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Fight the Fear of the Freshman 15

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Many college freshman worry about gaining the dreaded “freshman 15”. What they fear, in fact is that they will somehow gain 15 pounds during their freshman year at college, unintentionally.

When I counsel college students, I often encourage them to overcome the fear of weight gain and replace it with a sense of self assurance. When you understand your body does not intend to trick you or get out of your ideal body weight range, it can become easier to trust your body.

Unfortunately, an individual’s relationship with food can be a very complicated one. How many people do you see day to day who seem unhappy with their body? Or, perhaps it is the seemingly harmless comments like “I can’t eat that,” “I am so fat,” “That food is so bad for me,” or “I wish I could eat that.” None of these comments give respect to one’s body and in a sense, put a sort of distrust in one’s own ability to be healthy.

Combine that with the situation of a young man or woman embarking on the college path, leaving home (perhaps for the first time) and being confronted with countless choices and opportunities. Take it to the cafeteria or campus gym and you can often see anxiety escalade. Comparisons to other students (be it eating styles, study styles, workout routines, or the like) or even a desire to be so far different from usual can often lead individuals to an unknown place—where losing touch with one’s body signals and true self becomes the norm. And, it can be tough…to keep in touch with your true healthy self, especially if you are not sure who that true self really is or who it wants to be.

So, let us bring it back to the point of contention—how to avoid the freshman 15. Assuming that a college freshman is at a healthy weight (or even overweight) from the start, I can offer a few suggestions to help avoid unnecessary weight gain. And, even though the true weight gain someone might experience freshman year is likely to be less than 15 pounds (research points to a 2-5 pound gain, on average), these tips can help students make healthy choices during their college years.

Eat at regular mealtimes. Avoid going longer than 3 to 4 hours in between meals. Snacks help bridge the gap between mealtimes – especially when classes interfere with traditional mealtimes. Don’t let class get in the way of you eating breakfast, lunch or dinner!

Meet with a campus or local dietitian for an assessment of your dietary habits and for help making healthy food choices on and off campus.

Avoid frequent late night eating. While it is common to stay up late in college, be sure you eat according to your hunger levels rather than just because food is available. It can be tempting to overdo it on “free” food or food that you might not normally have ever eaten so late at night. However, frequent events like this can lead to unhealthy eating. Granted, it may be needed to have one or two pieces of pizza if dinner was at 5:00pm and you are still up studying at 10:00pm. Try to keep portion sizes in mind and mix up the routine. One night might be pizza, another might be yogurt and granola.

Stay hydrated! Many people often confuse hunger and thirst. Your brain needs water, just as much as it needs food.

Continue (or begin) incorporating regular physical activity into your schedule. A healthy balance is important – too much or too little exercise can interfere with healthy weight and stress management. See what clubs or classes are available, too. Classes like yoga and pilates are great, as they incorporate mind and body balance.

If you find yourself eating or restricting food in response to stress or anxiety, try to become more mindful about eating. Mindfulness is about being conscious about why you are eating. Are you hungry? Tired? Bored? Sad? The moment you begin to capture the true feeling of what is going on inside you, you can become more mindful about when you are hungry and when you are satisfied (not starving or painfully full).

If you struggle with separating food from your feelings, you are not alone. Seek out someone on or off campus to discuss your situation. Counselors, therapists, doctors and dietitians can all play a role in helping you to achieve life balance. There should be no stigma associated with seeking out someone to help you. Most people benefit from guidance—so seek out the options available to you!

Julie Whittington is a Registered Dietitian in the Lake Norman area. Contact her atjuliewhittingtonrd@yahoo.com.

Fashion Industry Taking Steps to Promote Healthy Body Image Among Women

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In an effort to promote healthy body image, the French fashion industry has passed a charter of good conduct regarding the use of models in promoting healthy body size. The charter, supported and signed by the French minister of health, recommends the fashion industry to promote “diversity in the representation of the body, avoiding all form of stereotyping that can favor the creation of an aesthetic archetype [ideal body image] that is potentially dangerous to [youth]”. Those members of the fashion industry who signed the charter also are pledging to participate in preventative actions that would discourage idealization of unhealthy body sizes and also plan to increase public awareness about the “risks linked to extreme thinness.”

