#rebecca mcconville

Going off the Grid: When Injury and Stress Increase Eating Disorder Behaviors in Athletes

Going off the Grid: When Injury and Stress Increase Eating Disorder Behaviors in Athletes

To an athlete, an injury or illness, change in coach or retirement from sport may feel like a traumatic event. As a result of this stressful time, the incidence of disordered eating or eating disorder behaviors has the potential to increase.

This is How You Can Become the CEO of Your Body (and Life)

This is How You Can Become the CEO of Your Body (and Life)

Reframing is an important part of therapy and can help one to look past what the eating disorder has shaped in terms of nutrition, body image, and exercise.

What happens in Vagus, Doesn’t stay in Vagus

angieviets

What happens in Vagus, Doesn’t stay in Vagus

Rebecca McConville, MS, RD, LD, CSSD

For a country that prides itself on medicals advancements, we seem to be moving further away from the recipe for true health. Often when working with clients who struggle with digestion, hunger awareness, satiety (fullness), performance anxiety or the ability to relax, my first question is “do you breathe while doing these things?” I tend to get a look that says “get out of here” but then I start my scientific spiel and they are hooked.

You see, you have an amazing built-in radar in your body called the “gut instinct” and there is actual science to support it. In your stomach is a small nerve that has the power to be a fountain of health. The vagus nerve comprises of afferent nerves (80%-90%) conveying sensory information about the state of the body’s organs to the central nervous system. Basically making the vagus nerve the motherboard connecting the parasympathetic system: the heart, lung, brain/mind and digestive tract. When we think of this related to body functions the vagus nerve controls: heart rate, gastrointestinal movement, sweating and muscle movements in the mouth - to name a few. So—for example—you don’t really have butterflies in your stomach but you do have muscles that can contract similar to a butterfly’s wing’s flutter when they are nervous.

You are likely wondering how does this translate to impacting my health….

 
 

Dr. John Sullivan, author The Brain Always Wins, shares in his book how he believes that we should view the brain and the mind as separate entities. The brain perceives emotional information then acts upon it. This emotional information is the first to develop and allows us to survive and thrive. Like a baby’s conditioned response is to cry when he/she is hungry or needs to be held.

The mind and body do connect signaling the hypothalamic-pituitary axis that generates hormones and neurotransmitter and neuroendocrine responses such as epinephrine/norepinephrine (heart rate), cortisol (stress), serotonin (calmness) and dopamine (feel good). If the feedback to the brain and body is chronic or acute it will depict if you respond by either: fight, flight or freeze.

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These are three factors that you have the power to control of if YOU fight, flight or freeze:

Emotions

  • We have grown to believe that our thoughts are what generates emotions. However, it is actually the opposite.

  • If we can have a more neutral response or a more manageable response, then there is less stress on the body and the ability to decipher what to do with that emotion.
    Example: “I avoid all sugar as it is 'BAD'.” What kind of emotion does BAD typically invoke?

  • Sit with an emotion and try to understand it. It's very likely that the reaction has nothing to do with the food but a memory of it or a false teaching.

Environment

  • When you are distracted at work while eating you are taking the stress of your work straight into your meal.

  • Eating at restaurants that are chaotic may overstimulate the nerve, making it hard to connect “friction” with body signals.

  • Is your workplace, home life or school a place of stress? This can impact your ability to relax as well and connect with your body signals.

Energy

  • Being depleted of energy whether due to the restriction of fuel or depletion of fuel secondary to exercise can cause a friction in the connection of the vagus nerve.

  • Just like any friction, there is a moment of relief where you believe it makes “everything” better but what happens over time it makes the nerve overstimulated due to stress.

Now, remember that damn cupcake and how it made you anxious at the sight of its cute pink frosting and buttercream frosting? Instantly you are starting to feel a tension in between your ribcage, an elevated heart rate a mind racing with thoughts of "should I or should I not". You have activated your vagus nerve that you are in danger. Should a cupcake generate this kind of bodily reaction?

 
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Rebecca McConville, MS, RD, LD, CSSD is a Master’s Level Registered Dietitian & a Board Certified Sports Specialist. She specializes in the treatment of anorexia, bulimia, compulsive overeating & exercise addiction. She also treats the female athlete triad & athlete-associated disordered eating. Becca understands that the drive for peak performance may lead to disordered eating. Her goal is to help you fuel your body, so that you can fuel your life! Visit her website.

 

Transforming Self-Criticism: Stop Comparing Yourself to Others

Angie Viets, LCP, CEDS - Rebecca McConville Transforming Self-Criticism: Stop Comparing Yourself to Others

Transforming Self-Criticism: Stop Comparing Yourself to Others

Rebecca McConville, MS, RD, LD, CSSD

Photo by Carly Rae Hobbins

If comparison is the thief of Joy, why hand it over to thieves? In a world filled with: books, blogs, podcasts on how to get joy back into your life shouldn't we start with avoiding comparisons?

This seems most prevalent in the world of sport. Impressionable young athletes are quick to jump on the hottest bandwagon even if it is ludacris. Case in point when Tom Brady decided to go on the no nightshade diet. This diet had absolutely no scientific evidence to back it up yet athletes everywhere started inquiring about it. Was it the diet or was it Tom Brady who is a freak of nature athlete? Why can’t we acknowledge that some people are genetically gifted athletically just as others are naturally smart or have a quick wit to them that can make anyone laugh? In the world of sports, you truly are only competing against yourself and if today is going to be your day, it will be your day!

Do we suffer from the cruelness of comparisons or is it the culture in which we live in? Just as we see cultures within the world, they are even more prevalent within the world of sport. One of my dear friends has been an avid runner for 30+ years and talks about when runners showed up in cotton shirts/socks, old-school running shorts and their sports food of choice was mini-snickers. Now at races, people are fully decked in the trendiest running gear, full on makeup and accessories meanwhile huddling around their running clique discussing their pace splits (#nowatchme), clean eating efforts and what races they plan to do this month.

