Social Determinants of Well being – Let’s Discuss About It


Jess Jones: Earlier than we get into this week’s episode, I’ve a brand new enterprise that I’m so enthusiastic about. I’ve not been as enthusiastic about something in a very very long time, and I wanna rapidly share it with you. So I’ve began a e-newsletter on, it’s known as Web Elder, and you will discover [email protected]. Mainly, the e-newsletter is about how in a world obsessive about staying younger, I wanna speak about getting older.

I’m an web elder. I’m an elder millennial. I am turning 40 this 12 months, and I wished a spot to course of and likewise join with different geriatric millennials like me. I began web elder as a platform the place I might look again to look ahead and share my reflections on every little thing from fashionable marriage to woman boss burnout and the way my method to all of the issues like meals, cash, friendships.

Type and decor has developed over the a long time. I am going to additionally interview associates and older function fashions residing unapologetically of their second chapters. So with a mix of non-public anecdotes, sensible recommendation, classes discovered, embarrassing throwbacks and suggestions. That is gonna be a group the place we are able to have fun our collective expertise because the final analog era, and likewise discover new methods to navigate this subsequent half of our lives.

I will be releasing new items of content material each single week. So whether or not it is an article, I am getting again to my journalism and writing roots, or a voice notice or a video or a curated listing of suggestions. There will be one thing each week, and I feel you are actually gonna prefer it. So if this seems like one thing you are into, head on over to web

That is web All proper, let’s get to the episode. Welcome again to a different episode of the Meals Heaven podcast. As we speak we’re having a dialog with someone that I have been dying to have on this podcast for a very very long time. Her identify is Clara Nasik and she or he runs the favored Instagram account.

Your diet B F F. Clara is an outpatient registered dietician by day and a content material creator slash web troll by night time. That is her bio I am studying, by the best way. Her love language is memes and infographics, and she or he likes to hearken to audiobooks at 1.2 Velocity. We’re gonna be chatting about social determinants of well being, which is one thing I all the time see Clara submit about on her Instagram account as a result of she may be very social justice oriented within the work that she does as a dietician.

For these of you who haven’t heard about social determinants of well being earlier than, you are not alone. That is why we’re doing this podcast episode. However briefly, they’re financial and social situations that affect particular person and group variations and well being standing. So quite a lot of occasions individuals prefer to blame the person like, oh, you are not consuming sufficient greens or, You ought to be exercising extra with out pulling again and realizing that we now have these social determinants of well being that actually play an enormous function in our well being standing.

So we’re gonna dive into that at present with Clara. A number of the issues we speak about are why these determinants of well being matter relating to what we eat and the way we reside, how the healthcare system can fail us. She is an outpatient dietician, as I discussed, so she’s gonna share a few of her tales and insights, working with sufferers immediately and sort of what has been useful and the way she’s capable of incorporate data concerning the social determinants of well being to the work that she’s doing, and simply her ideas on how we are able to really attempt to make.

Issues higher and promote well being fairness. We additionally get into tradition and the way that has a huge effect on how we view meals and the way she tries to ensure to contemplate cultural variations when working with shoppers. As a dietician, we get into wholesome consuming on a price range, how persistent stress and trauma can have an effect on well being in quite a lot of methods, and the way we are able to prioritize our well being with out getting caught up in weight-reduction plan tradition.

Clara additionally shares her favourite wellness follow that’s completely free. This episode is filled with quite a lot of gems, and for those who’re somebody who has not heard about social determinants to assist earlier than, you positively want to remain via this dialog, even for those who had, it is a fantastic dialog. Now, earlier than we leap in, I need to learn a listener assessment.

This one says, hesitant. Ooh, and it is from, I’ve every little thing I want they usually write. Whereas I have been having a tough time for the previous couple of months, I have been pushing myself to get again into wellness and enhance my temper, bodily, psychological, and emotional well being. General, the duty has felt daunting. Nevertheless, listening to your podcast has helped me lean into the areas the place I search enchancment in a approach that feels actual and much much less intimidating.

