Bulimia nervosa in male horse jockey
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Bulimia Nervosa in Male Horse Jockey. Chauntoiya Jones Cherell Lawson Rayhan Mursalin Rebekah Parris Richard Graham Whitney Moore. Statement of the Problem. - Rebekah Parris. Background Leading to Problem. Bulimia How do men get an disorder like bulimia? What is a Horse Jockey?

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Bulimia Nervosa in Male Horse Jockey

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Bulimia nervosa in male horse jockey

Bulimia Nervosa in Male Horse Jockey

Chauntoiya Jones

Cherell Lawson

Rayhan Mursalin

Rebekah Parris

Richard Graham

Whitney Moore


Statement of the problem

Statement of the Problem

- Rebekah Parris


Background leading to problem

Background Leading to Problem

  • Bulimia

  • How do men get an disorder like bulimia?

  • What is a Horse Jockey?

  • About the sport and how bulimia

    plays a part.


Clear statement of problem

Clear Statement of Problem

Effects of Bulimia on male horse jockeys


Cited sources

Cited Sources

  • Caulfield, Michael J. and Karageorghis, Costas I.(2008)'Psychological effects of rapid weight loss and attitudes towards eating among professional jockeys', Journal of Sports Sciences,26:9,877 — 883

  • Baum, Antonia. (2006). Eating disorders in the male athlete. Sports Medicine, 36(1): 1-6

  • Hall, L., Leigh, C. (1999) Bulimia: a guide to recovery

  • Kirkpatrick, J., Caldwell, P. (2001) Eating disorders.


Significance to optimal health

Significance to Optimal Health

- Chauntoiya Jones


Restate problem

Restate Problem

Effects of Bulimia on male horse jockeys


Connection to health effect

Connection to Health Effect

Physical signs and symptoms of bulimia

  • Calluses or scars on the knuckles or hands from sticking fingers down the throat to induce vomiting.

  • Puffy “chipmunk” cheeks caused by repeated vomiting.

  • Teeth Discoloration - from exposure to stomach acid when throwing up. Teeth may be yellow

  • Frequent variations in weight - Weight may fluctuate by 10 pounds or more due to alternating episodes of bingeing and purging.


Connection to health effect1

Connection to Health Effect

  • Dehydration

  • Weight gain

  • Abdominal pain, bloating

  • Swelling of the hands and feet

  • Chronic sore throat, hoarseness

  • Broken blood vessels in the eyes

  • Swollen cheeks and salivary glands

  • Weakness and dizziness

  • Tooth decay and mouth sores

  • Acid reflux or ulcers

  • Ruptured stomach or esophagus

  • Chronic constipation from laxative abuse


Impact of health effect

Impact of Health Effect


Cited sources1

Cited Sources

  • Suzanne Barston, Melinda Smith, M.A., and Jeanne Segal, Ph.D., contributed to this article. Last modified on: 3/3/08. “Bulimia Nervosa - Signs, Symptoms, Treatment, and Help”.http://www.helpguide.org/mental/bulimia_signs_symptoms_causes_treatment.htm

  • Irina Webster. :The Long Term Effects of Bulimia Nervosa”. 2008 Street directory. The Health Issues Program. http://www.streetdirectory.com/travel_guide/47330/lose_weight/long_term_effects_of_bulimia_nervosa.html

  • Jane Kirby. “Dieting Jockeys risk eating disorders”. March 10, 2008.http://news.scotsman.com/anorexia/Dieting-jockeys-risk-eating-disorders.3859401.jp

  • Video Clip: Compliments of MTV- I Want the Perfect Body Part 2 Episode 20. http://www.mtv.com/videos/misc/208166/complete-change-of-life.jhtml#id=1581175


Possible solutions

Possible Solutions

Cherell Lawson

Whitney Moore


Connect effect impact solutions

Connect Effect/Impact & Solutions

  • Jockey’s receive their assigned weight from a racing secretary at the track they are racing.

  • In the U.S. the limits are often under 120 lbs.

  • The limit at the Kentucky Derby is 126 lbs

  • The average American male weighs over 190 lbs

  • Their weight is directly related to their weight, so they will so practically anything to achieve the assigned weight.

  • Ex: Purging or “flipping” as the jockey’s call it, sitting in saunas, plastic exercise suits, stimulant drugs,

  • Many tracks have “heaving bowls” for purging

  • 30% of jockeys purge to achieve their goal weight.


Variety of approach specificity

Variety of Approach/Specificity

  • Increase the minimum weight limit for the jockeys. However, after being discussed, the people in the jockey industry seem to care more about the horses rather than the jockey’s themselves

  • Give jockeys some type of psychological support as they are trying to lose the weight.

  • Provide eating programs for healthier weight loss.


