Is Bingeing an Eating Disorder?
- POSTED ON: Aug 04, 2011

                
  The dictionary definition of bingeing is:

to be immoderately self-indulgent and unrestrained;
to engage in excessive or uncontrolled indulgence in food or drink.

I personally agree that Bingeing isn’t usually because of lack of self control and weakness.
We binge because of a complex interaction of habit, brain chemistry, and external cues that signal us to eat. This interaction can be overcome, but it's harder to do and takes longer to change than most of us realize.

In the 1960s the Health Profession began attributing psychological reasons, rather than physiological reasons to people who overeat to the point of obesity. Since that time, there has been a tendency on the part of Health Professionals to classify every kind of eating outside “moderate eating” as an “eating disorder”. There are many reasons for this…and one of them is financial motivation. Unless a behavior is labeled a “disorder” or and illness, health insurance won’t pay for treatment.

You may call me cynical, but since “Binge Eating Disorder” is far more common than anexoria and bulimia. It has a much larger population base. This means more patients to treat with Therapy, and/or Eating Disorder programs, and more money and more profit for that specific Health Industry field.

Binge eating disorder first appeared in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, or DSM, in 1994. Until recent times, “Binge Eating Disorder” has been categorized under the umbrella term 'eating disorders not otherwise specified”, or EDNOS for short. EDNOS includes a wide variety of disordered eating patterns.
It's often used for people who meet many of the symptoms of anorexia or bulimia but not all. For example, a woman who meets all of the symptoms for anorexia,  but still menstruates regularly -- a criteria for an anorexia diagnosis -- would be diagnosed with an eating disorder not otherwise specified.

Health professionals admit that a Binge Eating Disorder is more than simply eating too much food, and that many obese patients don't have it. However still they claim that up to 5 percent of obese patients and 30 percent of patients participating in weight loss programs meet the criteria for binge eating disorder.

"It is important that clinicians and the public be aware that there are
substantial differences between an eating disorder such as
binge eating disorder and the common phenomenon of overeating,"
says B. Timothy Walsh, chair of the DSM-V Eating Disorders Work Group,
in a press release. "While overeating is a challenge for many Americans, 
recurrent binge eating is much less common and far more severe and
is associated with significant physical and psychological problems."

Proposed changes in the upcoming DSM-V, to be released in May 2013, would categorize BED as a specific eating disorder.
The proposed criteria require that episodes of binge eating, defined as:

“the consumption of unusually large amounts of food,
accompanied by a sense of loss of control
and strong feelings of embarrassment and guilt”

occur a minimum of once a week over the last three months for a diagnosis.

Such a diagnosis would fit almost every obese person that I’ve even known.….I’ve been one myself and I’ve known many, many others… Almost every obese person…and some of those who are not obese… experiences a sense that they have lost control of their behavior, and has strong feelings of embarrassment and guilt after eating an “unusually large amount of food”.

Weekends come every week, vacations and holidays come rather frequently, other celebrations and special events happen frequently as well.  Plus, most of us experience times of sadness, anxiety, or crisis more frequently than we like. It is common for an obese person to engage in excess overeating on these occasions. In fact it is also a very common occurrence for an obese person to “binge out” at least once a week for months at a time.

The disgust and aversion that modern Society has for fat people pretty much guarantees that fat people will feel embarrassment and guilt due to their failure to keep from engaging in behavior that contributes to their fat condition.

It is my opinion that, despite the “conditions” that psychologists attach to the “Binge Eating Disorder”, by their proposed definition, almost everyone who engages in excessive or uncontrolled indulgence in food, which is the dictionary definition of Bingeing, could easily fall into thecurrent medical classification of having an “eating disorder”.

I find something really wrong with this reasoning, and it is one of the reasons I was drawn to Gary Taubes’
research and theories about obesity having a physiological cause, with the psychological problems being a RESULT of the condition, not a CAUSE of the condition.

