Thursday, March 24, 2011

Food or Money?

I recently listened to a CD by Lynne Twist called “Unleashing the Soul of Money: Find Sufficiency, Freedom and Purpose--Through Your Relationship with Money.” I was shocked by how much of what she said about money could also be applied to food. It was almost as if the two were interchangeable. See if any of what she has to say about money rings true for you when you think about food.

Twist claims our cultural approach to money rests on “The Great Lie of Scarcity” which is based on “Three Toxic Myths:”

--There is not enough

--More is better

--That’s just the way it is

Think about where in your life you experience a sense of scarcity. There’s not enough time, not enough money, not enough energy, not enough attention... Where do you hoard? I need more shoes, more food, more money, more toys, more hours in the day... And what do you leave unquestioned, assuming “that’s just the way it is”? These myths make up the consumer culture we live in, and, as Twist points out, “In a consumer culture, we race right past enough toward more.” Is that how you eat? Even the word “consumer” makes one ask, is she talking about money or food?

Twist proposes we replace “The Great Lie of Scarcity” with “The Principle of Sufficiency.” She says, “When you let go of trying to get more of what you don’t really need, oceans and oceans of energy become available to do more/make a difference with what you have.” Think about this when you eat. What is sufficiency when it comes to food? What does it feel like to have exactly enough? Why would you want more than that? What exactly does it take to satiate you? More than enough? (In my case, yes, more than enough, thank you. Why is that?) Twist challenges us: “Be in the presence of the exquisite distinction of sufficiency. You can’t do that when you are scrambling for more.”

I am fascinated by how the influence of our “consumer culture” plays out in our eating habits. No wonder we are an overweight nation. Think about what it means to eat mindfully when everything around us says “Supersize Me!” It is an act of subversion! We are bombarded by messages that more is better just as we are bombarded by the message that skinny = beautiful = happy. What are we to make of this? Even if we are trying to diet--to eat less, to lessen our size--we still feel the need to cut more calories and lose more weight and exercise more. But, as Twist points out,

“You cannot get to abundance through the door of more. The doorway of more will only bring you lack then then the longing for more again... The only route to true abundance is enough--the exquisite distinction of sufficiency, being met by the universe.” She’s talking about this in terms of money, but I think it’s a great argument for the practice of eating when you’re hungry and stopping when your body has had enough. Whether you are overeating or restricting your eating, it’s the same vicious circle.

The trick is both recognizing when you’ve had enough and then honoring it. This is not something we necessarily grow up learning how to do, whether with food or anything else. Who doesn’t want more of a good thing? “There is no room or space for the distinction of enough in our culture. Enough has a hard time holding any weight in a consumer culture that’s racing toward more. But if we let go of trying to get more...and start paying attention to what’s already there...it begins to expand into abundance.”

Twist implores us to stop and notice what we have, appreciate it. “What you appreciate appreciates. When you live in...gratitude, or when you exercise the muscle of appreciation, what you appreciate grows in the nourishment of that attention...and you realize that you live in a kind of bounty that’s been eclipsed by the chase for more. This is as much about being present and attending..to what you already have as it is about anything else.” You see? All roads lead us back to mindfulness, which turns out is the key to everything!

I realize there is some risk in using Twist’s language when we’re talking about weight issues, because if I tell a dieter to appreciate his or her body, the first thought might be, “And watch it expand into abundance? No thank you!” But let’s rise above that here and try to see what abundance might really mean for us. This reminds me of Rago’s work which I mentioned in my last post. You may remember that she organized the people she was treating for eating disorders to prepare and serve meals to the homeless community. Actually I should point out that after they served the meals, they sat down with those they had invited and ate with them. I wonder if that experience showed them what Twist calls “the profound radical truth of enough”?

In my last post, I mentioned that Rago and Archer suggest your energy might be better spent somewhere other than in the worry that your thighs are too fat. They tell us, basically, to love our bodies and eat what we want. I think Twist takes that momentum a step further by showing us HOW. Let’s go back to the Three Toxic Myths that support the Great Lie of Scarcity. Let’s start questioning ourselves when we find ourselves buying into them (no pun intended). When you find yourself feeling like there is “not enough” of something, ask yourself, is it true? When you find yourself feeling like you need more of something, ask yourself, is it true? Do I really need more pulled pork, more wine, more pairs of jeans that will fit me next year if I just lose a little more weight? Is that really just the way it is?

