Countdown to TTC: Week 42

 

Track My Eating

Last week, following my visit to the nutritionist, I took stock of my goals for the year leading up to TTC and decided it was time to get serious about tracking what I eat.  As I've mentioned before, I have been a member of SparkPeople for a couple of years now and will sporadically track my food when I consider my weight loss goals, but I typically lose enthusiasm for it when I am not seeing the kind of progress I want.  In the past, I have always stuck to dieting strategies that involve extreme changes in my eating behavior, show quick results, and fall apart the instant I return to "life as usual".  

Well, these days I am determined to live a healthier lifestyle, not just get back into a smaller clothing size.  I don't want to go back to the days of extreme, unsustainable dieting followed by immediate weight gain, but I worry that my body won't respond to more subtle changes in my diet and activity levels.  I am trying to keep my focus not only on how my behaviors impact how I look and feel, but on how my choices might one day soon affect my child's development in the womb and his or her attitudes and beliefs growing up.  That is a big responsibility and I take it seriously.  I don't just want to lose weight for my own gratification anymore.  In fact, as the nutritionist pointed out, maybe I shouldn't even be focusing on weight loss per se.  So this past week I decided it was time to focus less on the scale and more on what I am putting into my body.  

I'm sure everyone has their own method of accountability that works, but for me it's been the online tracking tools that really help.  I can enter down to the last detail everything that I ate or every ingredient I included in a recipe, and then I can reuse those entries over and over for things that I eat frequently.  Plus, I can get all kinds of reports, like the one pictured at the top of this post (Note: that is not a picture of my own progress report -- I actually eat about 1650 calories a day for my current weight, and that is the bottom of the suggested range).  For someone with a scientifically-oriented brain, these features are indispensable for maintaining motivation and enhancing my feeling of self-control.  

Admittedly, I am sometimes at a loss for what to enter when I eat too many things outside of my usual repertoire (I went to a reunion this weekend and tracking just went out the window for the day), but entering my food has helped me to be conscious of what I am eating and how much I am taking in.  It isn't so great when I reach the top of my calorie limit for the day and still feel hungry, of course, but it is very freeing when I realize I have eaten less than the limit and can indulge in a little something extra at the end of the day.  Plus, I think it motivates me to eat more fruits and vegetables just so I can see them being added to the list.  

So far, tracking consistently hasn't caused me to lose more weight (crossing my fingers that this will change in the future), but it has stopped me seeing those occasional weight gains of two or three pounds and makes me feel certain I am eating the right kinds of foods in the right amounts for good health.  I'm hoping to remain diligent in this practice throughout the rest of my countdown to TTC and continue into pregnancy.  

What about you?  How do you keep yourself accountable for what you eat and how much you eat?  Do you personally feel helped by calorie counting, or does it backfire for you?  Anyone else track what they eat carefully but still not seeing movement on the scale?  Any advice on how to stick with a healthy lifestyle even at the times when you aren't seeing much change or improvement?  

For more in this countdown series, see last week's challenge about Seeing a Nutritionist.

Countdown to TTC: Week 43

See a Nutritionist

Normally, I avoid seeing medical or health professionals unecessarily.  I believe preventative care is important, but the U.S. healthcare system really isn't set up for people to visit their doctors and other care providers just to check in.  Plus, as a graduate student I really don't like to do anything that increases my medical expenses.  However, a flyer in the office recently reminded me that my university provides several free services to employees and students to help them stay healthy or get healthier.  One of these services is an initial consultation and several follow-ups with a nutritionist.  Given my ongoing goal of getting ready for pregnancy over the course of this year, it seemed like a perfect opportunity.  So, this past week I added consult a nutritionist about preconception planning and weight loss to my list.  

In preparation for the visit, I had to track my food for several days.  Since I am a veteran user of SparkPeople, the only difficult parts about that were (1) being more self-conscious about my food choices knowing they would be scrutinized by a dietitian and (2) having to simplify my tracking to fit onto the form I was asked to use (since I usually make my food, I am often tracking a dozen ingredients per meal).  In the end, I brought both a filled-out form that was impossible to read and a super long printout of my food from the same days taken directly from SparkPeople.  The dietitian didn't seem to mind and actually looked more at my long, detailed printout.  

