From the monthly archives:

January 2013

The pros and cons of weight loss reality shows, such as NBC’s The Biggest Loser, was the topic of my most recent post for WebMD’s blog Real Life Nutrition.  Hope you’ll check it out.

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Are you a fan of the show?  It certainly has its fans and distractors.  No doubt, The Biggest Loser pulls in the ratings, yet each episode sparks a flurry of online discussions — from tweets to blog posts — with each side passionately making their case on why the show is good or bad, inspiring or insulting.  One vocal critic as been physician Yoni Freedhoff, who has sounded off against The Biggest Loser’s approach on his blog Weighty Matters and on U.S. News, including this post  When Science Met The Biggest Loser.

The critics , including Dr. Freedhoff, have come out swinging even harder against the episodes featuring children.  Even though there’s a pediatrician working with the show, other pediatricians have expressed concerns about the humiliation and potential long-term harm inflicted on the young participants.

So what do you think, are these shows good or bad? I looked at what some recent studies have found and talked to a few experts to get their perspective of weight loss reality shows.

First, I think it’s an extremely good thing that a registered dietitian consults with The Biggest Loser. Cheryl Forberg has worked with the show from the beginning — providing behind-the-scenes nutrition consultation with each of the contestants.  She evaluates their food journals, monitors the nutritional adequacy of their diets, and is an on-going nutrition coach via weekly conference calls. Forberg thinks the biggest benefit of the show is inspiration. She hears from a lot from people who say: “If they can do, then so can I.” There’s always a lot of emotion expressed on the show, and the stories can be inspiring to others.  It also promotes the concept of accountability.  If you have a workout buddy, for instance, you’ll be more likely to stick with a new exercise routine. A friendly competition, or some type of incentive, has been shown to help people follow through on a commitment and reach a goal. Plus, there’s growing evidence that healthy habits are contagious.  So if you’re in a social network – whether online, at work, or in your own neighborhood – you may be more likely to adopt positive behaviors if others around you are doing the same.

The Biggest Loser has its own fan club, with lots of supporters, and there’s been a slew of best-selling books, DVDs and other products based on the show.  But there are also vocal critics of weight loss reality shows like The Biggest Loser, including nutrition researcher and advocate Linda Bacon, who thinks they humiliate the participants.

“I can’t find anything ‘pro’ or positive about shows built on shaming and self-hate,” said Bacon, who is the author of Health at Every Size: The Surprising Truth About Your Weight.  “The damage to the participants seems pretty obvious. For viewers, rather than inspiring people to care for themselves, weight-loss shows are more likely to inspire discomfort and fear: Even thin people can fear being judged by the harsh standards of reality TV.”

Boston-based registered dietitian Nancy Clark agrees.

“The messages in The Biggest Loser are all about deprivation, denial, starvation and punishment. Eating is viewed as cheating and food is  the fattening enemy,” said Clark, who is the author of Nancy’s Clarks Sports Nutrition Guidebook. Clark is especially troubled by how the show depicts exercise, which is akin to “torture,” she said

One recent study in the American Journal of Health Behavior suggests this type of intimidating, punishing approach to exercise could backfire. After viewing episodes ofThe Biggest Loser, participants in the study were less motivated to exercise because they anticipated it would be an unpleasant experience.

Clark told me

“The E in exercise should also stand for enjoyment. When exercise feels like punishment for having undesirable body fat, the day will come when that dieter no longer feels like whipping his or her body into shape and instead reverts to lazing on the couch. The Biggest Losers lose-out in the long run, because extreme diets (either on TV or in your life) teach nothing about sustainable eating and exercise practices that can be enjoyably maintained for the rest of one’s life.”

That brings me to another common complaint about The Biggest Loser, which is the lack of relevance to real-world situations.  The contestants move out of their homes and onto a “ranch” where their only focus is on losing weight.  Even Forberg admits that this set-up is unique because this is their full-time job.  It would be a mistake to expect the same results at home, she said.
Sports nutritionist Nancy Clark thinks the lack of reality in the weight loss reality shows is a major downfall.