Before I ever listened to Twist’s CD, I walked into my closet one day and suddenly decided, “I have enough clothes.” Sure there could be a morning that I really wished I had a lightweight but long-sleeved teal blue blouse to go with those black pants, but so what? I had a closet stuffed full of clothes. That was enough. I vowed not to buy a single piece of clothing for a year, then I could reevaluate. I’m over half way through, and so far, so good. It’s actually easy and satisfying, even liberating. No more lunch hour raids on Ross to stock up on huge armfuls of clothes that I didn’t need but couldn’t resist because they were just so darn cheap. Enough can be enough. Enough food, enough clothes, enough money. We really do live in abundance, don’t we?

Wednesday, March 23, 2011

Cat Fight in the Diet Aisle

I have to make a confession. I actually purchased and read the book "Skinny Bitch" by Rory Freedman and Kim Barnouin. It was what you would expect from the title. I felt a little foolish for having given them my money and time. I didn't even think to mention it to you until I ran across a new book, "Shut Up, Skinny Bitches!" by Maria Rago and Greg Archer. It is basically a critique of what they call "The Skinny Bitch Mentality." Although their intentions are good--really very good--they seem to be stooping almost to Skinny Bitch lows to make their point--which you might also expect from their title. What is happening in the diet literature? Can't we at least communicate like civilized people?
So while I found "Skinny Bitch" highly dismissible at the time, I realize now that it is really quite a dangerous little book. I have to admit that I was glad when Rago and Archer called Freedman and Barnouin out on the carpet. (Is that a real expression? It sounds funny.) "Skinny Bitch" starts like this: "Are you sick and tired of being fat? Good. If you can't take one more day of self-loathing, you're ready to get skinny." So right off the bat, we are hearing the message that if we are overweight we should not only feel "sick and tired" of it, but we should hate ourselves for it. Rory and Kim go on to call the reader the following names, as pointed out in the aforementioned critique: gluttonous pig, moron, shithead, cheap asshole and pussy. Of course they are just trying to be cute, right? Trying to get our attention? Rago and Archer note that "millions of people purchased the book. They were called the names listed here, yet they kept reading." Wait a minute, I purchased the book, was called those names, and kept reading! Of course, I didn't actually do ANYthing those skinny bitches told me to, so it's not like I was taken in by them (right?), but still, I let them talk to me that way! What was I thinking? They assume everyone wants to be skinny, must be miserable if not skinny, and must follow their rigid, bitchy recommendations to achieve such skinny-ness, although they deny that they wrote a diet book. Basically they tell to you become a vegan. I decided maybe I didn't want to be skinny after all.
Rago and Archer had more to say than just how damaging books like "Skinny Bitch" can be. Their message is, "Shut Up, and Eat!" (the title of their first chapter). Actually it's much more than that. They remind us that dieting DOESN'T WORK. We know that, right? It's a dismal failure all the way around. People who diet end up gaining weight in the long run, and they are often miserable in the process. "Have you noticed chronic dieters, and otherwise erratic or restrictive eaters, are some of the most frustrated, depressed people you meet? They're always fighting themselves and their body's natural cravings. The emotional war with their bodies drains them of precious life energy." They propose that all the time we spend worrying about the shape of our bodies could be better spent: "...millions of people on the planet don't even have enough food" yet we are expending all our energy "making sure our damn thighs don't touch." Point taken.
They suggest we follow our hunger cues, exercise for fun and health, address emotional and psychological issues and generally try to have a good time. In light of aforementioned emotional and psychological issues, they delve into the realm of eating disorders. If you are dealing with an eating disorder, this book has some good advice, but for more depth you should read Geneen Roth (review of her latest book forthcoming!). They present some scary statistics: approximately 88% of females and 43% of males are dissatisfied with their bodies, and 24% of women and 17% of men are so dissatisfied that they "would be willing to trade three years of their lives to achieve their weight goals." Even more sad and shocking, one study found "21% of five-year-olds were concerned about their weight and dissatisfied with their bodies." By 3rd-5th grades it's 50%, and 30% of middle-school girls are dieting on any given day. UGH! The Skinny Bitches are getting to our children!
Maria Rago did some very compelling and successful work organizing people who were in treatment for eating disorders to prepare and serve meals for the homeless. She recommends we "spend time getting to know what hunger truly is...this will help you understand the true value of food." Imagine how an experience like that could shift one's perspective on food. What a brilliant intervention as well as just a useful thing to do.
I didn't love this book, but I do appreciate how Rago and Archer address so many larger cultural issues. I haven't talked much about body image and the impact of advertising and other cultural messages on individual's sense of beauty and self worth in this blog because, well, don't get me started! That's a whole blog in itself. Plus I am always questioning whether writing a blog about weight management is even ethical because the last thing I want to do is buy into "The Skinny Bitch Mentality." And I certainly don't want anything I write to presume that my readers should for any reason be unhappy with their body shapes and sizes. So it's a slippery slope. I admire these writers' courage in taking it on, even if it was premised on their reactions to the stupid (but dangerous!) little book, "Skinny Bitch."
"Shut Up, Skinny Bitches!" concludes with the following advice: "Let's start fighting back against our thin-obsessed culture and cultivate deeper meaning in our lives...eat well, play, feel your emotions, embrace the size you are, and best of all, spread love through doing service." As long as they don't tell me to "shut up!" one more time, I will take their advice to heart and pass it on.

