THE DISORDERED EATING SPECTRUM: FROM INTUITIVE EATING TO EATING DISORDERS

Disordered Eating Spectrum

Eating happens on a spectrum.

On one side might be something like normal eating or intuitive eating. Whatever you want to call it, we are at this end of the spectrum when we are aware of and honor our body’s hunger/fullness cues most of the time, understand how different foods and food mixes make us feel, integrate sound nutrition science if desired and/or necessary without sacrificing mental health, see all foods as neutral, allow food to be more than just sustenance; eat without worry, guilt or shame; and more.

On the opposite end are clinical eating disorders (EDs). EDs include anorexia nervosa and atypical anorexia (which is actually much more common), bulimia, binge-eating disorder, and avoidant restrictive food intake disorder. Criteria to be diagnosed with an any given ED is strict by definition. EDs have the second highest mortality rate of any mental illness, lagging just behind opioid addiction. And while you might think EDs are rare, about 9% of Americans will struggle with one in their lifetime. That number is thought to be a conservative.

In between these two ends of the spectrum is a lot of gray space.

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SOCIAL DETERMINANTS OF HEALTH: NUTRITION IN PERSPECTIVE

I am passionate about food and I value health. As a dietitian, I am interested in how the former impacts the latter. But I will sing from the rooftops

NUTRITION IS FAR FROM EVERYTHING WHEN IT COMES TO HEALTH.

In fact, our individual behavior is just one small piece of the bigger picture health puzzle. Yes, it’s empowering to know we have some sway over our health. However, research on the social determinants of health – the conditions in which people are born, grow, live, work and age – demonstrates that’s all it is, some.

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‘HEALTHIFIED” RECIPES – HARMLESS OR DIET CULTURE?

It might be time to ditch your “healthified” recipes.

"Healthified" Recipes

Feel free to sub any of the following in for black bean brownies…

  • Chickpea and carob “chocolate chip cookies”
  • Avocado and cocoa “chocolate mousse”
  • Cottage cheese “ice cream”
  • Banana “ice cream”
  • Butternut squash mac and “cheese”
  • Cauliflower “rice”
  • Zucchini “noodles”
  • I could go on forever with these examples

… And the real deal food for the latter part of the above sentence. We have SO any “healthified” versions of foods at this point.

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EAT CARBS FOR GOODNESS SAKES

Are carbs healthy? What foods have them? How can I eat carbs in a way that makes me feel good?

Eat Carbs_Photo 1

If there is one common denominator between nearly every new client I work with, it is a fear of carbohydrates. Most people are trying their best to minimize this macronutrient in their diet, either by cutting it out entirely, limiting it to specific meals, or downplaying it to the greatest extent possible throughout the day. When they do eat carbs, they express guilt explicitly or implicitly.

This is understandable given our cultural narrative which has demonized carbs for the last two decades. This narrative has been fuels by countless diets like Atkins, Paleo, and Keto.

So, what’s the deal? Should we be concerned about carbohydrates? When measured alongside its buddies, fat and protein, is it the least essential macronutrient?

Let me answer right up front that my response is an emphatic NO. All three macronutrients – carbohydrates, fat and protein – are equally essential. When we prioritize one (or two) over the others, our nutrition begins to get…funky.

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HEALTH AS CULTURAL CAPITAL KEEPS US SMALL

women banning together to explode concept of health as cultural capital

Get ready…this dietitian is a (proud) feminist. We need to explode the idea of “health” having cultural capital. Let me elaborate.

In my work I know acutely that challenging feelings about one’s body are not the exclusive experience of any gender identity. And yet, impossible societal standards for women’s bodies are especially suffocating. 

Explicitly and implicitly, our culture teaches women that beauty is our commodity. In the 21st century “health” has become a code word for beauty and both are defined by thinness. Beauty sounds superficial; “health” does not.

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