I really wasn't sure what to expect from my appointment, since I didn't have any choice over the dietitian and her philosophy--I was just visiting the person who works for my school health center.  The only time I've ever known someone to visit a nutritionist was if they had to lose a substantial amount of weight for medical reasons, which is pretty different than my situation.  Plus, a university is unlikely to employ someone to work with undergrads whose expertise is in chronic medical conditions.  So I shouldn't have been surprised when I came to the appointment explaining that I was frustrated with my current weight loss efforts because I am not losing pounds despite having recently reduced my caloric intake and tracking my food vigorously and her first question was "What would you say if I told you that you should stop trying to lose weight?"  

I don't think she particularly believes I am at an ideal weight, but she is a person who subscribes to a philosophy of being healthy at any size.  Throughout our conversation, she encouraged me to focus on healthy behaviors rather than fixating on the number on the scale.  She also pointed out that I may be making physical changes in preparation for weight loss right now (don't see any evidence of that, but who know maybe I'm stealthily gaining some muscle mass).  She also discussed some flaws with BMI as an indicator of health risk (click here for some alternative measures of ideal weight and here for an article about a new way of calculating BMI that may be more accurate for adults).  I have not yet found any research on the subject, but she suggested that even the "common knowledge" that BMI is directly linked to negative health outcomes may be flawed.  According to the nutritionist, studies which are able to include health-related behaviors directly in their analyses along with BMI typically find that body mass has not additional impact on health outcomes above and beyond healthy behaviors like exercise and eating right.  I don't claim to endorse this opinion, but it certainly gave me something to think about and I will want to research this more.

Although I have made a lot of improvements in my healthy lifestyle and the nutritionist was very positive about my health indicators like cholesterol levels, I still couldn't quite get on board with the idea that I should stop caring about my weight.   But I agreed with her that I am focusing too much on the scale and too little on the positive health changes I am making.  In the end, I didn't have a great answer to her question about my weight.  Honestly, if someone told me I don't need to lose another pound to be maximally healthy and ready for pregnancy, I just wouldn't believe them.  I'm sure I am at a weight that would make it possible for me to get pregnant and probably have an uncomplicated pregnancy, but I know I could have more energy and a fitter body to deal with the stress of growing a new life and then caring for a small child.  Perhaps getting on the scale every day and agonizing over the number isn't the right way to do that, though.  Based on my appointment, we agreed I would cut back to weighing in twice a week and pay attention to my hunger cues.  At my next meeting, we'll discuss making some changes to my eating habits that focus more on hunger levels than on how many calories I think I have "left" for the day.  It's a good start.  Hopefully the scale and my healthy improvements will match up soon, but if not I will try to focus on getting healthy with weight being a secondary component rather than my main indicator.  

For more in this countdown series, see last week's challenge about Planning with Pinterest.  

Countdown to TTC: Week 44

Planning with Pinterest!

  

The past couple of weeks have been extremely busy for me, so this past week I decided to tackle a goal that was more fun than challenging.  I started a secret Pinterest board to keep track of all of my baby-related findings.  In addition to my public Pinterest account, I wanted a page where I could keep track of my personal baby research, like links to pages of nurse midwives in my area, hospitals where I could give birth, or play groups in cities I might live in when I have little ones.  I decided to keep it private because (1) my level of obsession with this topic is a bit embarrassing given that I'm not even TTC yet, and (2) I once posted a few baby-related pins in a row on my public page and was instantly being interrogated by my social network.  As much as I enjoy sharing this weekly journey with you, I don't want my family and friends to be confused about my status. 

