Research Facts
 

“Several studies suggest that at least half of anorexic patients appear to be fully recovered a decade or two later.”

“Other studies have also suggested that the longer the illness lasts - or the less a person weighs before checking into a hospital - the more difficult the recovery.”

The Dallas Morning News, Long-Term Research reveals lasting dangers of anorexia, bulimia,  Laura Biel

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According to a U.S. Department of Health and Human Services task force, 80 percent of girls in grades three through six have bad feelings about their bodies.

 ‘....it’s normal for girls to put on 20 percent of their body weight in fat during puberty.”

Parents, June 2000 Body Image Blues by Bridget Booher 

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“In an exclusive survey Glamour conducted in conjunction with ANAD, we found that managed care is pulling the feeding tubes out of starving women.  A stunning 96.7 percent of the 109 eating disorders specialists we interviewed told us that insurance caps have put anorexic patients ion “life-threatening situations” by denying sufficient specialized hospital care.  And 100 percent say the brief hospitalizations most managed-care policies cover have actually caused some of their patients serious relapses  -  making their illnesses more intractable, just as giving a tuberculosis patient an  inadequate course of antibiotics risks making his or her infection resistant to treatment.”

Glamour Magazine, August, 1999

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“Experts caution that eating disorders are more pervasive than ever, especially among young children, ages 9-12, who in the past weren't considered at risk.”

Albany Times Union; Eating Disorders showing up in younger children, by Sylvia Wood

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“ A study of 692 adolescent girls shows that radical weight-loss efforts lead to greater future weight gain and a higher risk of obesity.”

            Naturalistic Weight-Reduction Efforts Prospectively Predict Growth in Relative Weight and Onset of Obesity Among Females Adolescents..” Eric Stice, PhD., University of Texas at Austin;  Rebecca P. Cameron, PhD., Joel D. Killen. PhD., Chris Hayward, MD, and C. Barr Taylor, MD, Stanford University School of Medicine, Journal of Consulting and Clinical Psychology, Vol. 67, No. 6. Full test available at http://www.apa.org/journals/ccp.html.

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“In a survey of 65 Fijian girls, Dr. Anne Becker reported that teen girls who watched TV three or more nights per week were 50 percent more likely than others to feel “too big or fat.”  Almost two thirds had dieted in the past month. Most disturbingly, 15 percent of the girls, average age 17, said they had vomited to control their weight in 1998, compared with just 3 percent in 1995 (when TV first arrived in Fiji). Newsweek, Fat-Phobia in the Fijis:  TV- Thin is in    May 31, 1999

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“Negative body image in adolescence might have its roots in childhood overweight.”

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Some forms of anorexia nervosa have a concomitant presence of cerebral and cerebella morphological anomalies.”  “Some forms of brain alteration could be secondary to under nutrition; on the other hand, cerebral and cerebella atrophy and eating disorders are far from clear and may also be an expression of an unknown common denominator.”

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There continues to be a significant risk of relapse among AN patients who remain well for the first year post-discharge. Several variables were shown to be associated with an elevated risk of relapse. These findings have implications for the development of initial treatments and relapse prevention strategies for AN. Psychol Med. 2004 May;34(4):671-9. PMID: 15099421 [PubMed - indexed for MEDLINE]

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The only predictor of treatment completion was high self-esteem, which was associated with a 51% rate of treatment acceptance. CONCLUSION: Acceptance of treatment and relatively high dropout rates pose a major problem for research in the treatment of anorexia nervosa. Differing characteristics predict dropout rates and acceptance, which need to be carefully studied before comparative treatment trials are conducted. Archives of General Psychiatry. 2005 Jul;62(7):776-81.

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Hispanic and non-Hispanic white girls had the highest and African-American (AA) and Caribbean girls the lowest rates of EDS. Asian girls reported the highest and AA girls the lowest rates of DDS. Early dieting was associated with EDS and DDS in Caribbean, non-Hispanic white, and mixed background girls. Relative body weight was related to EDS in all ethnic groups except in non-Hispanic white and mixed background girls. The authors did not find an effect of ethnic identity achievement on psychopathology, but there was an effect of other group orientation on both EDS and DDS. Clinicians should inquire about EDS and DDS in girls of all ethnic groups. Prevention efforts to delay unsupervised dieting may protect adolescent girls from the development of EDS and DDS. Source: J Dev Behav Pediatr. 2005 Aug;26(4):257-66.

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  • Even as young as age 5, girls who are overweight and are subject to food restriction or dieting show the greatest increases in eating in the absence of hunger, and greater weight gain across the middle years.

  • Children who diet are more apt to become overweight adults.

  • A high risk group for eating disorders are those who had high weight concerns prior to age 14.