Taubes makes a compelling argument. My own experience and my observation of the dismal long-term success rate
of “eating disorder” treatments, especially those that include the use of “Intuitive Eating” as a tool of recovery tend to support my belief that while Therapy is helpful to gain self-understanding of one’s behaviors, and can help one learn alternative behaviors, the underlying conditions causing obesity are not cured through that process.

So…my position is that, for those who are obese, bingeing is normal, and not abnormal, eating behavior.

Society’s current label of “eating disorder” and suggested “treatment” is simply another attempt to shame fat people into believing that they need not starve themselves to become thin and stay thin. This is a misplaced effort, because an obese body wants to maintain itself, and this is a survival instinct that will never leave, no matter how thin one becomes, or how much therapy one has.

 


Meal Frequency - How Often Should I Eat?
- POSTED ON: Mar 29, 2011


The Frequency of Eating is one of the main issues in dieting, and many people disagree on that subject.

One viewpoint commonly held is that frequent small meals are better for weight-loss and for one's body in general than less frequent larger meals. 

The basic rationale for this is that smaller meals tend to raise metabolism because of the continual digestion process, and one is less likely to overeat
because hunger will never become intense.

Call me cynical, but I suspect that the recent popularity of this viewpoint may have something to do with food marketing.

Another commonly held viewpoint is that three medium sized meals are betterfor weight-loss and for one's body in general.

There are several common rationales given for this viewpoint.  

One of them is that it has been the Traditional "American" way for the past hundred years or so.

Another is that avoiding all snacks between three meals instills Habits of Moderation, and after the mind and the body adjusts to this plan, weight-loss and maintenance of weight-loss becomes easier due to the automatic no snacking habit.

Proponents of the Leptin Diet say that limiting eating to three meals a day, spaced 5 or 6 hours apart, helps the body's hormone Leptin to function better and therefore assists in weight-loss and maintenance of weight-loss.

Intermittent Fasting proponents, such as in Eat Stop Eat, and the Fast-5 Diet recommend eating less often than three times a day. They recommend long breaks between eating...i.e. frequent periodic fasts,  Their rationale is that this process helps the body's Insulin and growth hormones to function better and therefore assists in weight-loss and maintenance of weight-loss.

Other "Experts", including proponets of Intuitive Eating, say that people should eat whenever they feel hungry and stop as soon as they feel full.

Some advocate eating only two meals daily.  Some say skip breakfast. Others say skip lunch.  Still others say skip dinner.  There are also those who support eating only snacks with no actual meals.

The issue of eating frequency is actually an indirect way to restict the AMOUNT that one eats.

If one eats three "normal" meals and also adds in high calorie snacks...they will ingest more calories than their body uses as energy and will therefore gain weight.

A person can also eat three large daily meals without snacking and still ingest more calories than their body uses as energy and will therefore gain weight.

It one eats one very large meal every day, with nothing in between, that person can also ingest more calories than their body uses as energy and will therefore gain weight.

If a person alternates occasional days of fasting with frequent days of overeating, that person will ingest more calories than their body uses as energy and will therefore gain weight.

Feelings of hunger and fullness are subjective.
A person's body (physical) and/or a person's emotions (mental) can inaccurately report those feelings. This can occur whether one has a single meal each day or whether one eats small amounts of food all day long. In most cases outside an anexoric condition, inaccurate signals of hunger and fullness will cause a person to ingest more calories than their body uses as energy and therefore gain weight.

All of these positions have merit, and they all have flaws.  SO...what is my personal position?    My own viewpoint is that all of the various suggestions are acceptable.

I think people should individually choose to eat as frequently as is desirable or comfortable for them as long as they can get that plan to work for them.  Any food plan works if it causes a person to ingest the same or less calories than their body uses as energy, and therefore causes an obese person to lose or maintain weight-loss.

I find Gary Taubes' writings about insulin's effects on the body to be interesting and valuable. However, at this current time, based on my own experience, and my observations of others, my opinion is that, even if his Theories are true, there is MORE to the issue of weight-loss and maintenance of that weight-loss than merely controlling the carbohydrate substances that one eats.