Secret or not, I love spending my free time researching these kinds of topics and imagining what the future might hold, but often I forget what I discovered as soon as I close all the tabs on my web browser and then I end up looking the same things up all over again (or, even worse, forgetting about a gem that I found).  But surely that is the purpose of a site like Pinterest?  Even though I keep lots of tabs open on my computer, I can never have every page I am interested in easily accessible until the time when I need it.  Invariably the moment I give up and close that recipe I had open for two weeks is the time I finally have a chance to try it.  And planning for a pregnancy that's at least 10 months in the future, I really need to be able to store up the information I find for a later date.  I have also created a Word document to track some information, like my thoughts and ideas, and a folder where I can store published research articles about topics like childbirth, since unfortunately those types of materials rarely have any pictures and as a result Pinterest won't even let me store them.  

Ultimately, this week's goal wasn't so much of a challenge as an opportunity to acknowledge that TTC is really approaching.  It's important to get my mind and body in a good place, but I also need to keep the end goal in mind and maintain my motivation to make positive changes in my life.  The day DH and I decided to start trying is now less than 300 days away!  Until then, I want to continue to enjoy this time of anticipation and preparation.  Different people have their own ways of savoring the moment, but for me one of the keys is getting to imagine and mull over every detail, even if it's just a private activity on my secret Pinterest board.   

What about you?  What's your favorite way to stay motivated to get healthy and prepared, or just to keep up your excitement for a pregnancy or baby that's still a long way away?  Do you keep a secret Pinterest board or is your baby mania out there for all to see?  

For more in this countdown series, see last week's challenge about Proper Posture. 

Countdown to TTC: Week 45

Proper Posture

Again this week, I decided to begin working on something that's a bit more challenging for me than some of my early goals: posture.  Honestly, if I just make a little progress on this one it will be a big improvement, because I have been hunching for as long as I can remember.  Maybe it's because I'm taller than most women, or maybe it's a holdover from my awkward teenage posture, or possibly I'm just too lazy to stand up straight.  Certainly adopting a lifestyle that involves sitting at a computer most of the day hasn't helped.  Whatever the reason, I know it's probably bad for my neck and back in the long run and I especially want to improve my posture before I get pregnant.  I've read numerous times that posture during pregnancy is even more important than it usually is because your body is changing and working hard to support extra weight that's all concentrated in one spot.  Women are already understandably more prone to back pain during pregnancy, so I really don't want to make it even worse by slouching all the time.

Although the origin of my bad posture is somewhat unknown, the reason for its maintenance is fairly obvious--my core, back, and neck muscles are weak.  Plus, I am so used to having bad posture that I almost can't even tell if my posture is good or bad at any particular moment.  Thus, my first course of action was to buy an inexpensive posture corrector to remind me to sit and stand up straight.  The particular corrector I ordered is made of elastic material that stretches around your back and shoulders and wraps around under your chest to attach with velcro.  It could be worn by a man or woman, but I feel it is particularly designed to strap under a woman's bosom.  I opened it as soon as I saw that it had arrived and started wearing it.  As various reviewers had mentioned, the material and the velcro are not very comfortable, so I wore a t-shirt underneath and padded some of the spots that rubbed (under the armpits, probably because my arms aren't as slim as the models) with washcloths.  While it doesn't exactly force you into the correct posture, the elastic is strong and definitely pulls my shoulders back without me doing anything.  Because of the way the getup looks and the fact that I am wearing it over clothes, I have no intention of wearing it out of the house.  Instead, it is a way to practice a couple of hours at a time sitting with good posture and hopefully that will slowly train my muscles and also make me more conscious of what proper posture feels like.  Even after just a few days I do feel like it is a little more natural to rest with my shoulders back rather than hunched forward.  But I'm sure it will take a long time to break my bad habits for good.

In addition to my sessions with the corrector, I am beginning to try a few other strategies to make my posture improvement a speedier and less unpleasant process:

1. Work on back and core strength.  There are numerous online articles and video explaining and demonstrating exercises that promote good posture.  In general, it is easier to support your head and keep your shoulders back if you have good upper back strength and to support the weight of your body if you have strong abdominals.  My typical exercise routine doesn't focus much on strength, and when it does I focus mostly on my arms and legs, so these are definite weak spots for me.  
2. Stretch.  There are lots of good stretches that promote better posture and reduce back and neck fatigue/pain.  Stretches can even be done at a desk at work. 
3. Adjust my sitting position.  If you're going to sit all day, it's better to sit properly in an ergonomic chair with legs straight down and preferably feet slightly elevated.  Or even better to use an exercise ball or a kneeling chair rather than a traditional desk chair.  Since I share my office space and take whatever chairs are available, for now I'll settle for getting up frequently, setting my chair to the proper height for my computer monitor, and trying to to cross my legs or lean to one side for a long time while I work.  

