What is Anorexia?

People with Anorexia Nervosa see themselves as overweight even
though they are dangerously thin. The process of eating becomes an
obsession. Unusual eating habits develop, such as avoiding food and
meals, picking out a few foods and eating these in small quantities,
or carefully weighing and portioning food. People with anorexia may
repeatedly check their body weight, and many engage in other
techniques to control their weight, such as intense and compulsive
exercise, or purging by means of vomiting and abuse of laxatives,
enemas, and diuretics. Girls with anorexia often experience a
delayed onset of their first menstrual period.

The course and outcome of anorexia nervosa vary across individuals: some fully recover after a single episode; some have a
fluctuating pattern of weight gain and relapse; and others experience a chronically deteriorating course of illness over many years.
The mortality rate among people with anorexia has been estimated at 0.56 percent per year, or approximately 5.6 percent per decade, which is about 12 times higher than the annual death rate due to all causes of death among females ages 15-24 in the general population.

The most common causes of death are complications of the
disorder, such as cardiac arrest or electrolyte imbalance, and suicide.

An estimated 0.5 to 3.7 percent of females suffer from anorexia nervosa in their lifetime. Symptoms of anorexia nervosa include:

  • Resistance to maintaining body weight at or above a minimally normal weight for age and height
  • Intense fear of gaining weight or becoming fat, even though underweight
  • Disturbance in the way in which one’s body weight or shape is experienced, undue influence of body weight or shape on self evaluation, or denial of the seriousness of the current low body weight
  • Infrequent or absent menstrual periods (in females who have reached puberty)

(source: NIH Publication 01-4901, 2001)

What is an Eating Disorder?

Eating Disorders involve serious disturbances in eating behavior, such as extreme and unhealthy reduction of food intake or severe
overeating, as well as feelings of distress or extreme concern about body shape or weight.

Eating disorders are not due to a failure of will or behavior; rather, they are real, treatable medical illnesses in which certain
maladaptive patterns of eating take on a life of their own. The main types of eating disorders are anorexia nervosa and bulimia nervosa.

A third type, binge-eating disorder, has been suggested but has not yet been approved as a formal psychiatric diagnosis. Eating
disorders frequently develop during adolescence or early adulthood, but some reports indicate their onset can occur during childhood or later in adulthood.

Eating disorders frequently co-occur with other psychiatric disorders such as depression, substance abuse, and anxiety
disorders. In addition, people who suffer from eating disorders can experience a wide range of physical health complications, including
serious heart conditions and kidney failure which may lead to death. Recognition of eating disorders as real and treatable diseases,
therefore, is critically important.

Females are much more likely than males to develop an eating disorder. Only an estimated 5 to 15 percent of people with anorexia
or bulimia and an estimated 35 percent of those with binge-eating disorder are male.

(source: NIH Publication 01-4901, 2001)