Thanks. Meals Heaven. After which they left a sunflower. I really like that assessment a lot and admire you for taking day out of what I do know is a busy day and giving our podcast an opportunity as a result of it seems like as many individuals are simply typically with podcasts, you might be hesitant at first. I do know there’s so many pods and it is onerous to know what’s value listening to, so we admire that you just gave bars an opportunity and left that actually sort assessment.

In case you have not already, you realize the drill, simply head on over to iTunes or Spotify and go away us some stars. Drop a assessment. We are going to almost definitely learn it on this podcast. The opinions are the spotlight of our day and we learn each single one in all them, and it actually helps to maintain us going. Now, with that, let’s leap into the episode.

So if individuals do not observe you on Instagram, they need to, as a result of in my thoughts, you’re the meme queen, and I am curious, the place do you get the inspiration to create all these nice diet memes? And does it come naturally to you or is it, I do not know. I simply really feel such as you do such job at it.

Clara Nosek: My God, thanks.

It comes from my over consumption of tv and social media. I’m what some could name chronically on-line, so I’m like all the time consuming content material, which I am making an attempt really. I am actually making an attempt to not as a lot anymore or being extra aware of how I scroll. However I feel that the communication a part of it comes actually from being a mother or father.

So I take into consideration how I talk issues to my youngsters. Hmm. Like actually complicated cuz my daughter will ask me just like the craziest questions and I actually wanna honor her curiosity. And so I attempt to deliver that very same vitality to my content material as a result of it is like, how can I clarify this very complicated thought. In a really concise, humorous approach, in order that approach will probably be extra effectively acquired typically.

Trigger generally it is, I get in little tiffs right here and there. Yeah.

Jess Jones: Are like with the RD group or.

Clara Nosek: Yeah. RD group. Typically it is simply individuals passing via. Okay. But when it’s a thought that goes towards present thought that you just may need any biase you may need in place, something that you just at the moment know, having one thing query that may be jarring.

And so I am not averse to being met with like resistance and like sort of having to stroll somebody via that thought course of. And so, which is why I really feel like I’ve actually embraced infographics. Yeah, as a result of it sort of is sort of a very simple, simplistic approach, which is humorous as a result of like that’s sort of how I see it in my mind earlier than.

So like generally I am going to like have an thought and I am going to similar to mind dump it this mess onto a chunk of paper after which from there I can like take out what I want and like make a fairly graphic on Canva. Yeah.

Wendy Lopez: And put Actual Housewives on it,

Clara Nosek: proper? I feel it is like little razel dazzle, little razel dazzle, little spice.

Wendy Lopez: I imply, yeah. Make it just a little extra

Clara Nosek: attention-grabbing. Make it relatable. Yeah.

Wendy Lopez: Yeah. That seems like a fantastic advertising and marketing tactic. And like it’s good to do all of our graphics. We’d like assist in that division. So we’re gonna speak about social determinants of well being, which is a really complicated. Matter. Mm-hmm. And I am glad that we’re bringing you on to speak about it as a result of there’s like quite a lot of nuance there and I do not even know that I absolutely perceive social determinants of well being.

So I feel it will be good to begin at like, what does that even imply and why does it matter relating to the meals that we’re

Clara Nosek: consuming? Yeah. Okay. So social determinants of well being. They’re principally like all of the issues in your life that may have an effect on your well being. So like the place you reside, the place you’re employed, the place you play, the place you be taught any of these issues along side like your genetics and the way that impacts your well being outcomes.

So if say an individual lives in a neighborhood with out entry to issues like recent fruit and veggies, They won’t have entry to all of the vitamins that their physique may want. Yeah. I really like

Jess Jones: that reply. Very easy. What about, okay, so with the healthcare system typically, I feel quite a lot of occasions the healthcare system can fail us relating to social determinants of well being as a result of they make issues so easy and one dimensional like.

