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Credit: Julian HochgesangHow to host a meal if one of your guests has an eating disorder or is anxious around food
Kathleen de Boer, Swinburne University of Technology; Courtney P. McLean, Monash University, and Inge Gnatt, Swinburne University of Technology
As the festive season approaches, perhaps you’re thinking of hosting friends and family.
You know at least one person who’ll attend who becomes anxious around food and another with an eating disorder.
So, how to host and make sure everyone feels comfortable and supported?
Perhaps you’ve already hosted someone with food anxiety or an eating disorder without even knowing.
First, some definitions
Food anxiety refers to fear or anxiety in response to eating food. This could relate to certain textures and smells, or fear of choking or vomiting. These fears and anxieties can be intense and are associated with mental health conditions, including avoidant/restrictive food intake disorder.
For others, anxiety about food might be based on fear of the impact food could have on their body shape and size. This kind of food anxiety is closely associated with diagnosable eating disorders such as anorexia nervosa and bulimia nervosa.
Eating disorders are among the most rapidly increasing mental health diagnoses in the world, and can be present at any shape or size. These disorders involve negative thoughts about one’s weight, shape and eating. Behaviours people can experience include skipping meals, or feeling like they can’t stop eating.
Eating disorders can have significant impacts on someone’s life, including withdrawing from social circles and hobbies. They’re associated with high mortality rates.
Just because someone experiences some food anxiety, it does not mean they have a mental health diagnosis. It’s also important to consider how this anxiety impacts their life and the level of distress it causes them.
Hiding is common
It’s likely you’ve shared a meal with someone who has an eating disorder, who might be in recovery, or has anxiety around food. A lot of the time, you may not be able to tell, and they might try to hide it because of shame or guilt.
Your nephew at last week’s family barbecue might have binge eating disorder. The cousin who you caught up with for dinner might have a fear of choking and only eats soft foods.
You might not have noticed as people tend to be skilled at hiding their food anxiety. Some common strategies include avoiding shared mealtimes, only choosing certain foods, or saying they have already eaten and aren’t hungry.
So, if you’ll likely share a meal with someone with food anxiety or an eating disorder in the future, how can you host compassionately?
Is it worth adjusting the menu?
Unless someone has made specific requests, it is OK to roll on as usual. It can be helpful to invite guests to bring anything that meets their specific needs. Having variety and allowing people to serve themselves may also reduce food anxiety.
The goal of this meal is not to solve someone’s food anxiety, but to create a safe eating environment for all.
What not to say
At mealtimes, it might be common to comment on the amount or type of food someone is eating, or the way they eat it.
This “food talk” might be comments such as, “why are you only eating potatoes?” These comments can draw unwanted attention to someone’s food choices, increasing food anxiety.
Then there are comments on people’s bodies, shapes and sizes. Or sometimes people comment on the need to diet or skip meals after eating.
For example, people might say “that was so much food, you won’t need dinner tonight”.
While some of these comments may not be intended to hurt, these attitudes often perpetuate harmful messages about what we should and should not eat, how much we should eat, and even how we should look.
These comments can even contribute to body dissatisfaction, a key risk factor in developing eating disorders. Negative food and body talk can also contribute to increased anxiety.
Even commenting on your own eating and body can be a problem. For instance saying, “I need to skip dinner to make up for eating all this” might hurt the people you’re sharing a meal with, particularly if they have an eating disorder. This is because it reinforces and normalises food restriction.
A good rule of thumb is to avoid commenting on people’s food and bodies. And that goes for complimenting someone’s body.
What to say instead
As a guest or a host, you can contribute to developing a safe culture around food for everyone. This includes replying to unsolicited food or body comments, whether aimed at you or someone else.
Sometimes replying can be tricky for the person with a food anxiety or eating disorder, so you can also speak up even when the comment isn’t directed at you.
You can say:
- Would it be OK if we didn’t chat about my/their food/weight/body at the moment?
- I’m working hard to focus less on my body at the moment. Let’s talk about something else.
- I find it uncomfortable when you mention my/my friend’s weight/body/eating.
