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Facing an eating disorder, like anorexia nervosa (AN), in your own life or that of a loved one can be a daunting task. Current research indicates that early detection and intervention are crucial for decreasing the risk of long term illness and severe medical complications from these disorders. (5)
As there is no guaranteed way to prevent anorexia, detecting the early signs of anorexia nervosa, and intervention offer the greatest opportunity to heal from this eating disorder. Educating yourself and your community about anorexia warning signs can help create supportive allies for those struggling and make sure that they know they do not need to suffer alone in silence. Community support can help reduce feelings of shame and isolation for individuals with anorexia and other eating disorders and enable earlier access to specialized treatment and support. (1,2)
According to the National Eating Disorder Association, anorexia nervosa warning signs can be divided into two main categories, emotional/behavioral signs and physical signs. (3) It is also important to note the impact of risk factors associated with the development of this eating disorder, and be especially aware of early signs of anorexia developing in individuals who are at higher risk for the illness.
While the reasons that any individual develops AN are complex and unique, being attentive to common warning sizes in yourself and others in your life, especially children, can help facilitate early detection and intervention. behavior.
The following signs and risks are common but not universal, as anorexia can develop in people of any body size and not every person with the disorder will exhibit every single associated behavior.
Emotional and behavioral
Dresses in layers to hide body changes or stay warm.
Preoccupation with weight, food, calories, fat grams, and dieting.
Restrictive eating.
Frequent self-judgment about body shape and size
Denies feeling hungry.
Develops food rituals.
Cooking meals for others without eating.
Avoids mealtimes or situations involving food.
Maintains an excessive, rigid exercise regimen – despite weather, fatigue, illness, or injury.
Becomes reclusive.
Concerned about eating in public.
Has limited social spontaneity.
Has intense fear of weight gain
Has disturbed experience of body weight or shape, undue influence of weight or shape on self-evaluation, or inability to perceive body size accurately
Feels ineffective.
Has a strong need for control.
Has overly restrained initiative and emotional expression.
Physical
Dramatic weight loss (does not always occur in AN due to variation in genetic response to energy restriction)
Stomach cramps and non-specific gastrointestinal ailments (constipation, acid reflux, etc).
Cuts and calluses across the top of finger joints (a result of inducing vomiting).
Dental problems.
Dry skin.
Dry and brittle nails.
Swelling around salivary glands in the mouth.
Thinning of hair on his or her head, dry and brittle hair (lanugo).
Cavities.
Muscle weakness.
Poor wound healing.
Impaired immune functioning.
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Risk factors pertaining to anorexia warning signs
The term “risk factor” refers to a quantifiable characteristic that precedes the onset of a disorder. According to a study specifically dedicated to risk factors of AN, they can be divided into four categories: personal vulnerability, environmental, dieting vulnerability, and age. These categories were then further specified into the following subcategories. (4)
Personal vulnerability
Childhood characteristics
Negative self-evaluation
Perfectionism
Extreme compliance
School absence through anxiety
Pre-existing psychiatric disorders
Major depression
Drug abuse
Alcohol abuse
Behavioral problems
Marked conduct problems
School absence
Deliberate self-harm
Parental psychiatric disorder
Parental depression
Parental alcoholism
Parental drug abuse
Environmental
Parental problems
Low parental contact
Separation from parents
Parental arguments, criticism, high expectations, over involvement, under-involvement, minimal affection
Disruptive events
Parental death
Change of parent figure
Parental chronic illness
Frequent house moves
Severe personal health problems
Parental psychiatric disorder
Parental depression
Parental alcoholism
Parental drug abuse
Teasing and bullying
Sexual and physical abuse
Dieting vulnerability
Dieting risk
Family member dieting
Critical comments by family about shape, weight, or eating
Teasing about shape, weight, eating, or appearance
Parental history of AN or Bulimia Nervosa
Having parents who are in higher weight bodies Being in a higher weight body as a child or prior to the disorder
Parental Eating Disorder
When to seek help
Anorexia nervosa is a serious illness which can have significant psychological, physical, and social impacts on individuals who are struggling as well as their families and communities. It can result in long term medical complications and even death. Early detection and intervention is linked to better treatment outcomes and reduced chances of long-term illness of AN left. While there is no guaranteed way to prevent AN, awareness of risk factors, attentiveness to early warning signs, and access to immediate and supportive care are important ways to facilitate the best possible outcome. If you think you or someone you know may be struggling with anorexia nervosa, learning more and reaching out for advice and support are important steps towards healing.
Disclaimer about "overeating": Within Health hesitatingly uses the word "overeating" because it is the term currently associated with this condition in society, however, we believe it inherently overlooks the various psychological aspects of this condition which are often interconnected with internalized diet culture, and a restrictive mindset about food. For the remainder of this piece, we will therefore be putting "overeating" in quotations to recognize that the diagnosis itself pathologizes behavior that is potentially hardwired and adaptive to a restrictive mindset.
Disclaimer about weight loss drugs: Within does not endorse the use of any weight loss drug or behavior and seeks to provide education on the insidious nature of diet culture. We understand the complex nature of disordered eating and eating disorders and strongly encourage anyone engaging in these behaviors to reach out for help as soon as possible. No statement should be taken as healthcare advice. All healthcare decisions should be made with your individual healthcare provider.
Resources
Kalindjian, N., Hirot, F., Stona, A. C., Huas, C., & Godart, N. (2022). Early detection of eating disorders: a scoping review. Eating and weight disorders : EWD, 27(1), 21–68. https://doi.org/10.1007/s40519-021-01164-x