Expectation and Success

Many of you who have worked with me have heard me say "fake it until you make it."    An interview published by Scientific American with G. Cook author of Mind Over Mind reiterated the importance of faking it untill you make it.  However, he calls it "expectations" and "bending reality." What does this really mean?

Every time we engage in a situation we have expectations, thoughts and assumptions that precede the event.  These are, oftentime, rooted in previous experience.  They create a sense of comfort and guide us as we move through this world.  It is why we are not like children experiencing every thing with awe for the first time and not knowing what to do.  However, what we may not realize is that our expectations prior to and during the event actually will change the outcome for better or worse. 

For example, you are invited to a relative's home for a party. Typically these parties are boring and a waste of your time.  For two weeks prior to the event you complain about having to go.  When the party is over, you feel like it was boring and a waste of time.  If however, beforehand, you had thought "I will enjoy myself and make the best of it," you probably would have.   Our expectations become somewhat of a self-fulfilling prophecy.  Just as we can think negatively about a situation, we can also think positively, whether we believe it to be true or not.  

To change your experiences to be more positive and successful, your expectations or thoughts should reflect the desired outcome before as you prepare for the event or activity.  This can be a very powerful tool for lifestyle change.  Think about your thoughts regarding lifestyle change, especially if you have tried and failed many times.  Are they positive, negative or indifferent.  What about exercise?  When you change your thoughts you are more likely to achieve what it is you desire.  Whether or not you believe it, just think, say or write it.  Below are a few examples to get you going.  

• Before you start exercising and during the exercise, say to yourself or out loud any of the following:
• I am as light as a feather, this is easy!
• I look forward to working out.
• Exercise is going to make me feel great
• I am physically fit and can do this.
• There is nothing more important than my daily workout.
• Before you eat, say to yourself one of the following:
• This meal is going to satisfy me.
• This meal is delicious and exactly what I wanted
• I am going to enjoy this meal and be completely satisfied. 
• A small amount of food is all I need. 
• When you wake up, before your day gets started
• This is going to be a great day
• I am going to accomplish everything I desire today
• There is no better day than today
• Thank you for this wonderful day
• Before and during a clothes shopping trip
• I am beautiful and everything is going to fit me
• I will find the perfect outfit for myself today
• I will find exactly what I need
• The perfect outfit is waiting for me

The bottom line is, negativity, hesitation, or doubt brings more negativity, hesitation and doubt.  Shoulding, cannot'ing, musting, doubting, and can't standing keeps us stuck and  often brings about more guilt, frustration and defeat.  Start by thinking in terms of can, will, and do.   

A few years prior this line of thinking may have been considered silly, but science has substantiated the power of thought and expectation on life outcomes.  Positive psychology is an up and coming field where we have learned how you can have a significant influence on the outcomes you desire. 

10,000 Steps for Your Health

This weeks biggest loser give away is a pedometer. A pedometer, also known as a "step counter", is a device that counts the number of steps you take each day, based on the movement of your hips. It helps to track not only how much you move during your work out, but also helps quantify your Activities of Daily Living (ADL's) to maximize calories burned throughout the day.

*Fun Fact* Standing burns more calories than sitting. GET UP!!!

The recommended number of steps per day is 10,000, which is equivalent to about 5 miles! Increasing the amount of movement can help reduce risks for: heart disease, diabetes, and obesity.
GET MOVING!!!

Tips for Hitting 10,000
Take the stairs
Get a walking partner at work
Walk the dog (he/she has been waiting)
Get off a few stops earlier on the bus
When the phone rings, get up out of your chair
Walk to a colleague's office versus sending an email or calling
Repaint a room
Get up to change that channel on the TV
Garden
Take a few laps around the store before grabbing a cart
Integrate walking into your every day activities

Written by: Alyssa Picone, Dietetic Intern

Body Image: How much do we let it impact our lives

This weekend I happened to put on The Kardashians. In the particular episodes I watched, the family was going on vacation to celebrate the 20th wedding anniversary of Bruce and Kris Jenner. Instead of embracing this noteworthy occasion, Kris Jenner obsessed on how she hated her body, comparing herself to their twenty-something yaer old daughters. Granted the exaggerated reaction may have been coaxed by show producers, but there was some truth to her experience and distain with her physical appearance. The show aired a beautiful woman, who was maybe a size 4 or 6 and obviously does not struggle with obesity, publically barrage herself for the way she looked; letting let it overshadow a monumental life event. This made me think, “How many of us permit a distorted perception of ourselves to negatively impact life?”