- I hear what you’re saying, but let’s steer clear from discussing my/their appearance/weight/eating.
Some of these suggestions might sound awkward, so offer them gently and personalise however you need.
Why this is important
Ultimately, setting boundaries with family and friends helps create more balance and compassion in how we talk about food and bodies. This can challenge some of the outdated and harmful messages that have become normalised.
Sharing mealtimes are important opportunities to connect with loved ones. Let’s make these experiences safe and inclusive.
If this article raised any concerns for you or someone you know, contact the Butterfly Foundation on 1800 33 4673.![]()
Kathleen de Boer, Clinical Psychologist, Lecturer in Clinical Psychology, Swinburne University of Technology; Courtney P. McLean, Research Fellow, School of Psychological Sciences, Monash University, and Inge Gnatt, Psychologist, Lecturer in Psychology, Swinburne University of Technology
This article is republished from The Conversation under a Creative Commons license. Read the original article.
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Monika Grabkowska for Unsplash+Is it healthier to only eat until you’re 80% full? The Japanese philosophy of hara hachi bu
Some of the world’s healthiest and longest-living people follow the practice of hara hachi bu — an eating philosophy rooted in moderation. This practice comes from a Japanese Confucian teaching which instructs people to only eat until they’re around 80% full.
More recently, it’s been gaining attention as a strategy for weight loss. But while hara hachi bu might emphasise eating in moderation and stopping before you’re full, it shouldn’t really be as seen as a method of dietary restriction. Rather, it represents a way of eating that can help us learn to have awareness and gratitude while slowing down at mealtimes.
Research on hara hachi bu is limited. Previous studies have evaluated the overall dietary patterns of those living in regions where this eating philosophy is more commonplace, not the “80% rule” in isolation.
However, the available evidence does suggest hara hachi bu can reduce total daily calorie intake. It’s also associated with lower long-term weight gain and lower average body mass index (BMI). The practice also aligns with healthier meal-pattern choices in men, with participants choosing to eat more vegetables at mealtimes and fewer grains when following hara hachi bu.
Hara hachi bu also shares many similar principles with the concepts of mindful eating or intuitive eating. These non-diet, awareness-based approaches encourage a stronger connection with internal hunger and satiety cues. Research shows both approaches can also help reduce emotional eating and enhance overall diet quality.
Hara hachi bu may also have many advantages that go beyond losing weight.
For instance, hara hachi bu‘s focus on awareness and eating intuitively may offer a gentle and sustainable way of supporting long-term health changes. Sustainable health changes are far easier to maintain in the long-term. This may improve health and prevent weight regain, which can be a risk for those who lose weight through traditional diet approaches.
The ethos of hara hachi bu also makes perfect sense in the context of modern life and may help us develop a better relationship with the food we eat.
Evidence suggests that around 70% of adults and children use digital devices while eating. This behaviour has been linked to higher calorie intake, lower fruit and vegetable intake and a greater incidence of disordered eating behaviours including restriction, binge eating and overeating.
As a dietitian, I see it all the time. We put food on a pedestal, obsess over it, talk about it, post about it – but so often, we don’t actually enjoy it. We’ve lost that sense of connection and appreciation.
Trying hara hachi bu
For those who might want to give hara hachi bu or taking a more mindful and intuitive approach to improve their relationship with food, here are a few tips to try:
1. Check in with your body before eating
Ask yourself: Am I truly hungry? And if so, what kind of hunger is it — physical, emotional, or just habitual? If you’re physically hungry, denying yourself may only lead to stronger cravings or overeating later. But if you’re feeling bored, tired, or stressed, take a moment to pause. Giving yourself space to reflect can help prevent food from becoming a default coping mechanism.
2. Eat without distractions
Step away from screens and give your meal your full attention. Screens often serve as a distraction from our fullness cues, which can contribute to overeating.
3. Slow down and savour each bite
Eating should be a sensory and satisfying experience. Slowing down allows us to know when we’re satiated and should stop eating.
