Stress eating? Spare Tummy Tire? Try a little mindfulness…
Mindfulness. It keeps popping up in different areas of health. Last time I posted about mindfulness training, it was within the context of hot flashes and how training your mind to reduce stress can influence how hot flashes are experienced. But what about stress eating?
Many women (and men) turn to emotional eating when they are stressed. And unfortunately, when it comes to weight gain, many of the most serious health affects of excess weight tend to be linked to that roll around the tummy area. In fact, abdominal (or visceral) obesity produces inflammation in the body that can increase the risk for diabetes and heart disease. In women in particular, who may be prone to weight gain in their abdominal area due in part to hormone fluctuations, it’s a double-edged sword. Add the fact that chronic stress increases levels of cortisol, which in turn, mobilizes the migration of fat cells to the midsection, and well, it’s a disaster in the waiting.
As I have written previously, cortisol is a hormone that is secreted by the adrenal glands. Its primary role in the body is to regulate energy (by producing blood sugar or metabolizing carbohydrates, protein and fats) and mobilize it to areas where is it most needed so, cortisol levels tend to peak in the early morning and then gradually decline throughout the day. Research has shown, however, that women have higher cortisol levels than men, and that certain women –especially those with greater amounts of abdominal fat — may be reacting to a large disruption in the release of cortisol that causes a greater than normal difference between morning and evening levels of the hormone. This disruption is believed to be related, at least in part, to exposure to prolonged physical and mental stress. This psychological component is huge, because it tends to trigger the desire to consumption of food that is high in fat and/or sugar, which also tends to promote abdominal weight gain.
How do you break the cycle?
Researchers are now saying that mindfulness may be an important strategy to beat the bulge and the stress. In fact, whey they looked at the effects of a program that focused on interrupting habitual thoughts, emotions and behaviors, that is exactly what they found.
In this small exercise, 24 overweight and obese women not yet in menopause learned to use guided meditation as a way to introduce mindful eating (i.e. paying attention to their physical sensations of hunger, stomach fullness, taste satisfaction and food cravings). They were also taught to be more aware of emotional eating triggers and negative emotions as well as to be more loving and accepting of both themselves. Over nine weeks, they were able to share their challenges, concerns and experiences and then learned new meditations to overcome what they felt were roadblocks in their progress. During the same four week period, 23 women were placed on a waiting list for comparison purposes.
Regularly engaging in mindfulness training set these women off on the right foot upon awakening and in fact, lowered their cortisol levels in the early am hours. What’s more, women who reported having the greatest improvements in their response to stress and emotional eating triggers tended to have the largest reductions in abdominal fat. Additionally, reductions in waking cortisol levels were related to reductions in abdominal fat as well.
Mind you, the women in this particular study were premenopausal, namely because the researchers say that hormonal declines naturally lead to deposits of fat in the midsection. However, if psychological stress compounds weight gain in this area as much as it affects overall wellbeing and menopausal symptoms, it might be worthwhile considering if incorporating ‘a little mindfulness’ into one’s life could help shift fat away from the abdomen as well. It’s an interesting idea and definitely worth exploring…especially as we move into what many regard to be the most stressful and eating laden season of the year: the holidays!
Try a little mindfulness. Not only can it benefit your brain but your tummy might reap the benefits as well.
Read MoreWednesday Bubble: Hot flashes? Try a little mindfulness…
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No bubble bursting or woo woo. I’m talking the real deal. And if mindfulness doesn’t lead to a wee bit of tenderness, well, I don’t know what will. But enough of me taking poetic license with Otis.
Back in January, I wrote about a piece about the relaxation response and how a daily relaxation practice can actually alter gene structure and induce cellular changes believed to promote health. In the post, I said that “both inner and outer psychological states and environmental factors play a role in how women experience peri and post-menopause, their self-esteem, attitudes and severity of symptoms. If a daily practice of some sort of relaxation strategy can actually alter genes in a way that improves health and well-being, why can’t that daily practice also improve the menopausal/midlife experience?”
Guess what?
It appears that I might have been correct.
Writing in the Advanced Online edition of Menopause, researchers say that women who learn to recognize and more accurately discriminate the components that make up an experience, e.g. thoughts, feelings and sensations, or more specifically, the degree of bother and stress related to hot flashes, may be able to reduce the impact of the flashes on wellbeing.
In this 20 week study, women who were late into the transition into full menopause or in early menopause who reported experiencing, on average, 5 or more moderate to severe hot flashes/night sweats a week were assigned to 8 weekly mindfulness-based stress reduction classes plus one, all day weekend class or to a waiting list. These classes, which lasted 2.5 hours at a time, involved the following:
- Focused awareness of gradually moving thoughts through one’s body from the feet to head while lying down, paying close attention to bodily sensations
- A sitting meditation focusing on breathing
- Mindful stretching
- Learning materials that discussed how to apply mindful stress reduction practice to everyday life and specifically in response to distressing symptoms and situations.
