No Thinspiration

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

More than half the people diagnosed with eating disorder anorexia never fully recover, 20 percent remain chronically ill and five percent die, the British Medical Journal estimates.

Here are some key facts on the disease:

WHO IS MOST AT RISK?
- Anorexia has the highest fatality rate of any psychiatric illness, with 13 to 18 percent of sufferers dying, most commonly due to heart disease or suicide, health experts in Britain say.

- Eating disorders are generally more prevalent in industrialized countries, among young women or adolescent girls.

- An estimated three percent of young women experience eating disorders. In Britain, about five to ten percent of women aged 14 to 24 suffer from some form of eating disorder.

- Eating disorders are more common among competitive athletes than the general population. Female gymnasts, ballerinas, figure skaters, and distance runners are at high risk, as are male bodybuilders and wrestlers.
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If you are a young woman with anorexia, the best way to figure out the seriousness of your problem would be to go to your doctor to see if you will require hospitalization or psychiatric services. Recovery from anorexia nervosa includes both short- and long-term treatment, help from dietitions, psychiatrists and doctors who specialize in anorexia.

Hospital treatment is recommended for anorexics with any of the following characteristics: weight of 40% or more below normal body weight, or more than 30 pounds of weight- loss over a three-month period, severely disturbed metabolism, serious binging and purging, severe depression or risk of suicide. During hospitalization, you will have individual and group therapy as well as refeeding and monitoring of your physical condition. Treatment usually requires two to four months in the hospital. In extreme cases, you may be force-fed through a tube inserted in the nose (nasogastric tube) or by over-feeding.

Anorexics have been treated with many different medications, including antidepressants and antianxiety drugs. The effectiveness of these medications are not certain. However, at least one study of Prozac showed it helped patients maintain the weight gained while in the hospital. The determination for long-term recovery may vary from study to study, but the most reliable estimates are that 40 - 60% of anorexics will make a good physical and social recovery, and 75% will gain weight after treatment. The long-term mortality rate for anorexia is estimated at around 10% (or 1 in 10 with anorexia), although some studies give a lower figure of 3 - 4%.

Vía: Anred