Overweight (BMI 25–29.9) Healthy weight (BMI 18.5–24.9) Underweight (BMI <18.5) Extreme obesity (BMI ≥40) Obesity (BMI 30–39.9) Body Mass Index (BMI)

BMI

Eating Disorders Anorexia Nervosa Bulimia Nervosa 90% are: young female mid-upper class competition Caucasian “Culturally-Specific Disorder”

Anorexia Nervosa Restricting Type Binge Eating- Purging Type Excessive reduction in caloric consumption leading to dangerous drops in weight that can become life threatening. Caused by an overwhelming drive to become thin.

Bulimia Nervosa Purging Type (66%) Non-Purging Type (33%) Out of control eating episodes or binges, typically followed by compensatory purges.

Eating Disorder: Medical Symptoms

Age Risk is Increasing

Female Weight Changes

Cultural Changes

Body Images Female Perceptions Male Perceptions Body Image Distortions

Eating Disorder: Vicious Cycle

Success of Treatment Options Behavioral Therapy Family Intervention Therapy Cognitive Behavioral Therapy

1. Change Your Perspective Healthy Weight Management

Starting weight Suggested healthy- weight range “Dream weight” “Happy weight” “Acceptable weight” “Disappointing weight” Actual weight achieved Reasonable goal weight (5 to 10% below initial weight) 100 Weight (pounds) Set Realistic Goals

3. Reduce Meal Size

4. Make Better Choices

5. Eat More Fruits And Vegetables

6. Maintain Physical Activity

Benefits of Exercise

Its all about balance

7. Apply Behavior Modification Techniques Eliminate inappropriate eating cues Suppress the cues you cannot eliminate Strengthen cues to appropriate eating and exercise Repeat the desired eating and exercise behaviors Arrange or emphasize negative consequences for inappropriate eating Arrange or emphasize positive consequences for appropriate eating and exercise behaviors

Less motivation to move more desire to eat Use of caffeine, weight-loss pills, alcohol, tobacco High-calorie foods Large portions Inexpensive Readily available Heavily advertised Overeating Increased body fatness Less exercise: Autos, elevators other labor-saving devices sedentary leisure time Reduced fitness Increased stress Sleep disturbances Feeling of low energy

More motivation to move Less desire to eat inappropriately Moderation in caffeine and alcohol Nutrient-dense foods Appropriate portions Attractive pricing Readily available Appropriately advertised Appropriate food and fluid intake Healthy body composition Daily exercise Walking-friendly communities Bike trails to work, shopping Stairways in convenient locations Increased fitness Reduced stress Sound, beneficial sleep Feeling energetic most days