Archive for December, 2009

Why Diets Don’t Work

“Lose 20 pounds in less than two weeks!” “Join our program and never be hungry again!” These types of advertisements are all too familiar in today’s culture.  With society’s strong emphasis on being thin, it’s no wonder that lofty claims from diet programs, plans and pills have such strong appeal. But do they really work?  It depends on what you mean by “work”.  If you ask in terms of whether they work to make money and profits for the diet industry – well, then the answer is yes.  In fact, the diet industry generates over $40 billion dollars for itself each year but not because their products work, because they don’t.  Consider how many people you know who have dieted once and never dieted again?  Most likely, none.

There is resounding evidence that says diets don’t work.  Dieting is typically temporary – a means to an end – and therefore not a healthful long term approach to improving health, managing weight or sustaining a balanced relationship with food.  The restriction encouraged by diets can lead to extreme hunger, deprivation, overeating, loss of the body’s natural hunger and fullness cues, and weight gain.  In fact, the irony of diets is that the cycle of yo-yo dieting and chronic weight fluctuations can result in health problems and weight re-gain, potentially above one’s pre-diet weight.  For the diet industry this ensures that they keep making money, because customers go back time and time again.  Research shows:

  • 95-98% of dieters regain their lost weight within 1-5 years

  • Over half of them end up gaining back more than they lost

  • Moderate dieters are 5x more likely to develop eating disorders than those who don’t diet.  Severe dieters are 18x more likely to develop an eating disorder.

Beyond the physical effects, diets don’t address underlying issues, such as our relationship with food, and, in many ways, diets increase stress in an already stressful relationship with eating and food.  Diets also place value judgments on specific foods (or entire food groups!) and create various food rules which can quickly become obsessions or lead to eating disorders.  These rules and thoughts can also exacerbate concerns about body image and size acceptance.  Furthermore, when a diet doesn’t “work”, individuals tend to blame themselves and feel as though they failed – this can lead to depression and lower self-esteem.

Unfortunately, dieting is not only accepted in our culture, it has become a pervasive social norm – almost a rite of passage that we are expected to take part in.   In fact, a recent study in London, found that dieting behavior in mothers can negatively impact their daughter’s own body image and increases the daughter’s chances of developing an eating disorder.  Moving beyond a dieting mentality takes practice, and often professional guidance. Learning benefits of a diet free lifestyle can improve one’s relationship with food, enhance acceptance of body shape and weight, and provide healthier thought patterns. These types of changes are much more likely to be sustainable and long term, therefore providing a balanced and healthy lifestyle, instead of a temporary non-solution.

At The Center for Eating Disorders, we have a full staff of licensed dietitians who work with patients to restore balance and health to their meals.  Meeting with a dietitian can be a helpful and effective way to learn accurate information about food and begin to move away from the dieting mentality.  If you have questions about treatment for an eating disorder, including nutrition therapy with a registered dietitian, please call (410) 938-5252.

Written and contributed by Samantha Lewandowski, MS, RD, LDN
Nutritional Care Coordinator of Outpatient Services, CED

photo courtesy of: www.nedic.ca

Parties and Presents and Resolutions, Oh My!

The end of a calendar year brings with it endless conversations of new year’s resolutions.  Setting these notoriously lofty goals is often an attempt to pull oneself out of the seasonal funk that can settle in with shorter days, colder weather and a barrage of holiday stressors.  When people make resolutions, it is often with the intent to completely overhaul their life.  They look to make a sweeping change that will fix all that is wrong, and get them back on the “right track”.  Unfortunately, this particular type of goal setting usually backfires – as evidenced by the fact that most people end up making the same exact resolutions year after year.  

New year’s resolutions also send a message that today doesn’t count – it gives us permission to stay unhappy or unhealthy ”just a little bit longer” until January 1st rolls around. This could mean different things for different people depending on whether you are working towards recovery from an eating disorder, still struggle with chronic yo-yo dieting or are trying to quit smoking.  So, how do you pull yourself out of the winter blues without jumping on the resolution bandwagon?  Here are a few ideas to get you started…

1.  Don’t wait.  Start making small adjustments today that have nothing to do with food, eating, or your weight. Creating small but positive disruptions in your daily routine can help you stay grounded and may even help to break a cycle of negative thoughts or eating disorder symptoms that are associated with certain places or a time of day.

