Tag Archive | Wholesome Wave

weight, weight, please tell me

This is a post about weight–weighty matters, the weight of the world, mainly the ongoing conundrum of there being too much of it. It is a topic I think about sometimes–trying to wrap my arms around it to contain it properly.

Actually, you will see that I don’t have much to say about it, but instead am sharing the brilliant voices of others who do. It seems these stories have recently, coincidentally collected in my little basket of big dilemmas.

Before I proceed and attempt to offer something up on this largely considered nutritional–but so much greater– matter, let me digress for a moment to share something about me and my nutrition work and my nutritionist status. I have a little explaining to do.

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I have experienced a lot of changes in the past few years. Some of these are profoundly personal while others are professional. I will stick to the latter and how they have influenced what I write about–perhaps some of you who follow me have noticed–but they are both intertwined.

When I began writing this blog in the fall of 2010-wow-I was perched in a clinical setting that continued to make me privy to the upfront and personal stories of individuals’ eating lives. I had been doing nutritional counseling for many years at that point in time. My clients’ issues strongly reflected, what I refer to in My Story, the massive changes in our food culture and highlighted the intimate art of eating in response to the personal and cultural milieu. The nutritional crises of our time, including the obesity crisis and its shadowed sister–eating disorders–were about twenty plus years deep in the making.

Professionally, I had been riding this unforeseen wave since its onset in the early 1990s and felt I had something to say to personalize and humanize what was projected as a faceless statistical trend. Having worked with so many people, I was able to synthesize the common experiences that were impacting us all. I could also relate some true experiences of my clients in my writings. I would juxtapose these experiences alongside the larger impacts of poverty, trauma, environmental changes, food adulteration, community access, societal messaging, etc.

What I never stopped to share, was that two and a half years ago, I stepped out of direct care. I began doing nutritional program development and administration for a statewide program serving childcare centers–the preschoolers, families, and educators. It is a good program. Though its implied mission is to prevent childhood obesity, I strongly prefer a redirection of intention to support the full health potential of all our children and mitigate the effects of what I am wont to refer to as nutritional violence and size stigmatization. Anyway, at that time, the nature of my posts changed and their frequency decreased. I had less material and more other things to tend to.

And now, I have just begun a new position. I am working for a breastfeeding support organization. This is a nutritional and health issue I am passionate about, but for the first time in my career, I am not carrying the title of Nutritionist. I seem to be welcoming this change–it is a natural extension of my life work and public health orientation that fits well with my current circumstances. But it also stirs some emotion. Due to a combination of my personal experiences and the fact that I have not done direct care for a few years now, I no longer feel I can assist others with the acute health challenges of our time and the precise nutritional approaches they demand. So, along with other big changes I am now facing, I think it may be that I am no longer a Nutritionist.

So, my dilemma asks me, “Then what’s with the name of your blog?” For now, I will answer that until I have time to reconsider it, it will stay the same. I am still deeply interested in nutrition and how it relates to our individual and collective health. I am still paying deep attention and I still want to be part of the larger conversation. And, I still want to help people. I may present more concise offerings on my Lifeseedlings Instagram page which are budding perspectives and occasional haikus on food politics, nourishment, body respect, eating, and cooking. Join me there.

And so, back to the issue of weight which I raised as the focus of this post. I wish it wasn’t all that it was and is. I wish it didn’t dominate the headlines and pervade our thoughts. I am bothered by my own sometimes prejudiced assumptions and that despite my somewhat larger awareness of its complicated nature, I still conflate weight with health and want to help ease and prevent the physical and emotional burdens it encumbers. But it is about time for all of us, those with or without the business to do so, to stop believing that banishing this weight, this unruly fat, is similar to scrubbing dirt and grit off of a coal miner’s body–some effort no doubt, some soaps better than others, but once undertaken, the job would be done.

From my observations, I think MAYBE things are changing. We may finally be realizing that plain out calorically restrictive diets of any ilk and fat-shaming just don’t seem to be working to solve the problem in the long run nor are they doing anyone much good.

And, while not entirely new, more voices–powerful, angry and/or tender voices, are emerging that challenge the once firmly held ideas and attitudes held by our scientific and medical communities, our society and even our personal selves about the ‘weight problem’. Their words and advocacy may be shifting our perspectives, sharpening our sensitivities, and providing new approaches to care.