What about you?  Have you done anything to improve your posture recently and, if so, what was your strategy?  Do you have any experience with the effects of good/bad posture during pregnancy or have any words of wisdom to share?

For more in this countdown series, see last week's challenge about Having an Active Lifestyle. 

Countdown to TTC: Week 46

Get Active, Have Fun

 Once I commit to a certain activity or behavior, I am pretty good at following through on it.  So taking the stairs more or drinking more water are doable as long as I am able to remember they are on my to-do list.  But something I don't really do well is add spontaneous healthy behaviors to my day.  Even if I have an opportunity, I won't spontaneously add extra walking or play outside with friends or go out dancing.  For me, health-related activities are a necessary chore that you have to plan for but that you wouldn't want to do for fun.  So my goal this week was to work on changing my perspective about being active and to move toward having a healthy lifestyle, rather than a set of specific healthy behaviors.    

Step one of this effort was to register for and participate in a Color Run.  These events are popping up all over the United States and are pitched as "The Happiest 5k on the Planet".  Participants register in advance to take part in a 5 kilometer walk/run and show up on race day with thousands of other people to travel on a single track.  People of all shapes, sizes, and ages come to take part (including many families with infants and small children).  Runners/walkers are released in small waves, and there are several stations set up along the track representing a single color.  At each station, participants are sprayed by enthusiastic volunteers with dyed corn starch that starts to cover their clothing and bodies in bursts of bright colors.  When you complete the race, you toss a final color packet that you received at the start of the race along with hundreds of other participants, creating a rainbow cloud (pictured above).  

I am usually the type of person who avoids such events when possible, but since I started counting down to trying to conceive I have been thinking about my goals a little differently.  Usually I pass because I don't like waking up early on the weekends, which is almost always mandatory for walks/runs, and also I worry that I will get too tired or sore by the end of the race and look foolish.  Now, though, I am thinking more long-term.  Why avoid something fun like the Color Run just in case I might get tired?  I should instead look at it as a challenge and a goal for self-improvement.  Plus, it could be fun and maybe I would even want to be one of those mommies out there in a future race pushing my baby in a stroller or one of the fit pregnant ladies strutting along with a prominent belly bump.  

The next step will be a bit more difficult, because there is no specific plan or list to follow.  I will just need to start saying yes more often to opportunities to get active. I don't want to make a rule to always say yes, because there are some things I don't like to do or that are beyond my current abilities.  But having a yes attitude will be a good start.  Also, keeping an eye open for opportunities I might otherwise miss is a good idea.  I see lots of information about free events in my community, but usually I skip right to the ones about food or theater/movies and don't even look at active ones.  Even though most of them might not be my thing (I loathe most organized sports, for example), I might find the occasional gem like the Color Run - within my ability level, active, fun.  

What about you?  Is routine exercise the only way you get active, or are you able to find ways to get moving that aren't part of your exercise schedule?  How do you have fun while staying or getting fit?  What are some calorie-burning activities that you actually enjoy?   

For more in this countdown series, see last week's challenge about Eating More Produce. 

Countdown to TTC: Week 47

Eat More Produce

By this point I've had over a month to ease into this countdown business, and despite spending a few days having to pee every 10 minutes and waking up sore one morning from climbing about 20 flights of stairs the day before, so far I haven't challenged myself to make any major changes in my day-to-day life.  This week, I want to rock the boat a little more and really put health at the forefront of my efforts.  I am challenging myself to eat at least 4 servings of produce a day.  At least half should come from veggies, ideally more.  

