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8/6/2019 13 Weight Loss Eating
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Weight Loss
& Eating Disorder
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Key to Successful Weight Loss
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Pathogenic Weight-Loss
PracticesBehavior Consequences
Severe F
asting Loss of le
an body m
ass &
decreased metabolic rate
Diet pills Medical side effects & weight
regained when discontinued
Fat free diets Deficient in macro &
micronutrients; difficult to
maintain
Diuretics Dehydration & electrolytes
imbalance; no fat loss
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Pathogenic Weight-Loss
PracticesBehavior Consequences
Laxatives Dehydration; no fat loss;maybe
addicting
Sweating Dehydration; heat injury; no fat
loss
Excessive exercise Risk of injury & overtraining
Enemas Dehydration & GI problems
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Pathogenic Weight-Loss
PracticesBehavior Consequences
Fluid restriction Dehydration; heat injury
Self induced
vomiting
Dehydration; acid base &
electrolytes imbalance;esophageal
tear& GI bleeding
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Negatives Consequences for
Competitive Athletes Making Weight
Wrestler, weight lifters, boxers, jockey etc.
oftenreso
rt to p
athogenic weight losspractices
Female Athletes Triad Female athletes who compete in endurance
sport, sports judge by build & sports withweight classifications are at the greatest risk
x Disordered Eating
x Amenorrhea abnormal menstrual cycle
x Premature Osteoporosis
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Eating Disorders
AnorexiaNervosa
BulimiaNervosa
Binge Eating
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Diagnosis of AnorexiaNervosa
Criteria
Refusal to maintain normal weight forage
and height Intense fearof gaining weight or fat
Disturbance in body image
Post-menarche,amenorrhea (absence of
three consecutive menstrual cycles)
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Diagnosis of AN
85% of normal weight forage
orBMI 17.5 kgm-2
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Diagnosis BulimiaNervosa
Recurrent episodes of binge eating
Eating in a discrete period of time a
subjectively large volume of food Lack of control overeating
Recurrent purging: Vomiting, laxatives,
diuretics, enemas, fasting orexercise
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Diagnosis BulimiaNervosa
Self-evaluation is unduly influenced by
body weight and shape
The disturbance does not occurexclusively during episodes of anorexia
nervosa
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Binge Eating
Signs and symptoms
People with binge-eating disorderregularly
eat excessive amounts of food (binge). A binge is considered eating a largeramount of food than most people would eatundersimilarsituations.
People who binge may eat when they're notreally hungry and continue eating even longafterthey're uncomfortably full.
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Eating Disorders in Athletes
Possible Precipitating Factors
Appearance Sports (Gymnastics, Diving)
Low Body Weight Advantage (Running) Weight Category Sports (Rowing)
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Negatives Consequences for
Competitive Athletes Breaking The Triad
De-emphasize
body weight Eliminate group
weight-ins.
Treat each athlete
individually
Facilitate healthy
weight management