Have you ever wondered why we use the same word for both normal and extreme eating behaviors?

Diet vs. Dieting

We all know what it means to “go on a diet.” When you are dieting (the verb) you temporarily change how you eat–sometimes in ways that are very extreme–for the purpose of losing weight or achieving another immediate goal, like “detox.”

But we also use the word diet to describe normal, everyday eating patterns such as a “healthy diet” or “vegetarian diet.”

Failing to distinguish short-term and long-term eating behaviors is a serious problem though, because in reality most of us confuse these methods and try using short-term strategies to achieve goals that can only be met with a long-term approach. And describing and correcting this fallacy is almost impossible when the terminology we use is the same for both.

Dieting Is Temporary

To be clear, there are a few cases where dieting (short-term) can be beneficial. Sometimes an athletic event or other performance requires temporary weight loss or a special training program. But if your goal is long-term health or permanent weight loss, you won’t find much success with this approach.

Sure you can lose weight if you go on a diet. In fact, you can lose weight on almost any diet (I’m still skeptical of the cookie diet, but I would not be surprised if someone has lost weight on it). What you must remember is if your changes are temporary, so will be your success.

Worse, most temporary weight loss plans encourage rapid weight loss that ultimately destroys muscle and lowers your metabolism. This makes future attempts at weight loss even more difficult and may result in a net weight gain, once you have fallen off the bandwagon. In other words, you achieve the opposite of your goal.

The Maintenance Illusion

Deep down you probably know all this. Yet still we love to rationalize this behavior by telling ourselves that once we lose the weight, then we will switch to a healthier diet. We tend to associate “healthy diets” with weight maintenance, and we keep this idea in the back of our brains for the mythical time when we finally achieve our perfect, ideal bodies.

But this strategy is backwards.

Habit

To lose weight and keep it off, to prevent chronic diseases and stay fit and active into old age, we need to permanently change our daily eating habits. We must learn to make healthier choices and gradually shift our behaviors to those of a healthy, thin person.

“We are what we repeatedly do. Excellence, then, is not an act, but a habit.”

-Aristotle

Aristotle’s wisdom holds true for weight loss as well. To change our bodies we must change our habits. And habits are created in our minds. We need to stop thinking of dieting as a way to achieve permanent weight loss. Instead we need a term that emphasizes our set of personal habits we adopt for long-term good health.

Healthstyle

Healthstyle is the word I am choosing to describe the healthy habits that fit our own individual styles.

One of the wonderful things about health and weight loss is that there are countless ways to get there. And what works for someone may not work for you. Healthstyle is your customized path to health that suits your personal tastes and lifestyle.

Most importantly, Healthstyle emphasizes habits and long-term health, not painful diets and temporary weight loss.

Please join me in removing the word diet from the discussion of healthy eating. If you use Twitter, share your healthy habits with the tag #healthstyle.

What is your Healthstyle?

A widely publicized study out this week in the New England Journal of Medicine shows that there is virtually no difference between low-carb, low-fat, high-carb or high-protein diets when it comes to weight loss. I don’t often like to toot my own horn, but if you read my post on Monday about the Top 10 Food Facts Everyone Should Know (see point #10), then this was not news to you.

For several years now data has been accumulating that the relative composition of different macronutrients (fat, carbs, protein) in your diet has little to no effect on long-term weight loss. What makes this study stand out from the pack is how well it was designed.

The Study

This was the largest, longest run study of this kind ever conducted, including nearly 650 over weight individuals of diverse racial, socioeconomic, geographic and education backgrounds. The participants were highly motivated to lose weight and were given detailed instructions on why their assigned diet was considered an effective weight loss strategy (this was to remove bias caused by the media about popular diets).

For you carbophobes out there, the importance of dietary carbohydrates was addressed directly. The amount of carbohydrates in the different diets varied from 35% (very low) to 65% (very high). All participants, including those on the high-carb diet, were instructed to choose foods that had lower glycemic index. Carbohydrate composition had no significant effect on long-term weight loss.

All subjects received substantial behavioral therapy to help them meet their goals, and detailed measurements of health and weight loss were collected from each individual throughout the study. The participants were told to keep food journals and use online support provided, as well as weekly dietary counseling.

