EatingDisorders - Eating Disorders in Teens Maj Anisha...

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Eating Disorders in Teens Maj Anisha Abraham, MD, MPH
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Objectives To identify the risk factors for eating disorders To perform an evaluation of the physical, emotional and nutritional status of a teen To establish the diagnosis of anorexia or bulimia To manage a patient with an eating disorder using a multi-disciplinary team
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The Drive for Thinness 63% of women feel that body weight determines how they feel Americans spend 33 billion dollars on dieting and diet-related products The average female starts dieting at age 9yrs
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The Drive for Thinness Started when Twiggy replaced Marilyn Monroe in the 60’s The average woman is 5’4 and 140 lbs The average model is 5”11 and 117 lbs
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Scope of the Problem The incidence of eating disorders has increased five times since 1955 More than 1/2 of high school girls have dieted Anorexia is the third most common chronic disease in teens
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Scope of the Problem 10-50% of teens engage in binge eating or vomiting 1-5% have bulimia .5-1% develop anorexia 1 in 5 females 19-25yrs have an eating dx
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Culture and Eating Disorders One anthropological study found: when women are more financially dependent and marital ties are paramount, the standard is to be curvaceous When independence for women is possible, the standard for female attractiveness is towards thinness
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Culture and Eating Disorders There is an increase in eating disorders among Black, Hispanic and Asians Linked to the pressure to integrate and be a ‘smart,beautiful and thin career woman” In Argentina, China, and Japan similar pressures have developed
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Eating Disorders in the Military Study by Mayo researchers at Madigan Army Medical Center: 8% of active duty women were reported to have eating dxs compared to 1-3% in general population Study conducted among active duty males in the Navy: 2.5% of male doctors were anorexic and 11% were bulimic (Mcnulty, 1994)
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Eating Disorders in the Military Anorexia-1.3%(Army), 1.1%(Navy), and 0.8% (AF) Bulimia-4.3%(Army), 5.2%(Navy), 9.3% (AF) Diet pill usage in the Army-8.6%(year-round) Increased by 3.9% at PT time Vomiting,laxative use and diurectic use showed similar patterns
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Risk Factors for Eating Disorders
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This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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EatingDisorders - Eating Disorders in Teens Maj Anisha...

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