Here is a short little syllabus of what I consider to be very interesting insights on the topic. It includes:

  1. Where the story often begins. A post by Your Fat Friend, a personal story about the implications and consequences of early childhood weight interventions; and a discussion on What Harping on A Child’s Weight Looks Like 20 Years Later about the importance of fostering body appreciation for everyone, by Maryann Tomovich Jacobsen on her website, Raise Healthy Eaters.
  2. What No One Ever Tells You About Weight Loss. A powerful and personal look at how expectations about ways to lose weight imply a process that is both isolating and not sustainable, by Nick Eckhart in What I Wish Someone Had Told Me About Losing a Lot of Weight.
  3. How Even Well-Meaning Assumptions about Fat Athletes Can Be Misguided. Here, Ragen Chastain (whose blog Dances With Fat I have written about before) deconstructs such assumptions in her post, What Fat Olympians Prove (and What They Don’t).
  4. Really? Just five amazing stories from an episode of This American Life, entitled, Tell Me I’m Fat. (Transcript or Audio).

This is not required reading, but I hope you find something thought-provoking, attitude- adjusting or maybe even life-changing within. And, though I don’t have Carl Kasell to answer my phone, you can leave me a message here.

Thank you for listening, sharing, following and supporting my writing. Please subscribe in the sidebar to receive notice of new posts. Comments and greetings always welcome.

In health, Elyn

(Update 2019: After a year and a half working for the breastfeeding organization, I moved forward to work for Wholesome Wave, a national organization dedicated to food access and affordability and a leader in programmatic and policy changes related to addressing food insecurity. My work here reunites me with my previous efforts of developing Produce Prescription programs as I described in Inventive Incentive. This work certainly has brought me back into the food and nutrition space, and gives me new types of stories to think about.)

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Wholesome Wave’s My Plate

My Plate Haiku

Pick your own today

Happy kids in wide-brimmed hats

Sweet summertime fruit.

by Nan (Blessings on her new little grandson, Orion!)

 

 

 

 

inventive incentive

To make bread or give love, to dig in the earth, to feed an animal or cook for a stranger—these activities require no extensive commentary, no lucid theology. All they require is someone willing to bend, reach, chop, stir. Most of these tasks are so full of pleasure that there is no need to complicate things by calling them holy. And yet these are the same activities that change lives, sometimes all at once and sometimes more slowly, the way dripping water changes stone. In a world where faith is often construed as a way of thinking, bodily practices remind the willing that faith is a way of life. Barbara Brown Taylor ~ (An Altar in the World: A Geography of Faith)

On a cloudy and dreary Saturday morning in October, I headed into Albany to catch up with the ever-busy Veggie Mobile in order to get a glimpse of the Veggie Rx Program in action. It had been almost two years since I began administering this program that I had helped establish at the Health Center, and as a concerned mom, it was time for a periodic check-up to see how it was doing. 

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Capital Roots Veggie Mobile

                           

Veggie Rx is a “produce prescription incentive” wherein fruits and vegetables are “prescribed” to medically high-risk patients by their health care providers as a means to encourage healthier diets and to improve health outcomes. Similar programs have begun to emerge in the past few years, and are being considered as a model of a viable public health intervention for disenfranchised communities. This medically-housed approach provides powerful messaging, unique for an institution that traditionally proffers mainly pharmaceutical solutions and well-meaning but often weak recommendations for health behavior change. It affirms, “Let food be thy medicine.” 

Veggie Rx was initiated as a collaboration between Capital District Community Gardens (CDCG) (now known as Capital Roots) and the Whitney Young Health Center and is funded by the NYS Department of Health’s Hunger Prevention and Nutrition Assistance Program. It was designed as a pilot to serve fifty persons with diabetes and/or hypertension. Once recruited and enrolled, the participants receive “prescription coupons” valued at $7 each, which can be redeemed once per week on CDCG’s Veggie Mobile. They also receive an additional food bag valued at $4 provided as part of the Veggie Mobile’s Taste and Take tasting program each time they shop.

The bio-diesel fueled, hip-hop pulsing, “produce aisle on wheels” Veggie Mobile which I chatted about in No Passing, toodles around many Capital District neighborhoods most days of the week, year-round. It irrigates identified food deserts by arriving at a variety of community locations where anyone can shop, right on the truck. It is somewhat akin to an ice cream truck except that it hawks an impressive array of fresh fruits and vegetables, much of it from local farms. 

