Transcript A Holistic Approach to Health and Nutrition

A Holistic Approach to Health
and Nutrition
Honors size diversity
Eating in a flexible, physically-connected manner
Appreciates the joy of being physically active
Prevents eating disorders
Ram Dass
We work on ourselves in order to help others,
and we help others as a vehicle for working on ourselves
Qualities of Self
Calmn
Compassion
Clarity
Confidence
Courage
Creativity
Connectedness
Embodied
Holistic Health and Nutrition
More than Broccoli, Jogging, Yoga and Herbs
Bio-psycho-social-spiritual model
Web of genetic, social, emotional, spiritual, lifestyle and environmental
factors that contribute to health
Traditional Health Promotion Model
Focus
Disease: Main objective is to identify and eliminate
biomedical risk factors for physical disease
Emphasis “Unhealthy” Behaviors: Poor individual lifestyle choices
are considered the primary disease
Motivation Fear: Reason for change is primarily to prevent disease
and premature death
Risk Factors and Risk Behaviors
Body Weight (BMI)
Waist to Hip Ratio
Blood Pressure
Smoking
Cholesterol
HDL/LDL
Blood Glucose
Triglycerides
Percent Body Fat
Body Strength
Cardiovascular Fitness
Flexibility
Dietary fat, sugar
salt, fiber
Traditional Health Promotion
Primary Assumption - People are Bad:
Left to their own divices people will naturally gravitate toward
“unhealthy” behaviors
Professional Role – Expert:
Primary job is to police behaviors and prescribe changes to save people
from themselves
Change Process- Controlling Behavior
Behavior change techniques are used to suppress or eliminate targeted
behaviors
Holistic Health Promotion
Focus-Health: Main objective is to address the interconnected web of
genetic, social, emotional, spiritual, and physical factors that contribute
to health
Emphasis-Meaning and Support: Meaning in life, relationships, and
work and supportive human systems determinants of health
Motivation-Happiness: Reason for change is primarily to enhance a
sense of purpose and enjoyment of life
Holistic Health Promotion
Primary Assumption-People are Good: People have a natural desire
and ability to seek out healthy behaviors
Professional Role-Ally: Primary job is to facilitate people’s
reconnection with their own internal wisdom about their body and
their life
Change Process- Creating Consciousness: People are assisted in
understanding and healing life issues that underlie illness and
behavioral struggles
The Tip of the Iceberg
Diabetes, Cancer, Hypertension, AIDS,
Heart Disease, Stroke, Infectious Diseases
Behavioral Coping
Smoking, Drinking, Drugs, Overeating, Chronic Dieting
Overworking, Sedentary Lifestyle, Gambling
Exercise Addiction, Sex Addiction, Compulsive Shopping
Suffering
Anxiety, Anger, Fear, Depression, Hopelessness
Root Causes of Behavior
Poverty, Abuse, Violence, Isolation, Social Oppression
In the traditional approach there is an increased
focus on weight as a primary indicator of health
and the target for intervention
The War on Obesity has caused collateral damage
• Preoccupation with food and weight and a culture that is obsessed with
thinness
• Low Self-esteem and Size Discrimination- Few people are at peace with
their bodies because of the fear of fat. First graders wishing they were
thinner
• Poor health from weight cycling
• Eating Disorders
Eating Behavior Continuum
Decreased attention to body cues
Increased amount of time spent thinking about food and weight
Normal
Balanced
Weight Regulation
Normal
Voluntary
Weight Reduction
Midrange
Eating
Disorders
Severe
Eating
Disorders
Internal
food regulation
Some
external eating,
weight control
Increasing
external eating,
weight control
External
food regulation
Weight genetically
determined
External weight regulation
Simply being called ‘fat’ makes young girls
more likely to become obese
Girls being labeled fat at 10 y.o. were 1.66 times more
likely to be obese by 19 y.o.
Statistically removed the effects of actual weight,
income, race, age at puberty
“That means it’s not just that heavier girls are called fat
and are still heavy years later”
Trying to be thing is like trying to be tall, say UCLA
psychologists
Binge-Purge Pattern
On-A-Diet
Anxiety
Shame
Physical Discomfort
Reactions:
Physical
Psychological
Off-A-Diet
Messages from the Food Police
Food-Related Warnings Backfire among Dieters
Dieters, but not nondieters, see a message focusing on the negative
aspects of “unhealthy” food increase their desire for and consumption
of “unhealthy” foods
Negatively worded food warnings (such as public service
announcements) are unlikely to work—
Nondieters ignore them and dieters do the opposite
Is Weight a Primary Determinant of Health?
Can you be Fit and Fat?
