Nutrition

The frustrating cycle of dieting

“I am on a diet” should be one of the most misunderstood statements. Being on a diet translates to a weight loss program for many yet a diet simply refers to nutritional and lifestyle changes that a person makes to improve their health. We have many diets prescribed for medical reasons, like the DASH diet to control diabetes, a gluten-free diet for those with celiac disease, or a dairy-free diet for lactose intolerant people, to mention but a few.

Why most diets do not seem to work?

A friend of mine asked me an interesting question just days ago. “Why do I diet, lose weight only for it to come back?” I bet many out there keep wondering the same. Have you ever tried to lose weight by following a diet plan, focusing on certain foods while avoiding others, and had trouble sticking with it? Have you succumbed to your cravings by eating forbidden food or having a “cheat day”? Did you feel like you blew it or failed, which then led you to eat all of the foods your diet restricted?

While most weight-loss diets can help you lose weight, they may be unsuccessful over the long run for a number of reasons. Some people don’t follow their diets carefully and don’t lose much weight even from the start. Others may go off the diet entirely after a while because it’s too restrictive or the foods aren’t appealing. Some may engage in less physical activity as they consume fewer calories. But who hasn’t heard of someone doing everything right and still losing minimal weight, or regaining lost weight over time? Perhaps that someone is you.

A while ago I wrote an article titled “Weight is not an indicator of health” and many of the answers for this are in there but the long and short of it, if your diet is not building habits, you will find yourself in a frustrating cycle which will leave you feeling like a failure. Did you know that your weight is contributed by fat, bone density, and muscle? It is important to understand your body composition before focusing on the number on the scale. It is very possible to have two people  who weigh exactly the same weight yet one of them has a healthy weight and the other doesn’t.

For the longest time in my practice, I am against restrictive diets and I always focus on building habits for my clients because I have proved beyond doubt that this approach is always a slow fix but a lasting one. What is a restrictive diet you may ask?

Restrictive dieting requires individuals to follow a specific set of rules regarding what they can eat and what they can’t eat. That may mean giving up carbs or fats, including healthy fats like those found in avocado or fish, attempting to never eat sweets or drink alcohol again, etc. it’s a diet that lures you into unhealthy habits in hopes it results in. Although it seems like a quick way to lose weight, it actually provides more harm than benefit. Starving yourself, eating less, and not consuming the correct amount of calories could result in more negative side effects that you were not prepared for.

10 Tips for Overcoming Setbacks | MyFoodDiary

Throw out the restrictive dieting and adopt a healthy lifestyle

A quick fix will give you results but not for long

People tend to lose weight quickly when they start a restrictive diet, which is why they are so popular. When entire food groups are eliminated, it typically results in overall decreased calorie consumption as the dieter figures out what they can actually eat, and anyone who burns more calories than they consume will lose weight. While fad diets might seem like the quick-fix solution to lose weight, they won’t help you get healthy in the long run. Individuals who commit to healthy, sustainable lifestyle changes may lose weight more slowly, but are more likely to keep it off. Learning how to eat well and taking the time to understand appropriate portions and the science of exercise is ideal and better; it may take some time, but with practice, you’ll internalize information and skills that will stay with you the rest of your life ensuring that even if you fall off, you’ll know what to do to get back up and keep going.

The focus should be on health other than the number on the scale

Commit to a well-rounded, healthy lifestyle, your nutrition, and exercise to help your body function at its best. A lot of restrictive diets focus on the aesthetic benefits of weight loss rather than the health benefits. When you cut out entire food groups or restrict calories too much, your body may not get enough of the essential nutrients it requires, which can result in things like headaches, fatigue, depression, or even lead to more serious health conditions. Should you begin experiencing any of I would advise you to talk to your consultant.

Remember a healthy lifestyle plan is all about achieving a sustainable balance that allows you to fuel your body to meet the demands of your life, build strength and achieve a physical appearance that you feel good about it. Do it with ease, there is no need for a crash course.

It is not about the Dos and don’ts

A set of dos and don’ts usually characterizes restrictive dieting. Do you ever wonder why our human nature is so much against rules or the law? We are hell-bent to break them all the time and the same thing happens to restrictive diets. It will always work as long as you are adhering and once you break them, you back slide and this has a way it works on your brain making you feel like a failure thereby plugging you into a state of depression for some. Other than following rules we need to understand or educate ourselves on why we are doing what we are doing. Attaching reason will help you appreciate a particular withdrawal of a particular food or addition and thereby cultivating a healthy habit in the long run.

