Archive for June, 2010

Why Do We Stress Eat!

Sunday, June 20th, 2010

A confrontation with co-workers, disagreements with your children, partner or parents or a seemingly unexplainable traffic jam can all cause your stress level to sky rocket. Most of us know what to eat. And even though we are often bombarded with “weight loss programs” we continue to gain weight as a society at least in part due to stress eating.  

Of course there are are some people who eat significantly less when they are stressed out. Certain people can’t eat or drink anything when their stress levels rise. But most people I counsel often eat to “stuff down emotions”. They know that it’s not healthy. It’s not a desired behavior. But it is very difficult to control.

So if we are not hungry why do we “stress” eat?

We are social eaters

Even with the recent significant dip in the US economy, we still go out to eat often (or bring in “take out food”) and bond over food. Just turn on a TV soap opera or sappy movie and you’ll see a few friends sitting around digging into a gallon of ice cream or eating pre-cooked cake mix out of a bowl. Between dining out often (without regard for healthy choices) and crying together while sharing a can of frosting, a  social get-together can lead to consuming more calories than controlled eating at your kitchen table.

Hormones

If you are very stressed out, you probably have an increased level of “cortisol” which is a stress hormone. The more stress you have (and lack of adequate sleep), the higher your cortisol level. Cortisol can cause an increase in “belly fat”, which in turn can increase insulin resistance and could result in an increased risk of developing problems like type 2 diabetes. Some reports even indicate that once cortisol levels are increased, so are cravings for salty and sweet foods.

Boredom

Downtime is something we all need. But sometimes we don’t know what to do when we have five minutes of time to ourselves. Rather than doing something “positive” (like exercising, which would also increase “endorphins”, a feel good hormone), we simply eat. Think about the things you eat when you’re bored. Usually we go for a less healthy choice like a cookie or chip rather than a carrot or apple.

Eating In Our Younger Years

When you did well on a report card, participated in a band concert or received a track ribbon your parents probably rewarded you with ice cream! Visiting your grandparents or a favorite aunt often revolved around the powerful aromas of sauces simmering or crumb cake baking. These positive food memories can translate into a way to control stress when we get older. So if you associate Aunt Betty’s home baked Lasagna with fond memories, you might crave it when you need some comfort. If you associate chocolate ice cream with sprinkles with being comforted for a scraped knee, you might desire that calorie rich creamy treat after a challenging day at work or school.

Avoiding Emotions

Sometimes we eat rather than dealing with our emotions. Rather than confronting a problem, we eat. For a moment, we feel a little better. Food can be an inexpensive easily accessible drug. When a cup cake is stuffed down your throat, you are pushing down your emotions. The result is often weight gain, which will compound the original problem, but certainly won’t solve it.

My advice is to become aware of what causes you to “stress” eat. There is no easy way to stop eating due to stress, however it is very important to realize that it might be an issue in your life. Future articles will focus on the importance of exercise, maintaining a food journal, and good nutrition in the battle against stress eating. Please send along your comments on how you deal with eating and the stress in your busy life!

Fabulous Fiber For Fitness!

Sunday, June 13th, 2010

Long gone are the days that we feared the taste of high fiber foods! Foods rich in fiber are delicious and provide important health benefits.  Fiber can help us feel fuller longer and therefore help us with weight control! Fiber can reduce the risk of developing type 2 diabetes and heart disease. Since fiber can increase the size of your stool  (fiber helps produce a bulkier stool) it can also prevent or relieve constipation. Fiber is also linked to colon and breast cancer prevention.

We do not have the ability to completely digest fiber. Simply put, our bodies don’t produce the digestive enzymes that break down fiber. Insoluble fiber is the type that can help ward off constipation by increasing the bulk of stool. It may also help control blood sugar.  This type of fiber is found in wheat, corn, nuts, green beans and dark green leafy vegetables.

Soluble Fiber can help lower blood cholesterol and blood sugar. It regulates blood sugar by signaling the liver to stop making  glucose. Additionally, soluble fiber can improve insulin sensitivity. Soluble fiber lowers “bad cholesterol” or LDL (low density lipoprotein) levels which is great news for heart health.  Soluble fiber is found in barley, oats, psyllium, beans, apples, citrus fruits, carrots, flaxseed and oat bran.

Trying to lose weight? A high fiber diet makes you feel fuler longer so you tend to eat less. Also many high fiber foods take a long time to chew, which will help with portion control.

