Intuitive eating: How to make it work for you (and your clients)

It goes way beyond the “hunger and fullness diet.” The post Intuitive eating: How to make it work for you (and your clients) appeared first on Precision Nutrition.

Intuitive eating: How to make it work for you (and your clients)

Reviewed by: Pam Ruhland, PN2, Certified Intuitive Eating Lay Facilitator

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Many people think they know what “intuitive eating” means.

And a lot of them are wrong.

They’ll say things like:

“Intuitive eating is eating whatever you want, whenever you want.”

“If you’re not on a diet, you’re already eating intuitively.”

Or everyone’s personal favorite: “It just means ‘listen to your body.’”

But none of those are accurate, at least not according to the people who coined the term.

And that matters.

Whether you’re interested in practicing intuitive eating yourself, or you’re a coach considering using it with your clients, you’ll want to know what intuitive eating is and isn’t—so you can decide whether it’s the right tool for the job.

In this article, you’ll discover:

  • The 10 principles of intuitive eating.
  • Why intuitive eating might be right—or wrong—for you (or your clients).
  • A number of handy ways to try intuitive eating—starting today.

Ready? Let’s dig in.

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What is intuitive eating?

First popularized by Evelyn Tribole and Elyse Resch in their 1995 book , intuitive eating rejects diet culture, a set of beliefs that values thinness, appearance, and shape above health and well-being.

This framework enthusiastically welcomes people of all sizes, helping them to improve their relationships with food, mind, and body without encouraging them to lose an ounce.

Intuitive eating also forgoes typical eating rules (think weighing, measuring) and instead helps people rediscover body cues like hunger and fullness.

That sounds great, of course. But can it really work?

For many people, intuitive eating can be powerfully transformative.

By the time we hit our 20s, most of us are eating for lots of reasons besides actual hunger.

6 pm? Time for dinner.

Bored? Let’s see what’s in the fridge.

Rough day? Give me a spoon and some cookies n’ cream.

But imagine how life might work out if we ate like babies.

Babies naturally eat intuitively, stopping when they’re full, no matter how much milk or formula is left.

They don’t go to battle with themselves thinking, “I want more. But, no, I shouldn’t. But, my gosh, it tastes so good. A little more won’t be so bad, right? What is wrong with me? Why can’t I stop?! Okay, I know. I’ll do 250 crawling laps around the room to burn off the extra milk…”

Intuitive eating helps people get closer to this natural instinct again.

The 10 intuitive eating principles

If you want to understand what intuitive eating has to offer, the 10 principles are a great place to start. One way to use these principles: Work through them in order. Master one, and then move on to the next, which is what the creators originally intended.

Principle #1: Reject the diet mentality.

Intuitive eating isn’t about weight loss, and that’s precisely what attracted , PN2, a Certified Intuitive Eating Lay Facilitator.

She’d noticed that many of her clients felt stressed and upset when they stepped on the scale or tracked their measurements. So when she discovered intuitive eating, she shifted her entire coaching practice away from weight loss.

That shift had a major impact on Dahl’s clients and her coaching: “When we removed the diet mentality, we shifted our focus to behaviors and actions that were making them feel better—regardless of the number on the scale. It became a much more positive experience for both of us.”

If you’re interested in trying this approach, think about your goals outside of weight loss by using a thought experiment called The 5 Whys.

You start with the question: What do you want to accomplish? And then ask yourself why five times to get to the root of what you really want.

Often, people start by saying they want to lose weight. By the end, they end up with goals about confidence, happiness, and having a good life—all of which can be achieved without weight loss.

To learn more about how to use The 5 Whys to reject the diet mentality, see:

But what about people who “need” to lose weight?

This is a loaded question. But there are a few important points to consider.

➤ #1: Not everyone who’s “overweight” or “obese” is unhealthy. Just as not everyone who’s at a “normal” body weight is healthy.

➤ #2: Focusing on weight loss simply doesn’t work for everyone. If it did, people would go on one diet, get the results they want, and never diet again. It’s safe to say that’s a pretty rare occurrence.

“We have to get rid of this idea that weight loss is always a good choice. It’s just not,” says Precision Nutrition Coach Jon Mills, PN2. “We tend to think that if you lose weight, you’ll get healthier. But if that comes with disordered eating, extra stress, and more body issues, weight loss isn’t the healthy choice.”

