Ask Amanda: How Healthy is TOO Healthy?

In the course of my Precision Nutrition coaching homework, I’ve read a lot about overcoming the “introductory” type of of challenges you get when coaching folks that are new to health and fitness (things like, “I don’t like vegetables” or “do I really have to eat protein with every meal?” or “why are five Diet Cokes a day a problem if they have zero calories?”).

However, it’s not the newbie clients that are the most challenging.  Not by a long shot.

My clients are too savvy for me to sneak this by them 😉

I am currently reading the chapter about “special scenarios” in nutrition, and it is here that we delve deep into the many, MANY types of disordered eating (DE).  Mind you, this is not the psychiatric/clinical type of “eating disorder” we associate with diagnosed anorexia or bulimia (although those are definitely disordered).  DE habits can include:

• constantly obsessing over food / eating / not eating
• eating behaviors that both cause and are trying to relieve distress simultaneously
• eating in a way that doesn’t match physiological need (i.e., eating way more or less than you actually need for optimal health)
• eating behaviors that harm yourself or others
• orthorexia

One lonely tomato does not make a healthy meal…for anyone

If you haven’t heard of that last one, you might want to read up on it, as orthorexia is one of the fastest growing DE tendencies around the world.  It means an obsession with “clean eating” – not just healthy eating to lose weight, but an all-consuming focus on the relationship between food choices and health (alongside an increasing inabilty to enjoy food socially, or feel satisfied by food that isn’t stringently prepared/”approved”).

But is that such a bad thing, you might ask?  Don’t all us high-falutin’ nutrition folks wish the world were more like us, with our macros and our tracking apps and proper portions and our real-food-focused organic gluten-free sugar-free dairy-free spelt grains?

Sort of…well, actually probably no.

Mmm, salad.

Here’s the thing I always try to hit home with my clients: human nutrition is, and will always be, a balancing act.  You have to balance the food you want to eat (fries!) with the body you want to have (abs!) with a lifestyle you truly enjoy (fun!) and the best possible health you can achieve (fit!).  Examples:

• If you have the fries sometimes, you will probably have the fun, you likely won’t have all six of the abs, but you just as likely won’t probably do any long-term damage to your health.
• If you never have the fries, you probably have no fun (though perhaps also no guilt?), you might just find your abs, and your general health can still go either way.
• If you have all the fries all the time, it probably gets less and less fun, you can forget about the abs, and you are probably not living in your healthiest body.

You see how this works?  There are mandatory tradeoffs between lifestyle and nutrition, and they’re not all either damning or rewarding – they just are (one of my favorite-ever infographics about this very topic can be found here).

Why is time always wayyyyy in the other direction?

As a trainer, I feel a dutiful responsibility to demonstrate a strong, fit body, balanced nutrition, and a healthy life-work balance to my clients – but I have long given up on the pursuit of perfection.  As a wellness and health coach, I make my own tradeoffs too, and those of you know who me know that I will always choose an ice cold beer over uncovering those 3rd-6th abs (I’m ok with a two-pack at age 34, aight?).

So how do you know if you have a disordered relationship with food?  A wise man once said, check yourself before you wreck yourself:

• Are you terrified of becoming overweight (especially if you have never been overweight)?
• Do you feel guilt after eating?
• Do you avoid eating, even when you are physically hungry?
• Have others expressed concern over how much you eat, whether too little or too much?
• Do you exercise with the sole purpose of burning the caloric content of your food?
• Do you feel controlled by the food that you choose to eat (or not eat)?
• Do you feel like others pressure you to eat more/less?
• Do you claim to feel better when your stomach is empty?
• Are you constantly preoccupied with thoughts about being fat or being thin?
• Do you avoid trying new foods, going to social events with food present, or celebrating with food because you are afraid of eating “bad” food?

There’s no “grade” for the above test, but it is loosely based on the Eating Attitudes Test from Psychcentral.com, a screening tool used to pre-diagnose common disordered eating patterns before they become full-blown disorders – and I find it helpful to start some necessary – if often uncomfortable – discussions with clients that I sense may be heading down the DE path (or recovering from former DE patterns).

If you think you might have some of the warning signs of DE, definitely get an appointment with a nutritionist or dietitian to get your habits back on track and make sure you’re eating a balanced, satisfying, and nutritionally sound diet for your body. Healthy eating is a major part of a wellness lifestyle, but it’s not the only part – and when eating (or not eating) takes away the joy from other parts of your life, you know it’s time to reevaluate.

What tradeoffs do you make in balancing your body, health, diet – and sanity?