4. Aim to feel comfortably full, not stuffed
If we think of being hungry as a one and being so full you need to lie down as a ten, then eating until you’re around “80% full” means you should feel comfortably satisfied rather than stuffed. Eating slowly and being attuned to your body’s signals will help you achieve this.
5. Share meals when you can
Connection and conversation are part of what makes food meaningful. Connection at meal times is uniquely human and a key to longevity.
6. Aim for nourishment
Ensure your meals are rich in vitamins, minerals, fibre and energy.
7. Practice self-compassion
There’s no need to eat “perfectly”. The point of hara hachi bu is about being aware of your body – not about feeling guilty over what you’re eating.
Importantly, hara hachi bu is not meant to be a restrictive eating approach. It promotes moderation and eating in tune with your body – not “eating less”.
When viewed as a means of losing weight, it risks triggering a harmful cycle of restriction, dysregulation and overeating – the very opposite of the balanced, intuitive ethos it’s meant to embody. Focusing solely on eating less also distracts from more important aspects of nutrition – such as dietary quality and eating essential nutrients.
This practice also may not suit everyone. Athletes, children, older adults and those living with illness often have higher or more specific nutritional needs so this eating pattern may not be suitable for these groups.
While often reduced to a simple “80% full” guideline, hara hachi bu reflects a much broader principle of mindful moderation. At its core, it’s about tuning into the body, honouring hunger without overindulgence and appreciating food as fuel — a timeless habit worth adopting.![]()
Aisling Pigott, Lecturer, Dietetics, Cardiff Metropolitan University
This article is republished from The Conversation under a Creative Commons license. Read the original article.
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4 ways to use that forgotten jar of curry paste in your fridge
From left: Panang, green, yellow and red curry pastes. MUST CREDIT: Peggy Cormary for The Washington Post/Food styling by Nicola Justine Davis for The Washington Post
Stir-Fried Curry Rice Cakes. MUST CREDIT: Peggy Cormary for The Washington Post/Food styling by Nicola Justine Davis for The Washington Post
Panang Curry Pumpkin Noodle Soup. MUST CREDIT: Rey Lopez for The Washington Post/Food styling by Carolyn Robb for The Washington Post
Thai-Style Chicken Curry. MUST CREDIT: Scott Suchman for The Washington Post/Food styling by Nicola Justine Davis for The Washington Post
Thai-Seasoned Roasted Shrimp With Green Beans, Chile, Peanuts and Herbs. MUST CREDIT: Stacy Zarin Goldberg for The Washington Post/Food styling by Nichole Bryant for The Washington PostCurry paste’s all-in-one flavor package makes it a good option any time you’re thinking of roasting proteins or vegetables, too. Because it’s fairly thick and potent, try cutting it with oil, citrus juice or liquid sweetener to balance the flavors and make it easier to spread or drizzle. In Thai-Seasoned Roasted Shrimp With Green Beans, Chile, Peanuts and Herbs, the seafood and vegetables get coated in a blend of oil, lime juice, fish sauce, honey, ginger, curry paste and garlic. You can follow that lead for your own preferred ingredients for a quick sheet-pan meal. Or embolden roast chicken by applying a similar combination under and over the skin. Green Curry Cauliflower Roast takes its cues from curry by creating a coconut-based sauce that’s poured over an entire head of the cruciferous veg. The sauce pulls double duty. First it helps the cauliflower steam and cook through when covered in foil. Then it flavors and burnishes the exterior once the head is uncovered and basted every 10 minutes for 30 minutes. 4 ways to use that forgotten jar of curry paste in your fridgeShifting to balanced diets key to combat alarming nutrition crisis in India: Experts
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Food and exercise can treat depression as well as a psychologist, our study found. And it’s cheaper
Around 3.2 million Australians live with depression.
At the same time, few Australians meet recommended dietary or physical activity guidelines. What has one got to do with the other?
Our world-first trial, published this week, shows improving diet and doing more physical activity can be as effective as therapy with a psychologist for treating low-grade depression.
Previous studies (including our own) have found “lifestyle” therapies are effective for depression. But they have never been directly compared with psychological therapies – until now.
