- With Mayo Clinic nutritionists
Jennifer Nelson, M.S., R.D. and Katherine Zeratsky, R.D.
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Jennifer Nelson, M.S., R.D. and Katherine Zeratsky, R.D.
Katherine Zeratsky and Jennifer Nelson
Jennifer K. Nelson, M.S., R.D., L.D., C.N.S.D.
Jennifer Nelson is your link to a better diet. As specialty editor of the Food & Nutrition Center, she plays a vital role in bringing you healthy recipes and meal planning."Nutrition is one way people have direct control over the quality of their lives," she says. "I hope to translate the science of nutrition into ways that people can select and prepare great-tasting foods that help maintain health and treat disease."
A St. Paul, Minn., native, she is certified by the National Board of Nutrition Support Certification, has been with Mayo Clinic since 1978, and is director of clinical dietetics and an associate professor of nutrition at Mayo Clinic College of Medicine.
She leads clinical nutrition efforts for a staff of more than 50 clinical dietitians and nine dietetic technicians and oversees staffing, strategic and financial planning, and quality improvement. Nelson was co-editor of the James Beard Foundation Award-winning "The New Mayo Clinic Cookbook." She has been a contributing author to and reviewer of many Mayo Clinic books, including "Mayo Clinic Healthy Weight for EveryBody," "The Mayo Clinic Family Health Book" and "The Mayo Clinic/Williams Sonoma Cookbook." She contributes to the strategic direction of the Food & Nutrition Center, which includes creating recipes and menus, reviewing nutrition content of various articles, and answering nutrition questions posed to Ask a Specialist.
Katherine Zeratsky, R.D., L.D.
As a specialty editor for the Food & Nutrition Center, Katherine Zeratsky helps you sort through the facts and figures, the fads and the hype to learn more about nutrition and diet.A Marinette, Wis., native, she is certified in dietetics by the state of Minnesota and the American Dietetic Association. She has been with Mayo Clinic since 1999.
She is active in nutrition-related curriculum and course development in pediatrics at Mayo Clinic Rochester and nutrition education related to the physiology and recommended intakes for premature infants.
Other areas of interest include breast milk and formula safety, neonatal feeding, and nutrition for breast-feeding mothers.
She graduated from the University of Wisconsin-Madison, served a dietetic internship at the University of Iowa Hospitals and Clinics, and worked as a registered dietitian and health risk counselor at ThedaCare of Appleton, Wis., before joining the Mayo Clinic staff.
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Nutrition-wise blog
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Nov. 13, 2008
New help in the battle against obesity
By Jennifer Nelson, M.S., R.D. and Katherine Zeratsky, R.D.
My colleague just returned from the annual American Dietetic Association's Food & Nutrition Conference & Expo. I'm excited by what she brought back — a new way for health care providers to approach obesity.
This method, developed by Robert Kushner, M.D., focuses on the critical skills that clinicians sorely need in order to empower individuals to make positive changes in eating, activity and lifestyle to successfully lose weight. First, some background.
Consider the challenges for you and for your health care team.
- For you: You have a serious problem such as your weight, obesity-related conditions such as high blood sugar, high cholesterol or high blood pressure, the expense of medications and probably your feelings of frustration at not being able to get a grip on this.
- Finances: A trip to the doctor is can be expensive and you already know that you need to eat less and exercise more. What more can your health care provider offer?
- For the provider: You have a busy practice that barely provides time to identify patients' problems — let alone begin to "treat" them. You really want to help, whether it's medication, surgery, or counseling on changing lifestyle. Even if you have the experience, do you have the time? If you have the time, how do you keep from giving everyone the same old message of eat less and exercise more?
A 2001 study in the "Annals of Internal Medicine" reported on patients' expectations of care from health care providers. The highest ranked expectation was "discuss my (the patient) own ideas about how to manage my condition."
So how can patients' expectations meet the health care providers' ability and desire to help in a meaningful way?
It begins with providers probing the patient for issues contributing to being overweight. We've heard that excess weight is due to many things. Beyond eating too much and exercising too little, we live with "globesity" issues such as not having the time, money, or skills to change our eating and physical activity. How many of us skip meals only to eat too much of the higher calorie stuff later in the day? Why? How do we change this? How many of us eat too few healthy foods and too much meat and high fat convenience products? Why? How do we change this?
From both the patient's and clinician's perspectives, it may seem like there are just too many issues to address in any sort of systematic way. However, the research presented at this year's conference has yielded some new ways to gather information from patients and how to use the patient's ideas about managing weight issues.
This approach focuses on groups of lifestyle patterns shown to contribute to excess weight and how to change them. They can be placed into 3 broad categories: eating, exercise and coping. Each of the patterns in each of the categories has strategies for addressing the problematic lifestyle pattern.
Over the next blog or two, I want to show you how this can work. It just might give you a way to identify what you want and how to best work with your health care provider in meeting your desires. Don't settle for the message of eat less, exercise more. Expect a frank dialogue about what you feel you can do, and what your provider can do to help you.