  • Try taking a different route to work or school.  This small change could open up new possibilities, even if its just observing the new scenery or discovering a park along the way that you never knew existed!  Who knows, you may even find out that your new detour involves less traffic or fewer lights.
  • Do some interior designing.  Consider rearranging some furniture or updating a picture wall inside your house or apartment.  Visible changes such as these can offer a sense of renewal without the obligation or pressure.
  • These are just a few examples…you can come up with your own ideas for “minor adjustments” and share them on our Facebook page.

2. Setting goals is a great thing but not if the goal is unrealistic, unhealthy, too vague, or involves intense pressure to succeed.  All of these charactersistics can make it very difficult to follow through with a resolution.  Instead, focus on taking small, concrete steps forward in the direction of balanced living.    

  • If you tend to make resolutions that are unrealistic and unhealthy…“I have to get myself to the gym.  I’m going to purchase a membership and force myself to go everyday, no matter what.”
    • Try this instead: “I will commit to going to one or two community yoga classes by the end of the month and work on developing a positive and supportive relationship with my body.”
  • If you tend to make resolutions that are vague and counterproductive… “I need to lose weight by the summer so I’m really going to stick to my diet this year!”
    • Try this instead: “I give myself permission to stop dieting and to trust my body. If I need the help of a professional nutritionist to do this, I will seek one out.”
  • If you tend to make resolutions that leave no room for error and put a lot of pressure on you to succeed…“As of January 1st, I am never going to act on my eating disorder symptoms again.”
    • Try this instead: “Before the week is over, I will call and schedule an appointment to begin seeing a therapist.” This is an example of a small but very meaningful task that can result in long-term change.  If you already see a therapist, consider this instead: “In the next week, I will use at least one new support or coping skill that I’ve never tried before.”  Examples include: attending a support group, journaling, or enrolling in art therapy.

3. Now that you’ve resolved NOT to make a resolution, how are you going to cope with everybody else who feels inclined to talk about resolutions, weight loss and diets all of the time? 

  •  Be the bearer of accurate news.  When your friends start discussing the new diet they will begin on January 1st, inform them about why diets don’t work.  If you’re not sure why, stay tuned for our upcoming blog that will convince you once and for all that dieting is NOT the way to go.
  • Try out the “shock and awe” technique. As others start to bemoan their hips and curse their thighs while resolving to change their bodies in the new year, employ the element of surprise – say something  NICE about yourself and your body. Body bashing has become such an accepted form of conversation (especially around the holidays) that when someone (You!) is able to reflect positively on their own body, people are seriously caught off guard and may think twice about their own statements.  Try one of the comments below or come up with a few of your own!
    • “I am so grateful for all of the things my body allows me to accomplish.” 
    • “I’m much more concerned about feeling strong and healthy than I am about fitting into a particular size.”
    • Even if you are not at a point in your life, or in recovery, where you actually believe these statements, say them anyway!  Saying them out loud helps move you in the right direction toward real change.  You will not only have helped yourself, but you will steer the conversation away from a negative place and become a role model for positive body image.  This is particularly important if children and adolescents are within earshot of the conversation.

Here’s to a happy and balanced end of 2009 and continued hopefulness in 2010! 

If you have any questions about eating disorders, please call our admissions coordinators at (410) 938-5252 to speak confidentially about your concerns and treatment options.  Additionally, you can visit our website at  www.eatingdisorder.org for more information, including an interactive on-line quiz that can help determine whether you, or someone you care about, might have an eating disorder that requires professional treatment.   

Photo courtesy of grandhoteloceancity.com

Time for BODY POLICY in the UK?