According to the American Dietetic Association, the average American eats about 14-15 grams of fiber per day, while the American Heart Association recommends we eat 25-30 grams per day! It’s important to increase your fiber consumption slowly to help prevent excessive gas build up and stomach upset. Without water, fiber will cause severe stomach discomfort. So as you increase your fiber intake, make sure you drink an adequate amount of water (at least 6- 8 glasses per day).

Here’s a look at some high fiber foods. As you can see, fiber is only found in plant based foods.  (The data below is from the USDA National Nutrient Database):

If you are suffering from inflammatory bowel disease or another digestive disorder which might limit your ability to eat high fiber foods, please consult your doctor before altering your nutritional care plan. I usually recommend getting most of your fiber through food sources. Foods rich in fiber are generally high in vitamins as well (and fairly low in calories). Consult your physician if you feel you  might benefit from a fiber supplement. Learn to read food labels to make sure you are working towards your fiber goals.  Make fiber part of your healthy diet today!

What’s On the Menu For Inflammatory Bowel Disease?

Wednesday, June 2nd, 2010

silverwareIf you suffer from Crohn’s Disease or Ulcerative Colitis, you’ve undoubtedly tried a number of remedies to help alleviate the symptoms. My clients often share their frustration about having to limit their daily schedules because of the severe consequences associated with IBD. Inflammatory Bowel Disease (or IBD) is literally an inflammation of the intestines, accompanied by bouts of diarrhea, stomach cramping and occasionally extreme weight loss.

Let’s consider some useful nutritional suggestions to help manage IBD. Although it can feel as if everyday is a challenge, I’d like to help you improve your overall nutritional health. Some of my suggestions vary based on your current state of IBD control! For instance, if you are in the midst of an IBD flare up (or crisis), it’s important to follow a “low residue” diet (also limited in fiber). Low residue and low fiber are not exactly the same thing. However, during an acute bout of pain and inflammation, we don’t want to do anything that would further irritate or inflame the intestines. That means eating softer and easily tolerated foods.

If your physician recommends following a low residue/low fiber diet during periods of extreme discomfort, try to avoid high fiber foods (no more than 10 grams of fiber per day). Avoid foods such as  whole grains and fresh fruits and vegetables as well as nuts and seeds.I  know, it sounds like the opposite of what we usually preach for good health! I also recommend cutting back on dairy products and caffeine, as those foods can stimulate bowel movements.  But remember, this is a temporary diet that should be followed during a  painful flare-up.  Cook high protein foods such as fish, poultry and eggs well (so that they are soft), puree most vegetables (avoiding broccoli, cauliflower and cabbage). Try applesauce and unsweetened canned fruits. Soft pasta might also be well tolerated. Sometimes nutritional supplement drinks (in a very elemental form) can be suggested by your physician (if you feel you can’t tolerate whole foods).  Sugar free foods that contain sugar alcohols (such as sorbitol) can be very hard to digest and should be avoided (as they can cause diarrhea). It is also important to limit large amounts of foods such as fat which could make your symptoms more severe. It’s also important to limit alcohol.

Even during those times when you are experiencing a flare-up, you must try to stay well hydrated and well nourished. I recommend eating 5-6 small meals per day, at all times with IBD. Eating smaller meals (higher in lean well cooked protein) can help you recover faster and feel stronger. Drink lots of water. This will also help prevent severe constipation. When you have IBD, bowel habits can range from diarrhea to constipation (over a short period of time). Water should be an important part of your daily regime.

When your IBD is under control, ask your physician and registered dietitian about increasing the fiber content of your diet. Many studies have proven that higher fiber diets can help reduce the risk of digestive and bowel diseases. The American Dietetic Association recommends a daily fiber intake of 25-30 grams per day for the average adult. However if you have IBD and have been following a lower fiber diet, you must increase your fiber intake very slowly (and only with the permission of your doctor)! Foods which contain high amounts of fiber include: whole grains, fresh fruits and vegetables, nuts and beans.

Treating and managing IBD requires individual assessment and treatment.  In addition to nutritional management and medications, exercise and stress management can be very helpful.  Please check out my previous post “Inflammatory Bowel Disease: More Than Just An Upset Stomach” for more information on IBD. Also check out CROHN’S & COLITIS FOUNDATION OF AMERICA for more support and information. Stay tuned for more information about eating well with IBD!