1. 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

2. 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

3. Eating Disorders in Teens

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

5. 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.

6. 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.

7. 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.

8. 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

9. 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

10. 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

11. 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

12. 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

13. 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

14. 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

15. 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

16. 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!

17. QUESTIONS?

18. VIDEO CLIP http://www.youtube.com/watch?v=RZm2g9FLrGA