1. 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)

2. BMI

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

5. 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.

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

7. Eating Disorder: Medical Symptoms

8. Age Risk is Increasing

9. Female Weight Changes

10. Cultural Changes

11. Body Images Female Perceptions Male Perceptions Body Image Distortions

12. Eating Disorder: Vicious Cycle

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

14. 1. Change Your Perspective Healthy Weight Management

15. 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) 120 140 160 180 200 220 2. Set Realistic Goals

16. 3. Reduce Meal Size

17. 4. Make Better Choices

18. 5. Eat More Fruits And Vegetables

19. 6. Maintain Physical Activity

20. Benefits of Exercise

21. Its all about balance

22. 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

23. 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

24. 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