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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