Posts in Eating Disorders
OMG, NPR, Get Off the Fat Babies
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This morning, a friend alerted me to an article on NPR's Shots blog. The headline: To Curb Childhood Obesity, Experts Say Keep Fat Babies in Check.

It immediately pissed me off, of course. This formerly disordered eater worried incessantly about my fat baby girl. The girl people stopped me on the street to comment about. I've been watching with interest the comments on a post on BlogHer about fat talk around children. Some people are adamently opposed (as am I) and some people think it's our job as parents to limit kids' eating and make sure they don't gain too much weight.

My daughter has been "normal" weight since she was about two, and she's always been able to stop eating when she's full -- even if she's halfway through a chocolate shake. I've always praised her for stopping when she's full, but I've never stopped her from eating dessert. I don't want her to have a weird relationship with food. I just want her to eat when she's hungry, stop when she's full, and mix in some vegetables.

However, the NPR article was talking about babies and toddlers, and here are some of the tips they gave:

Cut down the time children spend watching TV or using the computer or cell phone.

We are talking about babies and toddlers. My baby was off the charts for her first full year, and I swear to you that she only used the computer or her cell phone for an hour a day.

Make sure kids are getting the right food portions for their age.

I monitored my daughter's milk intake like a hawk for that first six months. I don't care how hungry she was! I pulled that bottle or boob out of her mouth the second she hit her age-appropriate limit.

So parents and child care providers can do small kids a favor by not letting them get too big, even if that means turning off Nickelodeon.

I'm working on a post for BlogHer (I'll share a link here when it goes up) regarding an interview I recently did with a PPD/ED specialist at UNC. We got to talking about body types and how they impact eating disorder recovery. She told me some of her patients have had to eat thousands of calories a day to recover from anorexia. I gained weight very quickly just by returning to 1200 calories a day -- what would be considered dieting for most women. "I'm a very efficient food storer," I told her. "I would do well in a survival situation. I'm just not often in them."

We talked about how every body is different; every body processes food differently. And I am really sick of the media admonishing new mothers and bequeathing upon them personal responsibility for every aspect of their children's health. The degree of personal responsibility is getting ridiculous.

Yes, duh, parents shouldn't give their toddlers a straight Diet Coke, tequila and Spam diet. Yes, of course we should encourage our kids to get outside and play. But hello, world -- some kids are genetically hardwired to be a little bigger. Sometimes they slim down naturally with age, sometimes they don't. It may have everything to do with what they eat and! It may have nothing to do with what they eat. Weighing them and admonishing them and making a big deal about their weight when they are eating the same or less as the stick-skinny kid sitting next to them in the cafeteria is not helpful. In fact, it can be extremely harmful.

And. Telling a nervous new mother that she holds the keys to every aspect of her child's health -- that it is all her fault if the baby is fat -- is a great way to program a weight-watching, harping mother who will ultimately give her child a complex about food.

I really wish the media would take more responsibility for objective reporting when it comes to health news. In politics, we generally get two sides of the story. These health studies are so one-sided, so judgy. Yes, there is a childhood obesity problem in the U.S. -- I acknowledge that wholly. But I look around my racially diverse but economically homogenous neighborhood, and I don't see one obese child. Not one. I go to Midtown Kansas City, where it's racially diverse and economically diverse, and I see tons. In addition to genetics and diet, childhood obesity has a lot to do with economics -- whether kids have access to sports and camps that allow them to run and play, whether they have access to yards and bikes and streets safe to ride bikes on. Whether they have access to fruits and vegetables that don't come out of a very salty can. Whether they have something to do besides watch TV while mom and dad work.

Childhood obesity isn't necessarily something we can blame on personal responsibility of the parents. We, as a nation, owe kids safe streets and bikes and subsidized, exercise-and-fresh-air-oriented childcare and camps. We as a nation put everything on working parents -- we don't help out with childcare, we don't help out with healthy food, we don't help out with transportation to camps and sports for kids whose parents don't have cars or can't get off work to take them.

There are two sides to every story. One side of this story is personal responsibility of the parents to not let their toddlers exist on a steady diet of Ho-Hos. The other side of the story is access. We like to ignore that side, because it's a much harder thing to face. The media needs to start covering that side of the story, because until we acknowledge it, we won't do anything about it.

 

 

Eating Disorder Flashback
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The pool opened last weekend. I thought I was ready to go with my new halter swimdress (shut up) and my sunscreen and my baseball hat. Sure, it had been a long, cold winter accompanied by many, many seasoned wedge fries, but last summer I even bared midriff a few times and felt fine about it.