In conclusion

BE REALISTIC!!! Let's face it extreme and restrictive diets are frustrating. The ultimate goal is t... BE REALISTIC!!! Let's fac… | Diet mindset, Food, Workout food

As you diet, remember to be realistic and always work with an experienced professional. Ask as many questions as possible and do your own research before hopping onto some random diet. You are the only person who can have your best interests.

See you next Wednesday

Nutrition

Is emotional eating an addiction?

Drugs and alcohol will come first in people’s minds most of the time if not all the time when we talk about addiction but did you know one can quickly become a food addict? An addiction is a chronic dysfunction of the brain system that involves reward, motivation, and memory. It’s about how your body craves a substance or behavior, especially if it causes a compulsive or obsessive pursuit of “reward” and a lack of concern over consequences. Food can be one of those substances.

We all know that eating is a basic need and safe to say, it is a pleasurable experience. Over time eating as an experience has evolved from relative food scarcity to an overabundance of food in many areas now, no longer just a response to hunger but a form of social engagement and unfortunately in the era of the double burden of malnutrition, a source of disease too.

If you ever find yourself eating beyond nutritional necessity, using food to self-soothe, know that yours is tending towards an addiction. A good thing is starting to get misused. Instead of eating for physical reasons, you are beginning to eat for emotional reasons.  Food is becoming a source of emotional comfort, and you are becoming dependent on this comfort as means of coping. This now has a name; emotional eating.

Addiction

What is emotional eating?

Emotional eating is eating as a way to suppress or soothe negative emotions, such as stress, anger, fear, boredom, sadness, and loneliness. In short, a response to negative emotions rather than to physical hunger. Just like an addiction, emotional eaters find it difficult to stop overeating, despite the negative consequences, such as weight gain, diabetes, or even social isolation. The crux of emotional eating is that emotions, not food, are the primary reason for eating.

Emotional eating is characterized by not feeling, carrying internal shame, and not seeking help because often you do not know you are battling a legitimate problem. Emotional eating is rarely fixed by diet as it is more to the mind than it is to the food. Behavioral changes come first and go a long way before the diet changes. Binging on anything, work, shopping, sex, or in this case food, is the malnutrition of your emotions that needs to be attended to. There is no external fix for this internal problem, it is an inside out job. There is a need to review the way we use food as a way to cope with life. Questions like, what was the problem that made food your solution? are a good way to start this journey, the healing one that is. If you can not ask yourself, a professional like a therapist can be better placed to help. Awareness, understanding, and compassionate approach is the path I would wish every emotional eater to hop on.

Emotional eating is not about being weak or not having willpower, you are strong because it takes a lot to do what you do consistently. You are warriors and fighters and that can work for you instead of against you. You are loved and seeking help is not an indicator for failure. Extreme diets will treat the ‘symptoms’ and you will get results that will make you feel good for just a while. Unless you identify the root cause will you see permanency in your solutions? Whatever is going on inside, feel it before you feed it.

Addiction

It is not a too late friend, we can still do something and set you up for a better life lived. I wish you the best and I look forward to hearing from you.

See you next Wednesday

Nutrition

Step up for Breastfeeding

Breastfeeding

The World Breastfeeding week 2022 is focused on strengthening the capacity of actors that have to protect, promote and support breastfeeding across different levels of society. Target audiences include governments, health systems, workplaces and communities that ought to be informed, educated and empowered to strengthen their capacity to provide and sustain breastfeeding-friendly environments for families in the post pandemic world. For so long we have focused on promotion of breastfeeding from the angle of families, yet there are major players in this whole chain who determine the success of the promotion of breastfeeding of children. The objective of the World Breastfeeding Week for 2022 is to inform, anchor, engage and galvanise action on breastfeeding and related issues.

According to WABA, the COVID19 pandemic and geopolitical conflicts have widened and deepened inequalities, tipping more people into food insecurities. The limitations to the health system’s capacity has also attributed to the deterioration of breastfeeding support. This is attributed to lack of staff due to illness leaving the remaining few overwhelmed and other tasks shifted to untrained personnel.