➤ #3: People who “need to lose weight” are constantly getting lectured about their bodies. 

“I have so many clients who, every time they go to the doctor, no matter what the problem is, the doctor’s like, ‘You should lose weight,” says Mills. “We don’t need more people in the world being like, ‘Hey, have you considered losing weight?’ That messaging is saturated.”

If a person decides intuitive eating is right for them, regardless of their size, that’s their choice to make.

Principle #2: Honor your hunger.

The more we try to resist hunger, the more we want to eat. (Thank evolution for that one.)

And once we get extremely hungry? Our plan to eat a perfectly portioned chicken breast with a side of kale becomes a bucket of fried chicken with mashed potatoes and a side of cheesecake.

The solution? When you’re hungry—eat.

But that begs the question: How do you know when you’re truly hungry? Try ranking your hunger on a scale of 1-10. Usually, we think of 7 as “time to eat,” but what feels right for you might be different.

Letting your hunger guide you may mean eating at new and different times.

For instance, you may normally eat breakfast at 9 am out of habit. But maybe you’re super hungry right after you wake up at 7:30 am. Or you may find you’re not actually hungry until 10 am. Whatever your body tells you, go with it.

Principle #3: Make peace with food.

Give yourself unconditional permission to eat.

“When people are restricting really hard, that pushes them into binge eating and shame eating and emotional eating. You’ll never address a restriction problem with more restriction. It just doesn’t work,” says Mills.

If you’ve ever gone on a super restrictive diet and then crashed and burned face-first into a tub of caramel popcorn, you know what we’re talking about.

The goal of making peace with food is to avoid situations like that. But in order to get there, intuitive eating says you need to welcome yourself to eat that caramel popcorn whenever you want.

You’re probably wondering: Won’t unconditional permission lead to donuts the size of people’s heads coupled with a lifetime without vegetables?

Not usually.

Quite often, the opposite happens. Once people allow themselves to eat what they really want, their cravings suddenly don’t feel as urgent. That yearning for a whole box of cookies eventually turns into a more manageable desire for just one or two.

Fair warning, this principle can take a while to master.

One thing that might help: Self-compassion, which is an attitude of generosity, honesty, and kindness towards yourself. Try to notice what you say to yourself when you eat—especially if you are going for foods that you haven’t given yourself permission to eat in the past. If your internal chatter is negative, take a deep breath and consider: “Is this how I would talk to someone I love?” If not, think about what you might say to a friend who is trying to break free from a negative relationship with food. Then say those words—to yourself.

For a full rundown of how to give yourself permission to eat, along with several ways to use self compassion, see: .

Principle #4: Challenge the food police.

The food police are those little people in your head telling you not to eat such a big portion, that this food is “good,” and that food is “bad.”

Of course, once those annoying head mates deem a food “bad,” that food becomes all the more attractive and irresistible.

So stop using phrases like “good foods” “bad foods” and “cheat meals,” recommends Denise Allen, a Precision Nutrition Women’s Coach.

If you’re planning a special meal that goes outside of what you’d normally eat, you could try calling it a “choice” meal instead of a cheat one, Allen says. Even better, don’t label it anything at all. It’s just a meal—there’s no need to assign morality to it.

“Language and words matter so much, and how you talk to yourself about this process makes a difference,” Allen adds.

To learn more about labeling foods, see:

Principle #5: Discover the satisfaction factor.

Taking pleasure in what you eat—enjoying food that you truly like in a comfortable environment—helps you innately decide when you’ve had “enough” to eat, whatever that means to you.

To do it, consider transforming your meals into an event.

Rather than scarfing things down over the sink or in the car, sit down—at a table. Maybe put some mood music on. Then consciously think about:

  • What does your meal taste like?
  • What’s the texture like?
  • What does the chair you’re sitting in feel like?
  • Who are you eating with? Is that part of your meal enjoyable?
  • What’s good about your experience of eating this meal?

Principle #6: Feel your fullness.

As you eat, look and listen for the signs you’re no longer hungry.