Thursday, December 23, 2010

More Controversy!

Here's Blakes analysis of the LA Times article I put in my last post. How are we to know what to think?:


Hey Tess... here's one of the articles alluded to in the LA times column. It's pretty interesting to look. You're probably not interested in these details, though, and if not I'm sorry, but that's where the devil is. It shows how much each study has to be stared at to make sense, and how hard it can be to make sense of unrelated studies.

I guess if nothing else, as a friend, this shows you what a drag it is to be me.

Don't bother to read on if you don't want to see my analysis...

First, the study includes a total of 40 people. That is a very small number.

Second, it's important to segregate what they say about weight loss, fats circulating in the blood, and actual adipose tissue.

The weight before was about 210 pounds (plus/minus 20 pounds) for both grups. The high fat diet end weight was 190 (plus/minus 20 pounds) while the carb diet end weight was 195 (plus/minus 20 pounds). So, really, this study isn't making a claim about weight; the errors make the differences between and before/after indistinguishable. A better number to report would probably have been the % weight loss. This might wash out the big errors (comparing someone that was 170 with someone 210 won't reveal how each individual fared). Of course, this may have looked even worse than body mass.

The body fat was actually less in the high carb group.... 36.8% vs 38.2%... though the size of their error bars (8%) actually dwarfs any difference. The carb group had more non-fat body mass, which makes them slightly heavier overall.

Where they do see something striking is in concentrations of blood lipids. A decrease in triacylglycerols of 50% (as he said in the article). The carb group also saw a decrease of 20% (not mentioned in the article), which is also really striking. The error bars in both these numbers is 25%. Caloric reduction in general is a good thing for diabetes risk.

The other thing that's striking is the shift in the insulin response. This gets to that homeostasis thing I was mentioning before... the reduced carbohydrate load allows the body to shift to a lower insulin response: there's less sugar to import, so we require a smaller insulin response. On the other hand, the difference is response is really not too surprising: the body responds to the stimulus... less carbs, less insulin required to move fewer carbs into the cell. I bet if they looked after week1 of the study, they'd have seen the same thing.

To be fair, I think the metrics of diabetes risk is what they're emphasizing (circulating lipids). So, you can still be overweight (if I lose 20 pounds, I'll still be overweight), but reduce your risk for diabetes. Which is more important? I don't know. Being overweight but diabetes free is still probably linked to self-esteem and depression issues.

So, I guess the bottom line is that it's easy to confuse weight loss and health benefits. Also, such small studies are very hard to interpret because the errors are so large. However, it is nice to know that, even if you're too fat (at 210 myself, I can say that's too fat), you can still avoid risk for diabetes!

In the end, for me, the article is about how 210 pound people go on 2000 calorie diets for 12 weeks. I wish I could do that with a house full of pumpkin pies, candied yams, mashed potatoes, fudge and rolls.