I met up with the Veggie Mobile that day in the city’s Arbor Hill neighborhood. Parked at the corner of a side street, it was a burst of color in a rather gray landscape. That brightly painted truck always shows up representing the rainbow, but it is the activity that it fosters that is the pot of gold. Among the customers were two Veggie Rx participants. One was a woman whom I had just enrolled in the program. She was there with her two young granddaughters. ‘Patient with diabetes’ instantly transformed into ‘loving grandma’ as I watched her solicit the girls’ advice for what to choose.

The other was a gentleman who had been enrolled for a while but who had not really participated. I had recently called him to discuss removing him from the program—but he asked for another chance. He explained that he had experienced a host of health problems but was feeling better and really wanted to have this opportunity to improve his diet. Sure enough, there he was like a kid in a candy shop–but instead of candy, he was purchasing a sophisticated assortment of produce.

After an hour at that location, the dedicated Veggie Mobile staff women closed up shop. I hopped in my car and followed them as they got back on and off the highway and made their way over to the next scheduled stop at a low-income housing complex—not too far from the Governor’s Mansion. Arriving there, about fifteen people were already waiting–men, women, and children–including two more Veggie Rx participants. They were surprised to see me and greeted me with smiles and hugs.

This was a busy site, so I assisted with bagging while anchoring myself at a good vantage point. Shopping on the Veggie Mobile begs some patience—but perhaps not any more than waiting in a fast-food drive-thru line. Here though, was connection, community and lots of conversation about good food. There was squeezing back and forth as people reached to add another sweet potato, banana or onion to their order. All forms of “monetary green” (cash, SNAP EBT cards, New York State Fresh Connect, and Farmer’s Market Coupons–along with the cute Veggie Rx coupons) were exchanged for “nutritional green” (collards, kale, green beans, green peppers, and broccoli). It was a beautiful sight to behold.

Despite my sheer love of this program, I am still not sure yet if these incentive initiatives are token, feel-good, short-term experiments–or the templates for a new health and food revolution. Are they worth the effort for the few that they serve? Can they put even the tiniest dent in the massive problem they are trying to solve and might a few fruits and vegetables a week really affect change?

What I  do know is that I have seen Veggie Rx change the behaviors and well-being of many of those in the program. Let me strengthen that. I have witnessed some profound changes. There has definitely been some powerful “medicine” going down. Participants have started juicing, making smoothies, and taken to more plant-based diets. Many have attested to feeling better and have noticeably become more enlivened. While I have also noted improvements in individuals’ health markers (weight, blood pressure, hemoglobin A1c)–to see these markers shift in a significant way for this highly challenged population will take time. I caution not to base the success of these types of programs solely on those indicators–it is too myopic a lens.

Veggie Rx offers more than just food access and is about something greater than fruit and vegetable intake. Relationship building is the true foundation of this program. This power of relationship–between participants and the Health Center and Veggie Mobile staff–is not to be underestimated. Having undertaken an evaluation of this program and through my direct contact with the participants, I know that they feel better valued as both patients and consumers which increases their engagement in both roles. I also know that they consider this program to be a blessing in their lives–those are their words, not mine.

Participation comes with some requirements which asks something deeper of its recipients–like standing out on street corners in the cold, shopping in cramped quarters, finding a specific time and place to shop, and committing to follow-up medical appointments. Not everyone enrolled has taken advantage of the program, but the majority have–and some quite extensively.

As a metaphor for, or a substitute expression of the universal yearning to return to the land, the capacity to access the bounty of the earth perhaps subconsciously reminds us of the connection to our source and our birthright of health. The mere act of showing up and filling one’s bag with beautiful produce yielded from the soil reflects a powerful commitment to one’s self. Standing witness on that morning shed light on what a new paradigm of healthcare could look like–particularly in response to the problems associated with health disparities–but in the larger context as well. I returned home with a reassurance that my little toddler-aged program was doing well. I can’t wait to see it grow.

Thank you for listening, sharing, following and supporting my writing. Please subscribe in the sidebar to receive notice of new posts. Comments and greetings always welcome.

In health, Elyn

Related Resources: Food Trust/Policy Link:  Access to Healthy Food and Why it Matters;

Double Value Coupon Program–Diet and Shopping Behavior Study

Building Healthy Communities Through Equitable Food Access

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J’s My Plate

 

My Plate Haiku

Food is medicine

Farmers are doctors, Cooks priests

Eat, pray, eat, pray, love.

By Gordon