Centered Eating Continuum
Parts that are
Rebellious
Deprivation Sensitive
Bad Food
SELF
Curious
Compassionate
Physically Connected
Hunger Embraced
Pleasurable Eating
Full-filling
Joyful Movement
Parts that are
Critical/ Shaming
Restrictive
Good Food
Total Diet Approach to Healthy Eating
• It is the position of the Academy of Nutrition and Dietetics that the
total diet or overall pattern of food eaten is the most important focus
of healthy eating
• Classification of specific foods as good or bad is overly simplistic and
can foster unhealthy eating
• Focusing on variety, moderation and proportionality in the context of
a healthy lifestyle, rather than on targeting specific nutrients or foods
can help reduce consumer confusion and prevent unnecessary
reliance on supplements
Am I Fat?
Child asks: Am I Fat?
Really asking: Am I good enough?
Will people (peers) like me?
Belief: If I look “right”, then I’ll be accepted and loved
Healing Response
Listen and stay curious
Sit with the child as they struggle and hurt
Solve problems with them, not for them
Child says: I want to lose 10 pounds
Not helpful response:
You don’t need to lose weight
You are just right
Helpful Response
If you could lose 10 pounds, what do you wish would happen?
How would your like differ from what it is now?
Who do you hope would notice your new size and how would that
feel?
Child loses weight and doesn’t comment on it
Not helpful response
You are losing too much weight
You look too thin
You need to eat more
Healing Response
I’ve noticed your weight has decrease
I’m wondering what your thoughts are about that
Strive for a close, communicative adult-child relationship
5 Ways to Promote a Positive Body Image for
Kids
• Check out your own body image issues
• Focus on health…not weight
• Find physical activities that fit
• Watch out for bullies
• Myth-Busting the “perfect body”
Barbie will now come in original, tall, petite
and curvy
Great Food-Great Kids
Tired of fighting the food battle? Here are some tips for
creating great food and great kids
• For good nutrition think in terms of adding, not restricting. Adding more fruit, vegetables and
whole grains is something most of us can benefit from. Don’t be afraid to add a little sugar or fat
to improve flavor and acceptance. Remember a nutritious food left on the plat has no nutritional
value.
• Choose foods that taste good. Adding a sauce or topping can tone down the taste of a strongflavored vegetable
• Think of food as pleasurable and nutritious, not medicine. Nutrition rules can make us too
fearful about health and weight. Balance, variety, and moderation are the keys to healthful
eating.
• Offer a variety of foods. Children and adults prefer food they are familiar with. It takes 10-20
tastes, in as many meals, before they like a new food. Don’t give up, allow time for a new food to
catch on. To help with this, ask your child to at least put the food on her plate, but don’t force her
to eat it until she is ready.
• Don’t cater to children. Plan meals that combine liked and familiar foods with less popular foods,
and make sure that there is at least one food on the table that each person usually eats
Great Food-Great Kids
• Don’t try to get food into your child. Forcing food down out of duty will work for awhile, but not in the long
run. Children in general are more sensitive to tastes and textures than adults are, and some tastes and
textures may make your child gag. Accept your child’s reluctance to eat certain foods – and your own.
• Avoid too much or too little hunger. To eat well and to be willing to learn to like a new food, children (and
adults) need to come to the table hungry but not starved. Plan regular meals and snacks about 2-3 hours
apart but leaving about two hours free from caloric intake (including beverages) before each meal.
• Make eating times pleasant. The most important way to make eating times pleasant is to be there yourself.
Keep your child company, help him get served, make light conversation, and enjoy your meal.
• Let children help with meal preparation. This gets children more familiar with a variety of foods and helps
them learn preparation skills, it also provides you with some help. A child can wash apples, peel bananas,
and spin salad greens. They can empty canned fruit into a serving bowl, separate broccoli florets, and mix
up simple vegetable and fruit recipes.
• Focus on meal planning. A meal needs to have some protein, a starch (like potatoes or rice), a vegetable
and/or fruit, a calcium source (like milk), and some fat. Make a general meal for the week before you shop
so you will have a variety of options on hand. Make it easy on yourself – you don’t have to be a gourmet
cook.
How to provide a healthy sport environment
conducive to positive body image and health
• Ask a registered dietitian nutritionist who specializes in eating disorders to
speak to your athletes about eating to maximize performance
• Banish negative messages your sport environment communicates about
weight/size/appearance and dieting to your athletes
• Emphasize the health risks of low weight. Female athlete triad
• Sports with weight classifications, aesthetic judging or endurance variables
are high-risk for disordered eating
• Pay attention to your own comments and behaviors about size and shape
• Be cautious not to emphasize weight for the purpose of enhancing
performance
• Look for ways of enhancing performance that do not focus on weight