Applicability of solutions

Applicability of Solutions


Cited sources2

Cited Sources

  • Hughes, Mark. Jockeys’ Run Risk of Eating Disorders’ in Bid To Stay Thin. March 11, 2008. http://www.independent.ie/health/latest-news/jockeys-run-risk-of-eating-disorders-in-bid-to-stay-slim-1313391.html

  • Jockeys dieting to reach riding weights risk eating disorders March 10, 2008 http://www.thaindian.com/newsportal/health/jockeys-dieting-to-reach-riding-weights-risk-eating-disorders_10025863.html

  • Tiemeyer, Matthew. Weight Limits for Horse Jockeys Demand Disordered Eating February 9, 2008 http://eatingdisorders.about.com/od/riskfactors/a/jockeyweight.htm


Select support best solution

Select / Support Best Solution

Rayhan Mursalin


Based on literature

Based on Literature

  • Increase the minimum weight limit for both Jockey and horse

  • Medical Treatment (Antidepressant)

  • Nutritional Adjustment (Registered dietician)

  • Social Support (With the help of family and friend)

  • Psychotherapy:

    - Cognitive-Behavioral Therapy

    - Psychodynamic/Psychoanalytic Therapy


Process of identifying best

Process of Identifying Best

  • Patients receiving medication in combination with psychologicaltreatment experienced greater improvement in binge eating and depressionthan did patients receiving placebo and psychological treatment. (BT Walsh et al.)

  • Cognitive-Behavioral Therapy has been found to be superior to other psychotherapies in reducing bulimic symptoms.(Peterson CB, Mitchell JE.)


Impact of solution on problem

Impact of Solution on Problem

  • Jockeys can be benefited with the support from psychiatrist and dietician.

  • If they are given registered dietician, they can loose weight in a healthy way.

  • Therapist can change the way they think and can alter their behavioral pattern.

  • Jockeys will be in lesser risk of starvation and dehydration and will be able to live healthy.


Cited sources3

Cited Sources

  • WS Agras, EM Rossiter, B Arnow, JA Schneider, CF Telch, SD Raeburn, B Bruce, M Perl and LM Koran. Pharmacologic and cognitive-behavioral treatment for bulimia nervosa: a controlled comparison. American Journal of Psychiatry 1992. 149:82-87

    http://ajp.psychiatryonline.org/cgi/content/abstract/149/1/82

  • BT Walsh, GT Wilson, KL Loeb, MJ Devlin, KM Pike, SP Roose, J Fleiss and C Waternaux. Medication and psychotherapy in the treatment of bulimia nervosa.American Journal of Psychiatry 1997. 154:523-531

    http://ajp.psychiatryonline.org/cgi/content/abstract/154/4/523

  • Peterson CB, Mitchell JE. J Clin Psychol. Psychosocial and pharmacological treatment of eating disorders: a review of research findings. 1999 Jun. 55(6):685-97.

    http://www.ncbi.nlm.nih.gov/pubmed/10445860

  • Matthew Tiemeyer. Eating Disorders: Getting the Help You Need

    http://eatingdisorders.about.com/od/resourcesandreviews/u/treatment.htm

  • Matthew Tiemeyer. Eating Disorder Treatment.Updated. September 23, 2008

    http://eatingdisorders.about.com/od/treatmentstrategies/a/edtreatment.htm

  • Matthew Tiemeyer. Therapy for Bulimia Speeds Recovery. Updated: October 16, 2007

    http://eatingdisorders.about.com/od/whatisbulimianervosa/a/bulimiatherapy.htm


Summary and conclusions

Summary and Conclusions

- Richard Graham


Effect of problem on health

Effect of Problem on health

Effects on physical health

  • Extreme weight loss

  • BMI reduces below 17.5

  • Stunted growth

  • Swollen saliva glands

  • Endocrine disorder

  • Impotence in males


What if not addressed

What if not addressed?

  • If not addressed symptoms can get worse and the body could show signs of starvation and dehydration. If still not treated possible death


Possible solutions1

Possible Solutions

  • Bring a certified dietitian to work on losing weight in a healthy and effective manner.

  • Increase the weight of both the horse and rider

  • Provide one-on-one therapy sessions taking the Cognitive Behavioral Approach


Selected solution anticipated outcome

Selected Solution Anticipated Outcome

  • Cognitive-Behavioral Therapy is a form of psychotherapy that emphasizes the important role of thinking in how we feel and what we do.

  • One on one therapy sessions with jockeys who feel they need help.

  • I anticipate that if enough jockeys start seeking help the problem can become large enough to create awareness of this system.


Cited sources4

Cited Sources

  • Rosenbaum, Dr. Michael, and Dr. Rex Gatto. "What is Cognitive Behavioral Therapy." NACBT Online Headquarters. 5 Apr. 2007. NACBT. 30 Nov. 2008 <http://www.nacbt.org/whatiscbt.htm>.

  • Let's Talk Facts About: Eating Disorders, American Psychiatric Association, 2005

  • Health Consequences of Eating Disorders, Copyright 2006 by the National Eating Disorders Association


Video

Video

  • True Life - I want the perfect body part II

    http://www.mtv.com/videos/misc/208166/complete-change-of-life.jhtml#id=1581175


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