Rejecting the Diet Mentality with PCOS

The dieting mentality is just as dangerous in the context of a PCOS dietary pattern as it is to any other situation. Diet plans convince people that the "eat less, move more" mentality is the key to good health when there are little to no long-term studies that show that these behaviors are effective, much less sustainable.

 In fact, dieting can cultivate behaviors that do more harm than good. Dieting emphasizes prioritizing the number on a scale, which is a false proxy for health status. It persuades people that one body type or one weight value is synonymous with vitality and wellness. Believing these false narratives can damage one's mental health and self-worth. The pitfalls of dieting can also be dangerously mirrored on the opposite side of the spectrum, where it's just as dangerous to obsess over  healthful foods and "clean" eating. This preoccupation with food type and quality can pose serious threats to physical and emotional well-being because it drives people to worry over every single thing they eat. 

 We must get away from both ends of the spectrum. Whether it be through exposure to advertisements, TV shows, and social media, restrictive methods of eating are detrimental. This sentiment applies to PCOS dietary patterns as well. There is no evidence that people with PCOS should eliminate certain foods, as complete elimination of one food will not instantly make symptoms disappear. Instead, people with PCOs can focus on gently integrating foods to manage inflammation and blood sugar, while minimizing others that incite these symptoms.

Luckily, there are a bevy of foods that naturally help. The fiber in whole grains and cruciferous vegetables slow blood sugar spikes. Omega-3s found in fish, avocados, and olive oil can reduce inflammation. And lastly, nutritious breakfast foods, like eggs and whole wheat toast, help to sustain energy throughout the day.

Listen to your body to understand how often that may be. But don't listen to fad diet experts saying removing one type of food will completely change your life and living with PCOS. The benefits of focusing on the sum of the parts will have many more positive benefits for physical and mental health than completely subtracting one food from the dietary pattern equation.

If you desire to learn more about how to eat and live with PCOS, contact a local dietitian near you or book a free discovery call with Elissa below. It’s essential to identify the foods that make you feel like you’re managing your PCOS  without restriction or limitation. 

The Dieting Traffic Jam

Think about driving a car. You hop in the car hoping to reach your destination with no issues along the way. Ideally, the roads are wide open, all the traffic lights are green, and no one is trying to aggressively cut you off from two lanes over. But realistically, when you go somewhere, at least one of those things is bound to go wrong. Heavy traffic, endless red lights, and hostile drivers tend to complicate what you otherwise thought was a routine trip.

When we think of dieting, we hope for the optimistic driving scenario, where reaching a weight loss goal is achievable with few barriers: quick results without much effort. But in actuality, the physical and mental highs and lows of dieting make it more like the realistic driving scenario. 

If you’ve experienced these obstacles, you are not alone. Even the most “successful” dieters face challenges associated with dieting over time. Take, for example, the contestants from the Biggest Loser. Participants were challenged to lose weight over a seven to eight month time period with the help of trainers and doctors. Six years following the conclusion of the show, participants were asked to participate in a follow-up study. Of the 16 who were originally recruited, 14 people completed the follow-up. Approximately 70% of the weight lost was regained over the six years, and participants experienced lower Resting Metabolic Rates (RMR) than what would be expected at their weights and ages. Though the sample size was extremely small, researchers warned that slow metabolic adaptation undermines efforts to quickly lose weight.

Even the intensity of the diet doesn't really impact long-term results. Some popular diet companies like to say that gradual weight loss is more effective than quick, crash diets. This is simply not true. In one study of 60 people, participants were placed on either a low-calorie diet (500 calories per day over five days) or a very low-calorie diet (1250 calories per day over 12 days). Researchers found that at follow-up, 9 months after the conclusion of the study, participants from both groups regained on average more than 50% of the weight they lost. Though low-calorie diets appear to resemble healthy lifestyles, they are just as ineffective as crash diets. 

These studies show that dieting practices do not lead to sustainable results. In addition to physical complications, dieting can induce psychological stress. From frustrations with calorie restrictions to the feelings of guilt for “giving in” to cravings, dieting can send anyone on an emotional roller coaster. Furthermore, not seeing the aspired-to number on the scale repeatedly can break anyone’s spirits. 

It’s time to liken dieting to a big traffic: irritating, headache-inducing, and no clear way to go. It’s bad for our physical, emotional, and mental health. If you yearn for open roads, contact a local, non-diet dietitian about an approach that addresses your goals and all of the facets of your health.