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A Weighty Matter

Ω May 8th, 2013 Ω Tagged , , , , , , Ω 10 Comments

Today, I’d like to talk about a subject I’ve never discussed on THIH: weight. I hesitated writing this post because there’s a lot of sensitivity surrounding the subject. As I wrote in my FAQ, I feel our society has too much of a fixation on weight. For both women AND men, there exist strong external and internal pressures to look a certain way and fit within a narrow definition of “attractiveness”. These pressures may cause some to make unhealthy and/or uninformed choices that can have negative consequences on health.

In the long run, however, pretending the issue doesn’t exist in the world of THIH is perhaps not the smartest. I hope by giving my perspective as a registered dietitian, I can provide a positive example of attainable goals grounded in health.

So, why do I bring up weight now, anyway?

A few weeks ago, I stepped on a scale for the first time since early last fall. I’d been feeling a bit more tired than usual, despite getting plenty of sleep (most of the time). Knowing this, I was only half-surprised to find I weigh about five pounds above my comfortable upper limit. I checked several times over the next week to make sure, as weight can fluctuate by several pounds over the course of a few days (or even over the course of a single day) depending on what you ate and how much water you retain. Sure enough, the weight gain remained (now that is a beautiful three-word rhyme, if I say so myself).

A little background: With one exception, I’ve been within the same ten-pound weight range since I was 14 (the age I reached my full height – let’s hear it for short-to-averaged-height people!). I won’t mention what the weight range is because (a) it’s not important; rather, what’s important is I know it’s a comfortable, healthy and long-term maintainable weight range for me, and (b) I’ve mentioned my height elsewhere on this website, and I don’t want anyone to think any particular number represents an “ideal” weight for everyone of that height. I’ve received emails on this subject that make me a little sad.

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My first reaction to this unexpected weight gain was to berate myself for not checking my weight more often, but then I pressed the STOP button and took a step back (take that, EASY button). I have the benefit of being a registered dietitian who encounters situations like this every day. Sometimes all it takes is a small shift in focus to help us tackle a problem with a rational mind. I also believe in the power of example. The more positive, self-empowering examples of healthy living there are out there, the better for us as a whole.

So, instead of freaking out or beating myself up over a small weight gain (both unproductive reactions of which I’ve seen), I thought I’d use this opportunity to share a little about how I approach weight loss. In other words, if I was my own client, what would I tell myself?

First of all, this type of weight gain is very common: five pounds here, five pounds there, until one day the scale reads much higher than expected. This type of weight gain is not inevitable. Regular weight checks and small adjustments over time are enough to hold it off. Even if you’ve gained more than a few pounds here and there, don’t despair. Despite how it feels, the weight gain need not be permanent.

Trust me.

Trust me.

You may ask: why can’t I be happy at the weight I am?

My answer: I would be happy at this weight – if it was the weight I had been at when I was 18 and the weight at which I felt the most healthy. It is not. Evidence suggests weight gain after age 18 can raise your risk for diseases such as breast cancer, prostate cancer and risk of heart disease and type 2 diabetes. I’m not a fan of those odds. If you recall, I also said I felt more tired than usual lately.

The next point is so important, I’ll put it in bold: I’d like to return to my comfortable weight range not because of appearance, but because of my current and future health. I am happy with my appearance. I want to feel better and live healthy.

So, what’s the plan?

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My approach is simple: look for patterns in my diet that offer areas of adjustment. As with example, I also believe in the power of food journaling to help spot areas of improvement. By writing down everything I eat and drink, including amounts, time of day when eaten, where eaten, physical comfort afterward and more, I can look for anything from a too-light breakfast to a potential food intolerance.

I already eat nutritionally-balanced meals with appropriate portions (the Update Your Plate series can attest to that). What could I possibly change?

As it so happens, I already have a mini-food diary-of-sorts in Monday Munchies, the post series where I record everything I eat and drink (other than water) in pictures. A funny thing happened when I compared my Monday Munchy days to regular days: I found out I eat differently on days I record an MM. For example, I might be preparing dinner on a Monday Munchy day and want to try this and that as I’m cooking, but then I’d have to drag a camera out and that’s SUCH a pain so why don’t I skip it now because I’m a decent cook and don’t need to taste this besides I’m having dinner in fifteen minutes?

(Apparently, living inside my brain means being in the midst of a run-on sentence.)

Bonnie is totally not judging me.

Bonnie is totally not judging me.

Something similar happens after dinner. I’ll look for something sweet because I’m in the habit of it, when I really don’t need it. On MM days, I’ll sometimes record a dessert, but more often I won’t because again, that camera is heavy. And I’m always leaving the camera in places where I have to spend fifteen minutes looking for it (Peter can attest to this). The act of taking pictures of everything I eat was enough to make me hesitate before reaching for something. It also helped me realize I used to eat more like I do on MM days than recent regular days.

Now, I’m not going to start taking pictures of everything I eat. Recording everything you eat forever is not the point of food journaling. Rather, I’ve spotted a pattern about which I can do something. The next step is to make diet and/or exercise adjustments I can live with long-term. By the way, identifying patterns and brainstorming ways to adjust them is the perfect task to work on as a team with a registered dietitian. JUST SAYING.