“What happens in the long run, when the Biggest Losers return to the real world with no personal trainer to snap the whip, with no pre-made, pre-portioned food, and no ‘fat camp’ dedicated to full time weight loss?  Inevitably, without rigid vigilance, the weight will return with a vengeance. The physiological response to starvation is to overcompensate, commonly known as “binge eating” or “blowing the diet.” This desire to over-eat has little to do with willpower and lots to do with physiology. Just as a person gasps for air if oxygen has been withheld, the same person will grab for carbs if food has been withheld.”

Withholding food may also slow down your metabolism, which will make it even harder to maintain the weight loss.  That’s what Darcy Johannsen and colleagues found after studying 16 participants of The Biggest Loser. Published in the Journal of Clinical Endocrinology and Metabolism, the study found that some of individuals who lost weight had their metabolisms slowed by more than 500 calories – which is basically a meal’s worth of calories that they  no longer burn as a result of severely restricting calories on the show.

So what is your opinion of weight loss reality shows?  Do the benefits outweigh any potential harm?  Maybe these shows are far from reality, but do they inspire and motivate?  Are they getting people off the couch? Maybe the participants can’t maintain this extreme routine once they get home, but my hope is that they’re learning new habits. That’s the only way to sustain a healthier lifestyle.

image courtesy of DivaonaDiet on flickr

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Easing into Exercise

by Janet on January 21, 2013

No judgment.

Those were the words I heard this weekend during a hot yoga class.  I liked that. Everyone was encouraged to do their best with a pose.  If you can’t do it, or if you can’t hold it, that’s OK.  The instructor was simply reminding us that he’s not judging, and we shouldn’t be judging ourselves either.  That’s such a positive message — both for exercise and for eating!

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I think a positive approach is much more motivating, especially if you haven’t been active for a while.  That really hit home for me when I read about a new study in the American Journal of Health Behavior that suggests the often intimidating, “yelling” approach used on The Biggest Loser can backfire.  Yoni Freedhoff, a physician and blogger at Weighty Matters, does a great job in his blog post reviewing this new study and commenting on the implications. The researchers suggest that watching Jillian Michaels work with contestants on The Biggest Loser”

“…may result in lower motivation to participate because of the anticipation of an unpleasant experience.”

I’ll say.  I haven’t been a big fan of The Biggest Loser, especially the new episodes featuring children.  Yoni Freedhoff also wrote a compelling blog post about that.  I’ve also been troubled by Jillian Michaels’ decisions to promote extremely questionable “fat-burning” diet pills, which I’ve written about in the past.

The new study reinforced the concept that people will be more likely to exercise if they think it’s fun and not work. I agree, there does need to be some factor of fun, and you also need to feel good about yourself doing it. Having a goal and starting small will help.  That’s the approach I took when I first started to run two years ago. I wrote about my journey training for the Chicago marathon in my new book with the editors of Cooking Light: The Food Lover’s Healthy Habits Cookbook.

HH_cover_asp1106_FNL.inddIn chapter 4, the healthy habit Get Moving: Small Doses Deliver Big Payoffs, I write about the benefits of starting slow.  I couldn’t even run 3 blocks before I signed up for a group training course with Chicago Endurance Sports, a fantastic local group that offers a run-walk training program for novices like me.

I had such positive encouragement from my coaches — never felt bad that I was slow or found it difficult.  I got better, week by week.  Finishing the marathon was a huge accomplishment for me.

I didn’t care about my time, I cared that I finished.  I previously wrote about my experience in this blog post: Journey is Over, Now On to Next Challenge. Here are a few things I learned along that way:

Run your own race. Don’t compare yourself to others.  I was often the slowest in our training group, but I was OK with that.  Focus on your own improvements.

Make a commitment. Signing up for a group training program helped me be more accountable. Explore local races in your area, then share your intentions with your family, announce it at work, or post it on Facebook — whatever helps you stick with your goal.

Cherish the time. The minutes you’ve carved out to run or walk are all about you.  Enjoy this time alone to focus on yourself, make plans in your head, and think positive thoughts without any distractions.

