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Three Weight Frames

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>> Hi there. Welcome back. Let's continue our discussion about weight, an area that you'll frequently help clients navigate as an Integrative Nutrition Health Coach. As you probably know weight struggles don't occur in a vacuum, biology, psychology, health, lifestyle, culture, and emotions all intersect in a convoluted web of arrows that point in all directions. Weight is far from linear, but so many of us let that one number on the scale saturate our lives. As a coach, one important role you play for clients is that of simplifier. Clients can easily spend hours upon hours researching weight loss and diets on their own as there's a wealth of information, some of it legitimate, some of it not. When it comes to coaching, having a basic understanding can help simplify the tangled webs of weight information. Though emotional eating can certainly play a role, there's often more going on. Today, I'm going to highlight three broad areas, biology, lifestyle, and culture that can contribute to weight fluctuations, weight struggles, weight change efforts, and weight-related goals that you'll undoubtedly need to help clients navigate. As an Integrative Nutrition Health Coach, you can use these three frames to support clients through weight. Let's begin, shall we? There are a number of biological factors that can impact weight and make weight loss or gain difficult. Here are a few common ones that you'll want to be aware of when coaching clients. Some medications are prescribed to help with weight loss for medical reasons, while the following medications can lead to weight gain. Antidepressants such as serotonin reuptake inhibitors or SSRIs can increase cravings and also lead to weight loss, beta blockers and angiotensin receptor blockers which are used to control blood pressure and migraines can slow down metabolism, steroids such as prednisone can increase appetite and fluid retention, and antihistamines can increase appetite. One common weight procedure is bariatric surgery which includes gastric bypass, sleeve gastrectomy, and adjustable gastric banding. These are all weight loss surgeries that restrict the amount of food that the stomach can hold. However, they're usually not long-term cures, and they include necessary eating changes. So that's something to be aware of when coaching clients who've had a procedure like this. Here are a few tips for working with post-bariatric surgery clients. Collaborate with clients' healthcare providers such as nutritionists and ask them any questions you have to ensure that even your general nutrition suggestions don't contraindicate medical recommendations. Provide plenty of emotional support and positively encourage your client with non-judgment and neutrality. Having surgery is a big decision and there continues to be some stigma around it. Plus, they've probably tried all kinds of weight-loss methods in the past without success. Focus on primary food, as you would with any client. Especially, as exercise can be a very important factor of ongoing wellness post-surgery. Incorporate mindful eating, as these clients will be adjusting to new perceptions of physical and emotional hunger. And remember that habits and lifestyles are very difficult to change. You can walk side by side with them through the often frustrating process and celebrate progress along the way. Cushing syndrome, hypothyroidism, cardiovascular disease, and type II diabetes are all associated with weight gain, while emotional and lifestyle factors from eating habits to chronic stress can play a role in most weight-related conditions, it's often more complicated than that. When it comes to weight, there's more than meets the eye. For example, some clients might struggle to gain weight. These clients might be frustrated with people not understanding their challenges or they might even be judged just having some kind of eating disorder, when in reality, they have a malabsorption syndrome in which the small intestine can't absorb enough nutrients. This might be due to a variety of factors, including intestinal inflammation or infection, celiac disease, Crohn's disease or cystic fibrosis, lactose intolerance, intestinal damage due to certain drugs, and radiation therapy. It's also important to consider potential emotional impacts of medical conditions and disease, as well as how this might affect eating behaviors. For example, dealing with a critical diagnosis can create despair, anxiety, and hopelessness, emotions that might lead clients to eat for comfort or use food as a form of control when they feel like so much is out of their control. Emotions, along with change in sleeping patterns, can also impact appetite and food choices. Whether illness, disease, or chronic pain physical health can greatly affect emotions. Again, the bottom line is to be aware that a variety of underlying conditions can impact weight in either direction. Hormones can certainly affect weight. Grab your journal and see if you can come up with some examples for yourself right now. Did you come up with any? Here are a few weight affecters that will likely come up in coaching. Stress can increase cortisol, which can lead to weight gain. Stress can also lead to weight loss as we discussed. Birth control alters estrogen and progesterone levels, which can also lead to weight gain. Menopause decreases estrogen levels and alters other female sex hormones, which can affect weight, other sex hormone imbalances, including estrogen and testosterone. Here are a few examples, having too much estrogen known as estrogen dominance can cause weight gain in both men and women. Polycystic ovary syndrome or PCOS is a condition in which women produce higher than normal amounts of male hormones called androgens, it's often linked with higher inflammation and insulin resistance, and it often leads to weight gain in the abdomen, the location where men typically gain weight. And thyroid disorders, for example, hyperthyroidism can lead to weight loss, while hypothyroidism can lead to weight gain. There are many other hormones that can affect weight, including ghrelin and leptin, which we covered earlier in the course. Again, weight is a mix of multiple factors, and it's rarely straightforward. For example, this last factor often plays