Importantly, all the diets resulted in similar calorie deficiencies to promote weight loss. Not surprisingly, after 6 months all the participants had lost a substantial amount of weight, but after 1 year had gained about half of it back. During the final year the subjects had more difficulty sticking to their assigned diets, particularly those assigned the most extreme regimens (very low-fat or high-protein).

Conclusions

Regardless of diet, all participants experienced similar, modest (5% body weight reduction), but clinically relevant weight loss that is mainly attributed to a reduction in calories.

Interestingly, the measure that best correlated with weight loss success was attendance at the dietary counseling sessions.

Since the study is over can we now assume that many of these participants have gone back to their old eating habits? I would bet yes.

What can we take away from this study?

You can lose weight on any diet, but for most people it is very difficult and not sustained. This is because cutting calories is very tough for most people.

This study also suggests that losing weight with standard diets is very difficult and, in most cases, only moderately helpful. It seems future research should focus on how to increase adherence to a lower calorie diet. Gaming the system by manipulating macronutrient composition doesn’t seem to be working.

Why you should focus on whole foods, not nutrients

Another thing we can take from this study is that if weight loss is your goal, calories are what count. (Some of my friends responded to this finding brilliantly: “DUH.”) The nice thing about a diet based primarily on vegetables is that lowering caloric intake is relatively easy. As long as some effort is made to achieve a balanced diet (enough plant protein and fats), satisfaction after a meal can be attained with far fewer calories.

Vegetables are very bulky, highly nutritious and have very few calories. It’s not easy to gain weight when you eat kale, beans and brown rice for dinner.

Like I explained a few weeks ago, since I have focused on health (rather than weight) and a vegetable-based (rather than macronutrient-based) diet, I have lost weight effortlessly. I am also less stressed about food in general, and have completely lost my old cravings for sugar and fat.

Best of all, I do not feel like I have given up anything whatsoever. In fact I would argue I have gained the freedom to eat what I want, whenever I want it. And the food I eat is much more satisfying and delicious. I guarantee you this tagine tasted better than any Atkins bar, rice cake or BigMac.

My life now is much more delicious.

Are you ready to give up diets and focus on health?

In honor of the food issue this week at Synapse, I compiled a list of ten essential diet and nutrition facts you might not know:

1. “Vitamins” are not the same as whole foods. Instant ramen and a multivitamin is not a healthy meal. There is no substitute for a diet of whole foods rich in vegetables, beans, grains and fish.
2. A healthy diet can prevent or even reverse four out of the six leading causes of death in the US. Evidence indicates that diet is more important than genetics in the vast majority of heart disease, stroke, cancer and type 2 diabetes cases.
3. The thinnest, healthiest people in the world eat “high carb” diets. But they definitely do not eat the processed, refined carbohydrates that flood Western culture. If you want to lose weight and live longer without disease, eat more vegetables and whole grains.
4. You get plenty of calcium. Americans consume more calcium than most countries on earth, yet still sport some of the highest rates of osteoporosis. This debilitating disease is more likely caused by insufficient vitamin D, not enough exercise and/or too much protein. Also, excess calcium is linked to prostate cancer and milk to ovarian cancer. Calcium does not support weight loss either.
5. “Fiber” is not the same as vegetables and grains. Fiber supplements do not offer the same benefits as fiber-filled foods, and do not help with weight loss or protect against disease.
6. The best sources of protein are plants and fish. It is relatively easy to get complete protein (i.e., all the essential amino acids) from a diverse diet. Protein from red meat offers more risk than reward. (Yes, pork is red meat.)
7. Fruits and vegetables protect your vision. Both cataracts and macular degeneration are strongly tied to diet.
8. Fats from factories are dangerous. Processed oils and trans fats (not total dietary fat) are associated with heart disease, type 2 diabetes, cancer and obesity. Replacing them with natural oils could save your life.
9. Fats from plants and fish are essential. Mono- and polyunsaturated fats protect against heart disease, type 2 diabetes and memory loss. In moderation they can also aid in weight loss, since they increase the satiety you feel after a meal.
10. You can lose weight on any short-term diet, but you will probably gain back more than you ultimately lose. This is often true even if you stay on the diet. Focusing on long-term health is the best strategy for sustained weight loss, but it requires patience.