Anyway, sorry! But thanks for posting the link, it was useful and fun for me!

bg

We Have a Controversy!

My friend Blake had the following to say about carbs and cholesterol. I'm hoping he'll read the Taubes book and help us all make sense of it!

"Hey Tess, this is obviously unsolicited, so sorry and feel free to ignore. I do teach metabolism, and have thought a bit about all this, not that I'm positioning myself as an Authority. But reading your post, well it made me think. What I will say overall is that its really hard for *anyone* to look at the nutritional science of the past 10, 20, 30 years and come up with definitive conclusions. I'm pretty suspicious of attempts to do so, though obviously an Answer is what everyone is after. Not that scientists are the only ones who can/should interpret the science, either...
Anyway, as to insulin:
Insulin's job is not to store fat. Its job is really to respond to sugar concentrations in the blood, and one of its principal duties is to induce import of glucose into the cell. When there's a dietary influx of carbohydrates (like the chocolate chip cookies I've been working through), that's a signal that the 'fuel level' is high, and it's time to store it away for future use. On the one hand, insulin induces storage of carbohydrates as glycogen (particularly in the liver). On the other hand, when glycogen levels are adequate, insulin stimulation leads to synthesis of lipids. This is the trouble! Excess carbohydrate is going to be stored as fat... the simplest-to-grasp reason is that, calorie-for-calorie, fat takes up less space... fat doesn't have to be bathed in water, like carbohydrate polymers such as glyogen do... for this and other reasons, fat is a better energy storage medium. Also, the liver has limited glycogen storage capacity, whereas we have lots of adipocytes for storing fat distributed all over the body. There are other effects of insulin on gene expression, etc... In the end, insulin is part of a 'homeostasis system' that works to keep energy levels constant. Incidentally, that tendency towards homeostasis makes it hard to lose the weight we've gained.
So insulin is good! Import of carbohydrates is good! Storage of glycogen and lipids is good! Loss of sensitivity to insulin (and the resulting health problems including perhaps obesity and CHD) is most likely the result of difficulties that arise from chronic overingestion of calories (of carbohydrates perhaps most specifically, but of food in general) and concomitant underconsumption (use of) those calories in exercise.
As for the Western diet, I just wanted to say that indigenous American and Asian diets are not lacking in carbohydrates: those non-western cultures gave us corn and rice, after all! Again, my impression is that it's this over/under problem that leads to issues of obesity, and thence to the other problems... As for the refined carbohydrate thing, I tend to think of it like I do the high-fructose corn syrup thing. Fructose is fructose - it all goes into the same energy production pathway - the problem is the amount of it we ingest. All plant fuel storage carbohydrates are made of glucose, and glucose is what insulin causes to be imported into the cell, whether the grain has had the bran removed or not. We just need to eat less of them to avoid storing them as fats.
I guess I just wanted point out that it's not carbohydrates per se that lead to insulin dysfunction, but overconsumption of these and other foods. Our lives depend on carbohydrates. Too, I think (having not read the book) that statement about 'everything we believe about a healthy diet is wrong' could be a bit hyperbolic. What's really problematic, I tend to think, is the search for a diet 'Answer' other than moderate eating and exercise (this, from a fat, lazy hedonist).
The books may have covered all this stuff, and I'm just being a didact (in fact, I know I'm a didact, so f@$& me!). I have enjoyed your blog... and the Taube book's in our library, so I'll check it out... I hope you don't mind my note, though, and I won't mind if you tell me to piss off! I totally respect your quest... my own quest focuses on finding time to do anything resembling exercise. Hopefully you take or leave my input without getting to irritated with me!"

Meanwhile, here's an article from the LA Times that summarizes what I've read better than I ever could:

http://www.latimes.com/health/la-he-carbs-20101220,0,5464425.story

Monday, December 20, 2010

My Primal Inspiration

Here's a link to my friend Holly's blog: http://www.underdogdesign.net/wordpress/2010/09/10/an-archaeologist-goes-primal/
Also see her next post: Primal in Paris.
She's been on the low carb primal path for awhile and has more to say than I do, plus she's a more sophisticated writer, so you might enjoy checking out her blog as well.
Cheers!