In addition to the charter, French parliament is considering a law project aimed at preventing anorexia. Possible implications of the law include fines and jail time for individuals involved in promoting eating disorders, such as on pro-anorexia (“pro-ana”) websites or in fashion ads.

Other countries have begun to address the weight of top models in the fashion industry. Spain, for instance, has banned from fashion shows models with BMI’s (Body Mass Indexes) less than 18. Milan (in Italy) bans models less than a BMI of 18.5.

The World Health Organization and other health agencies classify a healthy BMI as 18.5-24.9. Someone who is 5’8” tall with a BMI of 18.5 would weigh 121 pounds. However, ideal body weight for a woman with medium/regular bone and muscle structure is around 140 pounds. So, there is considerable variation in what might be classified as healthy. And, it is important to note that BMI is not the only determinant for the diagnosis of an eating disorder. Eating disorders are multi-factorial, life-threatening mental and physical illnesses that involve a complex interlay of emotional and physical issues. Many individuals with eating disorders (or simply disordered eating) go undiagnosed or untreated and may suffer with a life-long battle with food and weight issues.

Here are some facts that may surprise you:

  • In the US, as many as 10 million females and 1 million males are suffering from eating disorders such as anorexia nervosa or bulimia nervosa.
  • Millions more are suffering from binge eating disorder.
  • Anorexia nervosa has the highest premature mortality rate of any psychiatric disorder – the majority of deaths are due to physiological complications.
  • An estimated 42% of 1st-3rd grade girls want to be thinner.
  • Most fashion models are thinner than 98% of American women.
  • An estimated 35% of “normal dieters” progress to pathological dieting. Of those, 20-25% progress to partial or full-syndrome eating disorders.
  • The majority of people with severe eating disorders do not receive adequate care.

For more statistics, visit www.nationaleatingdisorders.org.

For eating disorder/disordered eating treatment in the area, contact the Southlake Center

Julie Whittington is a Registered Dietitian in the Lake Norman area. Contact her at juliewhittingtonrd@yahoo.com.

Published April 20, 2008 in the Statesville Record and Landmark.

Healthful Weight Gain is Possible

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While many individuals struggle with trying to lose weight, others struggle with trying to gain weight.  Whether someone seeks to recover from an eating disorder, manage a long-term illness (such as cancer, Alzheimer’s disease, an autoimmune disorder or food sensitivities/allergies), gain weight for sport or simply aims to try to gain a healthy body weight, healthy weight gain can often present many challenges.

For one, an individual may not wish to gain weight, but needs to do so for health reasons.  Perhaps this is someone with an eating disorder.  If the individual is a minor, a parent is often the one seeking out healthful ways to encourage his or her child’s weight gain at an appropriate rate.  In these situations, it is imperative to work with a team of health professionals who specialize in eating disorders, including a physician, psychotherapist, dietitian and perhaps psychiatrist, as well.  In this way, the parents do not become the “food police”, interrogating children at every meal and snack, nor do they choose unhealthy ways to gain weight (such as forcing unhealthful foods into a child’s diet).  Additionally, the team can address underlying concerns and focus on whole body recovery, rather than just the weight restoration.

Another reason someone may be struggling with weight gain is simply a side effect of having an illness.  Be it Alzheimer’s, where an individual forgets to eat or forgets how to eat, or cancer, where the body’s reserves are being depleted at an accelerated rate.

Men, often, (but, women, too) can struggle with putting on weight, while trying to achieve high muscle mass for sport.  With intense exercise, it is essential to be consuming enough calories to not only avoid unwanted weight loss, but also to achieve healthy lean muscle mass.  Working with a dietitian who specializes in sports nutrition is helpful in this situation.

Then, a situation may arise where unachievable weight gain occurs for unknown reasons.  In this case, it is also important to work with a team of health professionals and get appropriate lab testing in order to determine the cause.

