Encourage, don’t discourage

I am always happy to see others succeed in their quest for health, especially those who have been unhealthy for most of their adult lives. It’s gratifying and encouraging when our Native people (or any group of people who suffer from similar health disparities as American Indians) find the motivation to learn about nutrition, physical activity, and how to incorporate both into their daily lives. However, I take issue with those new to the health scene calling others down for their lack of knowledge or motivation. I am thinking of specific examples where I’ve read about people on social media sites bragging themselves up and simultaneously putting others down for not being “on their level”….whatever that means. And the same people bragging themselves up and putting others down have just recently discovered their own good health.

Those people who engage in that type of behavior don’t realize that we remember how unhealthy they were 5 minutes ago. They are not in a position to judge others and their efforts, or lack of efforts. I also take issue with those who make condescending remarks or belittle those who are trying to be health and/or active. People don’t realize how fortunate they are to have grown up with sports or active families…..or to have grown up with parents/caregivers who cooked all the time and had basic healthy eating knowledge, and access to healthy/whole foods. I see kids in my own community whose parents don’t feel that sports are important, or they don’t get out and engage in activity with their kids. Also people don’t realize how fortunate they are to have healthy, fully functioning bodies….bodies without arthritis, without chronic injuries or illness, bodies that don’t prevent them from doing anything they want to do.

I will admit to being a running snob towards one or two people that I didn’t care for back in the day….I remember thinking and making a couple of comments about someone I had seen running for a few years, that with all their running you would think they might be a little faster or look a little lighter….the epitome of a running snob. But since then I’ve seen that there is no excuse for that type of behavior and snobbishness. We don’t know by looking at someone what their story is, or what their challenges are. Maybe that person whom I saw running at a snails pace for years has managed to keep from gaining 50 pounds and prevented diabetes with that activity. Maybe that person has some health issues that keep their running from looking like what we believe to be a runner’s pace/gait/form/body. Maybe the person NOT running and just walking is a former runner who physically can’t run anymore. Maybe the person who expresses their pride in running 3 miles has just done something they never thought they were capable of.

We don’t need to put others down in order to elevate ourselves. And we are in no position to judge another’s journey towards health.

We, as Native people, need to encourage others in our quest for health. We need to model the behavior that we want others to emulate. We need to do this so the generations that follow will be healthy and ensure our continued presence on this planet. And the people most secure and sincere in their own quest for health are the ones who are most encouraging to others. Be that kind of person. We can’t have too many of those in our communities.

Eating is complicated….

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I teach a class called “Diabetes and the Native Americans”. I took over teaching this class seven years ago and it has morphed from a wellness/exercise class to a culturally-tailored, science-based course on how type 2 diabetes impacts Native populations. We discuss risk factors, symptoms, diagnostic tests, complications, in addition to the history of Native health and all the legislation that has impacted our population’s health. During the unit where we discuss prevention and management, we discuss eating. Just a whole lecture or two devoted to just how and why we eat.

I first read this book in August of 2008. I was overweight, having gained weight from breaking my foot the previous summer, and had difficulty motivating myself to track calories and keep up with my food journal. I don’t remember what made me buy this book (“Mindless Eating” by Brian Wansink, PhD), but I read it on the way back from a powwow in Michigan. It was eye-opening. And my first insight into the complicated maze of the psychology of eating.

There is so much fascinating information in this book: food labs to research exclusively what will make us eat more, “health halos”, why we seek comfort foods, how labeling and marketing campaigns convince us to buy more/eat more, and what was most interesting to me….the different “cues” to let us know when to stop eating. I didn’t realize that we are socialized to know when to stop eating.

For example….as in the book, I ask my class “When do you know that you have had enough food? When do you know when to stop eating?” I get all kinds of answers. “When I fall asleep”, or “When I have to unbutton the top button of my jeans”, or “When I have to change into stretchy pants”, or “When my plate is clean” or “When I’m full”. I got similar answers to what Dr. Wansink lists in his book. I catch myself telling my kids “just 2 more bites” which means I am socializing them to eat more as well (I have since made a concerted effort to not do that).

I read in his book that eating until you are full, and “eating until you are no longer hungry” are two entirely different things. He went on to describe how there can be a 25% caloric intake difference by stopping eating when you no longer experience hunger, as opposed to when you feel full. I like the examples he gave from France and Japan and how they are socialized to eat until they are no longer hungry. In the U.S., the love of Golden Corral restaurants (my husband’s favorite) and the proliferation of casino buffets, we tend to encourage eating until we pass the point of being full. Although I am well-acquainted with the concept of “eating until you are satisfied”, that phrase never truly clicked with me….but eating until I wasn’t hungry anymore did click (*lightbulb!!*)

So I had to see for myself. After getting back from Michigan and thinking about the concept of “eating until I wasn’t hungry”, I gave it a whirl. I had some leftover taco meat that I was going to fix a salad with for my lunch. I served myself the amount I normally eat, but I paid close attention to how I felt as I ate. I didn’t read or watch TV, or do anything that would take my mind off the eating task at-hand. I ate slowly, drank water, and when I reached the point where I didn’t feel hungry anymore I looked at my bowl. There was approximately 1/4 left of what I served myself. I then set about to see if those results would be replicated in my dinner and breakfast the following morning. I discovered I ate 25-30% LESS when I really attended to what I ate and stopped when I didn’t feel hungry anymore.

I ended up losing about 6 pounds within 2-3 weeks just by paying attention, or being mindful of what I ate and how I felt. I didn’t count calories, I didn’t buy any specific “diet friendly” foods (such as low-fat or fat free or low calorie). I I felt much more comfortable after eating because I wasn’t stuffed. As a result, I started serving myself less food so it wouldn’t go to waste, and learned to take more if I felt I really needed it. I figured if I didn’t stop eating when I was no longer hungry, the food was going to waste in one of two ways: it would either be left on my plate and go to “waste” and be tossed out, or it would go to “waist” and be stored as fat in the form of a muffin-top if I cleared my plate and didn’t burn up all the energy I took in. It was a true epiphany.

Native people have additional factors to deal with as well in regards to what we eat and how much we eat. On-going colonization (the methods used by dominate society/government to subjugate Indigenous peoples) is a huge factor in the status of our health. Under the colonization heading we can list historical trauma, food insecurity, socio-economic factors and all the mental health issues such as depression, anxiety, substance abuse, trauma from abuse. These factors can make it difficult to stop eating when we are no longer hungry. If you have experienced times where there wasn’t enough food, or have learned through hard life’s experiences that you need to eat as much as possible as fast as possible because you don’t know when your next meal will be, it will make it next to impossible to not clear your plate because you have been conditioned to not waste food. If you have attended residential boarding schools or were in the military, you have been conditioned to clean your plate. Depression and anxiety, or chronic stress, heavily influences our eating behaviors, as does substance abuse. And that’s not even taking into account the sugar/starch/carbohydrate-laden commodity foods many of us grew up on, and may find comfort in. We also have our cultural/social mores, many times which dictate having to serve ourselves a portion of each food offered at a feast or ceremony, or not turning down an offer of food so as to not offend a host/hostess in their own home. Although these factors influencing our eating are not insurmountable by any means, they are deeply entrenched and it will take concentrated effort and practice, and learning new coping mechanisms to overcome them to regain our health.

Like I tell my students, eating is complicated. There is so much more to healthy eating than just “don’t eat junk” (which is a blog post all on its own). Like one of my previous weight-loss participants said, “There’s more to it than just making poor choices.” We have many many influences on what we eat and how much we eat, but I truly believe they can be managed and we can improve our collective Indigenous health.