   ”Media images that depict ultra-thin, digitally altered women models are linked to body dissatisfaction and unhealthy eating in girls and women, and there is also recent evidence of the detrimental effects of unrealistically sized dolls and toys which present role models to children… as well as the impact of muscular media models on boys and men.”   - excerpted from, The Impact of Media Images on Body Image and Behaviours: A Summary of the Scientific Evidence

While research has repeatedly shown the negative impact of media images on the perception of our own bodies, to date, little has been done to counteract these falsified images. In a move that is the first of its kind, the United Kingdom’s Liberal Democrat party is attempting to regulate these harmful marketing tactics with newly proposed public policies.  Recently, they requested a compilation of scientific research to indicate whether or not people were really negatively impacted by looking at airbrushed-to-perfection pictures in the media. In response to the request, scholars and researchers from around the world came together and created a consensus on how idealized images in the media impact the way individuals feel about their bodies and how those feelings translate into behaviors.

The international group of scientists and researchers provided an overwhelming amount of data supporting the relationship between exposure to idealized images and increased body image dissatisfaction. Their final report, The Impact of Media Images on Body Image and Behaviours: A Summary of the Scientific Evidence, discusses the effects of media images and outlines five proposed policies that could help to empower and protect individuals from the cultural obsession with thinness and perfection.  The research clearly shows that looking at images which have been unrealistically and excessively airbrushed can lead to poor personal body image and low self-esteem, both of which can lead to many physical and mental health problems.  Most notably, these problems include disordered eating and eating disorders, anxiety and depression, and even sexual dissatisfaction.  Using data from over 100 studies, researchers linked idealized media images to the increasing numbers of people with negative or distorted body image. In their paper, they concluded that, while these images do not have a universal impact, they do have a negative effect on the majority of those who see them.

The effects of media exposure begin very early in life and have been documented in girls as young as five and a half years old.  Furthermore, the images were found to have the greatest impact on some of the most vulnerable populations, including 1) adolescents, 2) those who are of a different body weight or shape than the ones being depicted, and 3) those who have internalized the cultural body ideals presented for men and women. The research goes on to suggest that the images have an “immediate and cumulative impact”, meaning that a negative self-evaluation occurs immediately following the viewing of such images, and with continued and repeated exposure, self-evaluation continues to decline and/or be distorted.  The paper points out that, although most people are aware that images they see have been retouched, many do NOT know just how extensive the airbrushing and “revisions” actually are.   

The collection of this information led the research team to the question, what will be effective in changing these negative outcomes? While media literacy education has been shown to have a beneficial impact, the real long-term solution is the changing of the images themselves. The researchers recommend that, instead of using distorted, caricatured versions of people, that real people and real images be used. In addition, they developed these five policies to target the areas in most desperate need of change.  

  • Policy 1. No digitally altered models in advertising aimed at under 16s
  • Policy 2. Clear labeling of digitally altered models in all other advertising.
  • Policy 3. Models used in Fashion Weeks to have a health certificate from an eating disorder specialist, in order to protect their health and well-being.
  • Policy 4. Encouragement for use of diverse and healthy body sizes in all media models.
  • Policy 5. Media literary programmes about ‘perfected’ models as part of school curricula to encourage critical awareness and resilience in children and adolescents.

The hope is, that by including pictures of real people and identifying when digital retouching is used, everyone can become more informed, and therefore, more realistic in their assessment of  media images. While there is much debate about whether or not these policies will actually have an impact on body image and eating behavior, it is important to note that the relationship between policy and individual change is cyclical.  As more individuals become aware of a problem, there is a greater push for policy change, and as more policies are implemented, they impact even more people, leading to greater awareness and more effective, long-term change.  If approved in the United Kingdom, these changes could positively impact an entire generation of girls, boys, men and women and, perhaps, the United States will consider following suit.  

On the home front, Darryl Roberts, Director of the documentary “America The Beautiful”, is spearheading a drive to challenge advertisers and media in a different way.  He is currently leading a campaign to boycott Ralph Lauren until the company apologizes for it’s photoshopped ads and makes a personal commitment, (without being mandated by law), to stop using such drastic levels of photo manipulation to sell products.  If you support this idea, you can join the campaign by becoming a fan of the  ATB Action Network on Facebook.   

photo courtesy of  www.photos.igougo.com