1. EATING DISORDERS

2. THIN http://www.youtube.com/watch?v=RZm2g9FLrGA&safety_mode=true&persist_safety _mode=1

3. NORMAL HEIGHT/WEIGHT CHART FOR WOMEN

4. NORMAL HEIGHT WEIGHT CHART FOR MEN

5. BMI Body mass index (BMI) is a measure of body fat based on height and weight that applies to adult men and women. Overweight is having extra body weight from muscle, bone, fat, and/or water. Obesity is having a high amount of extra body fat. Body mass index (BMI) is a useful measure of overweight and obesity. BMI Categories: Underweight = <18.5 Normal weight = 18.5–24.9 Overweight = 25–29.9 Obesity = BMI of 30 or greater http://www.nhlbi.nih.gov/health/public/heart/obesity/lose_wt/index.htm

6. HOW THE MEDIA AFFECTS US…

7. EATING DISORDER STATISTICS One out of every 150 American females, ages 12-30 years, will develop an eating disorder. Statistically athletes are at a greater risk. 1/3 of all Americans are obese and 60% are overweight. 77% of individuals with eating disorders report that the illness can last anywhere from one to fifteen years or even longer in some cases. Anyone with an eating disorder is at risk for death. The mortality rate for eating disorders is approximately 20%. Death is usually due to a “side effect” of the disorder, i.e. Cardiac arrest or kidney failure. Long-term, irreversible consequences of eating disorders may affect one’s physical and emotional health. Only 50% of all people with eating disorders report being “cured.” 10% of all people with eating disorders are male.

8. THE TYPICAL PERSON WITH AN EATING DISORDER Perfectionist Obedient Over-compliant Highly motivated Successful academically Well liked Good athlete

9. EATING DISORDERS Eating disorders are associated with a distorted body image and a feeling of loss of control. The eating disorder is not about food, but a way to exert control over something in their lives.

10. SIGNS TO LOOK FOR… 1. Social isolation 2. Lack of confidence in performance 3. Ritualistic eating behaviors, such as cutting food into small pieces and playing with it 4. Obsession with calories 5. Obsession with weight 6. Distorted body image 7. Wearing layers of baggy clothing to hide thinness 8. nervous at mealtime, avoidance of eating in public 9. Pattern of leaving the table directly to go to the bathroom 10. Running water in the bathroom after meals to hide the sound of vomiting 11. Significant weight loss 12. Obsession with grades

11. SIGNS TO LOOK FOR… 13. Obsession with organization of personal space 14. High emotions, tearful, up-tight, overly sensitive, restless 15. Signs of malnutrition 16. Menstrual irregularities 17. Loss of hair 18. Light-headedness 19. blood-shot eyes 20. Inability to concentrate 21. Chronic fatigue 22. Compulsive exercising 23. Decrease in performance 24. Recurrent overuse injuries and stress fractures 25. Depression

12. ANOREXIA NERVOSA The following definition is used by the American Psychiatric Association: Intense fear of gaining weight or becoming fat, even though they are already under-weight. Distorted body image (i.e., claiming to “feel fat” even when emaciated), with an unnecessary influence of body weight or shape on self- perception. Weight loss to less than 85% of normal body weight. Refusal to maintain normal body weight for age and height. Denial of the seriousness of the current weight loss. Absence of at least three consecutive menstrual cycles. Anorexia is a life-threatening condition.life-threatening

14. http://www.youtube.com/watch?v=VS2mfWDryPE&safety_mode=true&persist_safety _mode=1 Anorexia in Men http://www.youtube.com/watch?v=RFvb1Hxz4To ANOREXIA IN WOMEN

15. BULIMIA NERVOSA The definition used by the American Psychiatric Association includes: 1. Recurrent episodes of binge eating, characterized by both of the following: A. eating an unusually large amount of food in a discrete period of time (the amount eaten is larger than most people would eat during a similar time period and under similar circumstances) b. Feeling out of control during the eating episode and unable to stop eating or control what and how much is eaten http://www.youtube.com/watch?v=1fJTfXTwz p8&safety_mode=true&persist_safety_mode =1

16. BULIMIA NERVOSA Purging - compensating for the food binge to prevent weight gain: inducing vomiting misusing laxatives enemas or other medications fasting exercising excessively. Binge eating and purging, on average, at least twice a week for 3 months. Evaluating self-worth according to body shape and weight

17. BULIMIA NERVOSA Many individuals with anorexia will also develop symptoms of bulimia. Bulimic behavior can cause: 1. Stomach rupture 2. Tooth erosion 3. Inflammation of the mucous lining of the mouth and throat 4. May eventually cause heart and liver damage

19. COMPULSIVE EATING A large percentage of individuals with eating disorders are compulsive eaters. A compulsive eater keeps eating beyond the time when hunger has been satisfied. Eating is driven by anxiety, fear, frustration, or anger, rather than by hunger or even pleasure. Compulsive eaters do not eat for pleasure. Weight does not indicate compulsive eating. http://www.youtube.com/watch?v=XsDWeZ8BMKo&safety_mode=true&persist_safet y_mode=1

20. MEDICAL CONDITIONS Eating disorders are extremely dangerous. In serious cases the body suffers from heart and kidney damage, stomach rupture, urinary infections, and osteoporosis Menstrual irregularities and difficulties are also common in women with eating disorders. Any victim of an eating disorder must be approached and handled extremely carefully. Referral for medical treatment is essential! Individuals who are truly anorexic or bulimic commonly

21. FAMOUS PEOPLE WHO HAVE DIED FROM ANOREXIA Isabella Caro: French Model who did shocking anti-anorexia billboards in Italy Ana Carolina Reston: Brazilian model, starved herself to death in 2006.

22. FAMOUS PEOPLE WHO HAVE DIED FROM ANOREXIA Karen Carpenter (musician): Karen Carpenter (musician): Went on a water diet to lose weight and, as she put it, “to appear more attractive.” Continued to diet even after losing 20 lbs, until her death at the age of 32. She died of cardiac arrest due to anorexia and weighed only 80 lbs. http://www.youtube.com/watch?v=__VQX2Xn7tI&safety_mo de=true&persist_safety_mode=1

23. TREATMENT: The earlier an eating disorder is recognized, the better chance for recovery. Most people cannot stop these behaviors on their own. Admitting there is a problem is the first step, and asking for help takes courage. Counseling or Nutritional advice is often needed. Treatment Options: Medical Nutrition Therapy Nutrition Education Behavior Therapy Change eating habits Cognitive Behavioral Therapy Change unrealistic thinking Family Therapy Develops family support system Drug Therapy Antidepressant medication

24. SHORT ANSWER QUESTIONS Please answer the following questions: 1.Eating disorders are diseases still found predominantly among young women, yet studies show more and more young men are exhibiting symptoms. What are some possible reasons for this trend? 2.Closely examine your daily life and those factors that influence your eating habits. Which factors encourage positive eating habits and which contribute to less healthy eating habits? Explain your answers. 3.Imagine you have noticed that a good friend is showing signs of a possible eating disorder. Describe some of the indicators you might witness. How would you seek help for him or her? What do you think would be the most difficult obstacles in trying to help?