a holistic approach to health and nutrition honors size diversity eating in a flexible,...
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Qualities of Self Calmn Compassion Clarity Confidence Courage Creativity Connectedness EmbodiedTRANSCRIPT
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A Holistic Approach to Health and Nutrition
Honors size diversityEating in a flexible, physically-connected manner
Appreciates the joy of being physically activePrevents eating disorders
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Ram Dass We work on ourselves in order to help others,
and we help others as a vehicle for working on ourselves
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Qualities of SelfCalmn
CompassionClarity
ConfidenceCourage
CreativityConnectedness
Embodied
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Holistic Health and NutritionMore 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
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Traditional Health Promotion ModelFocus 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
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Risk Factors and Risk BehaviorsBody Weight (BMI) Percent Body FatWaist to Hip Ratio Body Strength Blood Pressure Cardiovascular FitnessSmoking FlexibilityCholesterol Dietary fat, sugarHDL/LDL salt, fiberBlood GlucoseTriglycerides
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Traditional Health PromotionPrimary Assumption - People are Bad: Left to their own divices people will naturally gravitate toward “unhealthy” behaviorsProfessional Role – Expert:Primary job is to police behaviors and prescribe changes to save people from themselvesChange Process- Controlling BehaviorBehavior change techniques are used to suppress or eliminate targeted behaviors
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Holistic Health PromotionFocus-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
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Holistic Health PromotionPrimary 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
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The Tip of the Iceberg Diabetes, Cancer, Hypertension, AIDS,Heart Disease, Stroke, Infectious Diseases
Behavioral CopingSmoking, Drinking, Drugs, Overeating, Chronic Dieting
Overworking, Sedentary Lifestyle, GamblingExercise Addiction, Sex Addiction, Compulsive Shopping
SufferingAnxiety, Anger, Fear, Depression, Hopelessness
Root Causes of BehaviorPoverty, Abuse, Violence, Isolation, Social Oppression
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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
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Eating Behavior Continuum Decreased attention to body cues Increased amount of time spent thinking about food and weight
NormalBalanced
Weight Regulation
NormalVoluntary
Weight Reduction
MidrangeEating
Disorders
SevereEating
Disorders
Internal
food regulation
Weight genetically determined
Some
external eating,weight control
External weight regulation
Increasing
external eating,weight control
External
food regulation
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Simply being called ‘fat’ makes young girls more likely to become obeseGirls 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
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Binge-Purge Pattern On-A-Diet
Anxiety Reactions:Shame PhysicalPhysical Discomfort Psychological
Off-A-Diet
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Messages from the Food PoliceFood-Related Warnings Backfire among DietersDieters, 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
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Is Weight a Primary Determinant of Health?
Can you be Fit and Fat?
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Centered Eating ContinuumParts that are SELF Parts that areRebellious Curious Critical/ ShamingDeprivation Sensitive Compassionate Restrictive
Physically Connected Bad Food Hunger Embraced Good Food Pleasurable Eating
Full-fillingJoyful Movement
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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
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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
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Healing ResponseListen and stay curiousSit with the child as they struggle and hurtSolve problems with them, not for them
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Child says: I want to lose 10 pounds
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Not helpful response:You don’t need to lose weightYou are just right
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Helpful ResponseIf 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?
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Child loses weight and doesn’t comment on it
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Not helpful responseYou are losing too much weightYou look too thinYou need to eat more
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Healing ResponseI’ve noticed your weight has decreaseI’m wondering what your thoughts are about thatStrive for a close, communicative adult-child relationship
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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”
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Barbie will now come in original, tall, petite and curvy
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Great Food-Great KidsTired 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 strong-flavored 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
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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.
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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