You’ve diabetes, so subsequently it’s good to reduce out all these items and eat this and it is gonna be solved. Do you’re feeling just like the healthcare system contributes to inequalities relating to well being outcomes? And the way do you sort of see that play out as a dietician who works in in healthcare?

Clara Nosek: Sure. Okay.

So I consider it very a lot. Did you guys watch Clueless? Just like the film? After all. Okay, so you realize that line as if actually, so just like the healthcare system in America is sort of a full on Monet, proper from distant it appears good, however like up shut. It is a huge previous fable, proper? So quite a lot of these elements which are thought of in social determinants of well being which are outdoors of the medical system can negatively affect an individual’s well being outcomes.

After which if you mix that with. The racism, the discrimination, the biases that aren’t checked throughout the healthcare system. It sort of compounds these inequities and makes it tougher for individuals, particularly these in marginalized communities to have entry to increased high quality healthcare. And so such as you get individuals who.

Both cannot afford it, proper? So like Bipo of us are most extra prone to be uninsured or underinsured, which suggests they can not afford to get the healthcare that they want. After which after they do search the care, after they’re like, all proper, tremendous, it is time to go. It is usually met. With these biases, these unchecked internalized biases, racism, discrimination from the suppliers, which finally then will perpetuate that hurt proper then that they are like, I am not gonna hearken to this particular person.

They do not get me, they do not see me, they don’t seem to be listening. What is the level of going? And so it sort of is rather like this vicious cycle of like a state of unwell and. It is like a lot extra than simply the healthcare system. So these communities usually tend to be meals deserts or in meals apartheid and the place they do not have entry to love recent meals, fruit and veggies, proteins like which are available.

For them. They’re often locations which are in increased polluted areas. They could be unsafe within the, by way of like simply the realm. They won’t have areas for like sidewalks for strolling, proper? So quite a lot of the occasions you get this suggestion, proper? The American Coronary heart Affiliation recommends 150 minutes of reasonable exercise day by day or not day by day, weekly.

How are you going to try this if the place you reside is unsafe? How are you going to try this? If you do not have entry to parks to stroll round, you do not have sidewalks to securely stroll on the road. You do not reside in an space that like feels protected sufficient to stroll round in. And it is sort of like all these little issues have a tendency to construct up and so it is working because it’s presupposed to.

I feel quite a lot of Western medication treats signs. And so for those who consider medication in that lens, then it is working as a result of it is quite a lot of these are your signs. Let’s deal with that, no drawback. However there is no actual attending to the foundation subject of quite a lot of these well being outcomes that we’re seeing. Yeah, and I really feel

Wendy Lopez: like meals and train are often on the forefront of the suggestions which are given.

It is like, eat all of these items, and it is like, yeah, these conversations about entry are all the time neglected. I am questioning with social determinants of well being, like what are some issues that. You suppose needs to be thought of that possibly quite a lot of healthcare suppliers, together with dieticians may not look into that would affect our consuming selections.

I do know you talked about meals entry being like a very huge one the place you reside, poverty, issues like that. However what are another issues that could be just a little

Clara Nosek: extra nuanced? I feel that it will be actually nice to evaluate. Like make it a part of the consumption to evaluate historical past or present standing of meals insecurity.

Hmm. Proper. So even for those who’re not at the moment going through meals insecurity, for those who had meals insecurity as a toddler, for those who confronted it in early maturity, like these hostile life results occasions, yeah. Might have ripples, proper, that you just may not like consciously concentrate on, nevertheless it might present up in the best way that you just select to eat meals.

And so quite a lot of the occasions you see healthcare professionals sort of with a sweeping suggestion to keep away from all breads, rice, pastas, tortillas, any of these. Staple meals and it’s in that suggestion that there’s that triggering of restriction the place there’s not a bodily restriction, however you will nonetheless have that like psychological thought, that anguish and really feel sort of that very same insecurity that was there earlier than.