Cars used to have bumper stickers bragging about their child on honor roll or making fun of the child that beat up the honor roll student. Now cars are full of 13.1, 26.2, 50, 150-mile bumper stickers. Waiting for the moment we see the 1,000 numbers. My husband proudly jokes he wants a 0.0 bumper sticker!

Criticisms come as part of sport whether we want it or not, but we must consider the reason for why it is generated: constructive or jealousy? Ron Thompson shared a story at the Eating Disorder in Sports conference about when he was working with a runner who felt uncomfortable that her uniform would expose her when she was running. Ron replied, “Well if they're staring at your butt it has to be because you're in the lead!” I think most athletes agree they will take the fear of wedgie if it means winning.

Many times criticisms are internalized as self-criticism when it is meant towards their performance. I fell victim to this in college after making a horrible mistake picking up the ball once crossing half-court then double teamed resulting in a jump ball. The opposing team won the jump ball and came down to score the winning shot of the game. As I went to the locker room feeling completely defeated one of my teammates put her hand on my shoulder and said “It’s ok Bec, I know you won’t ever make that mistake again. “

You see when we aren’t busy comparing, or criticizing we have the power to change the culture and build one another up!

Angie Viets - Rebecca McConville

Rebecca McConville, MS, RD, LD, CSSD is a Master’s Level Registered Dietitian & a Board Certified Sports Specialist. She specializes in the treatment of anorexia, bulimia, compulsive overeating & exercise addiction. She also treats the female athlete triad & athlete-associated disordered eating. Becca understands that the drive for peak performance may lead to disordered eating. Her goal is to help you fuel your body, so that you can fuel your life! Visit her website.

What Genetics Have to Do With Eating Disorders

Rebecca McConville - Angie Viets - Genetics and eating disorders

Are you one of those that feel like you must go to a thousand stores to find the perfect “jeans” without taking into consideration whether it fits your “genes”?  What we generally fail to recognize is that thousands of years of genetic makeup cannot be altered by “perfect” eating, supplement taking or hours spent exercising so you can fit into your ideal “jeans”.  However, you can either: change your jeans, rock your Mom jeans (click here for a good laugh) or accept how your “genes” look in any pair of “jeans”!

A case in point was the unfortunate news when Bob Harper suffered a heart attack while exercising at his New York gym. Bob Harper has been the face of “perfectionism” with his gospel preaching of clean eating and fitness. Harper reported during his interview on Fox News, "I fainted one time in the gym, I started having these dizzy spells and I just kind of overlooked them. I just adapted which was one of the dumbest things to do. I kicked myself over and over again about that.” In another interview, it was revealed that Bob’s mother had a heart attack around the same age and upon genetic testing was found to have high levels of lipoprotein A.

When I compare genetics and how they associate with health, strangely my mind wanders to a Ron White skit at Thanksgiving dinner with his siblings (now before you panic where I am going with this-HOLD ON). While I have no siblings of my own, my husband does. His sister is a geneticist, his brother is a judge, and my husband is the funeral director. These siblings share genetics (DNA) but are vastly different in their personalities, looks, and careers, yet each brings different lenses on how to view life and health.

Brandi, my sister-in-law (geneticist) studies how genes evolve over time and has a great understanding of what the likelihood you will have a health risk is or the probability that you'll be diagnosed with a health condition. My brother-in-law, Jim (judge), is a judge in a true sense. He excells in listening to both sides of a story as to what is uncontrollable (genetics) and what can be controlled (environment/behavior). Last but not least, my husband, the funeral director, probably has the most valuable lesson of all….. I will save that for the end!

Just as Bob Harper could not eat and exercise his way out of a heart attack, individuals cannot “willpower” their way out of an eating disorder, “eat clean” enough to control their cholesterol, think enough “positive thoughts” to overcome panic/anxiety, or simply “count their blessings” to overcome addictions. For people to accept living in the body given to them, they must consider their genetics (DNA). 

A person inherits genes from each parent, as well as the cultural /socioeconomic experiences from his/her family. Inherited genetic variation within families clearly contributes both directly and indirectly to the pathogenesis of a disease.

Here are a few examples of genetic influences:

  • The University of Iowa and the University of Texas Southwestern Medical Center studied single families in which eating disorders were common across generations. They found that people with mutations in two different genes – ESRRA and HDAC4 – had a 90 percent and 85 percent chance of developing an eating disorder, respectively.

  • A study published in the June 2013 issue of the Journal of Anxiety Disorders underscored that certain anxiety traits correlated with panic disorder are evident by the age of 8.

  • Many other health conditions have strong genetic links: obesity “thrifty” gene; alcoholism, breast cancer, & heart health.

So why does my husband, the funeral director, have the most to learn from? While you can’t control or change your genes, you can control how you choose to live your life. At funerals, you will hear stories of those with longevity and prosperous lives and how they didn't sweat the small stuff and accepted that there are just some things you can’t change except maybe those mom jeans. Besides, when you take that last breath you won’t, nor would you likely want to be remembered for your cholesterol number, pounds lost on diet or your perfect eating.

Angie Viets - Rebecca McConville

Rebecca McConville, MS, RD, LD, CSSD is a Master’s Level Registered Dietitian & a Board Certified Sports Specialist. She specializes in the treatment of anorexia, bulimia, compulsive overeating & exercise addiction. She also treats the female athlete triad & athlete-associated disordered eating. Becca understands that the drive for peak performance may lead to disordered eating. Her goal is to help you fuel your body, so that you can fuel your life! Visit her website.