7 Ways Dietitians Help Their Clients Lose Weight & Keep It Off

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If you're looking to lose weight, you may have tried a cleanse or "detox" in hopes of a quick fix or a means of kickstarting a happier, healthier you. Perhaps you counted points, calories, grams of fat or carbs you consume, or cut out an entire food group.

Now answer this: Was it successful for longer than three months?

The dieting industry is a multi-billion-dollar industry for a reason: It doesn't work. How many years on the first of January have you resolved to lose weight once and for all, only to find that by Valentine's Day, your motivation and willpower are nowhere to be found? No matter what day of the year you declare as your start date for weight loss, if you're employing methods of deprivation, restriction, strict counting or excessive exercise, you're dieting.

Many want to overhaul their lifestyle and eating habits for a different kind of health journey, which is why some turn to a registered dietitian for professional help. By working with a registered dietitian, you can form sustainable healthy habits, shed those pesky pounds and form a healthier relationship with food.

To become a registered dietitian, you must meet several extensive academic and professional requirements, including a national examination from the Commission on Dietetic Registration. Most registered dietitians also receive their master's degree in dietetics. Finding someone with so many years of training and hard work who can guide you in your journey to health is attractive to many who struggle with weight loss.

For those just getting started or anyone who feels working with an R.D. one-on-one is not an option, though, these seven tips registered dietitians from around the country regularly share with their clients should help. One might be the key to finding the happy relationship with food that your life needs.
 

The Best Advice Registered Dietitians Offer Their Clients


1. Reconnect with Your Hunger and Fullness Cues

Instead of focusing on weight loss, Gisela Bouvier, R.D.N., L.D.N., helps her clients reconnect with their hunger and fullness cues. "When we learn to eat when we are hungry and stop when we are full, we let our bodies determine how much fuel it needs," she explains

She continues, "Being able to distinguish when our body is asking us for food, versus eating due to boredom or stress versus not eating at all is the first step. A major tool in this step is teaching clients the hunger scale, [on a scale of one to 10 with] one being the hungriest and 10 being the fullest."

Hunger is a physiological sensation, controlled by the hypothalamus in your brain. Everyone reacts differently to hunger and feels hunger in a unique way. Instead of being influenced by when society deems it appropriate to eat—such as at designated meal times—you can begin to honor your hunger and eat when most appropriate for you.

Furthermore, preliminary, exploratory studies show that hunger training could be an effective weight management tool. By checking in with the hunger scale at the beginning and end of your meal, you will learn how to become in tune with your body, recognize physiological hunger and avoid both overeating and undereating.

2. Give Your Kitchen A (Healthy) Makeover

Research repeatedly proves that your kitchen's blueprint may be the secret to your weight-loss success. By reorganizing your kitchen at the beginning of the year, your chances to effortlessly lose weight dramatically rise.

To start, clear your kitchen counter of all tempting foods, especially cereal and soft drinks. Notable researcher and author of "Slim by Design," Brian Wansink, Ph.D., led a 2015 study in which more than 200 kitchens were photographed in Syracuse, New York. "The Syracuse Study" became dubbed the "20-pound cereal box" study based on the fact that women who had breakfast cereal on their kitchen counters weighed 20 pounds more on average than those who didn't. Those with soft drinks left out? They weighed a shocking 24 to 26 pounds more!

Next, replace any cereal, candy, soft drinks or even dried fruit on your kitchen counter with a bowl of fresh fruit. Individuals with bare kitchen counters, less a bowl of fresh fruit, had significantly lower BMIs (body mass index) than their cluttered countertop counterparts.

Finally, keep healthy foods, like pre-cut vegetables and fruit, at eye level in your refrigerator and pantry. You're more likely to grab pre-sliced pepper strips as a snack than if you had to first wash and cut a pepper every time you go looking for something to munch on.

3. Become a Writer

New York City-based dietitian Jessica Cording, M.S., R.D., C.D.N., has her clients journal—and not just what they eat. She asks that her clients record how they feel mentally and emotionally throughout the day.

Cording says, "This helps [my clients] pick up on patterns related to stress and emotions, and whether certain people or situations trigger them to choose foods or engage in behaviors that don't support their goals."

Various studies support food journaling as a beneficial self-monitoring tool for weight management. Cording states that her clients who spend time journaling about their feelings feel calmer and more clear-headed, benefits which "also support making conscious choices about their food and exercise."

4. Don't Rely on Willpower

You want what you can't have, which is why eliminating entire food groups often does not lead to sustainable weight loss. If you're ready to kick dieting to the curb once and for all and reclaim your health this year, don't rely solely on willpower.

Psychologists often compare willpower to a muscle. You can only do so many squats before your quads are on fire and you cannot manage to do one more. Similarly, willpower can become fatigued from exhaustive use.

Trendy or fad diets only work for so long because eventually, you will reintroduce the eliminated foods. When that happens, your weight will creep back up.

