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

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?

  • About the sport and how bulimia

    plays a part.


Clear Statement of Problem

Effects of Bulimia on male horse jockeys


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

- Chauntoiya Jones


Restate Problem

Effects of Bulimia on male horse jockeys


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 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


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

Cherell Lawson

Whitney Moore


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

  • 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


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

Rayhan Mursalin


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

  • 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

  • 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 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

- Richard Graham


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?

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


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

  • 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 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

  • 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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