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The Skinny on Eating Disorders

Posted: 02/23/10 02:37 PM ET

Since the release of How to Eat Like a Hot Chick two years ago, we've received tons of emails from readers asking for our advice about how to begin a healthier relationship with food. These questions have come from women who have tried every fad diet and failed, women who recognize that they are a little "weird" about food, women with full blown eating disorders, and all sorts of women in between. Since this is National Eating Disorder Awareness Week, we decided to take the opportunity to share our thoughts on this painful and controversial subject that has made an impact on too many of our lives.

Eating disorders are much more common than you may think. In fact, we believe that many women - dare we even say most women - either suffer from one or have suffered from one at some point in their lives. Now before you freak out and scroll down to post a nasty comment, please hear us out. When many of us think of eating disorders, we either picture a rail thin, hospitalized woman or Tracey Gold hiding Tupperwares full of vomit in her closet, but the actual definition of an eating disorder is any severe disturbance in eating habits. This could mean obsessively counting calories, compulsively binge eating, or even just fearing food and seeing it as the enemy instead of the source of sustenance and pleasure that it should be.

It's no wonder that so many women (and many men, too) have disordered relationships with food. Our tabloid obsessed world worships the overly skinny, pokes fun at the fat, and constantly advertises unrealistic and unhealthy fad diets. There is no doubt that this contributes to the increasing number of eating disorders around the globe. Then there is the media's glorification of elective cosmetic surgeries, which makes young women believe that they must look like a Barbie doll in order to be attractive - that any ounce of fat, cellulite, sagging, or jiggle instantly makes them "less than" a girl who has paid thousands of dollars in order to become plastic. In this negative environment, it's no wonder that women are not only perplexed about what they should put into their bodies, but so many of them believe that they don't even deserve the comfort, nutrition and joy that food can (and should) provide.

This confusion about food and lack of self-worth can certainly lead to an eating disorder, and we think that women who have fallen into the diet trap of counting points, limiting themselves to two shakes a day and a sensible dinner, or fearing the carbs in a banana need to stop before this behavior spirals downward into a full blown eating disorder. The more time you spend cutting out certain foods or replacing meals with fake foods, the harder it will be to avoid feeling guilt, confusion, and shame when you finally try to enter into a healthy relationship with food and decide to start eating healthy, whole foods. Our advice to women like this is to stop the cycle now, before you lose years of your life to counting calories and correlating them to minutes on the treadmill or to feeling so guilty for indulging that you begin overindulging due to a lack of self worth. You are meant to have an appetite; it is not something you should have to suppress. You need to eat healthy foods that fuel your beautiful body, and you deserve to enjoy your food without feeling the slightest bit guilty.

Of course if you have a severe eating disorder we hope you will seek professional medical help, but we also hope that those of you who are walking the fine line between an eating disorder and just being a little messed up about food will use National Eating Disorder Awareness Week as an opportunity to get your food issues under control now, before they get any worse. It doesn't take long for behavior that seems harmless to become really damaging, so stop the fad diets, trash the new diet pill that the Kardashians are advertising, and instead start eating like the confident, beautiful, healthy woman you were born to be.

 

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Since the release of How to Eat Like a Hot Chick two years ago, we've received tons of emails from readers asking for our advice about how to begin a healthier relationship with food. These questions...
Since the release of How to Eat Like a Hot Chick two years ago, we've received tons of emails from readers asking for our advice about how to begin a healthier relationship with food. These questions...
 
 
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08:29 PM on 02/24/2010
Thanks for the article. I didn't have a serious eating disorders as a young woman or child but I did have a dysfunctional relationship with food. Years of being reprimanded and being made fun for being hungry and eating left a big scar on my self-esteem and eating habits. During several times in my college athletic career, i would limit the number of calories that I consume and limit myself to one meal a day in vain attempt to transform my 6'0 full figure body into the waif-thin models on the television. It didn't stop until I passed out at practice. After it was learned that I was not eating, my friends forced to change my eating habits. As a result of my experiences, I avoid any diet plans or fads. I eat healthy and try to control my portions. I don't worried about calories or if splurge sometimes
04:46 PM on 02/24/2010
There's a difference between disordered eating and an eating disorder and you seem to use the two synonymously. I wouldn't argue that most women have some sort of disordered eating, but most women do not suffer from eating disorders. Check out the diagnoses criteria for Anorexia nervosa and Bulimia nervosa in the DSM-IV and no, most women do not meet those criteria.
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desertdweller
I didn't know him but he knew me.
12:19 PM on 02/24/2010
I would go so far as to argue that the cigarette smoking, for the purpose of appetite suppression and weight control, is also a serious eating disorder, particularly where young women are concerned. I know several female college students, who once abhorred smoking and smokers, that have taken up the habit in a misguided attempt to prevent weight gain. They may be successful in their endeavor, but the price they pay is that they stink and look scuzzy to boot.
11:05 AM on 02/24/2010
You totally ignored the fact that eating whole foods, healthy foods, is really difficult for a lot of Americans. Our agriculture is controlled by big businesses that are subsidized to grow / product stuff that isn't healthy for us. Farmers who grow organic food, healthy food, food that isn't wheat, corn or soy, genetically modified grains or genetically modified animals, are at a severe disadvantage thanks to corporate control of our food production systems. All this means that what people see, primarily, in restaurants and grocery stores is crap. It's not real food. No wonder so many people have "eating disorders" - they are eating the food that's cheap and easily available to them and it makes them fat and unhealthy, of course. And they wonder why and then get obsessed with their weight. To fix our problems, we need to fix our food production systems from the ground up and that will help more than any amount of pop psychology and self help books.
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cmugs
11:20 AM on 02/24/2010
aaagreed.
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suzjazz
08:33 PM on 02/24/2010
Excellent observation, well stated.
11:35 PM on 02/24/2010
@BethRobson