It goes without saying that targeted outreach by breastmilk substitutes industry undermine breastfeeding and in-turn influence parents’ infant feeding decisions. I have seen statements like ” Even formula fed babies grow just fine” Whilst this looks like an innocent statement it can be misleading and undermine the immense benefits your baby can get from breast milk.

This year, WABA has come up with the Warm Chain Support for Breastfeeding. Supporting breastfeeding involves many actors and levels. The warm chain support for breastfeeding involves supporting women from the health service, community and workplace to optimally breastfeed, progressing from one level to another. There is urgent need for education to improve and increase the capacity of all actors who work along the warm chain.

Actors in the warm Chain

Health Care Actors

These play an essential role in the support of breastfeeding and as such need a consistent and appropriate evidence based education, both pre-service and in-service training. There is need to fully understand mother-friendly care and Baby Friendly Hospital Initiative (BFHI) so as to implement the health facility policies and specific breastfeeding counselling competencies. Cultural practices and beliefs affect breastfeeding and as such they need to be trained on the International code of Marketing of Breastmilk Substitutes (the Code) to be equipped on how to meet their responsibilities. These health care actors include; breastfeeding councilors, breastfeeding support groups, community health workers, certified lactation consultants, family doctors and general practitioners, midwives and nurses, nutritionists and dietitians, pediatricians, obstetricians, health care administrators and policy markers in the health system.

UNICEF Lao PDR on Twitter: "WHO and UNICEF launched the Baby-friendly  Hospital Initiative (BFHI) to help motivate facilities providing maternity  and newborn services worldwide to implement the Ten Steps to Successful  Breastfeeding.

BFHI

Community actors

These support in national and international advocacy to protect, promote and support breastfeeding. They need awareness in the tactics that Breastmilk substitutes industries use in providing misinformation and unethical promotion on breast milk substitutes. There is need for education on how to support parents and how they can collaboratively work with health care actors to fill in the existing breastfeeding gaps. The community actors include academicians, community members, employers, faith groups, environmentalists, family members and media.

Support for breastfeeding does not start only when the baby is born but starts from conception. During pregnancy and before birth, parents need to prepare for breastfeeding and this is crucial during pregnancy. A lot can change for the better at this stage. Parents need education and anticipatory breastfeeding counselling right from the first trimester during antenatal visits. They ought to know the importance of breastfeeding, it’s health, social and economic benefits. All antenatal staff need to be trained on up to date evidence based information and counselling in order to be in the right position to assist parents. In addition, this is the time to connect parents to community networks for support beyond the health facility.

At the stage of labour and delivery, medical interventions that interfere with both initiation and establishment breastfeeding should be minimised. According to WABA, maternity services often lack a mother friendly care policy or they do not implement the existing policies fully. Poor implementation of the Baby Friendly Hospital Initiative  (BFHI), results in failure of the practice of the early skin to skin contact appropriately, unnecessary separation of mothers and babies as well as initiation of breastfeeding. All this comes at the cost of the mother and child thus the need to ensure that health workers are competent in all these things.

During postpartum care (for the mother) and post natal care (for the Baby) especially in the first six weeks of birth, there is need to teach mothers how to express milk and situations when this might be useful. Safe storage of the expressed milk ought to be taught and fears towards expressing allayed. Health care and community actors require competency to show a mother how to latch her baby and support her especially in the times of a low breastmilk supply.

Covid19 and the increasing geopolitical conflicts have also showed us that there is need to support breastfeeding under special circumstances and/emergencies. Parents need to be taught that breastfeeding can save lives during special circumstances and emergencies. Experts advise that in such circumstances, the order of preferences should be expressed milk from the infant’s mother, breastmilk from a healthy wet nurse or human milk bank or breastmilk substitute, preferably infant formula fed from a cup. The options must be informed based on cultural context, acceptability by mothers and service availability.

It is now your role to identify where in the chain you can support breastfeeding. Whilst the onus falls more on policy makers in the country, we also have to be willing to participate and implement in our areas of influence, whatever that looks like to you.

Let us set up for breasting, educate and support.

Happy World breastfeeding week 2022

See you next Wednesday

 

 

Nutrition

Hemorrhoids and diet

Hemorrhoids

The embarrassment, isolation and shame cannot begin to explain the agony people suffering from hemorrhoids (HEM-uh-roids) also known as piles endure. Extreme pain, itchiness, discomfort and bleeding from the back passage leaves a lot to be desired when dealing with this condition. Daily routines can be greatly affected depending on the severity and sadly many only seek for intervention when it is a bit late because of the shame that it carries with it.

