INTUITIVE EATING 3. Discussion and Questions AN EVIDENCE-BASED - - PDF document
3/15/19 What to Expect 1. State of the Union 2. Principles of Intuitive Eating INTUITIVE EATING 3. Discussion and Questions AN EVIDENCE-BASED APPROACH TO FOOD PEACE & BODY RESPECT Kate Morris, LMSW, M.Div. Certified Intuitive Eating
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AN EVIDENCE-BASED APPROACH TO FOOD PEACE & BODY RESPECT
Kate Morris, LMSW, M.Div. Certified Intuitive Eating Counselor
What to Expect
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STATE OF THE UNION
○ “obesity epidemic”
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Subsequent comparisons of data from 2003-2004 with data through 2011-2012 showed no significant increases for men or women (Flegal, Kruszon-Moran, Carroll, Fryar, Ogden, 2016, p. 2284).
STATE OF THE UNION
○ obesity epidemic ○ weight stigma
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“Weight stigma is defined as the social devaluation and denigration of people perceived to carry excess weight and leads to prejudice, negative stereotyping and discrimination toward those people.” Janet Tomiyama
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3/15/19 3 STATE OF THE UNION
○ obesity epidemic ○ weight stigma ○ dieting, or the weight management industrial complex
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diet industry
wellness economy
bariatric surgery
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STATE OF THE UNION
○ obesity epidemic ○ weight stigma ○ weight management industrial complex ○ eating disorders
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progress to pathological dieting
go on to develop eating disorders
have eating disorders
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INTUITIVE EATING
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a weight-neutral approach to health and wellness that helps you tune into your body signals, break the cycle of chronic dieting and heal your relationship with
eating is normal eating.
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3/15/19 5 THE RESTRICT/BINGE CYCLE
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dieting or restriction hunger and depriv- ation
ion and struggle bingeing
eating guilt and shame, need for redemp- tion
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stop.
didn’t work.
restriction inhibits habituation pseudo permission ≠ unconditional permission restriction is gateway eating well feels good
COMMON FEARS
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DESTRUCTIVE DIETING VOICES
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Food Police
“I didn’t exercise today; no dinner for me.” “I can’t believe I ate that.”
Nutrition Informant
“Let me check the label. Look how much sugar is in here! No way I can eat that.”
Diet Rebel
“You think I need to lose weight, huh? I’ll show you!” “Let’s see how many cookies I can stuff in my mouth before mom gets home.”
3/15/19 7 POWERFUL ALLY VOICES
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Food Anthropologist
“I didn’t eat breakfast and was ravenous at 10am.” “I ate six cookies.”
Nurturer
“I ate past hunger today. Was there something I was feeling that made it harder to hit that mark?” “This is hard, but I deserve to keep trying.”
Nutrition Ally
“I won’t have a chance to eat a snack this morning, so I’m going to eat a breakfast with a good mix of carbs, protein, and fat.”
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FACTOR
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WITHOUT USING FOOD
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DIFFERENCE
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GENTLE NUTRITION
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BOOKS
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PODCASTS
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You can contact me at: kmorris2@norwich.edu
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REFERENCES
American Society of Metabolic and Bariatric Surgery and NORC at the University of Chicago. Obesity Survey, 2016. Bacon, L. (2010). Health at every size: The surprising truth about your weight. Dallas, TX: BenBella Books. Bacon, L., Stern, J. S., Loan, M. D., & Keim, N. L. (2005). Size Acceptance and Intuitive Eating Improve Health for Obese, Female Chronic Dieters. Journal of the American Dietetic Association,105(6), 929-936. Boero, N. (2006). All the news that’s fat to print: The American “obesity epidemic” and the media. Qualitative Sociology, 30(1), 41-60. Dulloo, A. G., Jacquet, J., & Montani, J. (2012). How dieting makes some fatter: From a perspective of human body composition
Flegal KM, Kruszon-Moran D, Carroll MD, Fryar CD, Ogden CL. (2016). Trends in obesity among adults in the United States, 2005 to
Gianini, L. M., Walsh, B. T., Steinglass, J., & Mayer, L. (2017). Long-term weight loss maintenance in obesity: Possible insights from anorexia nervosa? International Journal of Eating Disorders,50(4), 341-342. Hallberg, L., Björn-Rasmussen, E., Rossander, L., & Suwanik, R. (1977). Iron absorption from Southeast Asian diets. II. Role of various factors that might explain low absorption. The American Journal of Clinical Nutrition, 30(4), 539-548. Hobbes, M. (2018, September 19). Everything You Know About Obesity Is Wrong. Retrieved from https://highline.huffingtonpost.com/articles/en/everything-you-know-about-obesity-is-wrong Hotchkiss, J W, and A H Leyland. “The Relationship between Body Size and Mortality in the Linked Scottish Health Surveys: Cross- Sectional Surveys with Follow-Up.” International Journal of Obesity, vol. 35, no. 6, 2010, pp. 838–851. 43
REFERENCES (CONT.)
Sole-Smith, V. (2018). The eating instinct: Food culture, body image, and guilt in America. New York: Henry Holt and Company. Smink, F. E., van Hoeken, D., & Hoek, H. W. (2012). Epidemiology of eating disorders: Incidence, prevalence and mortality
Tomiyama, A. J. (2014). Weight stigma is stressful. A review of evidence for the Cyclic Obesity/Weight-Based Stigma model. Appetite, 82, 8-15. Tribole, E., & Resch, E. (2012). Intuitive eating: A revolutionary program that works. New York: St. Martins Griffin. Vadiveloo, M., & Mattei, J. (2016). Erratum to: Perceived Weight Discrimination and 10-year Risk of Allostatic Load Among US
Vartanian, L. R., & Shaprow, J. G. (2008). Effects of Weight Stigma on Exercise Motivation and Behavior. Journal of Health Psychology,13(1), 131-138. Yale University. (2008, March 28). Weight Bias Is As Prevalent As Racial Discrimination, Study Suggests. ScienceDaily. Retrieved January 3, 2019 from www.sciencedaily.com/releases/2008/03/080327172129.htm 44