Some aspects of what we should eat and how much of it we should eat are controversial, but I won't be spending too much time today discussing that issue.  Almost everyone agrees that eating a variety of vegetables (especially) and fruits is good for you, and the fresher the produce is and the more different kinds you consume the better.  You can also add environmental and nutrient benefits by shopping for locally-grown produce in many parts of the United States (just search Buy Fresh Buy Local and your state's name online to find information about farmer's markets and other local food resources).  This message is being vigorously promoted by the USDA's My Plate program, which suggests you fill half of your plate at each meal with fruits and veggies.  And the same message is also supported by leading nutrition researchers (who are not necessarily without bias but probably are under less direct pressure from the agricultural lobby), such as those at the Harvard School of Public Health who recommend a similar diet breakdown.  

This week, I used the handy calculator from the My Plate website to determine what is the recommended number of servings for someone of my age, size, and activity level who wants to progress toward a healthy weight.  My personal recommendation is to consume 6 oz of grain, 2.5 cups of vegetables, 2 cups of fruit, 3 cups of dairy, and 5.5 oz of protein daily.  Based on the most current nutrition research, I think the recommendation for my dairy intake is too high (see the Harvard School of Public Health's discussion about dairy and calcium for more information), but I am convinced that I should ideally be eating at least 4.5 cups of vegetables and fruits on an average day.  

The calculator further breaks down the proportion I should devote to vegetables of different varieties over the course of a week:  1.5 cups leafy greens (note that one "cup" of greens is actually 2 measured cups due to their volume), 5.5 cups orange/red vegetables (like carrots and tomatoes), 1.5 cups beans and peas, 5 cups starchy vegetables (like potatoes and lima beans), and 4 cups of other vegetables (such as onions, mushrooms, and green beans).  Unfortunately there is not much evidence provided to support the suggested breakdown, and the Harvard School of Public Health food guide suggests that starchy vegetables like potatoes shouldn't really count toward your daily vegetable intake, but I do appreciate the help trying to think of the different kinds of veggies I should be eating so I don't just get stuck in a rut of eating only spinach or only green beans.  In fact, I have a very hard time thinking of anything that isn't green as a vegetable, so the breakdown is pretty nice.  My only change would be to lower the allotment for starchy vegetables and redistribute the remaining portions to other categories (particularly leafy greens).  

So, this all seems very well and good, but unfortunately I like doing all the research a lot more than I enjoy actually trying to cram more produce into my day.  I know fruits and vegetables are supposed to be a large part of my diet, but usually when I start adding more than I would normally eat I just end up packing in more calories rather than replacing something with them.  For instance, I'll still have the same amount of rice and chicken at dinner, but now there's a cup of green beans too.  Anticipating this problem, the My Plate people have created corresponding dinnerware that visually shows you how much of your plate should be devoted to each of the food groups.  This would be a great idea for someone who likes to eat their foods in discrete categories, but I'm more of a mixed dish kind of person.  I often eat my foods in a sauce and all piled together on a plate.  Grains, proteins, and vegetables all go together but fruits are usually eaten separately, often not even in the same meal.  So how do I implement the My Plate idea if I can't see the ratios of the food groups?

Despite the intuitive plate rules, I have decided that the best thing for me is to actually count the servings.  This is not too difficult for me since I already track my calories on SparkPeople and can easily look over the day to see which foods were fruits and veggies.  It gets a bit dicey when I want to determine exactly how much of something counts as a serving, but generally I use these 3 rules for veggies:

1. 2 cups = 1 serving fresh leafy vegetables
2. 0.5 cup = 1 serving of cooked vegetables that reduce substantially when cooking  
3. 1 cup = 1 serving of anything else (cooked or not)

These rules are simplistic, but I think they are true to the spirit of the thing.  With fruits I am more fast and loose.  One fruit is a serving unless it is especially small (e.g. plums, apricots, cherries), and then I just count about the amount that would make up a cup as a serving.  For dried fruits, half a cup is a serving.  I don't typically drink juice to get my fruit, but 6 oz is a serving by my accounting.  