Amid a nation-wide shortage of mental health professionals, our research points to a potential solution. As we found lifestyle counselling was as effective as psychological therapy, our findings suggest dietitians and exercise physiologists may one day play a role in managing depression.
What did our study measure?
During the prolonged COVID lockdowns, Victorians’ distress levels were high and widespread. Face-to-face mental health services were limited.
Our trial targeted people living in Victoria with elevated distress, meaning at least mild depression but not necessarily a diagnosed mental disorder. Typical symptoms included feeling down, hopeless, irritable or tearful.
We partnered with our local mental health service to recruit 182 adults and provided group-based sessions on Zoom. All participants took part in up to six sessions over eight weeks, facilitated by health professionals.
Half were randomly assigned to participate in a program co-facilitated by an accredited practising dietitian and an exercise physiologist. That group – called the lifestyle program – developed nutrition and movement goals:
- eating a wide variety of foods
- choosing high-fibre plant foods
- including high quality fats
- limiting discretionary foods, such as those high in saturated fats and added sugars
- doing enjoyable physical activity.
The second group took part in psychotherapy sessions convened by two psychologists. The psychotherapy program used cognitive behavioural therapy (CBT), the gold standard for treating depression in groups and when delivered remotely.
In both groups, participants could continue existing treatments (such as taking antidepressant medication). We gave both groups workbooks and hampers. The lifestyle group received a food hamper, while the psychotherapy group received items such as a colouring book, stress ball and head massager.
Lifestyle therapies just as effective
We found similar results in each program.
At the trial’s beginning we gave each participant a score based on their self-reported mental health. We measured them again at the end of the program.
Over eight weeks, those scores showed symptoms of depression reduced for participants in the lifestyle program (42%) and the psychotherapy program (37%). That difference was not statistically or clinically meaningful so we could conclude both treatments were as good as each other.
There were some differences between groups. People in the lifestyle program improved their diet, while those in the psychotherapy program felt they had increased their social support – meaning how connected they felt to other people – compared to at the start of the treatment.
Participants in both programs increased their physical activity. While this was expected for those in the lifestyle program, it was less expected for those in the psychotherapy program. It may be because they knew they were enrolled in a research study about lifestyle and subconsciously changed their activity patterns, or it could be a positive by-product of doing psychotherapy.
There was also not much difference in cost. The lifestyle program was slightly cheaper to deliver: A$482 per participant, versus $503 for psychotherapy. That’s because hourly rates differ between dietitians and exercise physiologists, and psychologists.
What does this mean for mental health workforce shortages?
Demand for mental health services is increasing in Australia, while at the same time the workforce faces worsening nation-wide shortages.
Psychologists, who provide about half of all mental health services, can have long wait times. Our results suggest that, with the appropriate training and guidelines, allied health professionals who specialise in diet and exercise could help address this gap.
Lifestyle therapies can be combined with psychology sessions for multi-disciplinary care. But diet and exercise therapies could prove particularly effective for those on waitlists to see a psychologists, who may be receiving no other professional support while they wait.
Many dietitians and exercise physiologists already have advanced skills and expertise in motivating behaviour change. Most accredited practising dietitians are trained in managing eating disorders or gastrointestinal conditions, which commonly overlap with depression.
There is also a cost argument. It is overall cheaper to train a dietitian ($153,039) than a psychologist ($189,063) – and it takes less time.
Potential barriers
Australians with chronic conditions (such as diabetes) can access subsidised dietitian and exercise physiologist appointments under various Medicare treatment plans. Those with eating disorders can also access subsidised dietitian appointments. But mental health care plans for people with depression do not support subsidised sessions with dietitians or exercise physiologists, despite peak bodies urging them to do so.
Increased training, upskilling and Medicare subsidies would be needed to support dietitians and exercise physiologists to be involved in treating mental health issues.
Our training and clinical guidelines are intended to help clinicians practising lifestyle-based mental health care within their scope of practice (activities a health care provider can undertake).
Future directions
Our trial took place during COVID lockdowns and examined people with at least mild symptoms of depression who did not necessarily have a mental disorder. We are seeking to replicate these findings and are now running a study open to Australians with mental health conditions such as major depression or bipolar disorder.