A low-carbohydrate diet might greatly help with the issues of obesity, and one MIGHT be able to eat more calories, or better regulate their body's hormonal functions by following such a plan. H
owever,  I believe that physical issues are only one part of the obesity equation. 

Even if Taubes is correct, the basic position of calories in/calories out is still valid if one wishes to reach and maintain a body size which is smaller than one's body was genetically designed to be.

Consideration of calories in/calories out is also useful when considering eating issues that go beyond a person's physical requirements.
By this, I mean eating issues which involve personal appetites, personal habits and personal character.


The picture of the apple and cheese at the heading of this article
was taken as part of my latest recipe video Six Cheese and Sides, which is located in Tidbits, under RECIPES. 

 

 


Science Can't Prove What is True.
- POSTED ON: Mar 28, 2011

                           

 I think one of the biggest and most common mistakes people make regarding food plans, diets, weight-loss or weight-gain etc, is the general tendency to think we are all the same... i.e.  "if that specific behavior works for her/him, it should work for me."

All of the "scientific rules" written by Experts are merely Averages. We are not only two different sexes, we are also different heights, different weights, different ages, and different activity levels.

On top of that, each of us has a different and unique Genetic imprint. Strong Evidence exists indicating that some people "handle" or "process" various foods differently than other people.

At times it seems like the body defies the "rules of science" with regard to weight-loss.
However, there are still many unknowns and variations between individual bodies, and many hormones and other inner workings of the body have still not yet been discovered.

 Science can't prove what is True,
it can only prove that a specific isolated fact
in a specific isolated situation is Untrue.

The current "rules" are based on conclusions from past Research studies, and are not the "ULTIMATE TRUTH" because:

"The purpose of Science is not to reveal the Truth but to eliminate error.
We can only approximate truth by getting rid of as many wrong conclusions as we can."

For those of you who are interested in my current Low-Carb Experiment-of-One which I last wrote about on March 21. I am several days into a planned pause of low-carb in order to assess my stabilized weight at 'normal'-carb in comparison with my stabilized weight at low-carb, so that I can make a personal evaluation of the process thus far.

At this point I have about a 3 lb UpBounce which is probably a result of natural increase in gylcogen (salt/water/waste) due to past six days of "normal" higher-carb intake. Right now, it appears that my stabilized weight with "normal" carb intake continues to run about 3 lbs heavier than my stabilized weight with low-carb intake. 

 Both stabilized weights are extremely resistant to any further weight-loss due to fat-loss. It is possible that this is because my body is currently at its optimal normal weight, however, whatever the reason,...based on my current data....
at the present time it appears that my body's inability to accomplish further fat-loss is consistent,
whether I'm eating low-carb or normal-carb.

I am also evaluating other issues, along with my weight. However, these issues are subjective, involving how my body feels, which includes the issues of levels of hunger and/or cravings, After another week of 'normal'-carb,....assuming I successfully follow through with low-calorie eating...., I expect to have better information on the subject,both objective and subjective.

Anyway, this is ALL part of my Dieting Hobby. I wanted to be certain to share this information here, because today I plan to shoot some more recipe videos, and you will see me tasting some higher-carb food.

I have also added a new recipe category entitled "Tidbits".I choose to do this because I feel that some people might find that many of my low-calorie "snack-type" very-easy-recipes don't really fit into their concept of a "mini-meal" category, and yet I want to avoid labeling them as a "snack".

Portion Control is gospel to me, and you will see totally consistency in that area.
However, all of my recipes will not fit into every single type of diet. Some of my recipes will be lower-carb than others, and some of them will be lower-calorie than others.  I will providing calorie counts, carb counts, and protein counts of my serving portions in every recipe.

My ongoing Personal Criteria for every Diet I choose for myself involves ALWAYS tracking all my food, while making my own personal food choices, based on my individual preferences.
That behavior is always a requirement for me, no matter
 what "Diet, Food-Plan, or Way-of-Eating" that I might choose to use, or to experiment with, during any specific time-period.


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