I eat from a Bi-Lo and have no trouble avoiding that "crap" you mention. It may less flashily advertised, but good food is not necessarily expensive.

Some unit prices to illustrate my point:

Canned tomato paste: $2.65/lb ($0.80/lb thinned to sauce)
Frozen broccoli florets: $1.68/lb
Bagged lentils: $1.79/lb ($0.43/lb prepared)
Jug of milk: $0.40/lb

Big Mac: $5.87/lb
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Cory111
Life is good...
08:04 AM on 02/24/2010
You skirted the issue; this was a “politically correct” bit as is usually the case when discussing most “addictions” in the United States. These are dysfunctional people, addicted to a substance that has complete control over their lives. Food is the first thing they think about as they “struggle” into their day and the last thing on their mind at days end. Their whole life revolves around food and most of their “friends” have the same problem as in, “Misery loves company.”

As a recovering alcoholic I can completely relate to their plight. These people need treatment, just that simple. But we don’t want to hurt anyone’s feelings do we, no that would never do. Families, friends and employers turn a blind eye as if the problem will just go away. Let’s call it what it truly is, a national disease just like substance abuse which also gets swept under the rug.

Thousands die each year behind addictions but we don’t see that on the front page do we? It’s so easy to say, “Uncle Joe is just a drunk” but do you ever hear “Aunt Sally is a big as an elephant.”

Addictions in the United States cost the country dearly, but once again we don’t see the cost in the daily news.
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zombie fairy
09:12 AM on 02/24/2010
I appreciate that you relate and understand, rather than judging and insisting that anyone with an ED is shallow (a lot of people say that). But, I don't know that it's an addiction. I was never addicted to the feeling of hunger, or the constant exercise, certainly never the self-loathing. I also didn't have any friends with the same problem - I actually went to great lengths to keep anyone from having a clue.
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cmugs
09:33 AM on 02/24/2010
carbs are sugar and sugar is addictive. unless we make conscious decisions to eat whole foods in appropriate ratios its really easy to get an overabundance of carbs (both simple and complex) which ALL break down into sugar and can indeed become an addiction. I can feel the difference if I over indulge on sugary things too consistently. I can most definitely feel cravings for sugar begin and then I reset with a short fast and then reintroducing whole delish foods back, again, in the proper ratios. Its SO hard when everything is carb loaded (due to HFCS and over processing)!! Its expensive and not really the norm these days to put enough care into one's diet to avoid such things so i would also suggest that being a little food obsessive at this point in the game is actually healthy because it takes a GREAT effort to not be constantly putting crappy food in your system. It becomes even more important if you are very active. Anyways - to give some context: 25 year old female, 5'7", 125lb, 5 meals a day of whole delicious foods and a pretty intense workout routine (but its a pleasure not a chore for me)
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01:18 PM on 02/24/2010
Eating Disorders are actually very similar to other addictions...

"Others have suggested that the eating disorders are, themselves, a form of drug addiction since their characteristics satisfy all the clinical and biological criteria for conventional addictions such as smoking, alcoholism and cocaine abuse...Foremost among these is the progressively compulsive nature of the behavior, even in the face of adverse consequences to health and safety...Moreover, with continual exposure, individuals typically require more of the behavior to produce the same reinforcing effect...They also tend to experience an obsessively increasing craving for the behavior that can persist even after a long period of abstinence. Presumably that accounts, at least in part, for the fact that addicts have a strong tendency to resume the addictive behavior after treatment and for the chronic relapsing nature of addiction...These characteristics find direct parallels in the core eating-disorder behaviors such as dieting, over-exercising and binge eating, all of which tend to become increasingly excessive over time. Patients also report a strong compulsion to continue these behaviors despite serious medical complications, which is reflected in their prolonged morbidity and the high rate of relapse..."
01:18 PM on 02/24/2010
You are right on! Thank you for your comment!