If this article has raised issues for you, or if you’re concerned about someone you know, call Lifeline on 13 11 14.![]()
Adrienne O'Neil, Professor, Food & Mood Centre, Deakin University and Sophie Mahoney, Associate Research Fellow, Food and Mood Centre, Deakin University
This article is republished from The Conversation under a Creative Commons license. Read the original article.
What is methanol? How does it get into drinks and cause harm?
Two Australian teenagers, Holly Bowles and Bianca Jones, have died after experiencing suspected methanol poisoning while they were travelling in Laos.
They are among six tourists reported to have died – also including a British woman, an American and two Danes – after becoming ill from unknowingly consuming alcoholic drinks containing methanol.
So what is methanol, and how does it make people sick?
Methanol versus ethanol
Methanol is an alcohol, like the familiar ethanol we consume in alcoholic beverages.
Like ethanol, methanol is a colourless, flammable liquid. It has a smell similar to ethanol as well.
But the two have different chemical structures. Methanol is composed of only one carbon atom, while ethanol has two.
That one carbon atom makes all the difference. It means methanol is processed differently in our bodies and is much more toxic than ethanol.
Methanol is used in a variety of industrial and household products, such as windshield cleaning fluids, antifreeze and fuel. It’s not safe for human consumption.
What makes methanol toxic?
The difference is in how methanol is metabolised, or broken down in our bodies.
Ethanol is metabolised into a chemical compound called acetaldehyde. Acetaldehyde is toxic, but is rapidly converted to acetate (also known as acetic acid, found in vinegar). Generating an acid may sound bad, but acetate actually produces energy and makes important molecules in the body.
By contrast, methanol is metabolised into formaldehyde (a chemical used in industrial glues and for embalming corpses, for example) and then to formic acid (the chemical in some ant bites that makes them hurt so much).
Unlike acetate, which the body uses, formic acid poisons the mitochondria, the powerhouses of the cells.
As a result, a person exposed to methanol can go into severe metabolic acidosis, which is when too much acid builds up in the body.
Methanol poisoning can cause nausea, vomiting, and abdominal pain. The acidosis then causes depression of the central nervous system which can cause people with methanol poisoning to fall unconscious and go into a coma, as well as retinal damage leading to vision loss. This is because the retinas are full of active mitochondria and sensitive to them being damaged.
Death is not inevitable if only a small amount of methanol has been consumed, and rapid treatment will greatly reduce damage.
However, permanent vision damage can occur even at non-lethal doses if treatment is not administered quickly.
What does treatment involve?
Treatment is mainly supportive care, such as intubation and mechanical ventilation to help the patient to breathe.
But it can also involve drugs such as fomepizole (which inhibits the generation of toxic formic acid) and dialysis to remove methanol and its metabolites from the body.
How does methanol get into alcoholic drinks?
Methanol can turn up in any alcoholic beverage, but it’s most likely in beverages with higher alcohol content, such as spirits, and traditionally brewed drinks, such as fruit wines.
Methanol can get into alcoholic beverages in a number of ways. Sometimes it’s added deliberately and illegally during or after manufacturing as a cheaper way to increase the alcohol content in a drink.
Traditional brewing methods can also inadvertently generate methanol as well as ethanol and produce toxic levels of methanol depending on the microbes and the types of plant materials used in the fermentation process.
We don’t yet know how the Australian teenagers came to be poisoned in this tragedy. But it is a good idea when travelling (particularly in areas with traditionally fremented drinks, such as south-east Asia, the Indian subcontinent and parts of Africa) to always be careful.
The Australian government’s Smartraveller website advises that to avoid methanol poisoning you should be careful drinking cocktails and drinks made with spirits, drink only at reputable licensed premises and avoid home-made alcoholic drinks.
Drinking only mass-produced commercial brews can be safer, though understandably people often want to try locally made drinks as part of their adventure.![]()
Ian Musgrave, Senior lecturer in Pharmacology, University of Adelaide
This article is republished from The Conversation under a Creative Commons license. Read the original article.

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