What are other common myths about diet and nutrition?

UPDATE: For more information on the health value of oils from fish, please read my answer in the comments section.
http://forms.aweber.com/form/30/split_210533730.htm

This past week I mentioned a few times on Facebook that I was going out to eat. Once I mentioned something about meatballs, another time a burger and then fried chicken. The response from my friends was pretty uniform:

“YOU EAT MEAT?!?!”

I can understand the confusion. I spend pretty much all my free time trying to convince my readers that eating more vegetables, legumes and whole grains, while cutting back on red meat and refined carbohydrates will help you lose weight, keep your heart healthy and stave off cancer. My recipes almost never include meat or dairy and, it’s true, I don’t eat much of these things (at least not compared to most Americans).

But I do eat pork, beef, cheese and cake, and I love them!

What really distinguishes my eating habits from a typical Western diet is the quantity and quality of the unhealthy foods I eat, as well as the quantity and diversity of the healthy foods.

As I have explained before, taste is a huge factor in what I decide to consume. I do not eat gross foods just because they are supposed to be healthy, and I do not deprive myself of foods that I love. Instead I have learned to cook myself healthy food that tastes amazing–food I would be proud to serve to friends and chefs alike. My method is to get the best ingredients I can get my hands on, and that involves seasonal shopping every weekend at the farmers market.

I have a similar strategy for less healthy foods.

When I do choose to eat meat, cheese or dessert I do so with the understanding that these foods are treats I cannot take for granted. And because I know they are not indulgences I can (or want) to make very often, when the time comes I make sure that whatever I am eating is unquestionably worth it. In San Francisco this probably means I’ll be having the best ______ I’ve ever eaten in my life.

I never waste my health or time on cheap junk food.

Besides excellent food there are occasionally other circumstances that give me valid reasons to stray off course. For example, once in a while an experience justifies making an exception. In these cases it can be more important to spend quality time with friends or loved ones than it is to have a balanced meal. No one likes a food snob, so when faced with a situation like this I just eat whatever foods I like, relax and enjoy myself. If the food happens to be unhealthy, I make some effort to not eat too much of it.

The reason I do not stress about these situations is because the biggest impact on your health comes from how you choose to eat most of the time, not what you eat some of the time.

Look at any of my grocery lists or recipes and you know that my diet consists of abundant fresh vegetables, legumes, fish, grains and fruit. This is why my cholesterol, triglycerides, fasting glucose, iron, body fat and pretty much any other health measure you can think of are so impressive (my HDL is higher than my LDL!). But I do still eat eggs, poultry and cheese on occasion, and sometimes even bread, sugar and red meat.

Most importantly, everything I eat is absolutely delicious and there is no question in my mind I can sustain these habits indefinitely. I never feel deprived of anything. I always feel healthy and nourished. And with the changing seasons, my meals never get boring.

But trust me, if I am really feeling the burger at Absinthe I don’t hesitate to go get me one.

• Do you think there is room in a healthy diet for indulgences?

• Is there room for health in an indulgent diet?

Last week I had my body fat measured by the gold standard of body composition testing: the hydrostatic body fat test.

I did this test exactly one year ago so I thought it would be informative to see the results a year later (I just checked my email and realized I received my results on January 29, two years in a row). I expected the test to be particularly illuminating this year because of the notable weight loss I have experienced in the past 12 months.

(note: This is part 2 of a 2 part post. Part 1 focuses on the testing experience and what to expect if you go in for a hydrostatic body fat measurement. Part 2 examines my personal body composition changes over the past year. For reference, the picture above shows the volume of 1 lb of fat next to a shallow, superficial coffee mug from Southern California).

I want to begin by saying that last year my body fat percentage was very low for a female, even lower than some athletic males. I am small, eat healthy and am very active so everyone expected I would test at the low end, but my body fat was even lower than any of us imagined.

At the time I did not have a body fat goal, but was very curious about my body composition given my lifestyle.

This year (again) my health goal was not directly related to body fat percentage (I will admit that I would have been disappointed had it gone up), but I have many habits–both new and ongoing–that have the potential to significantly impact my weight, appearance and body composition.

So what did I change and how did it affect me?

