Hp252 test 3 part 1

safe and supported purposeful and individualized nutrition practices that best balance health and perfromance

problemic eating behavior that fails to meet the clinical diagnosis for an eating disorder

behavior that meets DSM 5 critieria for a feeding and eating disorders

Binge & Purge
subtypes
▪ Intense fear
▪ Disturbed body
perception
most visible
Lowest occurrence
(about 1% of the pop)
▪ Most female
(10:1 ratio

May be no visible
signs
Symptoms are hidden
Exists across a wide
range of body weights
Affects about 2% of
the population
About 3-10 females
per male affected
average to larger body sizes

most common and least discussed
affects up to 4% of the population
about half are male
occurs in average to larger body sizes

trigger, bingeing , morbid fear of weight gain , purging, transiet loss of fear, fear of discovery and gulit

negative thoughts, restictive dieting, deprivation ( the more you restrict the more you loss control) binge eating and some some relief, shame

Brain Complications:
Impaired Cognitive Function (Ability to Process and Concentrate)
Esophageal/Throat Complications:
Diminished Gag Reflex, Difficulty Swallowing, Esophageal Tears,
Barrett’s Esophagus, Esophageal Cancer, Reflux
Menstrual/Fertility
Issues:
Menstrual Loss
Glandular Issues:
Swollen Parotid Glands
Dental issues:
Cavities
Sexual Development Issues:
Delayed Puberty, Hormonal Imbalances

A slippery slope between a healthy lifestyle and obsession, when
commitment to a virtuous diet interferes with psychosocial functioning

-envrionment: home, sport, work, social pressures, trauma,isolation
-coexisting mental conditions: anixety, depression, ADHD, OCD, PTSD, substance abuse, borderline personality disorder
-intersectionality

look healthy, families not to blame, is a health crisis, not a choice, affects all people, carry increased risk for both suicide and medical complication, genes and enviorment play an important role, genes alone dont predict who will get an ED, full recvoery is possible

typically seen though female lens, men under-recongized, can present differently in boys, medical complications can be severe, seeking help is espically hard, have additional barriers, affect them across the lifespan, affect all boys, body ideals for boys are diverse and be influced by many factors

Athletes training & competing at high levels
▪ Aesthetic, weight-based, and “lean” sports
▪ Perfectionists, harshly critical, low self-worth
▪ Injured athletes
Compulsive exerciser
Muscular ideal – Bigorexia (males)

A clinical syndrome that also affects male
loss of menstrual health, bone health and RED-S

Education, awareness & advocacy
▪ Eating competence
▪ Role modeling
▪ Reject diet culture
▪ Combat weight stigma
▪ Mind-Body connections
▪ Social connectedness
▪ Emotional wellbeing
▪ Treatment for trauma
▪ Communication & coping skills
Anti-Diet Strategies
-holestic health
Body Neutrality, Acceptance, Positivity

Feel good about eating
▪ Are reliable about feeding themselves
▪ Choose foods that give them pleasure
▪ Listen to the wisdom of their body
▪ Eat as much as they are hungry for
▪ Learn not to overeat in the presence of big servings
▪ Eat it all if they want to; or not if they don’t
▪ Allow “forbidden foods” at meals and snacks, making them
ordinary foods that they can eat in ordinary ways

There are many barriers to treatment, so a lot goes
untreated and treatment is delayed
◼ About 80% of those who do seek treatment, do not
get adequate treatment (sufficient dose, ongoing)
◼ Treatment costs are high and insurance coverage is
insufficient even when there is a diagnosis
◼ The average recovery journey is about 5 years
◼ Early intervention = better treatment outcomes
Primary Care Doctor (MD)
▪ Licensed mental health provider
▪ Registered Dietitian (RDN)

feeling like an adult but not quite
18-25
lengthy transition period; characterized by expirmation and expolartion

-identity exploration, especially love an work
-instability (residential changes; also in love, work, and education)
-self-foucsed your time is your time
-feeling-in between
-possiblilites (opporutinity to transforms lives, optimistic about future, opportunity to chart life course in a positive direction

western, developed countries
privilege/luxury
not a choice across socioeconomic conditions
not all position
increased anxiety and depression; worry about the future

twice the mortality rate as adolescents
declines in physcial activity compared to adolescence
higher rates of overweight/obesity
contiuned sleep deprivation (70% of college students dont get enough sleep)

unintential injury, 1 in 5 deaths of US adults is from excessive drinking

recomdation for 30 mins or aerobic exerice daily
higher self concept
lower anxiety and depression
riase heart rate to at least 60% of max

adolescent and adults think in the same way
formal operations ends at 11
adults have more knowlegde

postformal stage
reflective, relativistic, and contextual
provisional (searching for truth more)
realistic
recongize that thinking si influcence by emtion
not clear that this stage is qualitative more advanced than formal operations

intimacy v isolation
finding oneself while losing oneself in another person; requires commitment to another person
importance of friendships

declined
average duration of a marriage in the US is currently just over 9 years
YA are optmisitic about marriage and see it as an impetus to create a stabel life for a successful marriage
2016 averge age is 29.5 for men and 27.4 for women

average age for first-time mother is 27 years old
in 2016 for the first time more US women were giving brith in their 30's then in their 20s
by giving birth to fewer children ans reducing the demands of child care women free a significant portion of their life spans for other endvaors

two developmental contexts
child and parents as adult
requires interpersonal skills and imposes emtional demands

usually around the age of 25-29/ 20 -24