A quote by Dr. Joyce Nash in Thin for Life by Anne Fletcher has always stood out to me, “When you find yourself at the pearly gates, God forbid that you should say to St. Peter when he asks you what you did with your life, ‘I watched my weight.’” The question I pose to you is what do you want your life to be filled with? Enjoying and savoring the moments that define life or permitting your perceived faults overshadow or diminish the experience.

There are many ways to define our lives other than weight or looks, but sadly the later has become the cultural and personal norm. When friends get together, particularly females, they discuss weight, wrinkles, and body image. The obsession with the “ideal” body image can be found on TV, magazines that circle cellulite of perfectly normal celebrities, and advertisements for hair replacement, Botox or other age delaying products.

Over the years, I have worked with many individuals who have lost weight and are unable to embrace themselves at a new body weight, continually obsessing and engaging in negative self talk. Sadly, negative self talk becomes “normal,” and is a very difficult habit to shed.

Why wait to be the perfect size to enjoy life and accept yourself? Catch yourself engaging in negative self talk to raise awareness of how often you do it. When you notice it creeping into your thoughts or words, replace your thoughts with more positive affirmations. Wage war against negativity and poor body image. Surround yourself with positive people and individuals who are likeminded.

To be honest, I should be ashamed of myself for not turning off a show that conveys the message that self hated, in regards to body image, is acceptable and normal. Take a moment to reflect on your thoughts on personal image, if how you perceive yourself affects life, and if the culture helps define “ideal” or “normal” for you. Then consider “catching” yourself when negative self talk creeps in and redirect your thoughts to a more positive and accepting statement.

Mindless Eating: Losing Weight Without Thinking

August 5, 2011
Smaller plates, slimmer glasses, linked to weight loss success
http://www.apa.org/news/press/releases/2011/08/losing-weight.aspx

WASHINGTON—Dieters may not need as much willpower as they think, if they make simple changes in their surroundings that can result in eating healthier without a second thought, said a consumer psychologist at the American Psychological Association’s 119th Annual Convention.

“Our homes are filled with hidden eating traps,” said Brian Wansink, PhD, who presented his findings and strategies for a healthier lifestyle in a plenary address entitled “Modifying the Food Environment: From Mindless Eating to Mindlessly Eating Better.”

“Most of us have too much chaos going on in our lives to consciously focus on every bite we eat, and then ask ourselves if we’re full. The secret is to change your environment so it works for you rather than against you,” Wansink said

Wansink identified several myths about eating behaviors as a way to explain why Americans, on average, have been getting fatter. “People don’t think that something as simple as the size of a bowl would influence how much an informed person eats,” he said.

However, several studies show exactly that, including Wansink’s study of 168 moviegoers, who ate either fresh or stale popcorn from different size containers. People ate 45 percent more fresh popcorn from extra-large containers than large ones and the people who were eating stale popcorn ate 34 percent more from the extra-large buckets than people eating fresh popcorn, according to the study.

They just don’t realize they’re doing it,” said Wansink. This strategy also applies to what we drink. His research found that people pour about 37 percent more liquid in short, wide glasses than in tall, skinny ones of the same volume.

Even a kid’s cereal bowl can be a trap, according to Wansink. One study showed children of different weights who were given a 16 ounce bowl were more likely to serve themselves twice as much cereal than children given an 8 ounce bowl.

Another myth, according to Wansink, is that people know when they are full and stop before they overeat. His Food and Brand Lab at Cornell University tested this by designing a “bottomless bowl.” They brought in 60 people for a free lunch and gave 22 ounce bowls of soup to half, while the other half unknowingly got 22 ounce bowls that were pressure-fed under the table and slowly refilled. The results: people with bottomless bowls ate 73 percent more than those with normal bowls, yet when asked, they didn’t realize they had eaten more. “The lesson is, don’t rely on your stomach to tell you when you’re full. It can lie,” Wansink said.