No matter what the reason, if you seek to gain healthful amounts of weight, here are a few ideas to consider incorporating into your eating plan.  Remember, though, each plan should be catered to an individual, with individual needs and preferences addressed:

  • Incorporate nutrition supplement foods and beverages such as Boost, Ensure and Carnation Instant Breakfast into snack time, to supplement one’s regular eating plan (rather than replace a meal).
  • Mix nonfat dry milk powder into liquid milk to make a more nutrient dense beverage.
  • Use plant oils (such as olive, canola or nut oils) in cooking or food preparation to incorporate healthful unsaturated fats each day.
  • Eat plenty of fruits and vegetables, but not at the expense of other foods.  Be sure to consume enough grains/starches, proteins and fats, as well.  For instance, rather than having an entree salad with a little protein, have a side salad along with your protein source and a starch or grain.
  • Drink 100% juice or milk instead of water, at some meals or snacks.
  • Switch to whole fat milk, yogurt, cheese and ice cream if you normally choose fat free or lowfat versions.
  • Select dried fruit and raw nuts for nutritious, energy-rich snacks.
  • Select sandwich spreads such as guacamole, hummus, cream cheese and omega-3-fatty-acid-rich mayonnaise.
  • Natural cheeses can be used on sandwiches, salads, tacos, quesadillas or as dips.  Consider cheddar, ricotta, blue cheese, feta, goat cheese and gouda.
  • Sprinkle wheat germ or ground flaxseed on cereal or salads and in yogurt or smoothies.
  • Granola is more energy-dense than regular cereal (usually due to the sugar and fat content).
  • Consider nut butters as a great dip for fruits, vegetables and whole grain crackers.
  • Restaurant milkshakes and smoothies can be an easy, on-the-go treat, where children, especially, may enjoy the flavor, so therefore resist less than a nutrition supplement drink.
  • Store bought trail mix, yogurt covered pretzels/raisins/nuts or chocolate can fit in appropriately, as well.  Select dark chocolate if possible, with natural ingredients, to promote intake of phytonutrients that promote health and reduce risk of disease.
  • Consider your exercise.  Very physically active people have higher nutrient needs.

Julie Whittington is a Registered Dietitian in the Lake Norman area. Contact her at juliewhittingtonrd@yahoo.com.

Managing Digestive Discomfort Possible with Good Nutrition

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Do you suffer from any type of digestive disease or discomfort? If you do, you are not alone. According to the National Digestive Diseases Information Clearinghouse, 60 to 70 million Americans suffer from some type of digestive disease or condition. Some of the more common include constipation, diarrhea, hemorrhoids, heartburn and Irritable Bowel Syndrome.

As far as nutrition, there is a lot you can do to prevent or manage digestive problems. Since less than 50 percent of Americans get the recommended amount of daily dietary fiber, this is one place you can start. Fiber helps to keep our gastrointestinal tract clean and regular. It helps reduce the risk of colorectal cancers and helps prevent constipation. In general, proper fiber intake is an important step in the fight against most digestive diseases. In addition, dietary fiber helps with satiety, which means it keeps us fuller longer. In this sense, dietary fiber can help to maintain a healthy body weight – which then, of course promotes healthy digestive health. Being underweight or overweight can exacerbate digestive problems. In order to get the recommended amount of 25-30 grams of dietary fiber per day, include whole grains, fruits and vegetables in your daily diet.

Besides fiber, there are other ways to foster a healthy gastrointestinal tract. Below is a list of things you can do to become more proactive in your digestive health:

Stay well hydrated – Non-alcoholic, non-caffeinated beverages are best. Also, avoid beverages made with high fructose corn syrup like sodas and many fruit drinks. Examples of healthy beverages include water, milk or milk alternatives, non-caffeinated teas and 100% juices.

Include prebiotics in your daily diet – Prebiotics stimulate the growth of healthy gut bacteria, thus improving gastrointestinal health. Examples include artichokes, soybeans and raw oats. Kraft LiveActive cottage cheese is a new product containing prebiotics.

