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Eating Disorder Introduction

 

American culture is obsessed with body image.  From a very young age, the idea of what is beautiful is driven home and children strive to meet this distorted goal.  The diet, and diet-related industry, is a 40 billion dollar a year enterprise.  With this much monetary value, it begs the question, which came first, the obsession with body image or the drive to profit from an idealistic image of beauty? [1]  Although one cannot point fingers solely at the media for being the driving force behind eating disorders, it is important to examine the effects that pop culture has on the psyche.

 

The most common eating disorders are anorexia nervosa (AN) and bulimia nervosa (BN). T hese are considered psychiatric conditions characterized by abnormal eating behavior, abnormal weight regulation and conflicting attitudes toward body weight and shape.

 

Those suffering from anorexia and bulimia are in constant pursuit of a thin physique, resulting in a weight that is not appropriate for their age and weight.  Of those suffering from anorexia, there is a fear of becoming ‘fat' despite their thinness.  In fact, often people with anorexia nervosa weigh 85% or less of the norm for their height and age group, and disregard the dangers of being so underweight. These disorders commonly affect females.  The highest population affected is younger women, often between the ages of 12 and 25. [2]

 

Athletics can be a motivating factor for both of these disorders and the behavior of compulsive exercise is common in those with anorexia.  Periods of intense and excessive exercise produce brain chemicals called endorphins that make us feel good and can mask pain as well. The combination of starvation and intense exercise may produce a high feeling, creating another addictive component in an already addictive pattern.  Unfortunately, this behavior has damaging physiological affects.  The body's protein stores are broken down for fuel, essentially leading to a "wasting" phenomenon.

 

The origin of the word bulimia means "nervous hunger".  Common to bulimia are cycles of binge eating, consuming large amounts of food at one time followed by purging, and regurgitation of the same food in order to avoid gaining weight.  Those that partake in this binge-purge cycle can consume anywhere from 1,000 to 20,000 calories in one episode (any 2 hour period), and then use self-induced vomiting, laxatives, enemas, excessive exercise or other medications to counteract weight gain. In bulimics, these episodes occur two times a week, on average, for a period of three months.  Additionally, many persons that suffer from bulimia also suffer from anorexia. A motivating factor of those with bulimia is the belief that this behavior will prevent weight gain, however often the opposite occurs (due to complex physiologic conditions) which leads to the potentiation of the cycle.

 

Causes of these eating disorders are multi-factoral.  Psychological state, socio-cultural influences, possible genetic influence, and physiological imbalances all play a part in the development of these conditions.  Due to the variability in causative factors, treatment approaches are also multi-faceted.  Interventions range from psychological assessment and treatment, to addressing body image issues and low self esteem. Nutritional and lifestyle counseling is also a common therapy used to reverse the damage done by periods of self abuse.

 

These conditions are very serious in nature and should not be taken lightly.

It should be noted that those suspected to be suffering from eating disorders should be managed by a physician, as there are a multitude of health related conditions associated with these disorders.  A full physical exam is required to rule out other physical disorders and a comprehensive diagnostic interview must be performed by a licensed mental health professional, so that an official diagnosis may be made.

 

 

Symptoms of Anemia and Bulimia

 

Common Signs and Symptoms for Anorexia Nervosa and Bulimia Nervosa:

  • Fear of being fat, or gaining weight

  • Obsessive behavior around food, weight, and appearance

  • compulsive food habits and rituals

  • Feeling cold, even in warm weather, due to electrolyte imbalance, and or lack of body fat

  • Long absences, or unexplained disappearances after meals

  • Swollen glands under the chin (from vomiting)

  • Bloodshot eyes, and popped blood vessels around the eye area (from vomiting)

  • Anemia

  • Cooking food excessively for others and obsession with recipes

  • Impulsive/compulsive erratic behavior in all areas of life

  • Severe mood swings

  • Hyperactivity and/or lethargic behavior

  • Anxiety, low self esteem, and depression (often masked)

  • Teeth problems from increased acidic levels from starving and/or vomiting

  • Scars on knuckles from vomiting

  • Perfectionism and restrictive behavior

  • Constant conversation about weight, food, and calories

  • Seeks approval of others and relationships

  • Social withdrawal

  • Wearing baggy clothes to hide their body for fear of being perceived as fat (even if underweight)

  • Fear of adult responsibilities

  • Ineffective coping skills with life problems

  • Absence of menstruation [2]

 

Eating Disorder Statistics
  • The average woman is 5"4' and weighs 140 pounds. The average model is 5"11' and weighs 117 pounds. Most fashion models are thinner than 98% of American women. [3]
     

  • 0.5% - 3.7% of females suffer from anorexia nervosa in their lifetime and 1.1% - 4.2% of females suffer from bulimia nervosa in their lifetime. [4]
     

  • Men develop eating disorders; yet, the occurrence of such diseases is less frequent, with only 10% of all anorexics and bulimics are men. [5]
     

  • Without proper medical intervention many will die; 10%-25% of all those battling anorexia will die as a direct result of the eating disorder.[6]

 

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