And if you're thinking that no, you'll never reintroduce the foods that are off-limits, science says that's unlikely. Eventually, your willpower will weaken, and these "forbidden foods" will likely sneak their way back into your diet.

To have your cake and lose weight too, work to find your food freedom. Adopting an "all foods fit" mentality instantaneously lifts the veil of restriction and reliance upon willpower for weight loss, making it more likely you'll stick to your guns long-term, even if you give into temptation here or there. Give yourself some grace and acknowledge that if you allow yourself to eat previously restricted foods, you'll still be more likely to sustain healthy habits over a longer period of time if you continue to follow hunger and fullness clues most of the time.

5. Tidy Up and Get NEAT

Nutrition consultant and author of "Fertility Foods" Elizabeth Shaw, M.S., R.D.N., C.L.T., works with her clients to increase their Non-exercise Activity Thermogenesis, or NEAT, behaviors. According to Shaw, NEAT behaviors are small servings of activity that are not formal exercise. Some of her favorites include routinely parking at the furthest spot from the entrance at work, when running errands or at your kid's sports game, or always taking the stairs instead of the elevator. These NEAT behaviors can add up to make a huge impact on your energy level.

Researchers agree. Dr. James Levine of the Mayo Clinic and creator of the phrase "sitting is the new smoking" has been working to develop ways for office workers to move more throughout the day, noting that people can burn an extra 100 to 150 calories an hour by upping their NEAT activities.

While working in some physical activity throughout the day has many health benefits, incorporating NEAT activity into your schedule is a great way to work toward your weight-loss goals no matter where you may be. As Shaw goes on to say, "The more you can add to your lifestyle, not take away, the more sustainable it becomes."

6. Kick Perfection to the Curb

Perfection is overrated and may be standing between you and your desired weight loss. You've been there: You're trying to stick to your diet when you're out for dinner one night, but there's nothing on the menu that seems to fit within the guidelines you're following. You stress out about straying from your diet, end up overeating and then stress out even more the next morning, perhaps working extra hard in the gym to "make up" for the night before.

Perfection is frequently associated with stress, which can wreak havoc on your body. In fact, researchers found that individuals with higher levels of stress hormone cortisol had significantly larger waistlines.

Instead of aiming for perfection this year, try making smaller healthy changes over time to reach and maintain your weight-loss goals. Adopting a flexible mindset will also help you overcome obstacles life throws in your way and improvise instead of abandoning your plans. When I work one-on-one with clients, acknowledging that things will not go perfectly from day one is very important. Life can easily get in the way of forming new habits, but going with the flow makes success easier to come by.

7. Quit Your Cardio Addiction

People are often surprised when I tell them to stop working out so hard. Aerobic exercise is great for your heart, but not as necessary as once believed to achieve your goals. New York-based dietitian Amanda Foti, M.S., R.D.N., C.D.N. agrees: "Clients often come to me frustrated that they're not losing weight when they juggle multiple spin classes, long runs and dance cardio classes each week, but this high-intensity activity may put your body—and hunger—on overdrive!"

People regularly give themselves permission to over-indulge after a particularly sweat-inducing workout, because they've "earned it." Even more, intense cardio workouts can spike inflammation and negatively affect your immune system, further thwarting your weight loss efforts.

So, what should you do instead? Include more strength-training workouts to build lean muscle. Foti says, "Building lean muscle will boost your metabolism, even at rest, helping you benefit from your workout long after you left the gym!"

If you're ready to feel your best, reclaim your health and form some healthier eating habits, consider incorporating these tried and tested rules registered dietitians call upon for their own clients. When you adopt a healthier lifestyle, not just a diet, you're able to sustain healthful changes for years to come.
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Member Comments

EVIE4NOW
thanks Report
I count carbs. Yes, it has worked longer than 3 months, I've been doing it for 19 weeks now. It is still working. It is working where nothing else has worked. Report
This really helps: lighten up and journaling are my 2 take-aways. Thanks. Report
Great article with great ideas! Report
KMILLER31
Good summary of important information Report
You say don't overdo cardio. I do two thirty minute sessions of cardio and one twenty minute session of strength training. Am I hendering my weight loss efforts? Please let me know if I am. I'll do whatever it takes I'm eating a low calorie high protein diet too. Report
Interesting, but really no new news here. Just stuff from other blogs rewrapped. Report
Great article - thanks. Report
KMILLER31
Very helpful information Report
great ideas Report
GREAT Report
My son is a Registered Dietician. I love discussing food issues with him. Report
good points Report
Thanks for the info Report
NANAW12001
Lots of information here. Report


 

About The Author

Chelsey Amer
Chelsey Amer
Chelsey Amer, M.S., R.D.N. is a New York City-based registered dietitian with a virtual private practice helping women feel their absolute best while getting in touch with their bodies and discovering how all foods can fit in their lifestyle. When Chelsey is not helping clients, she is developing tasty, food-allergy friendly and mostly vegetarian recipes and photographing every bite for her healthy food blog, CitNutritionally.com!