So I feel like assessing for that’s actually necessary. Assessing for protected housing. Are you employed? Are you, do you could have transportation? And I feel they try this. Now, possibly, possibly not. However yeah, so I feel doing these, so like I work within the well being schooling division at my hospital and we now have a protracted listing of group sources, however I feel quite a lot of different departments may not concentrate on these.

And so I feel it is actually necessary for clinicians to sort of have. That reference to their area people to know like, the place are the meals banks? The place are the help applications? The place are the job coaching applications? Or not less than know the place to direct sufferers to. I additionally suppose that we must always actually begin addressing well being literacy in addition to digital literacy.

So it may not essentially need to be a healthcare subject. It would, proper? As a result of every little thing is digital now. You’ve quite a lot of your physician communications like out of your telephone, however like serving to sufferers learn to learn all, like do they know tips on how to learn labels? Do they know tips on how to construct a meal? Do they know tips on how to navigate healthcare techniques?

We’re all presupposed to be holding a cu up on ethics. Proper as dieticians, I feel together with a required CU on patient-centered care, like not less than trauma knowledgeable care is basically necessary as effectively, as a result of I feel quite a lot of these. Life occasions actually play a necessary function in the best way that an individual lives their life.

And so like if we’re an individual and making an attempt to offer them medical diet remedy, making an attempt to offer them healthcare, we now have to love actually check out the entire particular person. Yeah. Versus similar to the symptom that is like on the floor stage. Proper, and

Jess Jones: I really feel like that is what often occurs is it is simply the floor stage signs or I feel it is docs making quite a lot of assumptions about individuals based mostly on their biases or simply stereotypes and never even actually taking the time to know, such as you’re saying, who this particular person is.

What’s our well being literacy. Digital literacy too, I feel is so necessary. I, these are all actually nice suggestions. So let’s take it extra to a private lens. So as an instance someone’s listening or they’ve a member of the family who would not have meals safety, and possibly it isn’t simple to make nutrient dense meals selections.

There are quite a lot of boundaries in the best way, like I stated, not having entry. What are some issues that you just suggest individuals get began with in the event that they’re feeling like entry is the first subject that is holding them? From consuming a extra nutrient dense

Clara Nosek: weight-reduction plan. So I all the time like begin with stage one as like consuming is one thing, one thing is all the time higher than nothing.

And that is like actually like the toughest half, proper? As a result of quite a lot of the occasions I. You are getting quite a lot of this meals is poisonous, that is poison, that is dangerous, this oth carbs are dangerous, fat are dangerous. Protein’s dangerous on your coronary heart. And like all of those conflicting messages, after which it is time to eat. And it is like, effectively, I do not know what to eat, so I am, I am not gonna eat something.

And that’s like, the 1st step, one thing is all the time higher than nothing. After which step two is what I prefer to, I am going to name, I am going to name it their besties. So your protein and your carbohydrate, these are the besties. And as soon as we are able to get within the behavior of like, breakfast is a protein and a carb, lunch is a protein and a carb dinner is a protein and carb, then I am like, I am like, okay, let’s ramp it up.

Proper? After which I sort of usher in just like the plate methodology, after which that is after I actually closely, closely, closely emphasize the fun of comfort meals, frozen fruit and veggies, canned fruit and veggies. Dried grains, beans, PEs, legumes, all of these. So quite a lot of these are very price range pleasant.

There is a, a query of whether or not or not there’s a spot to securely retailer them after we speak about like frozen or perishable items in that capability. However usually you’ll be able to both do like a dried good or something like that. So then that is after I sort of usher in, I really like the plate methodology, so then I sort of do like, okay, can we get half a plate of greens?