Exercise should be a positive experience.  You should feel good about yourself doing it, no matter how small. Ease into it, if you’re just getting started.  Often starting is the hardest part of all. Don’t beat yourself up, and don’t let anyone else bring you down either.

image courtesy of Begatell on flickr

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I’m sure you’ve been reading a lot about New Year’s resolutions.  Afterall, it’s that time of year.  But my hope is that the dialogue will shift.  I think the focus should be on habits — little, tiny changes made every day — instead of bold declarations made once a year in January.  That was the topic of my latest blog post for WebMD’s Real Life Nutrition.  I hope you’ll check it out.

scaleIn my post, I wrote about a new study that analyzed online diet searches during the first week of January. You know what rose to the top?  The Paleo Diet.  This caveman-inspired diet was the plan that most people wanted to learn about. It also happens to be the diet that U.S. News ranked at the bottom of the barrel in their analysis of best diets of 2013.   Additional diets rounding out the top 10 diet searches included the Atkins diet, gluten-free diet, 8-Hour diet, Cabbage Soup diet, HCG diet, and Virgin diet (the “food-intolerances make-you-fat” diet by JJ Virgin). The findings from Experian Marketing Services were based on searches that contain the term “diet” for the 1-week period ending January 5, 2013 from a sample of 10 million U.S. Internet users.

Why is it that people are always searching for the next big diet? No wonder there’s always a new crop of diet schemes each year because none of them really work in the long-run. That’s why new bright and shiny diets sweep in each year to take the place of last year’s best-sellers. For many dieters, the complexity of some plans makes it difficult to stick to the proposed regimen, according to a 2010 study in Appetite. Other diets are just so darn restrictive, monotonous and totally joyless that it’s tough to continue for any length of time. Feeling like you’ve failed just fuels the diet merry-go-round.

That’s why I wish people would focus on changing their habits and coming up with an easy and enjoyable eating plan that they can stick with for life. No gimmicks, no fads. That’s the premise of my new book The Food Lover’s Healthy Habits Cookbook, that I was thrilled to work on with the editors of Cooking Light. You’ll find an action plan for achieving 12 healthy habits – such as eating a healthy breakfast every day, making seafood the centerpiece of two meals a week, eating three servings of vegetables each day, and going meatless one day a week – along with recipes to make it all deliciously doable.

My hope is that people will abandon their past beliefs about diets and redo their New Year’s resolutions. Rather than broad sweeping goals – such as losing 20 pounds – it’s better to focus on the specific ways you’re going to get there, rather than the end result. Focusing on your health – and not just your weight – and keeping pleasure part of the picture will help.

HH_cover_asp1106_FNL.inddHere are some ways you can begin to change your diet mindset:

Start cooking. So many of today’s popular diets seem to demonize certain foods and give you a long list of items to avoid. I’d much rather switch the emphasis and celebrate all the wondrous foods you get to embrace – fresh fruits and vegetables, whole grains, beans and legumes, healthy fats, lean proteins, lowfat dairy – and find new ways to prepare them at home. Cooking more often is one of the best new habits you can adopt in the New Year.
Be positive. Believing that you can make a change is a powerful force. It’s what behavioral scientists call “self-efficacy.” You’re much more likely to reach a goal if you have the confidence that you can do it. Failing to stick to a restrictive diet plan – or jumping from one approach to the next – may damage your self-confidence, which will just work against you. Have faith in your ability to succeed.
Celebrate little victories. Breakdown your resolution into attainable, bite-size nuggets. For instance, think about one specific change you’ll make every day, such as adding a fruit or vegetable to every meal or getting up 15 minutes earlier in the morning so you can go for a walk before work. Give yourself some credit for making these positive changes – no matter how small. When you begin to succeed you gain self-confidence, which leads to greater success.
Find your “keystone” habit. For many people, making one change often leads to other positive changes. A keystone habit is a behavior that can kick-start this cascading of other new habits. You may find that exercising is your keystone habit. If you schedule time to walk in the morning, sign up for yoga class or begin training for a 5K, perhaps that will trigger other changes. Sometimes just getting started is the hardest part, but one healthy habit can lead to the next.

How about you?  Are you working on your habits?

scale image courtesy of healthnewsnet on flickr

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Compilation of 2013 Food Trend Predictions

by Janet on January 4, 2013

Cupcakes, kale and quinoa?  Oh that’s so last year.