Imagine your fullness on a scale from 1 to 10. One is “I don’t feel like I’ve eaten at all” and 10 is “I’m completely full and can’t eat any more.” Five is something like “I’ve eaten some food, but I definitely have room for more.”

Ask yourself (or your client): What level of fullness feels right to you? Some people might want to be at a 7 or 8 when they’re done eating. Others might want to get closer to 9 or 10.

If you struggle to stay tuned in for an entire meal, try checking in just three times: during the first, middle, and last bites. (Of course, the middle bite will usually be approximate.)

Experiment until you figure out what’s right for you.

Principle #7: Cope with your emotions with kindness.

Intuitive eating nudges you to ask important questions, especially when you find yourself turning to food when you’re not physically hungry. Rather than berating yourself, you gently explore what’s really going on by asking yourself:

“What do I really need? Is it connection? Better relationships? Am I feeling tired, stressed, frustrated?”

Those questions might lead you to much more nourishing solutions that happen to be located far outside of the kitchen.

“Intuitive eating is about being willing to listen, trust, and respect your thoughts and body,” Dahl adds. “It’s not a free-for-all; it’s actually about digging deep. It takes time, patience, practice, and self-compassion.”

One great resource to get you (or a client) started: , which helps you examine what’s really behind experiences like stress eating, cravings, and feeling out of control around food.

Principle #8: Respect your body.

Stop measuring your body against outside standards of how it “should” look. Instead, try to accept your body as it is.

In a world where we’re bombarded with images of what our bodies are “supposed” to look like, this is often a challenge. But it’s crucial.

All bodies are different, and for many of us, it can be helpful to accept that our bodies may never look like the ones on the cover of fitness magazines. With intuitive eating, you’re encouraged to lean into that and practice not feeling bad about it.

Principle #9: Movement—feel the difference.

Choose movement that feels good to you, and that you genuinely enjoy.

Hate running? Don’t force it. Love Zumba? Stick with that.

Or maybe you don’t like purposeful workouts at all. In that case, you might just focus on moving your body as much as possible throughout the day.

Principle #10: Honor your health—with gentle nutrition.

Intuitive eating is basically the opposite of most other approaches when it comes to how they handle the nutrition piece. Generally, diets focus on the relative health of various foods and what to eat before anything else.

Intuitive eating, on the other hand, deliberately does the opposite. You focus first on tapping into hunger and fullness signals, emotional awareness around food, and body respect.

Then you start talking about practical points like how much protein you need or the idea that adding veggies to your meal is usually a good move. And even when you consider these nutritional fundamentals, you do so hand-in-hand with pleasure. This isn’t about forcing yourself to eat nutritious foods that you hate. As Precision Nutrition super coach Kate Solovieva says, “It does not matter how good kale is for you, if you hate kale.”

Who should try intuitive eating?

When it comes to choosing an eating strategy, it’s all about picking the right tool for the right job.

So consider your (or your client’s) goals before making a decision on whether to try intuitive eating.

Intuitive eating fits these goals:

✓ Improving your relationship with food

✓ Recovering from disordered eating

✓ Reducing guilt around food

✓ Letting go of diet culture

✓ Getting to know your hunger and fullness signals

✓ Living as well as you can for as long as you can

For these goals, intuitive eating isn’t the best choice:

✓ Purposeful weight loss or body composition changes

✓ Preparing for an athletic competition or performance that has specific nutrient needs

✓ Changing the way your body looks for a modeling or acting job

Caveat: Intuitive eating principles can benefit athletes and people who get paid for their appearance when combined with other nutritional strategies. But again, intuitive eating isn’t meant to be used for purposeful weight loss, and it alone probably won’t help them reach their goals.

An alternative: Mindful eating

Intuitive eating and mindful eating often get confused, probably because they’re similar in many ways.

A side-by-side comparison showing the differences and similarities between intuitive and mindful eating. Intuitive eating and mindful eating both: encourage enjoying and savoring food, use hunger and fullness cues to decide when and how much to eat, help you examine feelings around food, and teach the difference between psychological and physical hunger. The differences are that only mindful eating is compatible with intentional weight loss and body composition changes, and only intuitive eating has a single agreed-upon set of principles.