Let’s start with my favorite subject: food.

It has been over three years now since I have abandoned dieting and focused on healthy eating. This transition was difficult for me, because I had been on a diet for virtually my entire life (since age 11).

The most notable dietary changes I made were:

1. Greatly increasing the diversity and quantity of vegetables I eat daily.
2. Eliminating all nutrition bars, shakes and processed foods.
3. Greatly increasing plant oils and reducing animal fat.
4. Increasing plant protein and reducing animal protein.
5. Increasing whole grains.

Eating more (any) whole grains was by the far the most difficult hurdle for me to overcome. Back in 2003, I would have rather starved than eat any “carbs.”

I have lost weight every year since I changed my diet. This year I dropped (significantly) below my goal weight. And remember, this is after I stopped dieting.

But just because I no longer live on a diet does not mean that I stopped thinking and learning about food. I am constantly reading primary scientific literature and improving my knowledge of nutrition science, and it is impossible for this not to impact the way I choose to eat.

As part of my continuing education, I have further modified my diet over the past 12 months. I have completely stopped buying processed “whole grain” products like Oroweat breads and phony whole grain cereals.

From what I have learned, something is not really “whole grain” unless it actually looks like a grain, no matter what the FDA says. That is to say, the benefits scientists have discovered from whole grain foods are much more substantial if the grains are still intact rather than processed and reconstituted.

Consequently, this year I have a more diverse diet of whole grains, but still occasionally consume processed starches if I find the situation warrants an exception.

Also this year I have made a concerted effort to eat more beans and other legumes for protein. Subsequently I eat fewer animal products and do not consume dairy as part of my daily routine. Don’t get me wrong, I love cheese and creamy sauces. I eat them, but try to limit them to special occasions (like Valentine’s Day).

I have also increased my farmers market shopping from about 50% of my vegetable and fruit purchases to over 90% (I used to regularly supplement my purchases with veggies from Whole Foods and my local market) . This shift was motivated primarily by taste, health and science (local organic foods are more flavorful, more nutritious and have fewer harmful chemicals), but was also influenced by economics and politics.

Another change for me this year was my workout routine.

I used to run marathons and always believed with absolute certainty that cardiovascular workouts were the only way to lose weight. Strength training (weight lifting) was for building up muscle, I thought. I am naturally a muscular, athletic girl and always believed I had plenty of muscle and could live without any extra.

Prior to 2008 I did minimal upper body weight training at the gym, mainly assisted pull ups and dips. But I spent hours on treadmills and elliptical machines.

This year I have been too busy to spend 7+ hours a week doing cardio. I have consequently reduced my cardio workouts to 30 min per day, 5 days a week (or less). I partially make up the difference by walking to my shuttle stop for work (about a mile each way), rather than taking public transportation.

In addition to less intense cardio activity, last summer I began a serious upper body weight lifting regimen. I spend significant time in the weight room using free weight for shoulders, arms, back and abs. I am much stronger in almost every way (except cardio endurance) than I was a year ago.

Interestingly, despite the weight loss and increased strength training, my body fat percentage is exactly the same compared to a year ago (actually 0.1% less, statistically insignificant). That means while I lost some fat, I lost a similar proportion of muscle.**

It is impossible to say why the number is exactly the same, but it is an interesting thing to think about. As I mentioned earlier my upper body is noticeably stronger than it was last year, so it can only be assumed that I increased lean body mass on my upper body. However, my arms are still really small, so this probably represents a tiny percentage of my total weight.

Conversely, my legs (and, um, rear) are substantially smaller (about a size and a half at my favorite denim retailer), so based on my results I would assume that I have lost muscle in my legs because of the drop in strength-building (resistance) cardio work. The added walking does contribute to my cardiovascular fitness, but probably does not add new muscle.

Therefore my hypothesis is that my muscle mass was somewhat redistributed and my total body fat was reduced. Because I only shrunk in mass (not height) the result is a much leaner appearance overall, even though my fat percentage did not change. Although I was happy with my physique last year, deep down I would have admitted that this muscular redistribution was a goal of mine, so I am very happy with the results.

The moral of the story

If you think you need to diet, stop dieting. If you want to lose weight without gaining too much muscle, do less intense cardio workouts and increase strength training.

