DIETS ARE INCONSISTENT WITH MY CORE VALUES. Erica Leon. Eating Disorder Specialist & Registered Dietitian

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1 DIETS ARE INCONSISTENT WITH MY CORE VALUES Erica Leon Eating Disorder Specialist & Registered Dietitian

2 Objectives Learn Why Diets Don t Work Explain rationale of Health at Every Size Learn how a traditionally-trained registered dietitian (me!) changed her position from weight to health Learn about a method called Intuitive Eating

3 Diets Don t Work! Diets have a 95% - 97% failure rate after 1-5 years* $60 billion industry based on premise of YOUR FAILURE *Statistics on Weight Discrimination: A Waste of Talent, The Council on Size and Weight Discrimination, Retrieved July 18, 2011, from (

4 How Dieting Affects Your Body Decreases metabolic rate Increases preoccupation with food and body image Increases binge eating: Starvation leads to binge behavior Wired to prefer CHO sweets/fats

5 How Dieting Affects Your Emotions Increases feelings of deprivation Increases sense of failure and leads to shame Decreases sense of willpower and self-esteem Decreases trust with food Increases social withdrawal

6 Diets Lead to Weight Gain

7 Diets Cause Harm You stop practicing self-care Can lead to disordered eating/eating disorders!

8 Biggest Loser is Biggest Example! Ali Vincent (Season 5 Winner) First woman to win Starting weight: 234# Ending weight: 122#

9 Biggest Loser is Biggest Example: Kept weight off for 7 years! Ali Vincent today, trying to lose weight again! Tearful Facebook Post in 2016: I gained most of the weight back. I swore I would never be over 200# again. I feel: ü ashamed. ü embarrassed. ü overwhelmed. ü like a failure.

10 Disordered Eating from Dieting

11 Disordered Eating from Dieting Almost half of American children between 1st 3rd grade want to be thinner! 50% of 9-10 year old girls are dieting! Source: Rate of Eating Disorders in Kids Keeps Rising, US Department of Health and Human Services, Retrieved July 18, 2011, from (

12 Disordered Eating from Dieting 75% of American women surveyed endorse unhealthy thoughts, feelings or behaviors related to food or their bodies Source: Three Out Of Four American Women Have Disordered Eating, Survey Suggests, Science News, Retrieved July 18, 2011, from ( )

13 Disordered Eating from Dieting 35% of occasional dieters progress into pathological dieting, (disordered eating) As many as 25% advance to full-blown eating disorders Source: Pathological dieting, precursor to eating disorder, Philadelphia Eating Disorder Examiner, Retrieved July 18, 2011, from (

14 Disordered Eating from Dieting 10 million females & 1 million males suffer from ED >1 million struggle with Binge Eating Disorder Source: Information obtained from the National Association of Eating Disorders, Retrieved July 18, 2011, from (

15 Disordered Eating From Dieting Quit dieting, food & weight preoccupation TREAT patients of ALL sizes with EQUAL respect! Weight Bias in Medical Treatment

16 What is Intuitive (or attuned) Eating? Evelyn Tribole, RD & Elyse Resch, RD

17 What is Intuitive Eating? Method of honoring health Meet physical and emotional needs Attuned to hunger & fullness Better way to attain health rather dieting

18 What is Intuitive Eating? Process-based approach that develops healthy relationship with food. YOU become the expert of your own body. Learn to trust ability to meet your needs. Learn to distinguish between physical and emotional feelings. Develop body wisdom and Interoceptive Awareness!

19 Hunger-Fullness Scale

20 Dieting Vs. Internally-Driven Eating

21 Studies on Intuitive Eating

22 Intuitive Eating

23 What is Health at Every Size (HAES )? HAES supports people in adopting health habits for the sake of health and well-being rather than weight control. Source: Weight Science: Evaluating the Evidence for a Paradigm Shift Bacon and Aphramore Nutrition Journal, 2011, 10:9

24 Health at Every Size (HAES )Promotes Flexible eating that values pleasure. Honors internal cues of hunger, satiety & appetite. Finding joy in movement. Accepting & respecting body size/shape diversity.

25 Why is Weight Different Than Height?

26 Messages About Health in Media Health depends on weight! ü Thin = healthy ü Fat = unhealthy Eat better and you will be healthier! ü Good Foods/Bad Foods Exercise more and you will be healthier!

27 My Journey to Non-Diet Nutrition Education: BS in Nutrition Cornell University 1980 Dietetic Internship MS in Nutrition New York University 1984 Learned Nutrition Facts Learned Medical Nutrition Therapy

28 Work Experiences Memorial Sloan-Kettering Cancer Center: Diet Technician/Dietitian Mead Johnson Nutrition Nutritional Supplements Sales and Marketing

29 Gail Becker Associates Work Experiences Manager, Health Communications and Public Relations Sweet N Low, Splenda Dorman s Light Cheese Vitamin Company

30 Work Experiences Burson Marstellar Public Relations Account Executive Optifast Program Other Pharmaceticals

31 Work Experience Ogilvy and Mather Public Relations Account Supervisor Nestle Nutrition Slogan: Breast is Best!

32 Work Experiences New York Hospital Outpatient RD MNT for: WEIGHT LOSS Diabetes PCOS Gestational Diabetes Cardiovascular Nutrition Gastrointestinal Health

33 Work Experiences ACE-Certified Personal Trainer and Weight Loss Dietitian

Work Experiences Private Practice established in 1998.

34 Work Experiences Private Practice established in Shapedown Provider For Overweight/Obese Children/Adolescents/ Families

35 Shapedown Problems with Shapedown Pathologized Kids Pathologized Parents Focus was on Weight NOT just habits Scale was Traumatic

36 Work Experience Started Seeing EATING DISORDERS! Kids on Diets were bingeing/emotionally eating Started seeing teens with anorexia and other EDs Saw lots of yo-yo dieters

37 Work Experience Did not know any other RDs who were aware of level of dyfunction with food Found Supervision & Training with Therapists Worked at Cedar Associates

38 Found Resources Books: Overcoming Overeating Moving Away From Diets (2003) Health at Every Size (2008)

39 Found Community Health at Every Size Community Association for Size Diversity and Health

40 Found Community: NAAFA

41 Found Community Through Social Media Facebook: Groups for Health at Every Size Instagram: Bloggers/Influences in HAES Twitter Followed Fat Activists on All Platforms Worked to Undo my Own Internalized Fat/ Weight Bias

42 Became Community

43 Became Community

Intuitive Eating. Listening to and Respecting your Body. Jessica Jones, MS, RD, CDE, Dietitian Lindsey Brooks, PhD, Psychologist

Intuitive Eating. Listening to and Respecting your Body. Jessica Jones, MS, RD, CDE, Dietitian Lindsey Brooks, PhD, Psychologist Intuitive Eating. Jessica Jones, MS, RD, CDE, Dietitian Lindsey Brooks, PhD, Psychologist Student Health and Counseling Services Listening to and Respecting your Body 1 1.Deconstruct the diet Presentation