All participants also completed daily hot flash diaries to rate how bothersome their hot flashes were throughout the study period. Additionally, the researchers analyzed the intensity of hot flashes, quality of life, sleep quality, anxiety and perceived stress, as well as medical history, smoking, previous experience with mindfulness practices, and factors directly related to flashes such as smoking, body mass index, alcohol use and physical activity.
Granted, this study is a small one. But the researchers found that mindful stress reduction practice significantly reduced hot flash bother over time by almost as much as 15% after nine weeks and by almost 22% by 20 weeks, compared to at least half as much in women who were on the wait list. Moreover, sleep quality improved considerably!
Overall, the researchers say that their findings truly highlight the role that stress in general, and mental stress in particular, play in how we perceive hot flashes, how much we are bothered by them, and even their severity and frequency. However, they also say that the fact that mindfulness practice did not affect the intensity of hot flashes shows that it might simply help women cope better with them. Less clear is how the degree to which the placebo effect played a role; studies of pharmaceutical treatments report a subjective placebo effect of up to 30% so it’s not out of the realm of possibility.
Still, they believe that their data show that mindfulness stress reduction may be a significant resource for reducing the bother of hot flashes. Overall, it’s a win-win. Calm the mind; calm the body. Why not try a little tenderness with yourself?
Read MoreGuyside: Breaking good
I’m a pretty lucky person. While my life isn’t perfect, I have many advantages, and I’m thankful for them. It’s easy to forget about that when you get focused on some problem or other.
But sometimes good enough shouldn’t be, you know?
Think about Walter White, a/k/a “Heisenberg” of Breaking Bad. He was a guy who had a “good enough” life — wife, son, baby on the way, a steady job that is respected, if not well-paying… and then a diagnosis of terminal lung cancer shattered everything in his life and forced him down a radically different path.
I’d be perfectly happy if not one person ever got diagnosed with lung cancer. And, for that matter, if people stopped making and using crystal meth. But I think that we don’t have to “break bad” — why not “break good?”
I’ve been trying to change some of my routines recently. For example, since I work from home I do most of the dinner preparation for the household. It’s the sort of thing that can make a break from staring at the computer or talking on the phone. And, like most people, I have a repertoire of dishes that I know well enough to essentially make without a great deal of thought.
So to break that up, I’ve started to search out new recipes, new ideas. It’s fun to try (especially when they work out well), and it breaks me out of the cooking rut and both me and my partner out of the taste-rut. Example: it being summer, coleslaw is a natural side dish for things we cook on the BBQ. I was used to buying bagged coleslaw from the store, then dressing it with a commercial dressing. Somehow I realized that hey, coleslaw’s just a few shredded veggies. So I started making my own. Then I tried some dressing recipes. WAY better than before. (FYI: I’ve become quite fond of this dressing recipe, with a few variations. Try it.)
I’ve changed other things recently too. I love beer. But having that end-of-day beer or the beer with supper, or the finished-the-yard-work beer can become a little … routine. So for a few weeks now, I’ve haven’t been bringing beer into the house. Now, when I have beer — like I did yesterday during an end-of-day business meeting, or like I did when I was visiting family recently — it’s DELICIOUS. At some point, I’ll likely restock the fridge, whenever I get the desire to do so.
There are all sorts of little routines that we establish in our lives. Many of them are there for very good reasons. We get up and shave and shower because we like being clean. We brush our teeth because we want our breath fresh and we don’t like cavities. But changing habits can be good for you. It stimulates your brain. It can make you think about the reason behind the habit. And that’s never bad.
Look at the routines of your day — the way you interact with people in your life, what you eat, drink, how and when you exercise, your activities, your leisure, your work. Pick one to play with, to try to change.
A lot of meditation practices focus on mindfulness — on simply being aware of your circumstances. If you feel good, note it. If your knee is sore, note that. If you want another cup of coffee, be aware of the desire. Assessing the little routines, experimenting by breaking one of them for good, and seeing if it improves your daily life — that’s part of mindfulness too. And failing is part of changing habits too. If you don’t like a change, or you can’t stop biting your nails, or whatever — just note that. Don’t beat yourself up over it.
Try it, just for fun.
Read MoreGuyside: Chocoholic?
Oh, chocolate, you undo me.
