Your Questions About Teenage Diets For Weight Loss For Girls

by Maricela on February 24, 2013

Donna asks…

What are some controversies on the treatments of eating disorders?

what type of treatment is the most effective? Or what are some controverisies?
need to do this for a research essay and having troubles with it.
please provide a source and information thank you!

Maricela answers:

Because of the way you asked this question, I have to warn you, this is not my homework assignment – the areas which must be covered are huge, I will provide several links throughout my notes below. This should help you write your paper.

There is no single treatment for eating disorder. Obesity is also considered an eating disorder with very difficult solutions but we can begin with anorexia and bulimia and BED (Binge Eating Disorder).

Please read the article below as it has an excellent table of possible risk factors which include Biological, Psychological, Developmental and Social Factors which contribute to these conditions and also help to explain why there is no one-stop treatment.
Http://www.phac-aspc.gc.ca/publicat/miic-mmac/chap_6-eng.php

Let’s define the conditions: “Anorexia nervosa is an eating disorder that involves an inability to stay at the minimum body weight considered healthy for the person’s age and height. Persons with this disorder may have an intense fear of weight gain, even when they are underweight. They may use extreme dieting, excessive exercise, or other methods to lose weight.” per a New York Times article.

Bulimia can be a double threat because it “is an illness in which a person binges on food or has regular episodes of significant overeating and feels a loss of control. The affected person then uses various methods — such as vomiting or laxative abuse — to prevent weight gain.
Many (but not all) people with bulimia also have anorexia nervosa.”

Both anorexia nervosa and bulimia nervosa are considered to be mental health issues. It is also important to know that they have a very high death rate – of between 18-20%. It is 12x higher than the total of all other conditions combined for females between 15-24 years of age per a 1999 publication by Carolyn Cavanaugh, “What We Know about Eating Disorders: facts and statistics”.

Eating disorders are judged to be the 3rd most common disorder in teenage girls per the Canadian Paediatric Society.

Although we tend to think that it is the girls who want to emulate models who have the highest risk, it is actually female athletes who have a prevalence between 15-62% per “The Eating Source Book” by Carolyn Costin.

One thing that is known is that the earlier the treatment/intervention, the better the chances for a positive outcome.

Because girls as young as 10 years of age have been found with eating disorders, there are additional threats to the health and normal body maturation of this children. Many disorders seem to begin with a fear of being fat – a fear so great that it outranks the fear of cancer, war or parental loss.

Boys are not exempt from eating disorders and in Canada 1 in 5 10th grade boys were either already dieting or planned to do so.

In terms of obesity, it is known that about 95% of people who diet tend to regain their lost weight within 5 years.

With anorexia, bulimia and BED treatment is on three fronts. The first is to try to restore the health and weight of the patient so that they don’t die before treatment ends. Counseling is necessary for a prolonged period of time to deal with the varied issues which seem to be at the root of the problems. After this or during it, medications can be prescribed.

Because hospitalization seems to be the best way to control the environment, it is the favored treatment but it is extraordinarily expensive and can literally destroy the financial health of the families. Since a team of specialists is required – psychiatrist, nutritionist, primary care physician, the cost of hospitalization can run as much as $30,000 per month. Most of this expense must be paid by the family because the longer term care for these chronic (long-term) conditions are not covered sufficiently by hospitalization/health insurance. Patients may require repeated hospitalization
http://www.nytimes.com/2010/12/04/health/04patient.html?_r=1

Home care is a possibility but it is not without emotional cost. And in some cases, financial cost.
Http://www.nytimes.com/2010/10/19/health/research/19anorexia.html

One of the biggest areas of controversy is the financial cost for treatment which may ultimately fail.

Another controversy is the fact that society has bought in to some very unhealthy values concerning appearance over health. This is not new but it is an in-your-face daily bombardment with commercials, magazines, online images, movies, the fashion industry, our competitive sports focus,

additional reading:
http://www.nedic.ca/knowthefacts/statisticsArchive.shtml

Sample programs:
http://www.eatingdisordertreatment.com/discover-the-victorian/how-the-victorian-program-works
http://www.rebeccashouse.org/rebecca_about.asp

You will find some helpful information at the blog below, “Eating Disorder Treatment Options For Beginners”
http://eatingdisordertreatmentoptions.blogspot.com/

Daniel asks…

What are all the symptoms of an anorexic person?