Simply being aware of such findings can help people make healthier choices, especially those who are already trying to eat healthier foods, according to Wansink. One of his studies showed that people lost up to two pounds a month after making several simple changes in their environment, including:

eating off salad plates instead of large dinner plates.
keeping unhealthy foods out of immediate line of sight and moving healthier foods to eye-level in the cupboard and refrigerator.
eating in the kitchen or dining room, not in front of the television.
“These simple strategies are far more likely to succeed than willpower alone. It’s easier to change your environment than to change your mind,” Wansink concluded.

Obesity counseling should focus on neurobehavioral processes, not personal choice, researchers say

Obesity counseling should focus on neurobehavioral processes, not personal choice, researchers say

A few strategies recommended by the researchers include:

•In order to combat food reward, patients can remove high fat foods they crave from personal environments such as the home and workplace to prevent the activation of the reward circuitry.
•Limit the impact of reward on food choice by shopping with a grocery list or using online grocers.
•Practice stress management techniques since stress promotes overeating and obesity by enhancing food reward processing.
•Avoid situations such as buffets and restaurants that challenge inhibitory control.
•Focus on achieving short-term behavioral goals, such as cooking a healthy dinner on three nights of the week rather than focusing on long-term weight loss goals.

Click on the link above to review the entire article.

Success Story: An interview with S.T.

I had the pleasure of interviewing S.T. about her success after bariatric surgery. She had her surgery in September of 2009 and has lost 103 pounds. She continues to lose weight weekly. S.T. will be speaking at support group on 5/9/11 at 6 pm.

T: Why did you decide to have Lap Band surgery?
S: I had tried everything and I needed to do something that was well researched and had minimal invasiveness.

T: What were your goals and expectations before the procedure?
S: They were high, but the preoperative classes helped me understand that I had to work hard to do my part.

T: How has your life changed after bariatric surgery?
S: I have increased energy and decreased fatigue. I am not as irritable. My breathing has improved and I do not need my asthma medication as much. It was the best decision I have ever made and if I could do it all over again I would.

T: What are the keys to your success?
S: I follow the rules, but not eating and drinking at the same time has been most helpful. At first I lost only 30 pounds and the weight kept going up and down. I was losing it much slower than I wanted. Then I spoke with Dr. Shayani who suggested I drink before I eat (not when I eat) or when I was hungry. Six months ago I took his advice and my appetite when down and I started losing weight.

It was important for me to focus on only 10 pounds at a time instead of my overall goal. When I looked at the big picture and the amount of weight I had to lose I would get depressed. Breaking it into 10 pound increments helped me feel like I was doing something and I became more focused.

The other key that has been important for me was to start exercising. I work out at least three days a week at the gym or with a video. Total body exercises have helped me to tone. In the summer I walk 3.5 miles outside.

T: I know you are busy, how do you fit in your workouts?
S: I work forty hours a week so it was tough. I get up early at 4:30 am because I learned that if I wait until after work it would not get done. It started with motivation, and now that I can walk I want to keep it going. I consider exercise personal time to focus on myself. I enjoy listening to my music and it is nice not to think about kids, college or bills. It is great.

T: Do you have any advice for someone who is stuck or frustrated with their progress after surgery?
S: Yes. Go back to the beginning and look at everything we learned. This includes no eating and drinking at the same time and cutting out junk from your diet.

T: What are some of the changes that you have made to be successful?
S: I have two kids in college and a senior in high school who still lives at home. They are all athletic and have helped me to eat healthier. Kool Aide, sweets and junk food are no longer in our home. I save desserts for special occasions only. Every week I like to try at least one new recipe. My favorite thus far has been parmesan tilapia. I increased the amount of fish chicken and turkey that I make and no longer fry foods.

T: Do you eat out?
S: I used to eat out every day. Now we only eat out one time per week. Champs is my favorite place to go. I typically order s sample platter. It is not the healthiest food, but now I can treat myself because I worry less about weight gain. There is a lot less guilt now compared to when I dieted.

The Learning Curve of Cooking

It never ceases to amaze me when I hear “I don’t cook.” If one does not cook, then one must eat out or piece together a meal of highly processed items that are typically microwavable. As I have mentioned before, to move forward one must abandon old ways of thinking and behaving. One of the definitions of insanity is doing the same thing over and over expecting to get a different result. This same thought applies for weight loss and health. If one does not lose weight or become healthy by eating out every day before bariatric surgery, then one should not expect to lose or maintain a significant amount of weight after bariatric surgery.

