1. ANOREXIA NERVOSA By: Azita Mahmoudan;MD

2. Definition of eating disorder Abnormal eating habits leading to : make serious health problem *A Spectrum *2 Major kinds(Anorexia Nervosa,Bulimia Nervosa)

3. Anorexia Nervosa Common among young female, teenagers Who wants to have a Barbie Shape! They are not fat,but they assume themselves so… So couldnt eat as much as they need This results in a very thin appearence,but very weak bones also… Why?

4. Why they think so ? Every Body has an image of her body on her mind: ”Self Body Image” Impaired as a psychological disorder,Not having a good self-esteem Want to be another..

5. Barbie…,I LOVE YOUR SHAPE Barbie, I LOVE YOUR SHAPE …

6. What happens then? Fat contents of body decreases Esteroid hormones decreases, like Estrogen which is vital for bone mass maintenance Osteoporosis (weak fragile bones) Menstrual disturbances(Amennorhea,Oligomenorhea) Infertility

7. Osteoporosis

8. Treatment Based on psychological cause,the treatment is in the same way, Psychotherapy for correcting the body image,too hard,long established… Replacing the hormones which are diminshed(Estrogen) Infertility treatment

9. Prevention Attention to childrens SELF ESTEEM,encouragement,… Do not judge the body shapes!(the Taboo of Barbie shape!) Do not blame for the shape!,encourage for healthy corrections,healthy diet,exercise..