I have this friend who is, well i think, anorexic. What are all the symptoms of anorexia.

Maricela answers:

This probably isn’t the best choice because being anorexic can have long term health risks. You should pick a healthy diet of less calories and more exercise

Anorexia nervosa is a complex psychological illness that can have devastating physical consequences. Twenty percent of anorexics die of their illness, many from heart attacks and starvation. The self-starvation that occurs in anorexia nervosa can lead to:

Dehydration
Malnutrition
Heart damage
Liver damage
Infertility
Personality changes
Kidney damage
Osteoporosis
Damage to the immune system
Starvation
Permanent health damage
Death

There are many signs that someone may have anorexia nervosa. The most frequently noticed is the extreme thinness that characterizes someone with this eating disorder. There are other physical, emotional, and behavioral signs that signal anorexia.

Extreme weight loss
Refusal to eat enough to maintain a healthy body weight
Persistent negative comments about body shape and size
Distorted body image and self-perception
Inability to recognize true body size/thinness
Excessive exercise
Continuing to diet although thin
Obsessive calorie and fat gram counting
Constant weighing
Refusing to eat in public/avoidance of eating situations
Denial of the problem
Claiming lack of hunger
Attributing life successes or failures to weight
Dressing in layers to hide weight loss
Thinning hair
Dry, yellow skin
Dry, brittle hair and nails
Complaints of being cold all the time
Refusal to eat solid food
Disguising lack of eating or reduced food intake by playing with food, picking at food, rearranging food on the plate, hiding food
Fine, downy hair that develops on face or body
Lack of menstrual period; loss of menses
Personality changes
Inability to accept compliments; frequent self-belittling comments
High expectations of perfection

Diagnostic Criteria
Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following:
eating, in a discrete period of time (e.g., within any 2-hour period), an amount of food that is definitely larger than most people would eat during a similar period of time and under similar circumstances
a sense of lack of control over eating during the episode (e.g., a feeling that one cannot stop eating or control what or how much one is eating)
Recurrent inappropriate compensatory behavior in order to prevent weight gain, such as self-induced vomiting; misuse of laxatives, diuretics, enemas, or other medications; fasting; or excessive exercise.
The binge eating and inappropriate compensatory behaviors both occur, on average, at least twice a week for 3 months.
Self-evaluation is unduly influenced by body shape and weight.
The disturbance does not occur exclusively during episodes of Anorexia Nervosa.
Specify type:
Purging Type: during the current episode of Bulimia Nervosa, the person has regularly engaged in self-induced vomiting or the misuse of laxatives, diuretics, or enemas
Nonpurging Type: during the current episode of Bulimia Nervosa, the person has used other inappropriate compensatory behaviors, such as fasting or excessive exercise, but has not regularly engaged in self-induced vomiting or the misuse of laxatives, diuretics, or enemas.

Anorexia nervosa is an illness that usually occurs in teenage girls, but it can also occur in teenage boys, and adult women and men. People with anorexia are obsessed with being thin. They lose a lot of weight and are terrified of gaining weight. They believe they are fat even though they are very thin. Anorexia isn’t just a problem with food or weight. It’s an attempt to use food and weight to deal with emotional problems.

William asks…

How am i suppose to lose weight if i already eat 1200 calories?

im 17
im 5’5
i weight 8.5 stones

i want to lose a stone…
2 pounds per week…

i am size 12.
i want to be size 10/12

i heard we are not meant to eat below 1200 when dieting but thats how much i normally eat

Maricela answers:

You’re not.
(You’re not supposed to lose weight).
You’re not even supposed to eat only 1200 calories at 17.
You’re NOT a 5’5, 120lbs, 60yo woman with a 1200 calories BMR.
You’re a 5’5, almost 120lbs (119lbs/8.5st), 17yo growing teenager with a 1,400 calories BMR.

