1. Understanding Anorexia, Bulimia, and Binge Eating
Eating disorders
Understanding Anorexia, Bulimia, and Binge Eating

2. Thinking back to body composition
What is the problem with just looking at your weight on a scale? What doesn’t a scale take into consideration?
What is BMI and how do we measure it?
How can two males who both weigh 165 pounds be different in terms of their health?
What are the three different body types? How does this effect your weight?
How can the media and our society influence our perception of ourselves?

3. Questions about eating disorders
What do you know about eating disorders?
How have you heard/seen these disorders?
What are the three eating disorders?
Why do you think eating disorders are so prevalent in our society?
**There are many myths in our society about eating disorders.
-Definition of Eating Disorders: Extreme and damaging eating behaviors that can lead to serious illness or even death.

4. Anorexia Nervosa

5. What is anorexia nervosa?
Definition: An eating disorder in which a person has an intense fear of weight gain and starves herself or himself that makes them lose more weight than is considered healthy for their age and height.
Common Myth About Anorexia: Only teenage girls suffer from anorexia
The number of males with eating disorders is on the rise and many new cases of 9 and 10 year olds with the disorder are appearing.

6. Causes of Anorexia Nervosa
The exact cause is unknown but risk factors involved may be:
Genes
Hormones
Social Attitudes Including Cultural Ideas
Having an anxiety disorder as a child
Having a negative self-image
Having eating problems during infancy or early childhood
Trying to be perfect or overly focused on rules

7. Signs and Symptoms of Anorexia Nervosa
An intense fear of gaining weight or becoming fat (even when underweight)
Refuses to keep weight at what is considered normal for their age and height (15% or more below their normal weight)
Have a body image that is very distorted, focused on body weight and/or shape
Severely limit the amount of food they eat
Cutting food into small pieces or moving them around the plate instead of eating
Exercising all the time
Going to the bathroom right after meals
Refusing to eat around other people
Using pills

8. Signs and Symptoms of Anorexia Cont.
Blotchy or yellow skin that is dry and covered with fine hair
Confused or slow thinking, along with poor memory or judgement
Depression
Dry Mouth
Extreme sensitivity to cold
Loss of Bone Strength
Wasting away of muscle and loss of body fat

9. Medical Complications overtime from anorexia nervosa
Thinning of the bones
Brittle Hair and Nails
Dry and Yellowish Skin
Growth of fine hair all over the body
Mild anemia, muscle wasting and weakness
Severe constipation
Low blood pressure or slowed breathing and pulse
Damage to the structure and function of the heart
Brain Damage
Multi-Organ Failure
Drop in internal body temperature causing a person to feel cold all the time
Lethargy, sluggishness, or feeling tired all the time
Infertility

10. What is Bulimia nervosa?
Definition: Is an eating disorder in which a person has regular episodes of overeating (binging) and feels a loss of control. The person then uses different ways, such as vomiting or laxatives (purging) to prevent weight gain.
Facts about Bulimia:
Many more women than men have bulimia
The disorder is most common in adolescent girls and young women

11. Causes of bulimia nervosa
The exact cause of bulimia is unknown some risk factors may be:
Genetic
Psychological
Trauma
Family
Society
Cultural Factors
Bulimia is likely due to more than one factor

12. Signs and symptoms of bulimia nervosa
Usually maintain what is considered a healthy or normal weight with some being overweight
Fear gaining weight
Want desperately to lose weight
Intensely unhappy with their body size and shape
Usually bulimic behavior is done secretly because it is often accompanied by feelings of disgust or shame

13. Other signs and symptoms of bulimia nervosa
Chronically inflamed and sore throat
Swollen salivary glands in the neck and jaw area
Worn tooth enamel and increasingly sensitive and decaying teeth as a result of exposure to stomach acid
Acid reflux disorder and other gastrointestinal problems
Intestinal distress and irritation from laxative abuse
Severe dehydration from purging of fluids
Electrolyte imbalance – too low or too high levels of sodium, calcium, potassium and other minerals that can lead to a heart attach or stroke

14. signs and symptoms of bulimia nervosa Cont.
Compulsive exercise
Suddenly eating large amounts of food or buying large amounts of food that disappear right away
Regularly going to the bathroom right after meals
Throwing away packages of laxatives, diet pills, emetics (drugs that cause vomiting) or diuretics
Broken blood vessels in the eyes
Dry mouth
Pouch-like look to the cheeks
Rashes and pimples
Small cuts and calluses across the tops of the finger joints from forcing oneself to vomit

15. Medical complications overtime from bulimia nervosa
Constipation
Dehydration
Dental Cavities
Hemorrhoids
Pancreatitis
Swelling of the Throat
Tears of the Esophagus from too much vomiting
Electrolyte imbalance – too low or too high levels of sodium, calcium, potassium and other minerals that can lead to a heart attach or stroke

16. What is binge eating disorder?
Definition: Binge eating is a disorder in which a person regularly eats unusually large amounts of food. During binge eating, the person also feels a loss of control and is not able to stop eating.
Facts about Binge Eating:
In the U.S. binge eating is the most common eating disorder
More women than men have it
Women are affected as young adults while men are affected in middle age.
2/3 of people who have binge eating disorder are obese
Binge eating may occur on its own or with another eating disorder, bulimia

17. Causes of Binge eating disorder
The exact cause of binge eating is unknown. Things that may lead to this disorder include:
Genes, such as having close relatives who also have an eating disorder
Changes in brain chemicals
Depression or other emotions, such as feeling upset or stressed
Unhealthy dieting, such as not eating enough nutritious food or skipping meals

18. Signs and symptoms of binge eating disorder
Eat large amounts of food in a short period, for example, every two hours
Not able to control overeating, for example is unable to stop eating or control the amount of food
Eats food very fast each time
Keeps eating even when full (gorging) or until uncomfortably full
Eats even though not hungry
Eats alone (in secret)
Feels guilty, disgusted, ashamed, or depressed after eating so much

19. Medical Complications over time from binge eating disorder
The person often eats unhealthy foods that are high in sugar and fat and low in nutrients and protein which can lead to:
High Cholesterol
Type 2 Diabetes
Gallbladder Disease
Other Possible Health Problems Include:
Heart Disease
High Blood Pressure
Joint Pain

20. Treatment for eating disorders
Treatment plans are often tailored to individual needs and may include one or more of the following:
Individual, group or family psychotherapy
Medical care and monitoring
Nutritional Counseling
Medications (for example, antidepressants)
Support groups
Cognitive-behavioral therapy
Some patients may also need to be hospitalized to treat problems caused by malnutrition to ensure they eat enough if they are underweight
What do you think your role as a friend is?
Be Supportive

21. Have students create a pamphlet explaining the three types of eating disorders (include definition, cause, effect, treatment)
Need to have information on the three types of eating disorders available for the students