• Save
Chapter 11 Notes
Upcoming SlideShare
Loading in...5
×
 

Like this? Share it with your network

Share

Chapter 11 Notes

on

  • 1,929 views

 

Statistics

Views

Total Views
1,929
Views on SlideShare
1,883
Embed Views
46

Actions

Likes
0
Downloads
0
Comments
0

1 Embed 46

http://www.pisgahscience.com 46

Accessibility

Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

Chapter 11 Notes Presentation Transcript

  • 1. Chapter 11 Lecture Outline Copyright The McGraw-Hill Companies, Inc. Permission required for reproduction or display
  • 2. The Ideal Body Image
    • Media promotion
    • Need for social acceptance
    • Influence and stress on young individuals
    • Eating is a necessity
    • Dieting may lead to a disorder
  • 3. Food: More Than Just Nutrients
    • Linked to personal emotions
    • Source of comfort
    • Release of neurotransmitters and natural opioids
    • Food used as a reward or bribe
    • Can lead to disordered eating
  • 4. Overview of Eating Disorders
    • Affects more than 5 million people
    • Females outnumber males (5 to 1)
    • 85% of cases develop during adolescence
    • Co-occurs with other psychological disorders
    • Recognition of disorder is critical to treatment
    • Diagnostic and Statistical Manual of Mental Disorders
  • 5. Genetic Link?
    • Identical twins are more likely to share eating disorders
    • Fraternal twins are less likely
  • 6. Characteristics: Anorexia & Bulimia
  • 7. Profile of an Anorexic
    • Usually Caucasian female
    • Middle–upper socioeconomic class
    • “Responsible, meticulous, and obedient”
    • Competitive and obsessive
    • May have conflicts with family
    • High family expectations
    • Expression of self control
  • 8. Warning Signs of Anorexia
    • Abnormal, rigid eating habits
    • Eating very little food (300-600 kcal/day)
    • Hiding and storing food
    • Exercising compulsively
    • Preparing meals for others, but not eating
    • Withdrawing from friends and family
    • Critical of self and others
    • Sleep disturbances and depression
    • Ammenorrhea
  • 9. Anorexia Health Problems
    • “ Skin-and-bone” appearance
    • Lowered body temperature
    • Lanugo and loss of hair
    • Lower basal metabolism, decreased heart rate
    • Iron deficiency anemia and other nutrient deficiencies
    • Rough, dry, scaly, cold skin
    • Low white blood cell count, potassium
    • Constipation, ammenorrhea
  • 10.  
  • 11. Intervention
    • Person typically in denial
    • Supportive confrontation by loved ones
    • Hospitalization for severe cases
    • Eating disorders clinic
    • Multidisciplinary team
    • Gain trust and cooperation
    • Restore sense of balance, purpose, and a future
  • 12. Nutrition Therapy
    • Increase food intake to raise basal metabolism
    • Prevent further weight loss
    • Restore appropriate food habits
    • Restrict excessive activity
    • Ultimately achieve and maintain weight gain
  • 13. Psychological Therapy
    • Cognitive behavior therapy
    • Determine underlying emotional problems
    • Reject sense of accomplishment associated with weight loss
    • Family therapy, support group
  • 14. Bulimia Nervosa
  • 15. Profile of a Bulimic
    • Young adults (commonly female college students)
    • Predisposed to becoming overweight
      • At or slightly above normal weight
    • Frequent weight-reduction diets as a teen
    • Impulsive behavior
    • Usually from disengaged families
  • 16. Secret Lives of Bulimics
    • Many are not diagnosed
    • Hidden binge-and-purge habits
    • Elaborate food rules
    • Binge may consist of 3,000+ kcal
      • Convenient, high-sugar, high-fat foods
      • Loss of control
    • Purge
      • Vomiting and laxatives to avoid weight gain
      • Excessive exercise (“debting” )
    • Binge-Purge cycles triggered by emotional factors
  • 17. Effects of Bingeing and Purging
    • Absorption of calories
      • 33%-75% absorbed after vomiting
      • 90% absorbed when laxatives are used
    • Can cause weight gain and weight fluctuations
    • Leads to guilt, depression, low self-esteem
  • 18. Vicious Cycle of Bulimia
  • 19. Bulimia Health Problems
    • Vomiting causes most health problems
    • Demineralization of teeth
    • Drop in blood potassium
    • Swelling of salivary glands
    • Stomach ulcers and bleeding
    • Constipation
    • Ipecac syrup is toxic
  • 20. Treatment of Bulimia Nervosa
    • Decrease episodes of bingeing & purging
    • Psychotherapy to improve self-acceptance
    • Change “all-or-none” attitude about food
    • Correct misconceptions about food
    • Establish good, normal eating habits
    • Group therapy
    • Antidepressants
    • Long-term therapy
  • 21. Binge-Eating Disorder
  • 22. Profile of a Binge-Eater
    • Considers self as hungrier than normal
    • Isolates self to eat large quantities
    • Suffers from stress, depression, anxiety, loneliness, anger, frustration that can trigger binge
    • Uses food to reduce stress, provide feeling of power and well-being
    • Usually binges on “junk” foods
    • Eats without regard to biological need
  • 23. Treatment of Binge-Eating
    • Eat in response to hunger, not emotions
    • Learn to eat in moderation
    • Avoid restrictive diets that can intensify problems
    • Address hidden emotions
    • “Overeaters Anonymous”
    • Antidepressants
  • 24. Night Eating Syndrome
    • Eating > 1/3 of calories after evening meal
    • Not feeling hungry in the morning
    • Need to eat to help fall asleep
    • Waking at night to eat
    • Depressed
  • 25. Profile of Female Athlete Triad
    • Female athletes in appearance-based and endurance sports
      • 15% swimmers; 62% gymnasts; 32% other
    • 1. Disordered eating
    • 2. Irregular menses or ammenorrhea
    • 3. Osteoporosis and loss of estrogen
      • Bone density similar to 50-60 year olds
      • Bone loss is largely irreversible
  • 26. The Female Athlete Triad
  • 27. Treatment of Female Athlete Triad
    • Reduce preoccupation with food, weight, and body fat
    • Gradually increase meals and snacks
    • Rebuild body to healthy weight
    • Establish regular menses
    • Decrease training by 10%-20%
  • 28. Dying To Be Thin
    • It is normal to be concerned about diet, health, and body weight
    • Weight typically fluctuates
    • Treat physical, emotional problems early
    • Discourage restrictive diets
    • Correct misconceptions about foods, diet
    • Thin is not necessarily better