Eating Disorders Exam 3 Study Guide Intuitive Eating With what age group do you start ED prevention o Population Targeted Universal prevention Whole population Without the use of screening measures Prevention program provided to whole school system Targeted Selected prevention At risk groups Groups at risk for developing maladaptive eating based Prevention for athletes in specific sports with known on known risk factors increased rates of ED s Indicated prevention Individuals practicing harmful behaviors Individuals who have been identified though a screening process as exhibiting early signs of maladaptive eating behaviors Prevention treatment for individuals who endorse binge eating To what age group do you start Universal Prevention of Nutrition Education o Strategies based on Intervention goals Primary prevention Prevent the development of maladaptive eating Population based efforts to promote healthy eating and exercise habits Secondary prevention Designed to diagnose and treat early signs of maladaptive eating before clinical ED s develop Ex psycho education about eating habits to adolescent females who endorse frequent dieting Tertiary prevention Reduce the negative impact of an active ED by treating the disorder and reducing the complications related to it Ex inpatient treatment for an individual with AN o Targeted Primary Secondary Prevention programs Targeted At risk groups 13 y o 16 y o Healthy eating guidelines and recommendations primary Include a screening component to identify harmful behaviors secondary o Iatrogenic Effects individuals use material to learn ways to restrict or purge Intuitive and Mindful Eating o Non diet approach mindful eating intuitive eating Health At Every Size o 3 core principles Eat for Physical rather than Emotional reasons Rely on Internal Hunger and Satiety cues Unconditional permission to eat o Eating mindfully 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 o Mindful eating Allowing yourself to become aware of the positive and nurturing opportunities that are available thought food preparation and consumption by respecting your own inner wisdom Eating mindfully means simply paying attention with an open nonjudgmental mind to what and how you eat You should not overly restrict yourself but neither should you respond to every impulse to eat o Intuitive eating Listen to your body know your hunger and fullness cues Eat WHAT you WANT when you re hungry and STOP when you re FULL Consider balance variety and moderation in food choices People who restrict their food intake may actually eat more than people who give themselves unconditional permission to eat o Normal eating Eat when you re hungry stop when you re full Choose foods that you like consider balance variety moderation Avoid labeling foods as good or bad Enjoy eating all types of food without guilt o Avoid Self imposed food rules The rules often don t take into account the situation or circumstance Food rules can be wildly conflicting illogical The origin of food rules are often from unscientific sources Logically challenge food rules o 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 about deprivation o Intuitive Eating is about acceptance Accept yourself just like you accept your shoe size Avoid unrealistic expectations about yourself It s difficult to be mindful when you re feeling bad or critical about yourself Eating personalities o Careful eater Perfect eaters Highly nutrition conscious Anguishes over each morsel of food Tend to under eat and monitor the quantity of food eaten Scrutinizes food labels o Professional Dieter Perpetually dieting tried every diet Eating changes are for losing weight not health Bingeing and engaging in the last supper is common o Unconscious Eater Eating and doing another activity at the same time Whatever is available vending machine fast food etc Difficulty identifying biological hunger Vulnerable to food lying around Waste not vs Emotional eater How children eat o Natural intuitive eaters o Free from societal messages about food and weight o Innate wisdom about food o They will eat what they need if given free access to food o According to the NHANES data 03 06 in 6 18 year olds the percent energy from sugar didn t vary by weight status Normal weight children consumed 23 tsp of sugar day compared with 22 tsp of sugar by those who were overweight or obese Non diet vs Diet Thinking Issue Goal Food Attitude Hunger Choice Diet Weight Loss Food is the enemy deprivation willpower Perfectionist Eat when diet says to Diet in control Non diet Confidence in the ability to make choices Food is the friend taste savor enjoy Flexible goes with the flow In tune to body s internal cues Person in control Are supplements necessary o Considerations Is there any supporting research Not FDA approved Claims based on anecdotal evidence Natural doesn t always sage Expense Use the product at your own risk Why do people take supplements o Random sample of 1579 adults were asked why they are taking dietary supplements Top responses were To feel better To improve overall energy levels To boost immune system Content of energy drinks o Niacin excessive amounts causes flushing o Vitamin B6 excessive amounts can be toxic o Taurine excessive amounts mixed with caffeine may cause reduced blood supply to the heart o Guarana excessive amounts linked to irregular heartbeat Alcoholic energy drinks o Alcohol companies target college students o Have caused multiple hospitalizations o Some have been taken off the market o Over 50 of ER visits related to energy drinks involved alcohol or other drugs in 18 25 year olds Natural Energy sources o Adequate sleep 7 9 hrs o Adequate hydration 64 oz day o Regular physical activity o Adequate nutrition HEALTH AT EVERY SIZE What is Health vigor What is Wellness o The general condition of the body mind with reference to soundness and o Soundness of body or mind freedom from disease or ailment o Spiritual emotional intellectual physical social environmental and o The quality or state of being healthy in body and mind especially as the financial factors result of deliberate effort o An approach to healthcare that emphasizes