Anorexia Nervosa

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EATING DISORDERS
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Body Image How you see your body and the way you
feel about it.
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PEOPLE WITH EATING DISORDERS HAVE A DISTORTED
BODY IMAGE.
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• The average American woman is 5'4" tall and
  weighs 140 pounds
• The average American model is 5'11" tall and
  weighs 117 pounds

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• Half of 9 and 10-year-old girls feel better about
  themselves if they are on a diet
• 42 of 1st-3rd grade girls want to be thinner
• 81 of 10 year olds are afraid of being fat

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• 5-10 million adolescent girls and women and 1
  million boys struggle with eating disorders and
  borderline conditions
• 3 of girls and young females suffer from
  anorexia
• 4 of girls and young females suffer from bulimia

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• Eating disorders can last between 1 and 15 years,
  but usually don't result in death
• About 1000 women die each year from an eating
  disorder

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ANOREXIA
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What is anorexia?A serious disorder in which a
person starves themselves.
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Judy Skinner is a recovered anorexic.

• Judy Sargent

20 years old
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• Judy gave these reasons for becoming anorexic
• Loss of twin brother
• Low self-esteem
• Perfectionist
• Parent's divorce
• Parents obsession with weight
• Father said she was "fat" and needed to lose
  weight.
• Kids at school used to tease her and call her
  chipmunk cheeks."

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Judy Skinner is a recovered anorexic.

• Judy Sargent

20 years old
36 years old
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WHY WOULD A PERSONDEVELOP ANOREXIA?

• 1 Media/Social pressures

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What was beautiful?
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Marilyn Monroe vs. Calista Flockhart
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Marilyn Monroe vs. Cortney/Jennifer
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What is beautiful today?
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2 Anxiety and/or Stress
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3 Low self-esteem and unhappiness
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4 Controlling family members
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5 Family emphasis on physical appearance
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6 Mother had an eating disorder
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7 Perfectionism
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Warning Signs of Anorexia

• Intense fear of gaining weight
• Skips meals by making up excuses
• Will not eat in front of others
• Wears baggy clothing
• Degrades his/her body frequently
• Denial of hunger
• Excessive exercising

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Warning Signs of Anorexia

• Hair growth
• More on body and face
• Loss on head
• Absent or irregular menstrual periods
• Perfectionist
• Depressed/Lonely/Anxious/Empty/Hopeless
• Moody/Irritable
• Strange selections of food
• Reads food labels constantly

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Health Effects

• Fatigue and lack of energy
• Amenorrhea (loss of menstruation)
• Skin problems
• Dizziness and headaches
• Dehydration
• Shortness of breath
• Irregular heartbeats
• Cold hands and feet
• Bloating
• Constipation and stomachache

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Health Effects

• Hair loss Lanugo (fine downy hair)
• Edema (water retention)
• Decreased metabolic rate

• Infertility
• Delayed development in puberty
• Depression
• Osteoporosis

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Health Effects

• Insomnia
• Electrolyte imbalances
• Kidney and liver damage
• Anemia Cathartic colon
• Low potassium (most common cause of nocturnal
  cardiac arrest)
• Cardiac arrest and death

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BULIMIA
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What is bulimia?

• Frequent episodes of binge eating followed by one
  of the following
• Vomiting
• Using laxatives
• Fasting
• Over exercising

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Most people with bulimia are at a normal weight
or are slightly overweight.
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WHY WOULD A PERSON BINGE?

• 1 To fill a void inside

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Binge Eating
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2 To hide negative emotions

• 3 To cope with daily stresses and problems

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Why would a person purge?

• Because of guilt and
• depression of having binged.

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Why would a person with ANOREXIA be at risk of
developing BULIMIA?
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Warning Signs of Bulimia

• Worried about body weight
• Excessive food consumption
• Frequent trips to the bathroom after eating
• Blood shot eyes
• Sore throat
• Exercises excessively
• Irregular menstrual periods
• Dental problems (tooth enamel wears away)
• Depression and/or mood swings

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Statistics

• It typically develops in early to
  mid-adolescents.
• Relatively uncommon in men only about 10 of
  individuals diagnosed with bulimia are men.
• Bulimia Nervosa affects 1-3 of middle and high
  school girls and 1-10 of college age women.
• 10 of individuals suffering from bulimia will
  die from starvation, cardiac arrest, other
  medical complications, or suicide.

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Health Effects

• Abrasions on back of hands and knuckles
• Endocrine Disruption
• Amenorrhea (loss of menstruation) and irregular
  menstruation
• Hair loss
• Fatigue and lack of energy
• Low blood pressure
• Headaches
• Dizziness
• Depression

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Health Effects

• Digestive
• Stomach pain and bloating
• Constipation and diarrhea
• Electrolyte imbalances
• Erosion of teeth enamel
• Tears of esophagus
• Chronic sore throat
• Development of peptic ulcers and pancreatitis
  (inflammation of the pancreas)
• Dehydration
• Cathartic colon (caused from laxative abuse)
• Edema (swelling of hands and feet)
• Gastric dilation and rupture

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Health Effects

• Cardiovascular
• Anemia
• Shortness of breath
• Irregular heartbeats
• Kidney and liver damage
• Chest pains
• Cardiac arrest and death

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Overeating Disorder
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How much does your drink really weigh?
If you drank one 12oz.can of soda daily and
did not increase your physical activity, what
would happen? Average 12oz soda 160
calories 160 calories X 365 days 58,400 calories
per year 3,500 calories 1 pound 58,400 calories
divide by 3,500 calories 16.69 pounds of weight
gain What would happen if you drank one 44oz Big
Gulp daily? One 44 oz Big Gulp 513
calories Answer 53.5 pounds
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How many Food Pyramid daily servings do YOU
really need?
Most women Active women Active
men Children (2-6) Most men Teen
Boys Older children Teen
girls
Total Calories 1,600
2,200 2,800___ Food
groups Milk/dairy 2 2 2 Protein
2 2 3 Vegetables 3 4 5
Fruit 2 3 4 Grains 6 9 11
Fats 2 2 3
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Five key nutrition messages

• More fruits and vegetables.
• More whole grains, fewer processed foods overall.
• More water, fewer caloric drinks.
• Replace bad fats with good fats.
• Be aware of
• portion sizes.

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Physical Activity Pyramid
         
20-40 minutes 3-4 times per week aerobic fitness
     
45-60 minutes, 3-4 times a week for weight loss
30 minutes everyday for health
Children up to 18 years should have a minimum of
60 minutes daily of physical activity
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Surgeon Generals Physical Activity Recommendation

• 30 minutes of activity
• 4-5 times a week.
• Can be broken up.
• Reduced risk for Cardio Vascular Disease,
  diabetes, osteoporosis, obesity, improves mood,
  some forms of cancer.

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Health Effects

• Obesity
• Menstrual irregularities
• Diabetes
• High blood pressure
• High cholesterol
• Osteoarthritis
• Decreased mobility

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Health Effects

• Shortness of breath
• Heart disease
• Liver and kidney problems
• Cardiac arrest and/or death
• Gallbladder disease
• Certain types of cancer

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• 4,000

Approximate number of annual pedestrian deaths
in America.
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• 40,000

Approximate total annual deaths in motor vehicle
crashes.
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• 400,000

Approximate annual deaths due to sedentary living
and poor nutrition.
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• 40,000,000,000

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• 40,000,000,000

Approximate direct annual medical expenditures
due to obesity, borne by taxpayers. (Obesity
Research, Finkelstein et.al., Jan, 04)
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Its not just an obesity epidemic. Its an
epidemic of physical inactivity and poor
nutrition.