What Are Hemorrhoids? Symptoms, Causes, Diagnosis, Treatment, and Prevention | Everyday Health

What are hemorrhoids?

Hemorrhoids are swollen veins in your anus and lower rectum, similar to varicose veins. Hemorrhoids can develop inside the rectum (internal hemorrhoids) or under the skin around the anus (external hemorrhoids). The signs and symptoms of hemorrhoids usually depend on the type of hemorrhoid, that is to say internal or external. External hemorrhoids are usually characterised by itching or irritation in your anal region, pain or discomfort, swelling around your anus and bleeding. Internal hemorrhoids are usually characterised by painless bleeding during bowel movements and or a prolapsed or protruding hemorrhoid resulting in pain and irritation.

Who is at risk?

Hemorrhoids occur when the veins around your anus stretch under pressure and end up bulging or swelling.

Hemorrhoids are more likely to occur if you:

  • Are pregnant
  • Sit on the toilet for too long
  • Are obese.
  • Have a low fiber diet
  • Do things that make you strain more, such as heavy lifting
  • Have a family history of hemorrhoids
  • Have long-term or chronic constipation or diarrhea
  • Are between 45 and 65 years old

Hemorrhoids: Causes and Risk Factors

Can diet help?

Lifestyle changes have proven to be an effective remedy for hemorrhoids both preventative and lessening of the symptoms. Some people have also managed to escape the knife (surgery) with diet alone. A balanced, high-fiber diet, together with plenty of fluids, softens the stool and increases its bulk, which will help you avoid the straining that can cause hemorrhoids or worsen its symptoms. Together with your doctor and dietician, you will be able to draw out a plan on the management of this condition. I have put down below some of the lifestyle changes you can employ but please remember this is for only information purposes, do not replace this for a diagnosis but reach out to a physician for a proper diagnosis.

Lifestyle changes

You can help prevent hemorrhoids or minimize flare-ups by making simple lifestyle changes:

  1. Drink water


    Drinking plenty of water a day can help reduce the risk of constipation and keep bowel movements soft and easy to pass.

  2. Eat a balanced, high-fiber diet


    Work with your dietician to come up with a balanced diet that is fiber rich, both soluble and insoluble fiber. If you are prone to diarrhea, he or she will be in position to walk the journey with you to reduce the symptoms and avoid it.

  3. Get some exercise


    It goes without asking how exercise is a key part in one’s health. It aids in digestion and tones the supporting muscles of the anal and rectal area as well as the abdomen. Do non strenuous exercise though and be sure to check in with your healthcare provider.

  4. Do Kegel exercises


    For pregnant mothers, kegel exercises are important as they help strengthen the pelvic floor plus anal and rectal muscles after childbirth. This will aid in digestion and prevent constipation. To do a Kegel exercise, tighten your vaginal muscles (as you would if you needed to stop urinating midstream), hold it for a few seconds, release and repeat several times. It’s a discreet exercise you can do almost anywhere.

  5. Maintain a healthy weight


    Extra weight can put more pressure on your abdomen, which increases your chances of getting hemorrhoids. Maintain a healthy weight at all times.

If you do not have hemorrhoids yet, try not to put yourself in a position that would put you at risk. If you have them already, despite the embarrassment it carries, reach out to someone and find yourself some help. Remember it is possible to escape the knife only if you can catch it early.

Best of luck.

See you next Wednesday

 

Nutrition

Nutrition fact labels

Labels

Packed food items often have information that comes with it but I bet many of us do not go past the name of the item and ingredients some times when the food item is new. How many times do you walk into a supermarket or grocery store and care to read the labels before making the decision to buy that food item? Always? Never thought about it? or you don’t think it is important?

At the back of every food packaging there is always labels that ideally should be read by everyone as a determinant for the purchase of that food. That is what we call a nutrition label or food label. Nutrition labels describe the nutrient content of a food and are intended to guide the consumer in food selection. The nutrition information provided must be selected on the basis of consistency with dietary recommendations.