Here’s yet another alternative: blending mindful eating and parts of intuitive eating with nutrition fundamentals.

That’s what we do at Precision Nutrition. We’re agnostic when it comes to the best way to eat, but we do incorporate some principles of both mindful and intuitive eating with our clients and in our certification.

We teach clients how to sense into their hunger and fullness, notice and name the thoughts and emotions that trigger cravings, and to eat slowly and deeply enjoy every bite.

In addition, we show clients how to include protein and veggies with meals. And for people interested in fat loss, we explain how to tap into hunger and fullness cues to eat to 80 percent full.

Where to go next: Intuitive eating advice for coaches

Whether or not you agree with the premise of intuitive eating, it’s worth exposing yourself to the methodology, Mills says.

Aside from the book by Tribole and Resch, you might also want to check out some of the following resources:

  • by Lindo Bacon
  • by Rebecca Scritchfield
  • by Christy Harrison

Some coaches reject intuitive eating without truly exploring it, Mills points out. “But it speaks to a really prevalent demographic, which is people who have been deeply hurt by diet culture. And when you understand that context, intuitive eating makes perfect sense.”

If you’re a coach, or you want to be…

Learning how to coach clients, patients, friends, or family members through healthy eating and lifestyle changes—in a way that’s personalized for their unique body, preferences, and circumstances—is both an art and a science.

If you’d like to learn more about both, consider the Precision Nutrition Level 1 Certification.

The post Intuitive eating: How to make it work for you (and your clients) appeared first on Precision Nutrition.

Source : Precision Nutrition More   

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‘I can do what everyone else can’

A new medication—and a fearless spirit—have changed everything for a Michigan teen battling cystic fibrosis.

‘I can do what everyone else can’

These days, Ally Woodhouse’s life looks more and more like that of any other 17-year-old.

She loves hanging with her friends. Goofing around with her standard poodle, Augie. Posting videos on YouTube.

And thanks to Trikafta, the drug she started over a year ago, she sounds more like other teens.

Ally has cystic fibrosis, a progressive genetic disease that causes persistent lung infections and, over time, limits the ability to breathe. It also affects enzymes in the pancreas, as well as sweat.

For the first 16 years of her life, that translated to frequent hospitalizations, home infusions and constant coughing to loosen the thick phlegm that clogged her airways.

Ally also has pancreatic insufficiency. She’s had significant liver issues related to cystic fibrosis and she continues to get her nutrition through a gastrostomy tube.

“Coughing was just a huge part of my life before,” she said. “The worst was that almost every time I laughed, I’d start coughing and not be able to stop. I’d have multiple coughing fits throughout the day.”

She took her first dose of the drug on Dec. 30, 2019. It’s a combination of three different medications that target the protein made by the defective gene.

“By New Year’s Eve, I’d noticed a difference,” she said. “I was coughing less.”

Paula, her mom, said it took her a little longer.

“I was washing dishes one night and thought to myself, ‘I haven’t heard Ally cough today. Hmm. I don’t think I’ve heard her cough all week.'”

Paula dashed into the living room.

“Yep,” Ally said. “It’s the Trikafta. I’m hardly coughing at all.”

“Since then, I’ve only heard her cough about five times in the last year,” Paula said. “She also hasn’t been hospitalized since she started taking it, and her lung function is fantastic. We had no idea just how big an improvement this medication would be, not just for Ally but for the whole family.”

Help for 90%

It’s hard for everyone who loves Ally—her mom, her dad, Rob, her big sister, Kira, a student at the University of Michigan, and her Spectrum Health care team—to fathom just how far she has come.

“Ally was one of the sickest babies that I have ever cared for,” said Susan Millard, MD, a pediatric pulmonologist at Spectrum Health.

Dr. Millard is also the principal investigator for the Spectrum Health Cystic Fibrosis Care Center, participating in cystic fibrosis medication studies for over 10 years.

Cystic fibrosis is caused by at least five or six categories of gene mutations, she said.

These lead to defects in a protein called the cystic fibrosis transmembrane conductance regulator, or CFTR. Because they don’t work the way they should, chloride ions can’t move in or out of cells as they should. That causes thick, sticky mucus to build up in organs, including the lungs and digestive system.