So now all that remains is for me to actually eat my fruits and veggies.  I started on that effort this week and haven't been entirely unsuccessful, but I have had to fudge the numbers a bit to get to 4 every day.  Through no fault of my own, our household had an unanticipated influx of leftover pizza this week that had me counting pizza sauce as a partial vegetable serving and of course the summer produce season is ending so it was hard to find veggies on sale at the grocery store.  I have been quite successful with the 2 servings of fruit a day, but I think it is much harder to pack in extra veggies.  They just don't make good snacks in my opinion - they need to go with something.  Plus, I know this is a bad excuse, but it's just so disappointing how quickly fresh fruits and vegetables go bad!

My creative solutions so far in this challenge have been to add spinach to my scrambled eggs, make a peach sauce to top my evening pancake snack instead of syrup (with some bonus sliced banana on top), and to add some yummy hummus to my ready-to-go foods stash (good thing beans can double count as veggies!).  I also bought some broccoli slaw so I can hide that in basically any sauce.  Plus, I always keep no salt added canned vegetables on hand, as well as fruits canned in juice and a supply of flash-frozen produce to keep it interesting. 

What about you?  Are you a produce-eating champ, or do you struggle to fit in fruits and veggies?  What tips and tricks do you have to boost your intake?  Have you found ways to make produce more portable or less work? 
 

For more in this countdown series, see last week's challenge about Taking the Stairs.

Countdown to TTC: Week 48

Getting Fit:  Stairs!

Now that the first month of prep has passed and I have gotten myself into the right mindset and set the backdrop, it is time to get serious about getting healthy for a potential pregnancy in 11 months.  Over the last couple of years I've made significant improvements to the kinds of foods that are in my diet and have increased my physical activity substantially, but I could still benefit from fairly substantial weight loss and fitness training.  I am not obsessed with getting to a specific weight or strength level before I get pregnant, but the healthier I can be the better.  So my plan is to continue the good things I've been doing but also add on some additional strategies throughout the year to boost my wellness.  

Although I intend to slowly build up to new goals like target amounts of weekly strength training, it's important to me to begin with stuff I can stick with and add to throughout the remaining months.  I already boosted my water intake to try to meet the target 8 glasses a day (I am still struggling with that but tend to hover closer to 7 now, rather than 6), and this week I added another challenge that takes advantage of my natural environment and activities:  stairs.  Every time I have to go somewhere on a different floor, I am now challenging myself to walk up at least one flight, if not all of them.  

Why not commit to taking advantage of all the stairs I come across?  Admittedly, it is a combination of my lack of fitness and embarrassment.  One of the buildings I spend a lot of time in has 5 floors, and for my current fitness level it is a bit challenging to walk up more than 2 flights of stairs at once, so I think I'm more likely to stick with it if I say I at least have to do one floor and then just plan to add on if it's not too daunting.  Also, I get pretty winded after 2 or more flights and often other people I know will see me and talk to me in the stairwell.  I find it embarrassing to have this happen and then be unable to keep up talking because I am out of breath, so I will get off at a different floor just to avoid that situation.  Hopefully, once I commit to going up more stairs every day and week, I will have more endurance for climbing and won't have this motive to avoid stairs anymore.  

I started the challenge this week and already the first day I found myself cheating and using the elevator, although admittedly it was because I was carrying a bunch of things that I was at risk of dropping.  But I think it will be a good challenge to keep my mind set on the idea of fitness and a healthy lifestyle.  I also think it would be even more motivating if I could see exactly how many steps I'm adding to my day and how many more calories I'm burning, so I think sometime in the near future I will buy a simple pedometer to start taking with me (I'm considering the Omron HJ-112 Digital Pocket Pedometer, which gets very positive reviews).  A handy, inexpensive gadget seems like a good way to add a sense of accomplishment to what might otherwise be a fairly thankless process.  Although maybe just being able to walk up a couple flights of stairs without getting winded will be reward enough!

What about you?  What steps are you (or did you) take to get fit before pregnancy?  What do you wish you were doing (or had done) more of?  How do you stay motivated, especially if you aren't the type of person who easily loses weight or develops lean muscle?   

For more in this countdown series, see last week's challenge about Meeting Parents.