In order to begin, I need some information from you about the lifestyle patterns that you think contribute to unwanted weight. For simplicity, pick a category from below and one lifestyle pattern from it. Choose only 1 category and 1 lifestyle pattern that you think contribute the most to your weight. I'll then write about the most popular ones sent back.
| Category | Lifestyle Patterns |
|---|---|
| Eating | Skip meals Eat at night Snack a lot Eat big portions |
| Exercise | Couch potato Don't know how to start I'm all or nothing |
| Coping | Emotional eater Procrastinator Doubtful dieter |
Remember, choose 1 category and 1 lifestyle pattern that you think contribute the most to your weight and let me know why.
I'll look forward to talking with you more about this.
- Jennifer
79 comments posted
November 19, 2008 2:23 p.m.
Eating, snack a lot. I "graze" throughout the day and night. I just nibble on a bite of this and a bite of that. I sometimes think I never stop eating. I try to only eat 3 meals a day but get so hungry, either from not eating enough at the meal, or head hunger - just thinking I have to eat, even though I'm not really hungry.
- Debi
November 19, 2008 2:06 p.m.
Coping, I am a stress eater and am always going to start eating right and exercising later. Doesn't help that my husband and I have had multiple medical problems over the last 7 1/2 years, as well as an elderly parent that lived with us for a while.
- Kelly J. Young
November 19, 2008 1:59 p.m.
Eat big portions
- Susan D
November 19, 2008 1:40 p.m.
Eating at night because I am a night owl and have such difficulty sleeping. Plus a whole lot of other reasons. Devie K
- Devan K. England
November 19, 2008 1:36 p.m.
Eat at night
- Sara
November 19, 2008 12:35 p.m.
Eating - eating at night even when I make a good nutritious meal at night - I am just not satisfied - and keep eating until I find the one thing I have a taste for.
- Denise
November 19, 2008 12:15 p.m.
For me it is the emotional eating. I have lost 90 pounds in the past few years, but seem to be stuck now. I am still 20-25 pounds overweight. I can run 2+ miles, and exercise lifting weights and cardio activities. Sometimes I can do fine with eating and stick to a good meal plan (I am a weight watchers member), but things get stressful, and i head to the high sugar high fat foods. I would LOVE to see a blog on how to deal with this type of issue!
- Cathy
November 19, 2008 11:38 a.m.
Coping --- Procrastinator
- not gram
November 19, 2008 9:57 a.m.
Couch Potato.
- Gram
November 19, 2008 9:27 a.m.
I eat huge portions, am a couch potato, and an emotional eater.
- cheryl
November 19, 2008 8:11 a.m.
Eating and Skip Meals
- bobbie.donat@okstate.edu
November 19, 2008 7:24 a.m.
Coping-Emotional Eater I especially eat when I'm bored or had a bad day - can't seem to stop even though aware of what I'm doing
- Linda
November 19, 2008 5:31 a.m.
Eat big portions is my reason - what should I do
- sheila
November 19, 2008 5:11 a.m.
eating at night
- stephanae
November 19, 2008 3:00 a.m.
Coping/ emotional eater - satisfaction or happy = good book and chocolate, unhappy or stressed = large carbohydrate type meal. Plus no canteen at work, have to buy food off the catering van - just sandwiches etc., all very tempting.(Can't be bothered at 05.30 a.m. to make sandwiches) Do not drink more than one glass (175ml) wine a week, so look to food instead. Also owing to arthitis, exercise is limited.
- Sue
November 19, 2008 2:55 a.m.
Exercise....all or nothing
- cathy
November 19, 2008 1:42 a.m.
snack a lot,on tea,coffee and water.
- jim
November 18, 2008 11:36 p.m.
coping, emotional eater
- KI
November 18, 2008 10:15 p.m.
Eating at night
- KS
November 18, 2008 10:10 p.m.
Coping-emotional eater.
- MP
November 18, 2008 9:30 p.m.
Eating -- eating at Night
- Jack Roth
November 18, 2008 7:41 p.m.
I eat well balanced meals high in fibre, fruit and veggies. I lost 60lbs and have gained 45 back. I love food, love to eat and love to snack, especially comfort foods.
- Lynda
November 18, 2008 6:44 p.m.
Eating-I snack and eat way too much. Exercise is no problem. I just plain love to eat.
- Sarah
November 18, 2008 6:36 p.m.
Emotional eating to cope. I care for my severally disabled daughter. Eating is a way to nurture and calm myself down from daily stresses. I also don't exercise. I am now 150 lbs. overweight. My life is already so overwhelming that addressing this issue seems to add more stress. I am already experiencing health issues due to my weight and I am concerned that it will only get worse if I don't make some drastic changes. Hard to know where and how to start. And then the challenge is to stick to the healthier changes. I have made many attempts at changing eating habits & exercising more only to fall back into my old patterns.
- Charlene
November 18, 2008 6:24 p.m.
coping-emotional eater
- sl
79 comments posted