I have to admit that I am no different than my clients. Cooking, preparing and planning are no easier for a dietitian than anybody else. It is falsely believed that a degree in dietetics absolves RDs from following the same guidelines. As many of you know, knowing does not imply doing. To do, one must take action by applying what is known.

After completing a masters degree, I had to recommit to eating out less by preparing healthy and delicious meals. Last Saturday afternoon, I dragged out a new cookbook, by a famous Food Network chef, and choose three new recipes to try. I assumed that the Food Network chef had fail-proof recipes, but I was wrong.

Anytime we try something new there is room for error, but we cannot let it drag us down. After spending money, time and effort on my new menu items, I was highly disappointed. Only 1 out of the 3 recipes I tried was actually good. The other two were HORRIBLE! I was disappointed, disheartened and upset. At least when you get food from your favorite restaurant you know it will taste good no matter how bad it is for you!

However, this cannot be an excuse to return to old habits. Even the best will fail. I am putting the cookbook back on half.com hoping to earn my money back to buy a new cookbook.

Cooking can be learned at any age. All you have to do is try. Over time it will get easier and tastier! Check the blog next Monday, 5/2, to learn tips on cooking, planning and grocery shopping.

How Self Control Works

Brain How Self-Control Works It's a skill, we are learning, that profoundly shapes lives. How does it work? Where does it come from?
Scientific American 4/15/2011 by Dan Ariely

The scientific community is increasingly coming to realize how central self-control is to many important life outcomes. We have always known about the impact of socioeconomic status and IQ, but these are factors that are highly resistant to interventions. In contrast, self-control may be something that we can tap into to make sweeping improvements life outcomes.

If you think about the environment we live in, you will notice how it is essentially designed to challenge every grain of our self-control. Businesses have the means and motivation to get us to do things NOW, not later. Krispy Kreme wants us to buy a dozen doughnuts while they are hot; Best Buy wants us to buy a television before we leave the store today; even our physicians want us to hurry up and schedule our annual checkup.

There is not much place for waiting in today’s marketplace. In fact you can think about the whole capitalist system as being designed to get us to take actions and spend money now – and those businesses that are more successful in that do better and prosper (at least in the short term). And this of course continuously tests our ability to resist temptation and exercise self-control.

The remainder of the article can be viewed at: http://www.scientificamerican.com/article.cfm?id=how-self-control-works

How to stop all or nothing thinking

Stopping negative all or nothing thinking is tricky and will take some time. One technique is to use a phrase, saying, devotion or prayer to redirect your thoughts and move forward in a positive way. Below is a devotional from Fit for the King by T. Hundley that was brought to my attention and may be helpful.

"Father as I take my first steps on the road to physical and spiritual fitness, I pray that You will order my steps. I thank You for bringing me to this point in my life. I accept the fact that my way has failed and I sincerely need Your help. I pray that You will continue to guide and direct my path today and always."

The Trilogy: Skills, Motivation and a Paradigm Shift from "diet" to "lifestyle."

Weight loss is a journey. There will be ups, downs and plateau's. Last week during the "Chew and Chat" sessions I defined weight loss as "a set of skills that can be applied over and over again to become a new lifestyle." Although willpower, hope and motivation are important, they will carry you about two weeks. Consider adopting a weight loss philosophy that contains a trilogy: (1) skills, (2) motivation and (3) paradigm shift from "diet" to "lifestyle."

The trilogy is powerful for many reasons. It implies that you have control over your weight loss journey, overall health and room for moderation. A healthy lifestyle eliminates thoughts like good, bad, right, wrong, success or failure. In my opinion and experience, all or nothing thinking is a significant contributor to relapse or complete cessation of the program. It takes 3,500 calories to lose 1 pound. One high calorie meal, day or even weekend is not going to undo all of the hard work you have completed thus far. When you find yourself stuck in all or nothing thinking consider this: IF YOU LOST 10 POUNDS, YOU HAVE BURNED 3,500 CALORIES. YOU WOULD HAVE TO EAT 68.6 BIG MAC'S TO UNDO ALL OF THAT HARD WORK! When you stumble, stop the negative thoughts, put them in past and move forward.