Five years ago I would have called you crazy if you told me these things, but seeing is believing.

My goal now is to maintain my weight and body fat, and keep focusing on my healthy diet to fight the diseases of affluence (aka diet): heart disease, diabetes, hypertension, cancer and dementia. I hope you join me.

What do you think about my fat and weight loss story?

Click here to read Body Fat Test: One Year Later (part 1)

———-

**I debated for hours whether or not to post my weight and body fat percentage on the internet. I decided not to for the same reason I didn’t post it last year. However, I realize that some of you are info junkies (like me) that would really love a solid number to wrap your brains around. As a compromise, I will send an email with both my weight and body fat as recorded by Fitness Wave (2008 and 2009) to anyone who makes a Paypal donation of $5 or greater to Summer Tomato. The information will be sent to the email address used for the donation unless an alternate address is given. If you have any additional questions or concerns, please email questions@summertomato.com.

This week my awesome gym (Bakar Fitness) was once again offering hydrostatic body fat testing courtesy of Fitness Wave.

I had my body fat and metabolic rate tested last year and thought it would be interesting and informative to go in for a one year follow up.

I also want to give you an idea of what to expect if you decide to “get dunked.”

(note: This is part 1 of a 2 part post. The first post focuses on the hydrostatic testing experience rather than my personal story. Come back next week for part 2).

“Hydrostatic” body fat testing is a lot like it sounds: you get weighed under water. The principle behind the method is that virtually all tissues in your body–bones, muscles, organs–weigh more than water. That is, everything sinks except fat. The density of fat is lower than other tissues and consequently, fat weighs less.

Using this knowledge you can calculate how much fat you have by comparing your weight inside and out of the water. The lighter you weigh under water compared to on land, the more fat you have. You can convert this into an exact body fat percentage by doing a little math. (Don’t worry, Fitness Wave does this all for you).

Calculations are even more accurate when you throw in measurements like height. For this test I even had my ankle size measured.

During the test you step into a tank of warm water (pictured to the right) and position yourself on a metal scale. You are instructed to blow out all the air from your lungs and submerge your head while the operator checks your weight. This process is repeated at least three times, and takes about five minutes.

The bottom line is that when packing your bag for your body fat test remember that you will get wet.

A bathing suit and towel are appropriate.

If it is January (or summer in San Francisco), you may also want to bring a change of warm clothes and sandals. When testing, the Fitness Wave trailer is stationed down near the loading docks between the Community Center and Genentech Hall at UCSF Mission Bay. You probably don’t want to walk from the locker room to the trailer in your bikini.

Hydrostatic Testing Checklist:

1. Bathing suit
2. Towel
3. Warm clothes
4. Convenient shoes
5. Healthy dose of perspective

Packing your bag is not all the planning you need to do before getting a body fat test. As I explained last year, I also recommend you decide before you go about what you will do with this personal information. Determine beforehand whether or not you want to tell your friends what you are made of to save yourself from stress and awkward conversations later on.

Overall the testing was (once again) a great experience, and I highly recommend getting a hydrostatic test if you get the opportunity. I received a print out of my numbers and an email with more information the next day.

Next time I will reflect upon how my eating and workout habits have affected my body composition over the last year. Check back next week for all the gossip.

Keep up with Summer Tomato by using these links to receive posts via email or RSS feed. Email subscriptions require an activation step once you receive a confirmation in your inbox.

Click here to read Body Fat Test: One Year Later (part 2)

Have you ever had your body fat tested? Are you interested?

A study published last week in the journal Obesity may make you question whether you really want to rely on the Atkins or South Beach diets to reach your New Year’s Resolution goals.

It is widely believed that low-carbohydrate, high-fat diets support weight loss in most individuals and indeed, there is a good amount of research to back this claim. Despite this, few studies have examined the after effects of a low-carb diet, particularly once normal eating is resumed.

In a new study, scientists had rats consume either a regular high-carb diet or a low-carb, high-fat diet for sixteen days. After this period the diets were switched and rats were maintained on the opposite diet for another sixteen days. Both diets included the same number of calories, so the only difference between the groups was the relative percentage of macronutrients.

