Health Tip: Downsizing Holiday Angst
        
        From the corporate.dukehealth.org archives. Content may be out of date.
    
The holidays can be tough on anybody watching their weight,
    but they're even harder for people coping with being overweight
    or obese, according to Martin Binks, director of behavioral
    health at the Duke Diet and Fitness Center.
Social situations make people feel self-conscious about what
    they wear and what they eat to the point where some feel
    they're being judged for every morsel that touches their
    lips.
Today, more people face that challenge than ever before.
    Nearly two-thirds of the U.S. population is considered
    overweight or obese, according to the National Institute of
    Diabetes and Digestive and Kidney Diseases in Bethesda, MD. Yet
    being overweight still carries a stigma that isn't easily
    erased.
"Some of the popular misconceptions about obesity are that
    people bring it on themselves, and that they look forward to
    the holidays so they can eat more," Binks says.
That's far from the truth. In reality, Binks says overweight
    people face this season with nervousness and anxiety. They're
    afraid they don't have the willpower to endure the many
    vulnerabilities. Some work doubly hard to avoid the social
    gatherings or certain foods or triggers. Others say they feel
    subjected to the judgmental eyes of others. "Even if they
    aren't being judged, they become so self-conscious that they
    think they are," he says.
Compounding the problem is the intense focus placed on food
    and its relation to holiday gatherings.
"Advertising and marketing dollars are spent trying to make
    us hungry and to associate good emotional experiences with
    food," he says. And all those visual cues makes the struggle to
    stay the course that much harder for some folks. "Studies show
    that people trying to lose weight respond more strongly to food
    cues in certain areas of their brain," Binks says. They're also
    more susceptible to the perceived emotional and psychological
    rewards associated with eating.
Binks says everyone can and should celebrate the holiday
    season without feeling badly, or putting too much pressure on
    themselves. Here's how:
Indulge in the inner spirit of the holiday, not the eating.
    What's the true purpose of the event: to overeat, or to be with
    friends and family and spend time playing with the kids? "If
    food is the entire focus, you've lost the true meaning of the
    gathering," he says.
When temptation looks you in the eye, use portion control.
    It never feels good to deprive yourself, Binks says, and you
    shouldn't have to. If it's a holiday meal, and you eat a little
    more, it won't kill your weight loss effort as long as you
    don't give up on your exercise plan and you get back on track
    with your health plan the next day.
Be like everybody else during the holidays. "Who says that
    because you struggle with weight that you have to be a
    completely different person than everyone else in society on
    that holiday? You can, within reason, do what everybody else
    does on that day and cut loose a little." Just make sure the
    holiday doesn't last through January.
Be realistic. If you're doing the party circuit, then spend
    the time socializing, not indulging. "Act the part by putting
    one thing on your plate, and using it as a prop," he says.
Make a resolution to find out what you're really hungry for
    in life and what you're looking for that you can't find in
    food. "That emotional piece is so important," Binks said.