Also, I haven't had a full-length mirror in my bedroom since last summer. And I never go use my daughter's. So I actually don't know what I look like unless I catch my reflection in a store window, which only happens when I am fully clothed.

Imagine my surprise when I went to use the bathroom at the pool and caught sight of my full-frontal while pulling up my swimming suit. The florescent lights bouncing off cinder block highlighted every lump and bump that was not there last year.

My stomach seized up, and I started to feel hot and tingly.

I manage the anxiety that once caused my eating disorder through a combination of medication, previous talk therapy, exercise, sleep and maintaining a certain weight window in which I feel comfortable with myself. I seem to have tipped over the edge of that window this winter, because as I stumbled back toward my seat, I felt shaky.

And that was when I saw her, my new mom friend -- adorable and tiny and right in the path. I stopped to talk to her and knew I was coming off normal, but the entire time I was talking to her I just wanted to wrap my body in a beach blanket and starve until I felt better. I felt like she could see all the flaws and was taking stock, even though she's a delightful person and why would she do that? Of course she wasn't doing that. But I felt it: the shame.

And I haven't felt like that in years. YEARS.

I walked back to my chair and sunk in. The tears started rolling out from under my sunglasses a few minutes later. Beloved said nice things, tried to make me feel better -- but I know he didn't realize how seriously I was melting down at that moment.

I sat there telling myself I'm 37. I don't need to look like a 24-year-old. I'm a perfectly acceptable 37-year-old. And isn't that sort of shallow, anyway? And haven't I been writing a novel about a protagonist overcoming ED and haven't I been crusading about ED and taking issue with NYT ballet critics ALL YEAR? WHAT THE FUCK, BRAIN?

I took deep breaths. I told myself fat isn't a feeling. And I realized it isn't. My feeling was anxiety -- a severe hit of it -- and I was focusing it on my thighs. I was telling myself that I was a lost cause because I didn't stop working out this winter -- in fact I worked out harder than I have in years -- so it was difficult to stop catastrophizing that exercise no longer worked for weight maintenance, and I would just end up growing and growing from here with no hope. (Because that is the fear that my ED brain wants me to believe.)

My rational brain -- the one in charge 99% of the time -- knows that there is no "always" ever in anything in life, and weight management is just another one of those things. You don't always look great, you don't always look bad. Nothing is absolute, and everything about humans is in a constant state of flux, from our glucose levels to our shoe sizes to our hair length to our weight.

But revisiting that feeling, that download of self-hatred, was really upsetting. It made me hot and then cold and shaky and angry and sad. Thankfully the little angel was in the pool and didn't see her mother crying while staring at her hips.

It's since passed. I am aware that one thing that keeps the wolves at bay for me is staying in that five-pound range of normal BMI that has my clothes fitting without panty lines and me passing full-length mirrors without doing a double-take. I've been more careful this week about what I put in my mouth. But I also know that some parts of it -- the gravity parts, the cellulite parts -- may not be fixable by a sensible diet and exercise program. They may be part of 37. They may be part of my genetic code. I may actually not be able to do anything about the redistribution of what used to be higher on my frame. And I'm going to have to accept that, pronto. I am not going to spend the second half of my life being controlled by that feeling the way I spent the first half.

I AM NOT.

New Research on Eating Disorders

I just reviewed Aimee Liu's new book, Gaining:  The Truth About Life After Eating Disorders.  I've talked in the past here about my own eating disorder, which existed most obviously from 17 to 21 but was an important part of my life up until about age 26, even though I appeared "normal" for years by then.  I still fight some aspects of my personality that made me susceptible to anorexia - the perfectionism, the anxiety, the rigidity.  I sometimes wish my beloved and my friends and family could spend one day inside my head, hearing the standards, the schedules, the volume of stuff I feel pressured by some unknown force to achieve.

Over the years my friends have said no one is busier.  I felt lame when I went from a full-time job, teaching a college class and writing six to eight magazine articles a year plus full-time parenting to just the full-time job and blog-related work in addition to the parenting.

My sister can't stand it that I can't sit still to watch a movie without doing something else or getting up 10,000 times.  My mother said I used to wake up in the middle of the night to clean my room.  Though I've finally learned to stop taking out my anxiety by counting calories and restricting which types of foods I'll allow myself to eat, when I'm anxious now I find myself tallying our credit card balance and our monthly incomes.  I need to add up something.  I restrict budgets now instead of calories, but when I'm anxious I HAVE to restrict something to feel better.

Now I finally understand why. Chromosome 1.  If you know anyone who has displayed signs of anorexia or bulimia, even if they were never diagnosed (most aren't), read this book. It will help you stop wondering why they can't just behave like a normal person.