Carbs are Bad

If you have ever tried to lose weight by counting calories or simply by eating less and exercising more, or if you have ever tried to lower your cholesterol by lowering your fat intake, or even if you have just wondered how the food you eat affects your health, boy do I have a reading list for you. These books were so compelling that I had to sign back in to Skinnymamasdontdiet for yet another round.
First of all, "Good Calories, Bad Calories: Fats, Carbs, and the Controversial Science of Diet and Health" by Gary Taubes was recommended by my friend Holly. The back of the book claims, "In this groundbreaking book, award-winning science writer Gary Taubes shows us that almost everything we believe about the nature of a healthy diet is wrong." This is not an over-reaching statement. Taubes is not a doctor or a dietician: he's a science writer, and he explores the history of the politics of the science of nutrition with journalistic doggedness. He doesn't seem to set out with a particular hypothesis to prove or disprove. In fact, he says he never expected to find what he found. In that way, it reminds me a bit of "The Omnivore's Dilemma": just a thorough exploration of food without pushing a particular agenda. And this book IS thorough: a good 450 page tome, full of science and history. Sound like a page turner? I admit, it did occasionally get tedious, but generally I found it so compelling that I couldn't put it down.
Basically what he discovers is that the last century of science doesn't actually support what we've been taught about diet: that the way to lose weight is to cut calories and exercise more, that the way to cut cholesterol is to cut your fat intake. It's actually carbohydrates that do the damage. Usually when people go on low fat diets, they compensate by adding carbs, actually doing more harm than good. I can't explain the science very well, but basically, carbs initiate an insulin response, and lots of carbs lead to hyperinsulinemia which leads to metabolic disorder which leads to cardiac problems, diabetes, obesity and maybe even cancer and Alzheimers. The whole theory that fat raises cholesterol which in turn increases risk for cardiac disease is not backed up by good science. The science says carbs, not fat, contribute to heart disease.
What's even more fascinating than the science of nutrition is why and how it's been kept from the public. The history of the politics around all this is bizarre and revealing. And the mis-information is perpetuated by doctors, dietitians and the government. It's become conventional wisdom. It's everywhere.
When I went on the low carb diet in 2008 my doctor warned against it, sincerely worried it would create other health problems. When my cholesterol was inching up a couple years later (a year or so after I'd stopped eating low carb), she sent me to a nutrition class that instructed me to eat a low fat diet. I like my doctor, but her recommendations are not supported by the science. Our whole mentality about diet and health is based on ideas that are not supported by science. Science says bacon and eggs for breakfast is as healthy as you can get. That chili and cheese egg souffle that is all egg and cheese and sour cream is GOOD for you. That bran muffin: not so much. That Jamba Juice protein smoothie: not so much. Big fat steak and a glass of red wine: help yourself! Sounds crazy, huh?
I know you don't believe me. You have to read the book. There is no way you won't be convinced if you do.
Now that I am paying attention to this, it's turning up all over the place: carbs make you produce insulin. Insulin's job is to store fat. In short, grain is bad for you. Sad, isn't it? Have you heard all the studies of the indigenous cultures that had little or no incidence of obesity, cancer or diabetes or other "diseases of civilization" until a Western diet was introduced? Then it all went to hell. What exactly was introduced with that Western diet that compromised health so dramatically? Carbohydrates.
Taubes isn't the only one who has come to this conclusion. The next book I read was "Life Without Bread: How a Low-Carbohydrate Diet Can Save Your Life" by Christian B. Allan, PhD, and Wolfgang Lutz, MD. The back of this book says, "Based on more than forty years of clinical research conducted on over 10,000 patients, this illuminating book unravels the mysteries of nutrition and shows how a low-carbohydrate diet high in healthy fats can reverse--and possibly cure--diabetes, heart disease, gastrointestinal disorders, and obesity, as well as boost strength and endurance." This book covers basically the same information as Taubes' book in half the number of pages. I found it much more tedious to read, however, although that may have been because I had just finished reading 450 pages of basically the same information. Also, these guys did their own research and set out to convey the results, ultimately recommending a 72 carbohydrate a day diet, so their book doesn't have the open minded sense of exhaustive exploration that Taubes presents. Still, it's a much quicker read, so it might be a good choice if you just want to understand how all this works.
Finally, I have to tell you about The Primal Blueprint by Mark Sisson. Don't be put off by the obnoxious cover: Mark and his wife have a Malibu Barbie and Ken look to them that I found off-putting, so I had to throw the cover away and just read the plain, black hardback without it. Because of that, I can't quote the back cover of this one. Both of the first two books I described make reference to our evolutionary history, but Sisson bases his whole approach on it. They all agree that we evolved as hunters and gatherers and have not caught up with the agricultural revolution yet. Our bodies are still meant to eat nuts and berries and fatty meat, not grain and dairy. Sisson has developed a whole "primal" lifestyle to offer his genes the best possible shot at giving him a long and healthy life. It seems to be working well for him so far! This book is a quick and easy read, but serious and well researched. Sisson tries to be cute sometimes, tries to write like he's chatting with a friend. I found it a little annoying, a little gimmicky, but it keeps the book from being dry and tedious. What I like about this book is that he does create a whole primal lifestyle, not just a diet, and he does it in a fun and realistic way. He acknowledges that we have to live in the real world in the 21st century, that we aren't, in fact, still hunters and gatherers. So he adapts his primal ideals to the real world, and he has fun doing it. He makes you WANT to be primal because he makes it look so fun and easy.
He also addresses the issue of exercise, and does so in a refreshing way. He talks about the perils of "chronic cardio" and suggests our bodies are meant to do low level cardio with occasional sprints and heavy lifting. Personally, I have already felt liberated by this model. (Tina B, if you are reading, this is the book for you!)
If you want more information about The Primal Blueprint without reading the book, check out Mark Sisson's website: www.marksdailyapple.com. Also, if you want another take on the same idea, Loren Cordain wrote The Paleo Diet. I haven't read it, but my impression is he has a stricter approach, more restrictive, less fun; plus he says no dairy! That crosses a line.
I have to thank my friend Holly for setting me on this path, and since she's way ahead of me on the journey, I think I'll ask her if she has anything to share on the matter. In the meantime, I find myself in the same place I was exactly three years ago: about to embark on the mission of lowering my carbohydrates. This time, however, it's not a diet for a year to lose 25 lbs. It's a lifelong nutrition choice based on solid research with the goal of living the longest, healthiest life I can. One thing Judith Beck said that stuck with me was something to the effect of, don't start a diet you can't stay on for the rest of your life. I know if I say I can never have a plate of pasta--or even a SANDWICH for goodness' sake--for the rest of my life, this will never work. So it's not all-or-nothing. It's a day-to-day, meal-to-meal choice about life and health. It's kind of exciting! I'll let you know how it goes!