As you might expect, while the rats were fed a low-carb, high-fat diet they lost weight compared to rats on a regular diet. Interestingly, however, despite this loss of body weight there was little to no loss of fat, and therefore the rats that lost weight had a relatively higher body fat percentage than the rats fed a normal diet.

The low-carb rats also had lower energy expenditure (exercise and calorie burning) than rats on a normal diet, and the decrease persisted even when the animals were returned to a normal diet. This is consistent with reports of exhaustion in humans undergoing very low-carb diet regimens.

Furthermore, animals that were temporarily put on a low-carb diet regained more weight than animals that were never fed a low-carb diet. This suggests that short term exposure to a low-carb diet increases risk of weight gain compared to no dieting.

Uh oh.

According to this research it is possible that a low-carb diet may actually cause you to gain weight in the long run. How very unfortunate.

But while these results are compelling, do not go stocking up on pasta just yet. First remember that these are rats, not humans. The way scientists change the composition of a rat’s diet is by giving them different pellets of bizarre lab food with various proportions of “nutrients.” This is not the way humans eat (assuming you don’t spend too much time in GNC), nor can it ever reflect a healthy human diet. It would be great if they could put the rats on a diet of seasonal fruits and vegetables, whole grains, legumes and fatty fish, but that is not the way animal research works. This is something to keep in mind whenever you hear about nutrition studies.

Also, nutrition research using rodents rarely distinguishes between the qualities of different macronutrients. For example, did the “high-fat” diet contain mostly saturated fat, trans fat, monounsaturated fats, polyunsaturated fats or all of the above? A similar question can be asked about the quality of carbohydrates, but it is difficult to imagine high-quality carbohydrates coming in pellet form. A huge body of scientific literature suggests that the quality of different macronutrients is far more important to health and weight than relative proportions of refined macronutrients.

Protein is another question mark in this study, which the authors acknowledge. The low-carb diet they used was not high in protein like a typical Atkins style diet. However, their findings were similar to studies that did use higher protein content and their animals were fed sufficient protein to maintain normal body growth, so the effect of protein on their findings is likely to be small. Their goal was to examine the effect of extreme carbohydrate restriction, and this was accomplished.

Regardless of this study’s imperfections, the results shine an interesting light on our current understanding of how relative proportions of dietary macronutrients effect body composition, long-term body weight and metabolism.

Have you experienced weight gain after going off a low-carb diet?

UPDATE: This article is also available at Synapse.

Photo by VirtualErn

Thanksgiving is a time to be grateful for all we have. And as Americans, we love to use this as an excuse to gorge ourselves stupid.

I mean, what self-respecting holiday doesn’t involve a feast?

We are thankful for that turkey! And for the ham, mashed potatoes, gravy, cranberry sauce, sweet potatoes, stuffing, biscuits, pumpkin pie, apple pie, pecan pie, and anything else that happens to be within eye sight.

Okay, maybe some of us are not thankful for the obligatory vegetable casserole, but we know Grandma will be mad if we don’t take at least a little scoop, so we find a small corner of the plate and plop some on. We are grateful for Grandma too, after all.

Yet deep down we all know this is not an isolated meal, but rather the beginning of a feast that lasts from the third Thursday in November until January 1. Holiday parties and family gatherings will start popping up week after week, and all the while the short days and cool weather thwart our best intentions to go for a jog.

Once Thanksgiving comes it will be six long weeks before we again remember to dust off our gym memberships and emerge from our cookie-induced daze as the reality of our new pants size starts to sink in. Yikes.

Health-wise, the holidays are difficult for us all. But don’t worry, I am not going to ask you to forego Thanksgiving dinner. Instead I have a few pieces of advice to keep this Season of Fat in perspective.