Can we get a palm measurement serving of a protein after which one other fist or a cupped hand of a carbohydrate? I am like, and I do not, I do not actually care what sort of carbohydrate is it’s as a result of like quite a lot of the occasions individuals are available, they’re like, my physician informed me I can not have white rice anymore, however I do not like brown rice, so I am simply not gonna eat something.

And it is like, so they have been consuming nothing, proper? They have been consuming veggies and a protein, they usually’re like, I am so drained on a regular basis. And so they’re like, you realize, I, I simply drank espresso. And so then. It turns into like breakfast is espresso, lunch is a fart and a salad, after which dinner is the whole pantry.

And it is this vicious cycle of like, how are you going to undo that? So if you wish to eat in a well being selling approach, actually working via. Understanding that consuming one thing is healthier than nothing. Pairing your carbs and protein after which making an attempt to make use of issues just like the plate methodology shall be e. Very simple, sustainable, versatile methods to go about consuming and actually leaning closely on comfort, processed meals, frozen fruit and veggies.

Canned fruits, greens and proteins, dried grains, legumes, these peas, lentils, all that enjoyable stuff, and actually working in the direction of supporting your physique and attending to a spot then the place you’ll be able to really feel like you could have vitality to love, okay, let me strive all these different dishes. Let me add the spice on the selection, on the, the little razzle dazzle of like, no matter.

Nevertheless it would not need to be like a strict, avoiding all meals and never, and like not each meal is gonna seem like that. Proper. So it is like eradicating sort of that stress to eat completely on a regular basis and simply realizing that like you might be supporting your physique in that second is basically like all you’ll be able to ask one other particular person to do.


Wendy Lopez: yeah. Just like like individuals having that each one or nothing method to love, if it isn’t fully. Wholesome, no matter which means, then I am simply not gonna eat in any respect. I really feel like individuals try this lots with fruit and veggies. I used to be simply having this dialog with somebody yesterday the place she’s similar to, if it isn’t the highest quality then you realize, it is like what is the level of even consuming it?

And so if you speaking about like shopping for frozen shopping for can for individuals who have that. Thought course of. What are some conversations that you’ve got with them to sort of like destigmatize course of plant meals, as a result of that is one thing that comes up lots I feel for individuals making an attempt to eat more healthy. They’re like making an attempt to do it the farm to desk approach, despite the fact that that is not very like sensible

Clara Nosek: for most individuals.

Yeah, oftentimes like frozen produce is picked on the peak of ripeness after which preserved flash frozen in that state, so it has all of the vitamins. And usually I feel if you deliver house fruit and veggies, oftentimes you get salad soup behind your fridge or. It could be just a little bit wrinkly since you let it sit within the CRISPR for just a little too lengthy for those who’re not utilizing it instantly.

They primarily are shedding nutrient worth, and I feel that stems actually from this place the place we all the time really feel compelled to optimize every little thing in life, proper? You wanna like optimize your time, you wanna optimize your diet, optimize your well being, and it places quite a lot of accountability on the person.

And so simply realizing that like you do not have to do this, and that’s actually simply capitalism reaching into your life, simply making an attempt so as to add to emphasize, add to the stress of life, and it would not must be there. Like these fruit and veggies are nice choices. They’re nice time savers. If we’re pondering of it by way of like methods so as to add diet, these are 100% nice methods to do it.


Jess Jones: these are all nice concepts. So let’s speak about persistent stress and trauma, proper? So many people have skilled that and everyone knows that it may well affect our well being in quite a lot of alternative ways. Or really generally individuals could not even understand how carefully these issues might be aligned with their well being and well being outcomes.

What are some issues that individuals can do to maintain themselves? And heal from trauma or simply really feel higher. They do not have something to do with the meals that they are consuming as a result of I feel we frequently put all this stress on meals, however there’s so many different issues that we are able to do that might be useful. I

Clara Nosek: suppose it actually begins with in case you are ready actually setting and practising boundaries.