Think instead:  Doughnuts and push-pops. Cauliflower and collards. Farro and freekeh.

bacon donutsThose are some of the hot foods that trend trackers believe will be big in 2013.  Check out the links below for a compilation of 2013 food trend lists.  You’ll see  lots of agreement. Maybe one list just feeds off the other, but it does seem like everyone is starting to say the same thing. Anyway, here are a few highlights:

Ingredients
black garlic, padron chile, horseradish, quail eggs, durian, ramps, pine needles, fish milt, whey, seaweed, ashes, sawtooth herb, green chickpeas, kimchi, fermented everything

Flavors
dukkah, sumac, sour, torridly hot, smoked, turmeric, barrel-aged hot sauce, gochujang (Korean hot sauce), Japanese katsu sauce

Vegetables
center of the plate, sunchokes, raw winter vegetables, cauliflower, broccoli romanesco, parsley root, golden and chiogga beets, pumpkin, baby sweet potatoes, turnip greens, beet tops, collards, fiddleheads, kohlrabi, green tomatoes, komatsuna (Asian mustard greens), seaweed, mico-greens, pickled vegetables, veggie noodles (squash), vegetables in cocktails (“farm to bar”), vegetable desserts, hyper-sourcing (restaurant gardens)

Fruits
sour cherries, baobab, huckleberries, finger limes, calamondin, rambutan, heirloom apples, grapefruit, white strawberries

Proteins
long-aged and cured meat (salumi, charcuterie), pork secreto, heirloom chicken, pig tails, chicken skin, chicharrones (fried pork rinds), lamb belly, wild line-caught fish, vegetable proteins (meatless meals)

Grains
freekeh, farro, bulgur, noodles (udon, soba, cellophane, rice), millet, teff, buckwheat

Desserts
Doughnuts, artisanal soft serve, push-pops, savory flavors, boozy desserts

Drinks
Tea (the new coffee?), non-alcoholic beverages (“mocktails”), artisanal soda, hard cider, craft brews, gourmet lemonade, kombucha, coconut water

Snacks
popcorn, homemade snacks, popped grains

Authentic Ethnic
Nordic, Middle Eastern (my favorite!), Asian, Nex Mex (high-end Mexican), South American (Brazil, Argentina, Peru)

2013 Food Trend Lists

Huffington Post Food 2013 Food Trends: 13 That Other Publications Agree On
New York Times After Crisp Pig Ears, 10 Trends for 2013
Eater Food Writers and Experts on What’s Hot and What’s Over
National Restaurant Association What’s Hot 2013 Chef Survey
Sterling-Rice Group Cutting-Edge Dining Trends of 2013
Andrew Freeman & Co. How Hotel & Restaurant Trends Will Shape a New Reality in 2013
Baum + Whiteman 17 Hottest Food and Dining Trends for 2013
Phil Lempert The Top 10 Food Trend Predictions for 2013
Technomic Technomic’s Take: What’s Ahead in 2013?
Epicurious Epicurious Predicts The Top 10 Food Trends of 2013
Food & Wine Top Food Trends to Try in 2013
Bon Appetit What to Eat, Drink and Cook in 2013
The Food Channel Top Ten Food Trends of 2013
Hour Detroit What’s Popping: Food Trends for 2013
Eatocracy Eat This List: Tater tots, invasive entrees and other food trends we’d like to see in 2013
Food Navigator Trend Spotting Gallery: What’s Hot and What’s Not as we Head Into 2013
Innova Market Insights Top Trends for 2013
Produce Marketing Association’s Produce Trends
McCormick & Co. Flavor Trends (client)
Cooking Light Our Predictions: 2013 Food Trends
Chef David Burke’s Food Predictions for 2013
NPR’s The Salt Drinks, Diets and Meats: Hits of 2012, Predictions for 2013
NPR On Your Plate in 2013: Expect Kimchi and Good-for-you Greens
Chicago Tribune 2013 Food Trends: What’s the Buzz in Food
The Daily Meal Caterers Predict Event Trends for 2012


image courtesy of jillmotts on flickr

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