 Food labelling is not only vital but also a legal requirement if you’re a food producer. Understanding food labels helps consumers make informed decisions when purchasing food and helps them to store and use the food they’ve purchased safely.

What is a nutrition fact label?

The nutrition facts label is a label required on most packaged food in many countries, showing what nutrients and other ingredients are in the food. Labels are usually based on official nutritional rating systems. The label breaks down the amount of calories, carbs, fat, fiber, protein, and vitamins per serving of the food, making it easier to compare the nutrition of similar products.

Importance of nutrition labels

Nutrition facts labels tell you about the nutrition of a particular product. This information includes serving size, number of servings in the package, calories per serving and the amount of various nutrients contained in the product. Once you understand the labels, they can help you follow a healthy diet and make it easier to choose the most nutritious foods between two different foods.

You can compare the labels to determine which foods are lowest in calories, fat, saturated fat, trans fat, cholesterol, sodium and sugar. These are the ingredients you should limit for good health. Checking the ingredients list will help you avoid foods that contain additives or other ingredients that you want to avoid. The foods with the fewest ingredients and those that only contain ingredients that you would have in your own kitchen are healthier than those with lots of ingredients you don’t recognize.

Sample Label for Frozen Lasagna

How to understand and use nutrition labels

Servings

Serving Size Sample Label

Serving sizes are standardized to make it easier to compare similar foods; they are provided in familiar units, such as cups or pieces, followed by the metric amount, e.g., the number of grams (g). The serving size reflects the amount that people typically eat or drink. It is not a recommendation of how much you should eat or drink.

It’s important to realize that all the nutrient amounts shown on the label, including the number of calories, refer to the size of the serving. Pay attention to the serving size, especially how many servings there are in the food package. In the sample label, one serving of this particular food equals 1 cup. If you ate two cups, you would be consuming two servings. That is two times the calories and nutrients shown in the sample label, so you would need to double the nutrient and calorie amounts, to see what you are getting in two servings.

Calories

Calories Sample Label

Calories is a measure of how much energy you get from a serving of this food. Remember the number of servings you consume determines the number of calories you actually eat for example, there are 280 calories in one serving of our food above. If you ate the entire package you would have consumed 1,120 calories. (280 calories multiplied by 4 servings)

To achieve or maintain a healthy body weight, balance the number of calories you eat and drink with the number of calories your body uses. 2,000 calories a day is used as a general guide for nutrition advice. Your calorie needs may be higher or lower and vary depending on your age, sex, height, weight, and physical activity level.

Daily Value

Percent Daily Value on Sample Label

The daily value is expressed in percentages. it is the percentage of the Daily Value for each nutrient in a serving of the food. The Daily Values are reference amounts (expressed in grams, milligrams, or micrograms) of nutrients to consume or not to exceed each day. The % daily value shows how much a nutrient in a serving of a food contributes to a total daily diet thus helping you determine if a serving of food is high or low in a nutrient. It saves you the trouble of having to interpret the nutrient numbers by putting it on a scale of (0-100). Therefore the higher the percentage of the daily value of a particular nutrient, the higher you are getting of that nutrient per serving.

Nutrients

Nutrients on Sample Label

This section indicates the key nutrients that impact your health. With this you can be able to look for foods that contain more of the nutrients you want to get more of and less of the nutrients you may want to limit.

When it comes to sugars, unlike before where the label only indicated total sugars, provisions have been made to include added sugars separate because total sugars included even the natural sugars present in the food which can be misleading. 

Saturated fat, sodium, and added sugars are nutrients listed on the label that may be associated with adverse health effects so choose foods that have less of these and emphasize foods with more desirable nutrients like dietary fiber, vitamin D, calcium, iron, potassium e.t.c

I hope this brings us closer to interpreting the nutrition of a particular food you are purchasing. 

In conclusion

According to the Food and Agriculture Organization (FAO), one of the main drivers for nutrition labelling is the increased prevalence of diet-related non-communicable diseases and these labels can be effective instruments in helping consumers to make healthful food choices. To maximize the potential of nutrition labels and health claims to improve public health, awareness campaigns and education programmes should be provided on an ongoing basis to help consumers to understand and use labels appropriately.

Take time to read that label on your favorite food, you will be surprised what you find. A healthy diet is crucial throughout your lifetime and paying attention to nutrition labels is a good step toward improving ones overall diet.

See next Wednesday