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Slide Notes
This is Rebecca. When Rebecca hit puberty she started becoming increasingly concerned with her weight and the way that her body looked. She had always been skinny and fit. It was part of her identity. But when she started gaining normal teenage weight, she imagined her body expanding everywhere. It slowly became an obsession. She thought about her body and the way it looked all the time. She refused to be seen in a bathing suit, lying to friends that she was allergic to chlorine and couldn’t get in the pool. She looked at herself in the mirror every morning, pinching at places where she knew in her mind that she was getting fatter.
For awhile this only existed in her mind, but then she started taking action on her eating habits.
For awhile this only existed in her mind, but then she started taking action on her eating habits.
Eating Disorders
Published on Nov 19, 2015
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PRESENTATION OUTLINE
Untitled Slide
This is Rebecca. When Rebecca hit puberty she started becoming increasingly concerned with her weight and the way that her body looked. She had always been skinny and fit. It was part of her identity. But when she started gaining normal teenage weight, she imagined her body expanding everywhere. It slowly became an obsession. She thought about her body and the way it looked all the time. She refused to be seen in a bathing suit, lying to friends that she was allergic to chlorine and couldn’t get in the pool. She looked at herself in the mirror every morning, pinching at places where she knew in her mind that she was getting fatter.
For awhile this only existed in her mind, but then she started taking action on her eating habits.
For awhile this only existed in her mind, but then she started taking action on her eating habits.
Photo by martinak15
Untitled Slide
First she started dietingby cutting desserts and junk food. Then she cut carbs. Then she started skipping breakfast and didn’t pack a lunch. Her parents didn’t know since she was old enough to wake up in the morning and drive herself to school. She brought water bottles full of cranberry juice to school to drink throughout the day and trick herself into thinking she wasn’t hungry. And she was very proud of herself for how long she could last without eating. But she wasn’t strong enough to be “truly anorexic” in her mind. When she got home from school and her parents made her dinner, she binged. She ate more dinner than her mom and Dad combined. Sometimes when her parents weren’t home she would get a box of frozen somethings out of the freezer and eat all of it. No matter the portion size. And every evening feeling extremely guilty, ashamed, and ill after eating so much, she told herself that tomorrow would be different. Tomorrow she wouldn’t eat at all. So her body weight stayed the same and sometimes even increased since she consumed the typical amount of calories a person should over the day, just crammed into one meal. Since her body weight stayed the same, no one really noticed she had a problem. Not her parents, not her friends, not her teachers.
She tried to find blogs on eating disorders and how to be better at it. Because she thought she was failing. Failing both at having an eating disorder and being healthy.
She tried to find blogs on eating disorders and how to be better at it. Because she thought she was failing. Failing both at having an eating disorder and being healthy.
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Bulimia nervosa involves frequent episodes of binging and purging
Of course Rebecca did have an eating disorder. More specifically, she was suffering from bulimia nervosa.
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Anorexia nervosa involves weight loss of 15% or more of healthy body weight
Anorexia nervosa is similar in its motivation,
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Binge eating disorder involves eating large quantities of food without purging
Anorexia nervosa is similar in its motivation,
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EDNOS are eating disorders that cause significant distress without meeting the criteria for another eating disorder
Anorexia nervosa is similar in its motivation,
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Bulimia nervosa negative health outcomes
Bulimia nervosa can cause dehydration leading to an electrolyte imbalance that can lead to heart failure and death. If purging by vomiting, a person with bulimia may suffer from tooth decay, mouth and throat sores, and inflammation of the esophagus. People with bulimia also suffer from chronic irregular bowel movements due to laxative abuse.
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Bulimia nervosa
- Tooth decay and mouth sores
- Inflammation of the esophagus
- Chronic irregular bowel movements
- Dehydration
- Heart failure and death
Bulimia nervosa can cause dehydration leading to an electrolyte imbalance that can lead to heart failure and death. If purging by vomiting, a person with bulimia may suffer from tooth decay, mouth and throat sores, and inflammation of the esophagus. People with bulimia also suffer from chronic irregular bowel movements due to laxative abuse.
