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Health: Sites Walk a Thin Line

Dec. 18, 2006 (Newsweek)
If a food craving strikes, try a manicure to “keep your hands occupied.”
This kind of tip is common fare on pro-”ana” (anorexia) and pro-”mia” (bulimia) Web sites. Well intended or not, they’re not “benign,” says Dr. Rebecka Peebles of Stanford University, coauthor of “Surfing for Thinness,” published in Pediatrics last week. Stanford researchers surveyed patients treated for eating disorders, ages 10 to 22, and found that users of pro-eating-disorder sites were sick longer. And 96 percent of them reported learning new tips for weight loss or purging; 69 percent said they used them.

The sites tend to gloss over bad news: people with anorexia are 56 times more likely than their peers to commit suicide. (And they’re not broadcasting the November anorexia-related death of Brazilian model Ana Carolina Reston.)

Sites deny being harmful, saying they provide a community for those with eating disorders. The term “pro-ana” is broadly used, and sites vary greatly. “We offer them support, saying, ‘It will be. Continue going to your doctor’,” says five-foot, 89-pound proana.us owner Anna Robbins.

In November, the Academy for Eating Disorders suggested a mandatory warning statement: “Warning: anorexia nervosa is a potentially deadly illness. The site you are about to enter provides material that may be detrimental to your health.”

—Karen Springen

What proanorexia sites says…

When you’re hungry, take a nap. Shower, drink tea, numb your taste buds with teething gel, give yourself a manicure. Do anything but eat. These are some of the tips that “pro-ana,” or pro-anorexia Web sites offer to those who choose to restrict their eating.

These Web sites gained popularity the last few years as a kind of support group and community for those who have accepted anorexia as a lifestyle rather than a disorder. They have also become a source of national concern as those with eating disorders reinforce self-destructive habits and ideals through the Web sites.

Before this year, there was no actual study on the effects of viewing the Web sites, but two MU researchers, Anna Bardone-Cone and Kamila Cass, have published a pilot study in “European Eating Disorders Review.” Their larger study about the topic is being considered for publication in an eating disorder journal.

There is a format that comes with a pro-ana, mia (bulimia) or pro-ED (eating disorder) Web site. There’s the “thinspiration” section filled with pictures of rail-thin runway models and celebrities, sometimes accompanied with their measurements, “to set better goals for yourself and to keep on track,” as displayed on “Shophisticated,” a pro-ana Web site. There’s also the “reverse trigger” section, composed of pictures of morbidly obese people, greasy food and “fat” celebrities.
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