Monday, August 30, 2010

Signing Off

Well, my faithful readers, I believe this is my last post. I have said everything I set out to say, and more. This whole thing is definitely a process, and I still have a big stack of books on my bedside table to read about these and related issues. Perhaps I will have some post scripts in the future, but for all intents and purposes, the I am writing today just to wrap things up.

I have enjoyed the journey of exploring all of these issues and writing this blog so much. I feel like I have some momentum, so I am wondering what will be next for me. I have thought of turning this work into a small book, or a workshop. Either one will require a better name, so please let me know if you have any suggestions!

I hope you have found something in this blog useful or inspirational or educational, and I am also wondering what is next for you. I would love to hear from you about both of these questions: what is next for me, what is next for you?

Please let me know if you’ve tried anything I’ve suggested, what’s been helpful, what hasn’t. I’m very curious about what works for others. I know for myself, the basic goal setting is key, however tedious. I know I need to go back and re-read the beginnings of my blog and follow my own advice. When I am really setting and tracking small and reasonable goals is when I see the most change. Some of those changes are permanent; some need maintenance. Just thinking “I should exercise and eat mindfully”

is not enough for me!

I’d also love to hear any other feedback and if you have any opinion about whether I should try this material in a different venue, and if so, what kind? What would be the most useful for the most people, do you think? Or should I just stop now and cut my losses?

Like I said, I have enjoyed writing this so much. The fact that ANYBODY read my blog at all is just such a bonus! I am very grateful to all of you who have spent some time at www.skinnymamasdontdiet.blogspot.com. Thank you for your time and interest, and may you carry on with mindfulness and motivation!