I am engaged on mine, my very own boundaries, however I actually suppose that shifting away from screens like much less display time is big. So earlier than I bought sick this week, I used to be actually working via like these like low dopamine mornings. So like my alarm will go off, I will not contact my telephone for like not less than two hours. I am going to do quite a lot of different issues.

I am actually engaged on Monotasking, so I watched, I feel it was a TikTok. I used to be studying an article which on TikTok, they usually have been speaking about how like our brains will not be meant for multitasking. We’re not presupposed to. And the way like that may contribute to underlying stress as effectively. Stress and nervousness. Simply having to all the time be in so many alternative locations mentally.

So like I actually have been consciously making an attempt to monotask, making an attempt to have these like very. Concerted display time, time zones in my day. I feel that getting outdoors, if it is obtainable to you, the vitamin D, there is a like grounding standing in grass. There’s one thing about like simply being outdoors and. Yeah, simply sort of like defending your peace, like if it is obtainable to you.

Simply having quite a lot of these, like if it isn’t a hell sure, it is like a no. Yeah. For me, quite a lot of the time I consider it like, what was I doing earlier than the web? Proper? Like very a lot early nineties, what was life? Mm-hmm. And like making an attempt to coplay was like early nineties core, pre-internet core. Let me go outdoors.

Let me like paint an image. Let’s similar to do stuff. Yeah. However yeah, talking to love the stress and all that stuff, like, I all the time speak to my sufferers about how like, you realize what, in case you are stressing about every little thing that you just’re consuming, That may play a job in the best way your physique digests the meals. Like there was that analysis article like people who find themselves in a peaceful state and consuming will take up their meals a lot better than somebody who’s like in a heightened state of stress.

Yeah. And so in case you are like, oh my God, what I am consuming is poison, then it is like, ugh. You are gonna give your self bubble guts. Yeah. Each time every little thing is gonna damage your tummy. Every part is gonna not sit effectively. And it has nothing to do with like what you are having. It is simply the truth that you are already ramping up your self to not take up any of it.

And so I feel actually working in the direction of like being aware with what you are consuming, not simply meals, just like the web, social media, the radio. People who find themselves like, that is poisonous. That is poisonous. Simply including to your stress, if that’s not sitting effectively with you till you’ll be able to like actually heal. That like energetically be in a spot of calm, I am actually huge on like, let’s not devour that.

I bear in mind like in early pandemic, I used to be like, mm, I am simply gonna delete Fb. I needn’t see any of this. I am simply

Jess Jones: gonna not, nothing taking place over there. Yeah.

Wendy Lopez: You have not missed

Clara Nosek: out on something.

Wendy Lopez: No. I really feel like nobody is utilizing Fb anymore. It is a factor of the previous. I’m wondering if Instagram will get there in the future.

I feel so. I feel it is headed there. Yeah. I feel it is getting there, getting previous. It is, yeah. So for listeners who wanna be taught extra concerning the work that you just’re doing and need to keep updated with your entire nice memes and infographics, the place can they discover you?

Clara Nosek: So you will discover me on Instagram and TikTok principally at your dietician, B f F, or you’ll be able to subscribe to my [email protected].

I feel that is just about it. Sure. Conserving it low key. Yeah.

Jess Jones: Yeah. Conserving it low key in 2023. That is my motto. Thanks a lot for listening to a different episode of the Meals Heaven podcast. If you have not already, ensure to attach with us on-line. We’re most energetic on the gram at Meals Heaven, however we’re additionally on Fb and Twitter at Meals Heaven present.

When you like this podcast, ensure to price, assessment, subscribe, and share with a good friend. Yep.

Wendy Lopez: Our podcast is launched each Wednesday and every week we take a deep dive into matters like well being at each measurement, meals and tradition, intuitive consuming, psychological well being, and physique acceptance. When you’re in search of a sustainable and inclusive path to wellness, come hang around with us to learn to maintain your self from the within out.

We’ll catch you subsequent time. Bye.

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