Photo by Christy Mckenna
Anorexia nervosa negative health outcomes
Anorexia can cause slow heart rate and low blood pressure, reduction of bone density, muscle loss and weakness, dehydration, hair loss, and sometimes body hair growth in an effort to keep the body warm.
A review of nearly fifty years of research confirms that anorexia nervosa has the highest mortality rate of any psychiatric disorder
A review of nearly fifty years of research confirms that anorexia nervosa has the highest mortality rate of any psychiatric disorder
Photo by Christy Mckenna
Anorexia nervosa
- Reduction of bone density
- Muscle loss and weakness
- Hair loss and irregular hair growth
- Low blood pressure
- Slow heart rate and death
Anorexia can cause slow heart rate and low blood pressure, reduction of bone density, muscle loss and weakness, dehydration, hair loss, and sometimes body hair growth in an effort to keep the body warm.
A review of nearly fifty years of research confirms that anorexia nervosa has the highest mortality rate of any psychiatric disorder
20% will die prematurely from anorexia
A review of nearly fifty years of research confirms that anorexia nervosa has the highest mortality rate of any psychiatric disorder
20% will die prematurely from anorexia
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Binge eating disorder negative health outcomes
Anorexia can cause slow heart rate and low blood pressure, reduction of bone density, muscle loss and weakness, dehydration, hair loss, and sometimes body hair growth in an effort to keep the body warm.
Photo by Christy Mckenna
Binge eating
- High blood pressure
- High cholesterol levels
- Heart disease
- Type II diabetes
- Gallbladder disease
Anorexia can cause slow heart rate and low blood pressure, reduction of bone density, muscle loss and weakness, dehydration, hair loss, and sometimes body hair growth in an effort to keep the body warm.
Photo by Christy Mckenna
Mental health issues associated with eating disoreders
Both eating disorders involve an obsession with weight, body image, and food, self-esteem overly related to body image, denial of hunger, consistent excuses to avoid mealtimes, rigid exercise regimens, and frequent comments about being fat or overweight.
Depression, anxiety and risk of suicide are associated with all types of eating disorders.
Substance and alcohol abuse, risk of suicide
Depression, anxiety and risk of suicide are associated with all types of eating disorders.
Substance and alcohol abuse, risk of suicide
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Mental Health Issues
- Low self esteem
- Obsessive Compulsive Disorder
- Substance/alcohol abuse
- Depression/anxiety
- Suicide
Both eating disorders involve an obsession with weight, body image, and food, self-esteem overly related to body image, denial of hunger, consistent excuses to avoid mealtimes, rigid exercise regimens, and frequent comments about being fat or overweight.
Depression, anxiety and risk of suicide are associated with all types of eating disorders.
50% of all people with eating disorders are also depressed
Substance and alcohol abuse 4 times more likely in eating disorder population
Depression, anxiety and risk of suicide are associated with all types of eating disorders.
50% of all people with eating disorders are also depressed
Substance and alcohol abuse 4 times more likely in eating disorder population
Photo by Christy Mckenna
30 million cases in 2011
Rates have been increasing since 1950
Incidence tripled between 1988 and 1993
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One in ten cases are male
White women are more at-risk for AN and BN
African American women are more at-risk for BED
Men have trouble seeking care
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Eating disorder epidemiology among adolescents
42% of 1st-3rd graders want to be thinner
81% of 10 year olds are afraid of being fat
46% of 9-11 year olds are sometimes or very often on diets
Over half of teenage girls and over one third of teenage boys report using some form of unhealthy weight control including skipping meals, fasting, smoking cigarettes, vomiting, or laxatives
81% of 10 year olds are afraid of being fat
46% of 9-11 year olds are sometimes or very often on diets
Over half of teenage girls and over one third of teenage boys report using some form of unhealthy weight control including skipping meals, fasting, smoking cigarettes, vomiting, or laxatives
Photo by daniellehelm
Anorexia is the third most common chronic illness among adolescents
Over one half of teenage girls and one third of teenage boys use unhealthy weight control
42% of 1st-3rd graders want to be thinner
81% of 10 year olds are afraid of being fat
46% of 9-11 year olds are sometimes or very often on diets
