Bell Ringer 11/3/2011 Week Focus: Dangers Teens Face Today’s Subject: Eating Disorders Why do you think every one is striving to be be thin or too lose weight? Write Question and Your Answer

Daily Journal 11/4/2011 Often times you…young people listen to their peers about how they should or should not look. Do you care about the opinions of others about your looks? Write Question and Your Answer Schedule: Finish Notes: 15 mins Watch Eating Disorder Video : Remainder of Class

Eating Disorders in Teens

Objectives To identify the risk factors for eating disorders Understand the difference between bulimia and anorexia

What is an Eating Disorder? An eating disorder is abnormal behavior that risks physical and mental health. Eating disorders can lead to malnutrition, organ damage or even death.

What Cause an Eating Disorder? Doctors do not know what causes eating disorders. However, some type of personal stress often triggers them. Then the disorders become a source of more stress. Eating disorders affects both males and females.

Eating Disorders Anorexia Nervosa: an eating disorder in which people have an intense fear of being obese and a distorted image of their bodies. They therefore starve themselves Bulimia Nervosa: an eating disorder in which people eat large amounts of food and then feel guilty and purge themselves of the food by vomiting or taking laxatives. Binge Eating: an eating disorder in which people eat large amounts of food, but do not use other measures to counter the binges as they do with bulimia. Many people with this eating disorder are overweight or obese.

The Drive for Thinness 63% of women feel that body weight determines how they feel Americans spend 33 billion dollars on dieting and diet-related products The average female starts dieting at age 9yrs

The Drive for Thinness Started when Twiggy replaced Marilyn Monroe in the 60’s The average woman is 5’4 and 140 lbs The average model is 5”11 and 117 lbs

Scope of the Problem The incidence of eating disorders has increased five times since 1955 More than 1/2 of high school girls have dieted Anorexia is the third most common chronic disease in teens

Scope of the Problem 10-50% of teens engage in binge eating or vomiting 1-5% have bulimia .5-1% develop anorexia 1 in 5 females 19-25yrs have an eating dx

Culture and Eating Disorders There is an increase in eating disorders among Black, Hispanic and Asians Linked to the pressure to integrate and be a ‘smart,beautiful and thin career woman” In Argentina, China, and Japan similar pressures have developed

Risk Factors for Eating Disorders Ethnic and socioeconomic status Cultural influence Low self-esteem/perfectionistic Difficulties with communication, separation and conflict resolution w/ family Anxiety or depressive disorder Family history A drive to excel in sports Early puberty Winter season Sexual Abuse

Ways to Develop a Good Body Image Question whether there is one ideal body shape Cultivate the ability to appreciate uniqueness Take care of your body Surround yourself with people who feel good about their body Learn to respect internal cues Value body movement and competence Cultivate role models with appearances that are not the ideal Bond with friends on issues other than dieting

Management-Moderate Stage Set goal weight Refer to psychology/ psychiatry and nutrition Provide structure to daily activities and meals. Consider restriction of excercise Increase calories by 200 every 2-3 days Follow up frequently Stress medical markers of starvation, consequence of failure to gain wt to patient

Summary Eating disorders are common in teens Screen for eating disorder risk factors Check physical exam for evidence of abnormalities,consider routine labs Rule out organic disease, use criteria to diagnose anorexia/bulimia Use a team approach in treating eating disorders!

QUESTIONS?

VIDEO CLIP http://www.youtube.com/watch?v=RZm2g9FLrGA http://www.youtube.com/watch?v=kFAb5VYAIS8&feature=related http://www.youtube.com/watch?v=Z_RFJG8jt4I&feature=related