EATING DISORDERS (ED)
When dying can become secondary
to losing weight!
THE PROGRESSION……..
Ordered Eating
Disordered Eating
Eating Disorder
FOOD INTAKE CONTROLS
External Cues
Temperature
Eating cues
Media
Internal Cues
Stomach pressure sensors
Fat cell mass and size
Hormones (Leptin, Ghrelin, CCK, etc.)
Health
The most common cause of ED is
RESTRICTIVE DIETING
ANOREXIA
NERVOSA
Fig. 11.CO, p. 11-1
ANOREXIA NERVOSA
Non-health related 15% wt. loss below healthy wt.
Intense fear of wt. gain; Distorted body image;
Amenorrhea x 3 mos.
Most common in young women, dieters, athletes
and trainers, dietetics majors, Type I diabetics
High long term mortality
Psych disorder; NOT a nutrition disorder
Hospitalization often required to reverse
ANOREXICS
Restrict food
Excess exercise
50% purge
Illustration 11.2, p. 11-3
GENERAL HEALTH EFFECTS ANOREXIA
Malnutrition
BMR drops
Lanugo
Loss of lean mass and bone mass
Anemia
Irregular heartbeat
Low blood pressure
Disability and/or death
BULIMIA NERVOSA
More common than anorexia
Behavior kept secretive as aware it is abnormal
Restrictive diet deprived/hungry eat
no control binge guilt purge Repeat!
GENERAL HEALTH EFFECTS BULIMIA
Tearing or irritation of the esophagus
Dental carries
Electrolyte imbalance
Malnutrition
Laxative dependency
Disability and/or death
COMPULSIVE OVEREATING
Most common EDO
#1 EDO in men
Binge no compensation
Behavior secretive
Usually obese
ED TREATMENT
Medical team to Rx: MD, RD, Psych
Psychotherapy
Family therapy
Get rid of the dieting!
HOW TO HELP
Educate self and sufferer about ED
Candidly/privately talk to your friend;
“I am concerned about your health”
Be honest about your concern
Be a good role model
Ask for help (www.edrc.org, www.eatright.org)
BEST TREATMENT IS PREVENTION
PREVENTION IS THE BEST TREATMENT
Startyoung; promote internally cued eating
Health, not weight is the goal
Promote Health At Every Size (www.haes)
Practice what you preach