In 2012, Kalydeco, the first drug in the category, was approved for kids 12 and older.

“And it worked great, but only on one specific mutation,” Dr. Millard said. That means it only helped about 3% to 5% of patients with cystic fibrosis.

Next came Orkambi, approved in 2015 for that same age group.

“But it didn’t work as well,” the doctor said. Nor did it have much of an impact on the sweat test for patients with cystic fibrosis. The sweat test measures the level of chloride the body is producing.

“But it was available and eventually approved for kids in elementary school, so that was somewhat helpful for some patients,” Dr. Millard said.

The game-changing news came when Trikafta, the first triple-combination therapy, received FDA approval in 2019.

“Not only is it effective on about 90% of the people with CF, it works really well and fast, with most people feeling better within two weeks,” Dr. Millard said.

She hopes the medication will soon be approved for much younger kids. Studies are underway in children as young as 2.

And for the remaining 10%? There is exciting research underway using CRISPR-Cas9, a genome-editing tool that is faster and more accurate than previous techniques of editing DNA, Dr. Millard said.

These new medications have radically changed the prospect for patients with cystic fibrosis, reducing the number of infections.

Short term, these patients are staying healthier.

“We do not see as many hospital admissions,” the doctor said.

Longer-term? Their extended life expectancy is changing everything about the way patients and their families face the future.

“We’ve been to many funerals,” she said. “The life expectancy with CF used to be in the 20s. Now, it’s in the mid-40s. But with Trikafta, we think people will do much better.”

These improved drugs mean that when babies are born with cystic fibrosis today, “we believe they will have the same life expectancy as anyone else,” Dr. Millard said.

‘My Cystic Fibrosis Life’

Ally shares her experience with others often, both through Instagram and her YouTube channel, called “My Cystic Fibrosis Life,” where she talks about everything from recipes to Q&As about cystic fibrosis.

With her down-to-earth candor, she keeps it real, detailing the drag of dealing with hours of treatment every day, including using a nebulizer, an oscillating vest and prepping her gastrostomy tube feeds.

They’ve become such a grind she can do much of it blindfolded, something else she’s demonstrated on social media.

And she doesn’t sugarcoat the harsh realities of her diagnosis.

“Trikafta is not a cure,” she wrote in an Instagram post celebrating her first “Trilaftaversary.” (She even made a cake.)

“I still have cystic fibrosis and the other complications that come with it, including my liver and digestive symptoms,” she said.

Still, she marvels at the relief from relentless coughing.

“What these two pills have done for me is absolutely unbelievable,” she said. “I am forever grateful!”

Her family said the medication has moved her to a new level of independence, a step that’s essential for adolescent patients, said Jessica Bustraan, a Spectrum Health medical social worker.

Cystic fibrosis is a challenging diagnosis, Bustraan said. The physical benefits of Trikafta pay off in other ways.

“Teens are trying hard to blend in with peers, which is rough with a constant cough,” Bustraan said. “Plus, nighttime coughing makes it harder to get sleep, which teens really need.”

And because they miss fewer school days, they’re less likely to struggle academically.

“Ally is a unique, spunky girl,” she said. “And it’s great to see that on this medication, she bounces back faster and has more energy.”

At home, her family says that in many ways she is still the same Ally, whether she’s whipping up hot chocolate, lemon whippersnapper cookies or chicken wings.

“She has always been a fun kid to have around,” Paula said. “But it was hard. She was typically in the hospital a few times a year. She struggled with breathing and coughing. It was always kind of a gamble what the day would be like. Trikafta has changed so much for our family.”

Ally isn’t just eager to see better medicines. She’s actively working for them. Besides fundraising for the Cystic Fibrosis Foundation, including raffling off some of her finest cookies, she’s also participating in research.

She’s involved in a study to see if it’s safe for some patients with cystic fibrosis to stop taking some of their inhaled medications if they’re also taking Trikafta.

She thinks of herself as a chronic illness warrior and doesn’t mind doing a little crusading on behalf of people with cystic fibrosis or other conditions.

In one video, she offers a primer for what not to do, including helping others without asking, talking down to them or judging their physical condition based on appearance.

“I am a normal person,” she said. “I can do what everyone else can.”

Source : Health Beat More   

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