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Explore the prevalence and consequences of anorexia nervosa, bulimia nervosa, and binge eating in Czech Republic. Understand the historical context, symptoms, medical and mental repercussions, and treatment approaches for these disorders. Learn about the dangerous pro-ana websites, celebrity influences, and the importance of proper care teams in tackling eating disorders.
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Eating disorders by Petra Halfarova
Statistics in the Czech Republic • Almost 60 % of girls aged 15 – 19 are not happy with their bodies. • Only about 14 % of girls aged 15 – 19 don’t wish to lose weight. • About 10 % of young girls consider vomiting as a way to lose weight. • An average Czech woman is 165 cm tall and weights 69 kilos. An average modelis 180 cm tall and weights 54 kilos.
Eating disorders: • Anorexia nervosa • Bulimia nervosa • Binge eating
Read the following statements and discuss them in pairs • Anorexia is not a diet but a lifestyle. • I am stronger than food! • This body is mine and I can do whatever I want with it. • I love looking at a scale when the numbers are dropping down.
BMI index • BMI – Body Mass Index
Anorexia nervosa - history • NOT a new illness– historical records show people suffered from anorexia in the past • Empress Elizabeth of Austria – Sissy (19th century) • 172 cm tall, weighed 43 -50 kilos • Obsessed about her body weight • Didn’t eat much, sometimes drank only fruit juice or milk, or raw beef juice stirred into a thin soup • Practised “tight-lacing” in corsets
Anorexia nervosa • Dramatic weight loss – BMI less than 17,5 • Fear of putting up weight • Thinking “I’m so fat.” (not having realistic image about own body) • Refusal to eat some types of food • Eating tiny portions • Very often checking weight (few times a day) • Drastic dieting, excessive exercising
Anorexia nervosa – medical consequences • starving = loss of essential nutrients for the body = body’s processes slow down • body weight = under normal • girls = loss of menstruation • very low blood pressure • dehydration – risk of kidney failure • weakness, fainting, extreme tiredness, dizziness • feeling very cold • dry skin and hair, hair loss, bad skin condition, nails break easily • osteoporosis – bones break easily • tooth decay • problems with getting pregnant • death risk A hand of a 46-year-old anorexic woman
Anorexia nervosa – mental consequences • not being able to concentrate • easy to be annoyed • depressions • neurosis • tearful • hot-tempered
Occurrence • 95 % women • Usually young girls (12 – 18) • Developed countries • Media – the cult of being thin
Pro ana websites • blogs by anorexic girls • see anorexia as a way of life • promotion of anorexia - sharing tips, pictures, diets… • extremely dangerous • Czech pro ana blog
Celebrities & anorexia Nicole Richie
Celebrities & anorexia Portia de Rossi
Treatment of anorexia • restore the weight • psychological treatment • long-term process • care team: specialist counsellor, psychiatrist, psychologist, nurse, dietician, paediatrician
Bulimia nervosa - history • Ancient Romans used make themselves vomit to continue in eating during opulent feasts • In 1979 Bernard Russeldescribed Bulimia as a specific symptom of Anorexia (some anorexic people also binge eat and vomit) • In 1987 – independent diagnosis (no longer a part of Anorexia)
Bulimia nervosa - symptoms • binge eating episodes • vomiting, use of laxatives • relatively “normal” weight • distorted body image • hard to recognize • frequent weighing • odd eating habits • excessive exercise
Bulimia nervosa – medical consequences • tiredness • heart arrhythmia • stomach perforation • diarrhoea, constipation • bad skin condition • dehydration • tooth decay
Bulimia nervosa – mental consequences • Loss of harmony in life • Isolation (no social life) • Strange habits (taking food out of a rubbish bin) • Depressions after binge eating episode • High risk of a suicide
Binge eating - symptoms • eating large quantities of food even if not hungry • rapid weight gain • disgust and shame after overeating • trying a lot of different diets • feeling out of control about food • food is a treat, a way to battle stress
Binge eating – medical consequences • obesity • diabetes • high risk of heart attack • blood pressure problems • trying to lose weight = becoming anorexic or bulimic
Binge eating – mental consequences • neurosis • stress • depression • constantly thinking about food • self-hatred
Documentary • Documentary about Anorexia and Bulimia
Literature • BURDOVÁ, Pavla. Poruchy příjmu potravy : bakalářská práce. Brno : Masarykova univerzita, Fakulta pedagogická, Katedra rodinné výchovy a výchovy ke zdraví, 2006. 51 l., 5 l. příl. Vedoucí bakalářské práce RNDr. Mgr. Alice Prokopová, Ph.D. • KRCH, F. D. Bulimie: jak bojovat s přejídáním. Praha: Grada, 2008. ISBN 978-80-247-2130-9 • KRCH, F. D. Poruchy příjmu potravy – mezi nadváhou a vyhublostí. Dostupné online z: http://www.pppinfo.cz/clanek_show.asp?id=38 k 29. 10. 2013 • LIDOVKY.CZ. V Česku přibývá obézních můžu. Nejedí totiž ovoce a zeleninu. Dostupné online z: http://relax.lidovky.cz/v-cesku-pribyva-obeznich-muzu-nejedi-totiz-ovoce-a-zeleninu-pqt-/zdravi.aspx?c=A100719_153725_ln-zdravi_pks k 29. 10. 2013 • EFFRON, L. Fashion Models: By the numbers. Dostupné online z: http://abcnews.go.com/blogs/lifestyle/2011/09/fashion-models-by-the-numbers/ k 29. 10. 2013 • WIKIPEDIA. Mentální anorexie. Dostupné online z: http://cs.wikipedia.org/wiki/Ment%C3%A1ln%C3%AD_anorexie k 30. 10. 2013 • WIKIPEDIA. Empress Elizabeth ofAustria. Dostupné online z: http://en.wikipedia.org/wiki/Empress_Elisabeth_of_Austria#Physical_regimen k 30. 10. 2013 • BULIMIE. Bulimie a její následky. Dostupné online z: http://bulimie.ordinace.biz/nasledky.php k 4. 11. 2013
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