1. Lesson 1-7 Open Unit 1 Student Journal Page 27, Lesson 15 Journal Entry Write about the changes you’ve made in your eating and physical activity habits based on what you’ve been learning. Describe at least one of the changes you’ve made and what results you’ve noticed.

2.  Unhealthy or troublesome eating behavior such as skipping meals, restricting food choices, or bingeing on certain foods.  People can do the same when it comes to exercise.  People with disorders in these areas can’t control or stop the unhealthy behaviors.  Underlying mental or emotional health issues.  Skipping meals- prevent you from eating a well balanced diet.  You get hungry and are likely to eat more later  Better choice is to eat a variety of foods that are lower in calories and substitute with healthier food choices.  Bingeing – eating too much too fast  Too much of one food and little nutritional balance.  Over exercising – injury body and interfere with other aspects of a person’s life  Often people who have an exercise disorder also have an eating disorder.

3.  Groups of 4  Eating and Exercise Disorder Cards  Shuffle cards  Each group member gets 2 cards  Match the name of the disorder with the definition.  Class review

4.  Serious illness  Must be diagnosed by a health care professional.  Not always associated with wanting to lose weight.  Mental and emotional health problem.  Shown through how they eat or act around food.  Can be linked to other things in the person’s life.

5.  Extreme fear of body fat and gaining weight.  Leads to a person restricting calories to such a degree that he or she is starving the body.  Even when they are so underweight and hurting their bodies, they believe that they are still “fat”.  Body dysmorphia  Eat foods in small amounts.  Weigh their food or count calories  Are usually very thin and weigh as much as 15% below normal weight.

6.  Concern about weight leads to:  Binging(eating a large amount at once) THEN  Purging (getting ride of the food by vomiting, using a laxative/diuretic, or exercising in excess).  Feel out of control during a binge and then guilty afterward.  Spend a lot of time alone so they can binge and purge in secret.  Often normal weight or only slightly overweight.

7.  Similar to bulimia nervosa, but the person does not purge after the binge.  Eat rapidly until they are uncomfortably full  Eat large amounts of food when they are not hungry  May eat alone due to embarrassment  Guilty and depressed after over eating.  ** someone can have multiple eating disorders at one time

8.  How are eating disorders related to a distorted body image?

9.  A distorted body image means a person no longer sees his or her body realistically.  For example, people with anorexia, no matter how thin they become, look in the mirror and still see themselves as being fat

10.  Exercise more frequently and intensely than required for good health.  Exercises to burn off calories, build muscles, or attain a particular body shape.  Preoccupied with body’s appearance, weight, and muscle mass.  May view the body as being too small, frail, or weak, when it’s actually normal or even muscular (muscle dysmorphia).  Exercises even when injured or ill.  Defines self worth in terms of physical fitness or athletic performance.

11.  Which sports and why?  Eating disorders are on the rise among athletes, especially those involved in sports that place great pressure on the athlete to be thin or at a certain weight.  Gymnastics, figure skating, wrestling, dancing, synchronized swimming Do you think athletes in certain sports are more likely to develop eating disorders or compulsive exercising?

12.  There are many serious healthy consequences of eating disorders  Many of them are caused by poor nutrition  not eating enough food  eating one type of food to excess  purging the food they eat.

13.  Highest death rate of any mental health condition  Girls can stop having menstrual periods  Drop in heart rate and blood pressure  Hair and nails become brittle  Anemia (lack of iron) and brittle bones (lack of calcium)  Affect brain function  Body can forget how to digest food (constipation and stomach pain)

14.  Acid from vomit wears down tooth enamel and damages the esophagus.  Dehydration.. Leading to kidney damage  Loss of minerals (potassium) can lead to heart failure  Swollen cheeks from enlarged glands  Knuckles on fingers can be scarred, red, or have bite marks from making themselves purge  Dependent on laxative in order to have a normal bowel movement.

15.  Workbook pg. 46  Read aloud  Who are some people you could go to if you think a friend might have an eating disorder?  What kind of health care providers specialize in mental health?

16.  Someone with an eating disorder would be referred to one of these specialists:  Psychiatrists  Psychologists  Licensed clinical social workers

17. What’s the most important thing you have learned about eating disorders?