Thanksgiving Healthy Eating Tips

1. Try not to graze. Thanksgiving dinner itself is really not so bad. As much as I sometimes wish it were, this holiday is not Carnitas Day. Usually the most significant sources of calories during the holiday season is the casual eating we do outside of mealtime. When you aren’t in a sit down meal mentality, it’s easy to lose track of how much you are really eating. Avoid the midday chip bowls, artichoke dips and cookie platters, and you are on your way to minimizing the health risks of Thanksgiving.
2. Beware of the most dangerous foods: breads, sweets, dips, creams, chips, potatoes and cheese. These are the foods that pack in the calories with little nutritional value and minimal satisfaction. It is frighteningly easy to suck down 500 extra calories of chips and onion dip. In fact, you have probably done it. You do not even want to know how many calories are in pumpkin cheese cake (hint: possibly more than in your entire dinner). It is okay to eat these foods, just do not eat them blindly.
3. Watch your portions. When it comes to snacks, it is easier to be aware of your portions if you take the amount you want to eat and put it on a separate plate. Better yet, just eat structured meals. Trust me, it is way easier to eat less when you are seated and focused on your meal. If not-so-healthy foods are part of your actual meal, help yourself to a normal-sized portion, enjoy it and do not go back for seconds. Eat these foods slowly, savor every bite, and you will not feel deprived.
4. Eat a balanced meal. Make an effort to have at least half your plate filled with vegetables. No, mashed potatoes do not count (sorry). Even if the vegetables have some sort of cheesy sauce on them, at least they have fiber and nutrients and are low energy density. It is harder to stuff yourself with pie when your belly is full of veggies. The rest of your plate can be turkey, stuffing, potatoes and all the other stuff traditions are made of. Piling your turkey on top of your stuffing is cheating, by the way.
5. Stay hydrated. Overeating (which you should avoid, but may not succeed at avoiding) can cause dehydration, and thirst is often mistaken for hunger. Drink water throughout your festivities.
6. Enjoy yourself. The best part about the holiday season is being able to spend it with the people you care about. Your friends and family should be the focus of your holiday, not the food on your plate. Spend the day and meal talking with loved ones and savoring your food rather than silently wolfing it down. If you eat slowly, you are much more likely to eat proper portions and enjoy the food you do eat.

Happy holidays and be healthy!

The case for eating breakfast everyday is mounting. We already know that people who eat breakfast are generally thinner than those who do not. They also tend to eat a healthier diet overall. Now new data suggest that the nutritional quality of your breakfast is also important for your health. Surprise!

A study published in the latest issue of the American Journal of Clinical Nutrition is the first to address how your choice of breakfast is correlated with the quality of food chosen during the rest of the day. The scientists combined dietary data from three continuous National Health and Nutrition Examination Surveys (1999-2004) to determine energy density, nutritional quality and variety of foods eaten. They also examined the relationship between breakfast choices and body mass index (BMI). A total of 12,316 people were analyzed.

Eighty percent of people in the study reported eating breakfast. Although breakfast eaters ate more total daily calories during the study, the foods they chose tended to be of lower energy density. Lower energy density foods have fewer calories per gram and are usually associated with more nutritious fare such as fruits, vegetables and grains. Examples of higher energy density foods are meats, cheeses and processed carbohydrates.

Interestingly, breakfasts of lower energy density, such as cereal with milk and fruit, were an indication of a more diverse diet throughout the rest of the day. In other words, participants who ate cereal for breakfast were more likely to report eating a lot of fruits, vegetables, grains, legumes and other healthful foods overall. This was true whether or not breakfast itself was included in the calculation.

People who chose breakfasts of higher energy density ate fewer different kinds of foods, but more pastries and junk foods. Countless studies have shown that dietary diversity is one of the best predictors of good health. This was confirmed in this study, as higher energy density breakfasts predicted fewer beneficial micronutrients consumed overall.

The researchers also found that seventeen percent of people who ate breakfast reported items that could not be “grouped into the major food groups,” things such as pastries, confections and meal replacement drinks and bars. With this the authors of the study point out that a significant percentage of Americans do not eat “real food” for breakfast (somewhere Michael Pollan is smiling and nodding). Not surprisingly, this group comprised the highest average energy density of any type of breakfast.

Women (but not men) that did not eat breakfast had a higher average BMI. This was true regardless of body image or attempted weight loss. In both men and women, breakfast energy density showed a linear positive association with BMI. This means that even for people who do eat breakfast, if you eat foods with higher energy density you will probably weigh more.

In English, what this all means is that although eating breakfast alone does a body good, it is much better if your breakfast is cereal and fruit rather than eggs and meat.

