Overweight(BMI 25–29.9)

Healthy weight(BMI 18.5–24.9)

Underweight(BMI <18.5)

Extreme obesity

(BMI ≥40)

Obesity(BMI 30–39.9)

Body Mass Index (BMI)

BMI

Eating Disorders

•Anorexia Nervosa•Bulimia Nervosa

•90% are:•young•female•mid-upper class•competition•Caucasian

“Culturally-Specific Disorder”

AnorexiaNervosa

•Restricting Type

•Binge Eating- Purging Type

Excessive reduction in caloric consumption leading to dangerous drops in weight that can become life threatening.

Caused by an overwhelming drive to become thin.

BulimiaNervosa

•Purging Type (66%)

•Non-Purging Type (33%)

Out of control eating episodes or binges, typically followed by compensatory purges.

Eating Disorder:

MedicalSymptoms

Age Risk is Increasing

Female Weight Changes

Cultural Changes

BodyImages

Female Perceptions

Male Perceptions

Body Image Distortions

Eating Disorder: Vicious Cycle

Success of Treatment Options

Behavioral Therapy

Family Intervention Therapy

Cognitive Behavioral Therapy

1. Change Your Perspective

Healthy Weight Management

Starting weight

Suggested healthy-weight range

“Dream weight”

“Happy weight”

“Acceptable weight”“Disappointing weight”

Actual weight achieved

Reasonable goal weight(5 to 10% below initial weight)

100

Wei

gh

t (p

ou

nd

s)

120

140

160

180

200

220

2. Set Realistic Goals

3. Reduce Meal Size

4. MakeBetter

Choices

5. EatMore Fruits

AndVegetables

6. Maintain Physical Activity

Benefits of Exercise

Its all about

balance

7. Apply Behavior Modification Techniques

•Eliminate inappropriate eating cues

•Suppress the cues you cannot eliminate

•Strengthen cues to appropriate eating and exercise

•Repeat the desired eating and exercise behaviors

•Arrange or emphasize negative consequences for inappropriate eating

•Arrange or emphasize positive consequences for appropriate eating and exercise behaviors

Less motivation to move more desire to eat

Use of caffeine, weight-loss pills, alcohol, tobacco

High-calorie foodsLarge portions

InexpensiveReadily available

Heavily advertised

Overeating

Increased body fatness

Less exercise:Autos, elevators

other labor-saving devices sedentary

leisure time

Reduced fitness

Increased stress

Sleep disturbances

Feeling of low energy

More motivation to move Less desire to eat

inappropriately

Moderation in caffeine and alcohol

Nutrient-dense foodsAppropriate portions

Attractive pricingReadily available

Appropriately advertised

Appropriate food and fluid intake

Healthy body composition

Daily exercise Walking-friendly

communitiesBike trails to work,

shoppingStairways in convenient

locations

Increased fitness

Reduced stress

Sound, beneficial sleep

Feeling energetic most days