a role. Five people might eat exactly the same way and be in the same state of emotional and physical health but still look different. Bio-individuality is always a key factor, and weight is no exception. Everyone has a unique set point, as we discussed earlier, and it's important to remember that. The bottom line, a variety of biological health factors can make it very difficult to lose or gain weight. As an Integrative Nutrition Health Coach, these can be hard to coach as they might feel out of your control and out of your scope of practice. Luckily, this next category of weight effectors is in your wheelhouse. In fact, it's often a powerful antidote to many of the health factors we just covered. As we've discussed, changing habits isn't easy. And as a coach, it can be difficult to help clients focus beyond the food itself. However, many factors can affect weight including activity level, environment, relationships, and sleep patterns, and every factor is multifaceted. For example, activity level includes organized exercise such as spending an hour in a fitness class, rock climbing, or going for a run, as well as what's known as NEAT. NEAT stands for non-exercise activity thermogenesis. This is the energy we expend when we're not sleeping and not formerly exercising. NEAT includes everything from yardwork to standing more at your desk, and even fidgeting. It all adds up, and it could be a critical component of weight. We've explored how sleep can impact eating habits and, along with this, weight. Sleep matters, and it can have large impacts on weight. For instance, sleep deprivation can disregulate hunger by increasing appetite and desire for higher carbohydrate and higher sodium foods. Plus, lack of sleep doesn't lend itself to positive emotions. Putting it all together, lack of sleep may fuel emotional eating because clients feel all out of whack and can't connect with what their bodies actually want. How might environment and relationships fit into the weight and emotional eating cycles? Grab your journal, pause the video, and write down some thoughts on this. What did you come up with? Environments can impact weight in many ways, from the size of plates available at a buffet, to walkability of neighborhoods, to accessibility to nutritious food options. This is often one area that's overlooked. Environments include everything from a person's city or even country on a macrocosmic level to a person's home, kitchen, or kitchen table on a microcosmic level. There are many ways to think about the role of environment, and it's a great space to think outside the box and use a wide-angle lens to explore all angles of a situation. For instance, environment can increase stress. Remember, your clients may not be able to change their environment. For example, if they live in a rural area, it's probably not very realistic to talk about moving to a walkable urban city. The key is helping them focus on aspects of their environment that they can control and helping them leverage opportunities. As for relationships, there are many studies on the connection between weight and personal relationships. One of the notable findings showed that people in unhappy relationships were more likely to gain weight but at least, in early marriage, marital satisfaction can predict weight gain. Eating habits can be influenced by who we eat with, who stresses us out, and who gives us messages that we over time internalize. The bottom line, when it comes to weight, primary food is just as important as secondary food. As an Integrative Nutrition Health Coach, this is your wheelhouse. The last broad area today is culture. As an Integrative Nutrition Health Coach, it is so important to understand the role of cultural norms and ideals in body image, and weight-related goals. Remember, that when helping clients set and move toward goals, it's important to help them connect with the why behind those goals. Doing so helps them focus on the bigger picture in terms of their values. In other words, it considers mindsets behind goal-related actions. Culture is one aspect of environment, right? Clients are born into and take part in their cultures, cultures which can exert an incredible amount of pressure and disempower them through one-size-fits-all norms and ideals. Grab your journal one more time and spend a few minutes thinking about possible intersections between weight and culture. Pause the video now. What intersections did you think about? Perhaps they had to do with ideal body types or gender norms or media messages. Culture is a very broad category. Culture includes ethnic and religious traditions, work culture, family traditions, peer culture, and socioeconomics. It impacts foods eaten, food preparation, meal timing, and food relationships, and therefore, weight and body image. The bottom line, your clients don't live in bubbles. And coaching them through weight struggles, includes helping them figure out how to make the most of their situations and shift their mindsets and habits in realistic and self-supporting ways that honor their bio-individual cultures. So are you ready to do that? Maybe this feels a little overwhelming. There's so much to think about. Keep bringing it back to the basics. Yes, there is a lot to consider when coaching clients through weight, but you can always go back to these broad frames, including the ones that we discussed today. To recap, these frames are biology, including medications, medical procedures, physical health, and medical conditions, hormone imbalances, and genetics. Lifestyle, including activity level, sleep, environment, and relationships. And culture, including stereotypes, norms and ideals, traditions, socioeconomic status, and work. These factors are different validations of the why behind weight, and they all intersect. This week, apply this material by using the weight intersection exercise to explore how all of these factors have intersected around weight in your life. You can find that handout in your Learning Center. And, of course, share your reflections in the Facebook group. That's all for today. Until next time.

Video Details

Duration: 14 minutes and 27 seconds
Country: United States
Language: English
License: Dotsub - Standard License
Genre: None
Views: 6
Posted by: integrativenutrition on Mar 14, 2019

Three Weight Frames

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