lives are a journey. May this New Year bring us the wisdom to live life fully, to be present to what is right in front of us, and to act from a place of both wisdom and compassion…by knowing, truly knowing, what time it is.”
Namaste,
Ellen
Monday, November 30, 2009
POST-THANKSGIVING
Friday, November 20, 2009
ON INSPIRATION, SHAME, AND SPEAKING OUT
I'm F's trainee; you see me regularly at the JCC. I'm a fat person who is using movement in order to become fit, not in order to become thin. I want to be able to walk far, have good circulation, a lot of energy and good health overall. I am usually at the end of my day when I see you and don't have energy for anything other than working out with F.
What I want to do is open a discussion with you about the weight loss program you are involved with at the JCC which is named after or references tv's The Biggest Loser. Research has shown that a program focused on dieting with weight loss as a goal is unhealthy and does not work. F told me that you're very open to new information and I'd like to send you some information about the effects of dieting, about the Health At Every Size premise, and also to let you know that when I see that "success" board upon entering the gym, showing who is "winning" at losing weight fast, that it makes me feel terrible and NOT want to be in the gym.
I would like you to read a book by Linda Bacon called Health At Every Size: The Truth About Your Weight. If your office doesn't have a budget for it, I will lend you my copy. It is here, on Amazon: http://bit.ly/2AygHr
and information on it is here at Linda Bacon's website: http://www.lindabacon.org/HAESbook/
Linda Bacon's site is here:
http://www.haescommunity.org/
Another view of movement, health, and the myth of dieting is here:
http://www.thebodypositive.org/
I'm also attaching a piece on healthy living at any size.
I realize that the idea behind The Biggest Loser is a very popular one and that certainly you are satisfying the requests of a number of your clients by initiating and providing this contest. I propose that it is irresponsible to promote this perspective of eating and exercising. I will come say hello soon when I'm in the gym and to answer any questions you may have regarding my ideas on this topic. I truly do not mean to be stealthy or be on the attack by emailing you: I am drained when at the gym and talking about this is hard.
On Thursday as I was leaving the gym, a child of about 6 years old poked his friend and pointed at me, laughing. The idea that all people are different sizes and have different health spectra, and that there is no perfect weight is one that should be promoted to all of the JCC's members and especially children. It is too easy to demonize fat and fat people and suggest that there is one answer. My own general doctor told me on Friday that she sees a lot of fat people and a lot of thin people in her practice and that overall, the fat ones have better health. No child should be encouraged to treat fat people this way and besides my own issues (that allow me to feel hurt when a small child makes fun of me) I think contests like this support the belief that the only way is the thin way.
Please reconsider your programming choices in favor of your clientele's health rather than their investment in America's delusion that weight loss rather than fitness is a superior goal and that becoming thinner is the answer to everything. This is a myth and is an unhealthy mode of operation.
I would love to help in any way that I can. I'd love to see a Health At Every Size discussion group at the JCC. It is hard for fat people to believe that they (we) are allowed to be in the world and that health and fitness are reachable goals regardless of BMI or waistline, etc. There is no SUPPORT for us that shores up the ideas of movement, feeling good, and listening to our bodies when it comes to nourishment. There is only shame and the push toward weight loss as a "solution".
Thank you for reading this and I will see you soon. Please feel very free to show this email to anyone and everyone. I feel strongly about this issue and want to make change so that all fat people are respected and so that fitness, rather than dieting and weight loss, becomes the focus of every athletic facility. One of the reasons I signed up for the JCC, a significant expense for me, was that I met F, a trainer who is NOT pushing diet as a focus and because I felt that the environment would be more comfortable for me because there are all kinds of people who use the gym; all levels of physical strength, all races, all ages, people in wheelchairs, fat people and thin people. The sign facing me when I enter now does not agree with the vision I had of the JCC when I first started there.
All my best,
Hi R,
Thank you so much for reaching out to me, I will truly take all of this to heart and would love a time to chat with you. I am very open about things, am always willing to listen, learn etc.
In the meanwhile, please accept my dearest apologies for any hurt, pain, etc. that our Biggest Melt Down results board has caused you – that was never my intent but honestly a perspective I hadn’t thought of or was openly expressed, up until now! I will work on finding a more appropriate way to display results and try to please everyone (you, the team, their trainers – perhaps something else we can discuss).
I will take a look at the resources you listed – thank you for the suggestions.
Take care,
J.
Now that's what I call inspiration!
If you have your own stories of speaking out (or not speaking out) please leave a comment.
Eat well! Live well! Be well!
Judith

