New Approaches to Weight Loss

From The New York Times

Kicking dieting habits this time of year is especially hard because of the allure of gimmicky weight-loss plans. Many established diet programs and dieting apps try to attract users with the promise that they’re not promoting a traditional diet, only to impose restrictive eating practices once you sign up.

Traci Mann, who heads the health and eating laboratory at the University of Minnesota, notes that beyond the disappointment of not keeping weight off, dieting also affects your body in a number of negative ways. Among other things, restrictive eating can affect memory and executive function, lead to obsessive food thoughts and trigger a surge in cortisol, a stress hormone.

“A diet is an unpleasant and short-lived way to try to lose weight,” said Dr. Mann, author of “Secrets From the Eating Lab: The Science of Weight Loss, the Myth of Willpower, and Why You Should Never Diet Again.”

“You might take it off in the short term, but it comes back,” Dr. Mann continued. “It happens no matter who you are; it happens to people with great willpower and to people with crappy willpower.”

If you’re still tempted to try that fad diet, consider this: Evidence suggests that restrictive dieting and rapid weight loss can lead to lasting changes that may slow your metabolism, alter hormones that regulate hunger and hamper efforts to maintain your weight. A weight-reduced body responds differently to food and exercise than a body that has not dieted, studies suggest, and a dieter’s muscles may burn fewer calories than expected during exercise. These changes help explain why many chronic dieters may be eating far fewer calories than those around them, but still aren’t losing weight, said Dr. Rudolph Leibel, a professor of medicine at Columbia University’s Institute of Human Nutrition.

 

How eating habits are formed

Dr. Brewer, an addiction psychiatrist, has tested a number of mindfulness practices to help people quit smoking, lower anxiety and reduce emotional eating. He has also created an app called Eat Right Now that uses mindfulness exercises to help people change their eating habits.

One Brown University study of 104 overweight women found that mindfulness training reduced craving-related eating by 40 percent. Another review by scientists at Columbia University found that intuitive and mindful eating training often resulted in at least one benefit for metabolic or heart health, such as improved glucose levels, lower cholesterol or improved blood pressure

Dr. Brewer notes that eating behaviors, like absentmindedly snacking on potato chips or bingeing on dessert, are often the result of habit loops that get reinforced over time.

Habit loops can be formed from both good and bad experiences, explains Dr. Brewer. Ice cream, for instance, is something we might eat during celebrations. The brain learns to associate eating ice cream with feeling good. While there’s nothing wrong with ice cream, it can become a problem when we start eating it unthinkingly after an emotional trigger, such as when we feel stressed or angry. Now our brains have learned that ice cream also makes us feel good in times of stress, reinforcing the habit loop.

Over time, we can develop a number of habit loops that trigger us to eat when we’re bored, angry, stressed, tired after work or even just watching television. “What’s tricky about habit loops,” Dr. Brewer said, “is that the more automatic they become, over time you’re not even consciously choosing these actions.”

By understanding your own habit loops and the triggers behind them, Dr. Brewer explained, you can help break the hold they have on you by updating your brain with new information. Mindfulness exercises, which prompt you to slow down and think about how and why you’re eating, can teach your brain that a “feel good” food doesn’t actually make you feel as good as you remembered. Practicing mindfulness each time you reach for a food or decide to eat it can interrupt the habit loop.

 

Try the Eat Well Challenge

For this week’s Eat Well Challenge, start practicing awareness by slowing down and thinking about what you’re eating and why you’re eating it. Try not to focus on weight loss, food restriction or eliminating favorite foods from your diet. Avoid labeling foods as “good” or “bad.” Your goal this week is to focus on the tastes and textures of food, and how you feel before, during and after eating.

It can take time to learn how to bring mindful awareness to what you’re eating, so be patient. In one study, it took participants at least 10 to 15 tries — and for many people it took 38 or more attempts — to begin to reshape eating behaviors.

Here are two simple exercises from Dr. Brewer’s Eat Right Now program to get you started.

Begin with a pre-meal warm-up.

Before every meal this week, try this simple awareness exercise. There’s no need to track what you eat or restrict your diet. Just check in with your body every time you eat. On a scale of zero to 10, with zero being an empty stomach and 10 being uncomfortably full, how hungry are you right now? Next, look at the food, observing the textures and colors. Now smell your food. Finally, pick up your fork and take your first mindful bite. As you chew, put your fork down and pay careful attention to how the food tastes and feels in your mouth. After several bites, check in with your body to see if you’re hungry or full.

Map your eating habits.

Use this exercise to work on an eating behavior you’d like to change, like excessive snacking or ordering fast food. Our eating habits have three elements: a trigger, a behavior and a result. By mapping your habits, you can provide your brain with new information about how the habit really makes you feel.

Start by choosing one eating behavior you’d like to change. Maybe you want to snack less during the day, cut back on takeout or indulgences like cookies, potato chips or ice cream. While there’s nothing wrong with enjoying these foods, you’ve identified this as a problematic eating behavior. Why is that?

Now think about what triggers this behavior. Is it an emotion, like anger or stress, or are you rewarding yourself with a treat? Or it could be a situation, like watching television or grocery shopping when you’re hungry.

Focus on the result. Before you eat, ask yourself some questions. What am I getting from this? How will eating this food make me feel? Think about how you felt the last time you ate it. Did you enjoy it? Did you end up eating too much? Did you feel uncomfortably full or nauseous? Did you feel guilty later and beat yourself up for eating it? Thinking about how a food makes you feel before, during and after you eat updates the information your brain has about how rewarding (or not) a food really is. And it can help break the hold a particular food has on you.