There is no clear cause and effect in an analysis of this kind, however there seems to be a correlation between eating less healthy foods at breakfast and making poor food choices throughout the day. While it is possible that some people simply make unhealthy selections all the time, there is also a possibility that your breakfast choices affect metabolic and hormonal systems that alter your cravings for different foods over the course of the day. Indeed, there are studies showing that people who eat whole grains in the morning have altered insulin responses for nine to twelve hours after eating.

Even if your breakfast choice does not have a direct impact on the rest of your food selections, choosing cereals and fruit will certainly bring you a step closer to better health. Pouring a bowl of whole grain cereal and adding some fruit is pretty simple, and I guarantee you it is easier than making eggs and sausage. Do yourself a favor and save the cakes and donuts for dessert.

This article can also be found at Synapse.

Healthy Breakfast

Monday mornings are rough, but skipping breakfast is not an option. Current wisdom recommends you drink a glass of water and eat breakfast within an hour of waking. The quickest, healthiest thing you can have in the morning is a bowl of cold whole grain cereal with fruit.

But buyer beware. Almost all breakfasts cereals these days claim to be “whole grain.” Yet as you can probably deduce on your own, Cocoa Puffs is not a nutritious breakfast. All that sugar negates any benefit of their “whole grain” health claims.

The Truth About Whole Grain Products

The US Food and Drug Administration (FDA) has defined the requirements that must be met for a manufacturer to use the term “whole grain” on its label (along with the respective health claims):

“Cereal grains that consist of the intact, ground, cracked or flaked caryopsis, whose principal anatomical components – the starchy endosperm, germ and bran – are present in the same relative proportions as they exist in the intact caryopsis – should be considered a whole grain food.” (emphasis added by me)

Understand? To be considered “whole,” grains do not actually have to be intact. Armed with this, manufacturers set to work demolishing grains as normal, then adding back the required ratios of grain parts (germ and bran) to meet the standard. Presto! Magic health in Lucky Charms.

Would you then be surprised if I told you that intact grains are much, much better for you than demolished and reassembled grains?

If you really want the benefits associated with eating whole grains you should be able to see an intact grain in what you are eating; something like an oat, for example. If not, there has definitely been some processing involved, which reduces the whole grain benefits. That being said, processed whole grains are better than purely refined grains (without germ and bran). White sandwich bread is indistinguishable from sugar in my view.

So this is the problem with breakfast, and it is difficult to avoid in cold cereals. Real whole grains are tough and bland, so some demolition and sweetening are almost always necessary for most people to eat them regularly.

Oatmeal is a fantastic choice. Steel cut oats are even better, but they take 45 minutes to cook. When you just want to pour, eat and run you will need a quicker alternative.

My Solution

I first turned to granola. Those grains sure do look intact, right? But take a closer look and you will find granola often contains ungodly amounts of sugar. Though I enjoy granola and occasionally eat it during outdoor activities, I cannot bring myself to eat it every day for breakfast. It is just too sweet and dessert-like for me. You can make your own granola and add less sugar if you have the time. But still.

The good news is there are some products that are whole grain, palatable and not packed with sugar. But making a good breakfast out of them requires a touch of creativity. I have found one company that makes a kind of granola without sugar. Muesli is actually the appropriate term for this kind of cereal. It is regrettably difficult to find, but is available at Whole Foods in a variety of flavors. The company that makes it is called Dorset Cereals out of the UK. It is not cheap, but I only use about 1/4 cup per serving, so a box lasts me several weeks.

Another cereal product I like is the Ezekiel 4:9 brand made by Food for Life. Though these cereals are not exactly intact grains, they are made from many different kinds of sprouted whole grains and are free of flour and other bad stuff. To give you an idea of what they are like, think of Grape Nuts with more flavor.

I wish I could say that these products solved all my problems, but there is also the issue of taste and texture. Both these cereals are very dense, and eating them without any additional sweetness is a little brutal. For this reason I do not eat them alone, but instead mix them with my favorite flake cereal, Nature’s Path Flax Plus.

I also always add fruit. These days I am using pomegranate seeds (see pic), but almost anything will do. I even keep a bag of frozen organic wild blueberries for emergencies. Fruit is sweet, but also very good for you. Hooray, problem solved!!

What is your healthy breakfast?