Disordered Eating and Unhealthy Weight Loss Practices: Which Adolescents Are at Highest Risk?

2010 ◽  
Vol 47 (1) ◽  
pp. 102-105 ◽  
Author(s):  
Clinton C. Haley ◽  
Katrina Hedberg ◽  
Richard F. Leman
PEDIATRICS ◽  
1996 ◽  
Vol 97 (5) ◽  
pp. 752-753 ◽  
Author(s):  

Many athletes engage in unhealthy weight-control practices. This new policy statement urges pediatricians to attempt to identify and help these athletes and provides information about how to support sound nutritional behavior. Athletes may engage in unhealthy weight-control practices, particularly in sports in which thinness or "making weight" is judged important to success, such as body building, cheerleading, dancing (especially ballet), distance running, diving, figure skating, gymnastics, horse racing, rowing, swimming, weight-class football, and wrestling.1-3 Some athletes may use extreme weight-loss practices that include overexercising; prolonged fasting; vomiting; using laxatives, diuretics, diet pills, other licit or illicit drugs, and/or nicotine; and use of rubber suits, steam baths, and/or saunas. The majority of these disordered eating behaviors do not meet Diagnostic and Statistical Manual of Mental Disorders, 4th ed, criteria4 for anorexia nervosa or bulimia nervosa. In two surveys of 208 female collegiate athletes, 32% and 62% practiced at least one of the following unhealthy weight-control behaviors: self-induced vomiting, binge eating more than twice weekly, and using laxatives, diet pills, and/or diuretics.5,6 Of 713 high school wrestlers in Wisconsin, 257 (36%) demonstrated two or more behaviors related to bulimia nervosa.7 In a survey of 171 collegiate Indiana wrestlers concerning their behaviors in high school, 82% had fasted for more than 24 hours, 16% had used diuretics, and 9.4% had induced vomiting at least once a week.8 Many athletes are secretive about these potentially harmful practices. Disordered eating may have a negative short-term impact on athletic performance. Athletes who lose weight rapidly by dehydration are probably impairing their athletic performance, especially if it involves strength or endurance,9 and these strength deficits may persist even after rehydration.10


2017 ◽  
Vol 5 (10) ◽  
pp. e150 ◽  
Author(s):  
Elizabeth Victoria Eikey ◽  
Madhu C Reddy ◽  
Kayla M Booth ◽  
Lynette Kvasny ◽  
Johnna L Blair ◽  
...  

2019 ◽  
Vol 44 (1) ◽  
pp. 107-109 ◽  
Author(s):  
Kelsey Gabel ◽  
Kristin K. Hoddy ◽  
Krista A. Varady

This study examines the safety of time restricted feeding (TRF; 8-h feeding window/16-h fasting window daily) in obese adults. Twenty-three subjects participated in an 8-h TRF intervention for 12 weeks. Self-reported adverse events, body image perception, complete blood count, and disordered eating patterns did not change from baseline to week 12. These findings suggest that consuming food within an 8-h window can safely facilitate weight loss in subjects with obesity.


Author(s):  
Alexandra Keyes ◽  
David Veale

Some individuals with specific phobia of vomiting (SPOV) (emetophobia) may present with disordered eating, including food restriction and weight loss. Such cases may be misdiagnosed as anorexia nervosa (AN), thus complicating case conceptualization, formulation, and treatment. This chapter outlines the clinical features of SPOV, including those that overlap with AN and other disorders. Treatment approaches and their evidence base are discussed, and a clinical case example of an individual with SPOV and disordered eating is presented. More research is needed to address the overlap between eating disorders and SPOV in order to better distinguish overlaps in presentation and to develop treatments that effectively target the central fears in these cases.


1996 ◽  
Vol 25 (6) ◽  
pp. 748-756 ◽  
Author(s):  
Margaret Grigg ◽  
Jenny Bowman ◽  
Sally Redman

1995 ◽  
Vol 5 (4) ◽  
pp. 282
Author(s):  
G. L. Landry ◽  
R. A. Oppliger ◽  
S. W. Foster ◽  
A. C. Lambrecht

2014 ◽  
Vol 62 (5) ◽  
pp. 336-342 ◽  
Author(s):  
Amy J. Jeffers ◽  
Katherine E. Vatalaro Hill ◽  
Eric G. Benotsch

Author(s):  
Raffaella Gradaschi ◽  
Virginia Molinari ◽  
Samir Giuseppe Sukkar ◽  
Paola De Negri ◽  
Gian Franco Adami ◽  
...  

Circulation ◽  
2013 ◽  
Vol 127 (suppl_12) ◽  
Author(s):  
Lisa Kakinami ◽  
Lise Gauvin ◽  
Tracie Barnett ◽  
Gilles Paradis

Background: Two-thirds of the general US population is overweight or obese; those living in poverty are disproportionately affected. Although 30-50% of Americans report currently trying to lose weight, some strategies can be counterproductive. Even though increased physical activity and decreased fat consumption were recently reported to be among the most successful weight-loss strategies for obese persons, little is known about how income may be associated with the type of strategies used to lose weight. Objective: determine the association between income and types of weight-loss strategies. Methods: Analyses included the 1999-2010 National Health and Nutrition Examination Survey participants that reported trying to lose weight in the last year and were stratified by age (youth: aged 8-19, n=3184; adults: 20+, n=5643) due to availability of covariates and different weight-loss questions. Annual household income was categorized as: <$20K, $20K-45K, $45-75K, and compared to the referent ($75K+). Multivariable models included sampling weights, and adjusted for sex, age, ethnicity, and whether the person was overweight or obese (body mass index > 25 for adults, or > 85th percentile for youth according to the CDC growth curves). Analyses among adults also adjusted for marital status and education. Multivariable logistic regression assessed the likelihood of using healthy weight-loss strategies (e. g., exercising) and unhealthy weight-loss strategies (e. g., skipping meals). Results: Compared to the referent, adults with lower household incomes were less likely to use healthy weight-loss strategies (Fig. 1) but unhealthy strategies were not associated; youth from lower income households were more likely to utilize unhealthy weight-loss strategies, and less likely to use healthy strategies. Conclusions: Weight-loss strategies differ based on income and age. Education efforts and environmental strategies should be done in tandem to increase use of healthy weight-loss strategies to curb the obesity epidemic.


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