Whats Important for the ATC amp PT Rachel A Clark MS RD CSSD Purdue University Sports Dietitian amp Continuing Lecturer Northeast Indiana Sports Medicine Symposium March 2017 Learning Objectives ID: 574328
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Recognition of & Recovery from Eating Disorders: What’s Important for the ATC & PT
Rachel A. Clark, MS, RD, CSSD Purdue UniversitySports Dietitian & Continuing Lecturer
Northeast Indiana Sports Medicine Symposium, March 2017Slide2
Learning ObjectivesIn athletes…Summarize prevalence of disordered eating (DE) and eating disorders (ED)
Identify signs/symptoms & risk factors for ED/DEDescribe common behaviors in various forms of ED/DEDescribe how to approach an athlete with a suspected EDSlide3
How serious is this problem?35% of “normal” dieters progress to pathological dieting. Of those, 20-25% progress to partial or full eating disorders (
Int J Eat Disord; 1995:18:209)2-5% of Americans – 6+ million people – experience binge eating disorder (NIMH publication, 1994)Men constitute 40% of those exhibiting binge eating disorder (DSM-IV, 1994)Up to 30% of those seeking weight loss treatment are binge eaters (Annals of Behavioral Med, 1998:20:227)Slide4
42% of girls in grades 1-3 want to be thinner, and 37% have dieted 81% of 10-year-olds are afraid of being fat
>50% of teen girls & nearly 33% of teen boys use unhealthy weight control behaviors such as skipping meals, fasting, smoking cigarettes, vomiting, and taking laxatives
Eating Disorders & Today’s Youth
Collins, 1995
Mellin
et all, 1991
Neumark-Sztainer
, 2005Slide5
25% of college-aged women use bingeing and purging as a weight-management technique95% are 12-26 years old
As many as 30 million people in the USEating disorders carry the highest mortality rate of any mental illness
Eating Disorders & Today’s Youth
ANAD.org Wade et al, 2011
Shisslak
&
Crago
, 1995 Sullivan, 1995Slide6
About 10% of all EDs are in men
Men are less likely to seek treatment
Eating Disorders & Men
APA, 2001 Carlat, 1997 ESPN.com, Oct 2016Slide7
Eating disorders are…(a) dietary problems(b) neurobiological disorders(c) psychological illnesses(d) behavioral choices
(e) attempts at attention-seekingSlide8
What an eating disorder feels likeSlide9
To professionals, eating disorders seem like a problem…
To those suffering, they seem like a solution
.Slide10
What are the risk factors for an athlete when it comes to EDs?Slide11
I’m noticing some changes in weight, eating habits, training, etc with an athlete, but I’m not sure it it’s an ED… how can I tell?Slide12
Signs/SymptomsGeneral
Avoid social eating; secret eatingUnusual food ritualsCutting out entire food groupsBig weight changes, up or downExcessive exercise (when ill/injured; for the sole purpose of calorie burning)
Non-specific GI complaints
Missing periods (or only a period with B/C)
Difficulty concentrating
Sleep problems
Bingeing
Disappearance of large amounts of food in short periods of time
Lots of empty wrappers or food containers
Lack of control
Food rituals
Stealing or hoarding food in strange places
Hiding body with baggy clothes
Creating schedule to make time for binge sessions
Skipping meals or taking small portions of food at regular meals
Cycling dieting/fasting
NEDASlide13
Signs/SymptomsRestriction
Marked weight loss; little concern over itDressing in layers to stay warmPreoccupation with nutrients, food, cookingDenial of hunger or problemMaking excuses to avoid mealtimes or eating
Restlessness
Withdrawn
Disturbed experience of weight or shape; undue influence of weight or shape
Thinning of hair
Muscle weakness
Poor healing
Slow HR, BP
Lightheaded, dizzy
Impatient, cranky
Difficulty with days off from training
NEDASlide14
R
elative
E
nergy
D
eficiency in
S
port
RED-S
NOT NECESSARILY WEIGHT LOSSSlide15
RED-S Risk Assessment for Sport ParticipationSlide16
What’s the difference between overeating and binge eating?Slide17
Is purging the same as self-induced vomiting?Does purging actually help with weight loss?Slide18
Can’t people who have anorexia see that they are too thin?Slide19
Are the issues different for males?Slide20
If an athlete insists they are fine, I should believe them.Slide21
Emily Fogle