I have a thing for chocolate. I love to eat it. Normally, this wouldn’t be a problem, right? Most people love chocolate. In the UK, people eat nearly 25 pounds of it every year. Here in North America, the average Canadian or US citizen eats lots less – about 11 pounds or so, but that’s still a lot.I figure if I quit, that average would go down by a pound or so.
With the gourmetization of everything, you’d think that this would be a good thing – consuming dark chocolate, with all those anti-oxidants and flavonoids is supposed to be good for you. But I have a taste – a craving – for the milky stuff. No nuts, no nougat, just good old milk chocolate. Perhaps it comes all the way from my childhood, when I used to have a big glass of Nestlé Quik for breakfast.
So when I think about how much chocolate I consume – bars, ice cream, gelato, etc. – I know that I’m consuming more of it than is likely healthy for me. Surely there are people out there that share this problem.
The key to me is that if I recognize this as a problem, then it is, at least for me.
So I decided to look for some tips to break this down a little bit, because I don’t necessarily want to go cold-turkey-total-abstinence-never-shall-chocolate-touch-my-lips-again. I want to be able to enjoy it in more moderation.
A Harvard medical blog suggests that if you note these three characteristics, then you’re behaving in an addictive way:
- intense craving
- loss of control over the object of that craving
- continued use or engagement despite bad consequences.
Chocolate, the post tells us, stimulates brain responses similar to those produced by “real” drugs. Now, I haven’t sold my body yet for a Hershey bar, but I don’t like the craving. And I don’t plan on entering a rehab program. So what do the big heads at Harvard suggest?
They focus on a mindfulness-related technique: “The next time you feel the pull of chocolate, pay attention to it. But instead of automatically reaching for your preferred candy bar or fudgy ice cream, take a few moments to actively decide whether or not to indulge the desire. If you decide to have chocolate, focus on each bite, slowly, to extend the pleasure in it. If you decide to wait, enjoy the notion that you’re taking good care of yourself. (You can take the same approach to alcohol, cigarettes, and food in general if you are trying to lose weight.)”
I’m gonna give this a try. What techniques do you use to control food consumption?
Read MoreHelp!
If you are as independent as I am, asking for help might be alien to you. Personally, I am getting better at it. But I still have the inclination to try to do something first on my own rather than rely on someone else to do for me, even if it may be detrimental.
I am having surgery today. I’ve been in significant discomfort for weeks now and that discomfort has been increasing daily. And I was going to drive myself to the procedure until my friends stepped in and took over. Don’t you think that I would realize how silly that idea was?
So, while I spend today contemplating the ‘thank goodness, folks who love me stepped in,” I challenge you to ask yourselves the following question:
When was the last time you asked for help? Better yet, how easily do you ask for and receive help?
Reading Karen Rosenthal Hilsberg’s “Lessons in Living” and her struggle to make sense of a life unraveled as her husband dies, I can’t help but reflect on a close friend who was ill several years ago. Despite a ‘take no prisoners’ attitude, he had trouble acknowledging the seriousness of his condition and even more trouble asking for support. Quite honestly, he doesn’t do too well in that department and neither do I. However, like him, I readily offer assistance to those I love and care about, whenever I can.
So, why the divide between offering and taking?
Hilsberg writes that “what I learned during this intense time of life was profound. I learned to ask for help from others.” Utilizing the mindfulness practice of the Zen Master, Buddhist monk and scholar Thich Nhat Hanh and the Buddhist Master Thich Phuoc Tinh, she says that she discovered that asking for help really wasn’t much different than providing it, that the helper and ‘helpee’ were intertwined, unable to exist without the other. By allowing assistance, she was able to provide others who cared about her and her family an opportunity to “be of service and to practice generosity” and in doing so, make a shift away trying to do everything on her own. Most importantly, by reflecting on how much she personally enjoyed being of service when loved ones needed her, she was able to accept how appropriate and okay it was to actually ask for help from others — to allow them to “do” as much as she did. The result? Her “wellbeing improved as [she] felt [her] burden shared by many hands.”
As caretakers, many women often do not adapt well to being on the “receiving end.” And yet, most of us are aware of the importance of social ties, friendships and support to our health and wellbeing, particularly as we age. So why do we find it so difficult to ask for and receive help? How do we acknowledge that be cared for does not equate to losing power or control but actually improves outlook, wellbeing, and ability to deal with any challenges that we might be facing, that allowing others to “do” empowers and does not ‘de-power?’ Is it fear of refusal? Or fear of letting go?
Mastering the art of asking for help is difficult. However, it behooves us to do so, not only for our wellbeing but for the wellbeing of those around us who wish to help.
My friend deserved the kind of care that he has provided to others in his life for most of his life.
Guess what?
So do I.
And so do you.
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