Exam 3 Final eating disorders Intuitive eating What age do you start with eating disorders Eating disorder prevention Population targeted Universal prevention Whole population Targeted selected prevention At risk group Indicated prevention Individuals practicing harmful behaviors Universal prevention Targets the whole population without the use of screen measures Example prevention program provided to a whole school system Targeted selected prevention Focuses on groups at risk for developing maladaptive eating based on known risk factores Ex prevention for athletes in specific sports with known increased rates of eating disorders Indicated prevention Targets individuals who have been identified through a screening process as exhibiting early signs of maladaptive eating behaviors Ex prevention treatment for individuals who endorse binge eating Categories based on Intervention Goals Primary Secondary Tertiary Primary Secondary Preventing the development of maladaptive eating Population based efforts to promote healthy eating and exercise habits Designed to diagnose and treat early signs of maladaptive eating before clinical eating disorders Ex psychoeducation about eating habits to adolescent females who endorse frequent dieting developed Tertiary Reduce the negative impact of an active eating disorder by treating the disorder and reducing the complications related to it Ex impatient treatment for an individual with anorexia nervosa Target prevention programs Targeted at risk groups 13 year olds 16 year olds Healthy eating guidelines and recommendations primary Including a screening component to identify harmful behaviors secondary Iatrogenic effects Individuals use material to learn ways to restrict or purge Intuitive and Mindful Eating 3 core principles of intuitive eating Eat for physical rather than emotional reasons Rely on internal hunger and satiety cues Unconditional permission to eat Eating mindfully Mindful eating how you eat Using your mind to make decisions when needed Allows us to think about how we are reacting and make decisions based on how we might respond Allowing yourself to become aware of the positive and nurturing opportunities that are available through food preparation and consumption by respecting your own inner wisdom eating mindfully means simply paying attention with and open nonjudgmental mind to what and you should not overly restrict yourself but neither should you respond to every impulse to eat Intuitive eating Mindfulness Intuitive eating Normal eating Listen to your body know your hunger and fullness Eat WHAT you WANT when you are hungry STOP when you are FULL Consider balance variety and moderation in your food choices People who restrict their food intake may actually eat more than people who give themselves unconditional permission to eat Being in the What is instead of the What if Unconditional permission to eat when hungry and what food is desired no rules Eating for physical rather than emotional reasons Reliance on internal hunger and satiety cues to determine when and how much to eat Eat when you are hungry stop when you are full Choose foods that you like consider balance variety and moderation Avoid labeling foods as good or bad Enjoy eating all types of foods without guilt Avoid Self imposed food rules The rules often don t take into account the situation or circumstance Food rules can be wildly conflicting or illogical The origin of food rules are often from unscientific sources Logically challenge food rules You don t have to eat a perfect diet to be healthy You will not get a nutrient deficiency or gain weight from one snack meal or day of eating You should never feel guilty about what you eat Worry less about what s in your food and enjoy it more Eating nutritiously should not have to be deprivation Intuitive eating is about acceptance Accept yourself just like your shoe size Avoid unrealistic expectations about yourself It s difficult to be mindful when you re feeling bad or critical about yourself Careful eater Perfect eaters Highly nutrition conscious Anguishing over each morsel of food Scrutinizing food labels Tend to under eat and monitor the quality of food eaten Professional dieter perpetual dieting tried every diet eating changes are for losing weight not health bingeing and engaging in the last supper is common Unconscious eater Eating and doing another activity at the same time Whatever is available Difficulty identifying biological hunger Vulnerable to food lying around Waste not versus emotional eater Children Natural intuitive eaters Free from societal messages about food and weight Innate wisdom about food They will eat when the need if given free access to food What if the eat too much sugar and gain too much weight NHANES data Percent of energy from sugar did not vary significantly by weight status Normal weight children consumed 23 tsp of sugar day compared with 22 by those who were The relationship between intake of sugar was not statistically significant for any measures of overweight or obese weight and adiposity studied Are supplements necessary Considerations Not approved by FDA Claims based on anecdotal evidence Is there any supporting research Natural doesn t always safe Expense Use the product at your own risk Dietary supplements Why do people take supplements To feel better To improve overall energy levels To boost immune system Content of energy drinks Excessive amounts causes flushing excessive amounts can be toxic Niacin vitamin B6 Taurine Guarana Excessive amounts linked to irregular heartbeat Alcoholic energy drinks Alcohol companies target college students These drinks have caused multiple hospitalizations Some have been taken off the market Natural energy stores Adequate sleep 7 9 hours Adequate hydration 64 ounces day Regular physical activity Adequate nutrition Excessive amounts mixed with caffeine may cause reduced blood supply to the heart Health At Every Size What is health Health What is wellness Wellness Whats is wellbeing Wellbeing prosperity BMI reporting in children future risk 1 The general condition of the body or mind with reference to soundness and vigor 2 Soundness of body or mind freedom from disease or ailment 1 The quality or state of being healthy in body and mind especially especially as the result of 2 An approach to healthcare that emphasizes preventing illness and prolonging life as opposed to deliberate effort emphasizing treating diseases 1 A good or satisfactory condition