My SMART Plan, to begin immediately:
(1) On weekdays, I will check myself before and after dinner to think about whether I really need what I’m reaching for. I can even think about my camera, if that helps. Sometimes the act of checking yourself is enough to help develop a sense of mindfulness about eating. This goal doesn’t mean I’ll never have a weekday dessert or after-dinner snack; it means I’ll make sure I need one rather than want one.
(2) Three times per week, I will run for at least 30 minutes (I don’t identify particular days, as my schedule fluctuates so much). Exercise is an important part of any weight-loss plan, and I include it when the client is receptive, able and doesn’t have too many goals already. I tend to exercise less in the winter (something I can work on for next year), so just the act of getting out there and running will help me achieve my goal.
(3) I will weigh myself once per week, at the same time each day. I choose Monday morning before breakfast.

There are strategies I can use to make each of these tasks easier, such as leaving out running gear the day before so that I see it immediately when I wake up, or setting an alarm for weighing. These changes are relatively small. Sometimes a client wishes to lose a larger amount of weight, or has a much larger goal health-wise; I would still set small goals like this because smaller steps are easier to follow than large, unattainable steps. Bite-sized goals, dear reader.

One final note: Like weight gain, weight loss is slow. I anticipate it will take at least 2.5 to 3 months to reenter my comfortable weight range – and I’m 100% fine with that. Slow weight loss = lasting results!

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Whew!  That was not easy, so thanks for reading! I’ll report back. In the meantime, enjoy the rest of your week!

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Eating Real Food: Shrimp Scampi

Ω November 3rd, 2011 Ω Tagged , , , , , , , , , Ω 25 Comments

Note: A slightly-modified version of this post is also a guest post on guest post on Lazaro Cooks! … what can I say? I’m busy, swamped, ready to sell my favorite blender for a slow-paced afternoon – whatever you dear readers call having no free time nowadays. Gotta milk whatever I write, right? Thanks for having me as a guest poster on your admirable blog, Lazaro!

As many of you know, I became a registered dietitian last July and couldn’t be more excited to be a part of the nutrition profession. Upon introducing myself to others as a registered dietitian, people will typically ask me some version of the same question. What do you think that question is? Is it:

(a) “By golly, Jessie, how do you stand eating rabbit food all day long?”
(b) “What’s a registered dietitian? (Or, even better: “What’s a registered dianitian?” )
(c) “Will you avert your gaze from the fried chicken I am cradling in my hand?”
(d) “How should I eat?”

Okay, I need to confess: I’ve been asked versions of ALL these questions; however, what’s the question I’ve been asked the most? If you answered (d), a high-five and hearty pat on the back for you!

So, what’s my answer? A short version: eat real food. By real food, I mean unprocessed, perishable foods composing a diet that consists mostly of vegetables, fruits, lean protein, whole grains, and a small amount of healthy fats. Notice I said “perishable” – some packaged foods will have the word “fresh” emblazoned on the front, but you aren’t fooled, right? And, notice I said “mostly” – I subscribe to the “always, sometimes” diet.

…”Ah, ha!” you say, “This girl, RD is passing off Michael Pollan‘s words as her own!” True, Michael Pollan’s “Eat Food” mantra brought the current fixation with packaged and processed foods over fresh and unprocessed foods to public prominence. Yet, people have been thinking about – and, even better, unconsciously choosing – real foods for time immemorial. We have reached an age where people must turn to experts for guidance on how to eat. Strange, yes? I will do my part, of course, but I mourn the loss of unconsciously healthy food choices.

Luckily, we dietitians have people like Lazaro helping to spread the word! Think of Lazaro as my RD sidekick, if you will. His commitment to using fresh, sustainable ingredients in creative ways is part of a trend that I am thrilled to see across the blog world and into the real world.  With a little work, I believe we can return to making healthier food choices without a second thought.  The choice is OURS.

What can a hungry health- and eco-concious cook do right now? Why, make dishes like “I Choose YOU! Shrimp Scampi“, of course!

Unfortunately, most shrimp consumed in the U.S. are imported from other countries where regulations concerning production are poorly controlled. I don’t know about you, but I don’t want eat contaminated shrimp if I can help it. I choose U.S.-caught shrimp whenever possible – yes, domestic shrimp often is more expensive than imported shrimp, but I have made a conscious choice to enjoy foods that are better for my health and for the environment. For a good guide on ocean-friendly seafood, check out this link.

Shrimp Scampi
Serves 2

Ingredients:
8 oz. shrimp, domestic if possible
1/2 cup flour
1/2 tsp smoked paprika (optional)
2 cloves garlic, minced
2 Tbsp olive oil
1 Tbsp butter (omit if desired)
Red pepper flakes
Lemon
Fresh parsley
Whole wheat pasta or brown rice, cooked

Cook pasta or rice and arrange on warm plates. Defrost shrimp if necessary and make sure shrimp are very dry. Place flour on large plate and mix in smoked paprika if desired (I add the paprika when I want to give the shrimp a little kick). Lightly dredge shrimp in flour and place on another plate.

Place a frying pan over high heat until very hot. Add oil and butter and allow butter to melt. Add shrimp immediately and cook for 4-5 minutes, turning once halfway through. Don’t overcook! Remove shrimp to the plates with pasta or rice and set aside.

Add a little more oil to the frying pan if necessary and place over medium heat. Add garlic and stir for no more than 30 seconds. Drizzle garlic/oil mixture over shrimp and pasta/rice, sprinkle with red pepper flakes and torn fresh parsley. Squeeze lemon over all if desired.

Serve immediately and enjoy! I often eat this dish with grilled summer squash or sautéed Swiss chard.

To all you dear readers: keep it real! Peace.

Q: What’s your food philosophy?

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