  • Over the years, many experiments have shown that the time of day you eat has no connection with weight gain. It’s the number of calories you consume daily and the number you expend in activity that matter. Several studies have shown specifically that evening eating has no effect on body weight.
    University of California Berkeley, Wellness Letter, 1998

  • In a study of 324 undergraduates at the University of Illinois, 11 percent were found to have eating disorders. It was found that “for the women who had an eating disorder, exercise was related to negative affect, and there was a slight trend for more depression and more anxiety.” There was a statistically significant association between exercise and psychological health for males. One possible explanation may be that men and women exercise for different reasons, with societal pressures causing women to worry more about body image, over just feeling good or having fun.
    From the research of Gerlach and Espelage presented at the APA convention in August 2002

  • In the face of approximately 70 million Americans attempting to lose weight or to stop gaining weight, the Federal Trade Commission released a report in September stating that most ads for diet products and services contain false, misleading claims. According to the report, at least 40% of the ads made at least one “false representation” such as claiming a person can consume as much food as they desire and “still lose weight.” (Washington Post, 9/18). 55% of the ads made unsubstantiated claims (December, Wall Street Journal, 9/18). The report also found that the number of false or misleading claims in weight-loss advertisements “appears to have increased dramatically” from 1992 to 2002 (Washington Post, 9/18.)

  • The New England Journal of Medicine in a recent article showed exercise declining among girls as they reach teenage.

  • Another study shows that Anorexia Nervosa is increasingly common in adolescent girls and occurs at a time of peak bone mass formation. Osteopenia is common in adolescent girls girls with anorexia nervosa. It was found that despite recovery over 1 year, poor bone mineral accrual persists in adolescent girls with AN in contrast to rapid bone accrual in healthy girls. Normalization of bone turnover markers occurs in association with nutritional recovery and an increase in the nutritionally dependent bone trophic factor IGF-1.
    Massachusetts General Hospital; J Clin Endocrinol Metab 2002 Seo: 87 (9): 4177-85.

  • In a study by Golden, Lanzkowsky, Schebendach, Palestro, Jacobson, and Shenker: New Hyde Park, New York, it was determined that estrogen-progestin did not significantly increase BMD compared with standard treatment. These results question the common practice of prescribing hormone replacement therapy to increase bone mass in Anorexia Nervosa.

  • Another study shows that adolescents with eating disorders were at a substantially elevated risk for anxiety disorders, cardiovascular symptoms, chronic fatigue, chronic pain, depressive disorders, infectious diseases, insomnia, neurological symptoms, and suicide attempts during early adulthood. Problems with eating or weigh during adolescence predicted poor health outcomes during adulthood, regardless of whether an eating disorder had been present. Only 22% of the adolescents with current eating disorders had received psychiatric treatment within the past year.
    Arch Gen Psyciatry.2002; 59:545-552.

  • "Anorexia Strategy: Family as Doctor" - "When a teenage girl develops anorexia, a team of experts usually takes charge of bringing her back to a normal weight, while her parents stand on the sidelines... The goal of the therapy is to mobilize the family as a whole in a fight against the eating disorder." said Dr. James Lock, assistant professor of psychiatry at Stanford School of Medicine.
    The New York Times; June 11,2002.

  • Several studies suggest that at least half of anorexic patients appear to be fully recovered a decade or two later. Other studies have also suggested that the longer the illness lasts - or the less a person weighs before checking into a hospital - the more difficult the recovery.
    The Dallas Morning News, "Long-Term Research reveals lasting dangers of anorexia, bulimia" by Laura Biel

  • According to a U.S. Department of Health and Human Services task force, 80 percent of girls in grades three through six have bad feelings about their bodies.

  • ....it's normal for girls to put on 20 percent of their body weight in fat during puberty.
    Parents Magazine, June 2000, "Body Image Blues" by Bridget Booher

  • "In an exclusive survey Glamour conducted in conjunction with ANAD, we found that managed care is pulling the feeding tubes out of starving women. A stunning 96.7 percent of the 109 eating disorders specialists we interviewed told us that insurance caps have put anorexic patients in "life-threatening situations" by denying sufficient specialized hospital care. And 100 percent say the brief hospitalizations most managed-care policies cover have actually caused some of their patients serious relapses - making their illnesses more intractable, just as giving a tuberculosis patient an inadequate course of antibiotics risks making his or her infection resistant to treatment."
    Glamour Magazine, August, 1999

  • "Experts caution that eating disorders are more pervasive than ever, especially among young children, ages 9-12, who in the past weren't considered at risk."
    Albany Times Union, "Eating Disorders showing up in younger children" by Sylvia Wood

  • "A study of 692 adolescent girls shows that radical weight-loss efforts lead to greater future weight gain and a higher risk of obesity."
    "Naturalistic Weight-Reduction Efforts Prospectively Predict Growth in Relative Weight and Onset of Obesity Among Females Adolescents.." by Eric Stice, PhD., University of Texas at Austin; Rebecca P. Cameron, PhD., Joel D. Killen. PhD., Chris Hayward, MD, and C. Barr Taylor, MD, Stanford University School of Medicine, Journal of Consulting and Clinical Psychology, Vol. 67, No. 6. Full test available at http://www.apa.org/journals/ccp.html.

  • In a survey of 65 Fijian girls, Dr. Anne Becker reported that teen girls who watched TV three or more nights per week were 50 percent more likely than others to feel "too big or fat." Almost two thirds had dieted in the past month. Most disturbingly, 15 percent of the girls, average age 17, said they had vomited to control their weight in 1998, compared with just 3 percent in 1995 (when TV first arrived in Fiji).
    Newsweek, May 31, 1999, "Fat-Phobia in the Fijis: TV - Thin is in"
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