Over half of teenage girls and over one third of teenage boys report using some form of unhealthy weight control including skipping meals, fasting, smoking cigarettes, vomiting, or laxatives
81% of 10 year olds are afraid of being fat
46% of 9-11 year olds are sometimes or very often on diets
Over half of teenage girls and over one third of teenage boys report using some form of unhealthy weight control including skipping meals, fasting, smoking cigarettes, vomiting, or laxatives
Photo by daniellehelm
42% of 1st-3rd graders want to be thinner
81% of ten-year-olds are afraid of being fat
46% of 9-11 year-olds are "sometimes" or "often" on diets
42% of 1st-3rd graders want to be thinner
81% of 10 year olds are afraid of being fat
46% of 9-11 year olds are sometimes or very often on diets
Over half of teenage girls and over one third of teenage boys report using some form of unhealthy weight control including skipping meals, fasting, smoking cigarettes, vomiting, or laxatives
81% of 10 year olds are afraid of being fat
46% of 9-11 year olds are sometimes or very often on diets
Over half of teenage girls and over one third of teenage boys report using some form of unhealthy weight control including skipping meals, fasting, smoking cigarettes, vomiting, or laxatives
Photo by daniellehelm
Contributing factors
My main take away today is awareness. Awareness that eating disorders are prevalent and extremely problematic. Awareness that you cannot necessarily tell upon first glance who has an eating disorder and that having an eating disorder doesn't necessarily mean being extremely skinny or making yourself throw up. Awareness that what you see in magazines is not how you are supposed to look.
Because maybe if we all are more aware of what eating disorders are and why they occur, we will be more equipped to fight them for girls and women like Rebecca.
Because maybe if we all are more aware of what eating disorders are and why they occur, we will be more equipped to fight them for girls and women like Rebecca.
Photo by Thomas Hawk
Contributing factors
- Low self-esteem
- Depression, anxiety & stress
- Bullying, teasing & abuse
- Genetic factors
- Media and cultural norms
My main take away today is awareness. Awareness that eating disorders are prevalent and extremely problematic. Awareness that you cannot necessarily tell upon first glance who has an eating disorder and that having an eating disorder doesn't necessarily mean being extremely skinny or making yourself throw up. Awareness that what you see in magazines is not how you are supposed to look.
Because maybe if we all are more aware of what eating disorders are and why they occur, we will be more equipped to fight them for girls and women like Rebecca.
Because maybe if we all are more aware of what eating disorders are and why they occur, we will be more equipped to fight them for girls and women like Rebecca.
Photo by Thomas Hawk
3 out of 4 girls compare how they look to girls in the media
47% of girls in 5th-12th grade want to lose weight because of magazine pictures
Play video clip here
Photo by guilherme-pavan
The average BMI of Miss America has fallen from 22 in the 1920s to 16.9 in the 2000s - Healthy is considered to be between 18.5 and 24.9
The average American woman is 5'4'' and weighs 165 pounds - The average Miss America woman is 5'7'' and weighs 121 pounds.
The average BMI of Miss America has fallen from 22 in the 1920s to 16.9 in the 2000s – healthy is considered to be between 18.5 and 24.9
The average American woman is 5’4’’ and weighs 165 pounds. The average Miss America winner is 5’7’’ and weighs 121 pounds
Even though average dress size has increased for the average american due to the obesity epidemic, average model size has decreased. Making it more of an impossible goal to reach.
https://www.youtube.com/watch?v=17j5QzF3kqE
The average American woman is 5’4’’ and weighs 165 pounds. The average Miss America winner is 5’7’’ and weighs 121 pounds
Even though average dress size has increased for the average american due to the obesity epidemic, average model size has decreased. Making it more of an impossible goal to reach.
https://www.youtube.com/watch?v=17j5QzF3kqE
Prevention
Prevention
- Individual level treatment
- School-based counseling
- School-based curriculum
- Media campaigns
Individual-level treatment most common
Or at-risk groups
Studies have shown that works better in targeted groups, but not many studies have been done at societal level
Interactive works better, works better with older girls
A focus on body acceptance
Or at-risk groups
Studies have shown that works better in targeted groups, but not many studies have been done at societal level
Interactive works better, works better with older girls
A focus on body acceptance