Also, include probiotics daily – Probiotics are food supplements containing beneficial bacteria or yeast that work synergistically with prebiotics. Examples of foods containing probiotics include yogurt, kefir, sauerkraut and Kraft LiveActive natural cheese.

Try to get protein from lean sources and choose whole grains over refined, high fat versions (i.e. cookies, pastries, fried chips), since high intakes of fats – most especially the unhealthy saturated and trans fats – can lead to digestive problems. Include fish, tofu, white and skinless poultry, dried peas, beans, lentils, nuts and eggs.

Educate yourself by reading websites like the following:

Julie Whittington is a Registered Dietitian in the Lake Norman area. Contact her at juliewhittingtonrd@yahoo.com.

5 Things to Consider When Creating a Chart System for Kids

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Children thrive on attention…. we all know the old adage, “negative attention is better than no attention at all.” Setting a Chore/Discipline chart is a great way to give your child the attention they crave, while creating clear expectations. To set a system may seem like a hassle to create, but it can be a time saver when the family gets the hang of it. Here are 5 tips to help you begin creating your system!

1. Know that there are a million good ways to create a system: Do not get caught up in creating a system that is perfect. Decide what skills your kids need to brush up on (ex. household chores, getting ready in the morning, getting ready for bed, personal hygiene, etc.) and focus your expectations on that. Make the system fluid so it can be adjusted easily at anytime.

2. To punish means to hurt and to discipline means to teach: The system you create is best received when the consequences match the broken rule, or lack of responsibility. For example, if a child is having a tough time being on time in the morning, then the child may not be responsible for a later bedtime, or if a child has not finished chores then extra outside time may not be possible.

3. Mom and Dad decide what chores will be included in the chart system, as well as what rewards or consequences will apply: Parents need to be seen as the head of the household when it comes to clear expectations, and this is achieved by parents being on the same page with what is included in the charting system. If parents are not living in the same home, it is recommended charting be followed in both homes if at all possible. This allows for clear expectations, which is comforting for children, as well as creating strength in your parenting. When the system has been completed have a family meeting to explain how the system works and expectations of the child/children.

Currency is what motivates people. When deciding on a reward for your system, use your child’s “currency” (ex. money, video games, computer time, staying up longer, time outside, cell phone, stickers, time with mom or dad, etc.) My advice is to use the least monetary reward possible while still motivating the child. When each chore is completed the child will earn points toward their reward. If a household rule is broken points can be taken as a consequence, and extra points can be earned for exceptional behavior, which is at the parent’s discretion. Rewards and points earned need to be suitable for the age.

4. Make your system visual: People learn in different ways, and one way to respond to different learning styles is making your system visual. This also provides accountability for the child when he/she documents on the chart when the chore is finished. There is a variety of ways to create your chart. Having kids involved in creating the chart is a way for the child to take ownership in the system. It is recommended for Mom and Dad to provide a template for kids to follow. Templates for charts can be found online, as well as interactive charting games. Put the chart somewhere so that all family members can refer to it.

5. Consistency: This is the number one rule for a successful charting system. People like to know what to expect, especially children. When we do not know what to expect our anxiety heightens, when anxiety heightens emotions heighten, and this is where behaviors can get us into trouble. Lack of consistency shows children that boundaries are not firm, and allows them to think that boundaries can be pushed.

Below I have listed sites that you may find helpful in creating a chore chart:

handipoints.com: In addition to powerful parenting tools for creating Chore, Behavior, and Study Charts, Handipoints features HandiLand, a safe virtual world where kids adopt their own cartoon cat. Great for kids from 5 to 13, Handipoints helps teach kids how to work and save for fun virtual rewards.

chorecharts.com: Developed to offer parents and kids cool, easy-to-download, thoughtfully designed chore charts. After looking around for chore charts, we came to conclude that the Web really didn’t have that much to offer.

chore-charts.net: This Fun & Effective Chore Chart Kit will help your Family Organize Household Chores. These Beautifully designed Chore Charts & Reusable Stickers are a must for Family Organization to help get the Chores done.

Megan Orr-Murphy, M.Ed, LPC