Females’ BMR:
655 + (4.35 x weight in pounds) + (4.7 x height in inches) – minus (4.7 x age in years)
655 + (4.35 x 119 pounds) + (4.7 x 65 inches) – minus (4.7 x 17yo)
655 + 517 + 305 – minus 79 = 1,398 rounded to 1,400 calories.

On top of your BMR, you also have to eat more when you get a growth spurt as you’re younger than 21yo.
Your body has not reached your adult size yet and still needs to gain LBM (Lean Body Mass, like bone mass, muscle mass, bigger organs).

If you maintain your weight (total body weight on a scale), while growing up as a teenager, instead of gaining weight (LBM), that means you probably do not eat enough (duh! You eat 200 calories UNDER your BMR) so you probably have body fat weight loss compensating your LBM weight gain.
Then using a body scale is useless since your weight is not supposed to change. You have to use a tape measure and keep track of your body measurements on a monthly basis. You can go down a dress size and lose one inch on your body measurements in 4 months (1/4 inch/month is a good rate if you exercise) WITHOUT losing weight (on a scale) as muscle mass takes 3 times less space than body fat (for the same weight).

As you should be aware, but apparently you’re not, overweight growing teenage girls (and you’re NOT even overweight), who feel the need to go back down to the healthy weight category, still need to maintain their total body weight, otherwise, they put themselves at high risk of eating under their BMR (which leads to sending the metabolism down the drain and developing and ED). They can take advantage of their growth to get thinner (and taller if they don’t mess up their growth with lower caloric intake).

You DO NOT eat less to lose total body weight when you’re a growing teenage girl. You eat enough to cover your BMR (1,400 calories in your case) + growth and then use exercising to lose body fat (3,500 calories of exercising for each pound of body fat that you wish to lose…again, not weight on a scale if you’re gaining LBM). It’s hard enough to be physically active when you only eat enough to cover your BMR + growth (because you want to use your fat reserves and you cannot eat more for energy to exercise easily and efficiently).
So…it’s even harder to exercise if you eat UNDER your BMR.

Do NOT use the adult BMI, but the BMI-for-age that takes into account gender and age as well, not just height/weight.

It’s okay for a 17yo teenage girl who is 5’5 to weigh 105 pounds at the 6th percentile, as she would have a healthy weight (you’re underweight under the 5th percentile) because she’s still growing and should gain at least 15 pounds until she gets her adult body in her 20s.

It’s okay for a 17yo teenage girl who is 5’5 to weigh 119 pounds at the 35th percentile, as she would have a healthy weight (you would be overweight at the 85th percentile) because she’s still growing and should gain at least 6 pounds until she gets her adult body in her 20s.

BUT IT IS NOT OKAY to lose total body weight while growing, especially if you have a healthy weight. Your body is supposed to go from a skinny little girl’s body to an adult body…NOT the other way around.

Theoretically, you should be losing weight if you eat under your BMR, unless your body already adapted to low calorie intake (takes a few months), lowered your metabolism so now you have a lower adjusted BMR (good luck finding what it is, takes months of counting calorie intake/expenditure and maintaining weight as they are no formula for that one). Now, you cannot eat as much nutrients as you need unless you exercise A LOT and very healthy, while eating normally.

If it’s not too late to not mess up your metabolism, I would suggest that you try eating enough to cover your BMR (1,400 calories).
STOP using a scale but use a tape measure once a month (when you’re not bloated, before you eat breakfast).
Exercise as much as you can so you can eat more and gain more muscle mass (calisthenics…) while losing more body fat (aerobics) so you get a strong, toned and thin body.
Your weight on a scale does not matter as long as it’s healthy.

DO NOT lose 2 pounds per week on a scale…that is for overweight adults (they’re done growing) who still have to eat enough to cover their BMR (or their adjusted lower one, if they dieted while growing up) while exercising…like doing 1,750 of exercising per week (it’s hard to exercise much when you’re not eating for it) to lose half a pound of body fat, while gaining muscle mass to get thinner.

Michael asks…

Has anyone ever tried the Green Coffee Bean Extract for weight loss and what is your results?

Today is Day 2 for me. I’m taking 800 mg. I take 2 pills in the morning. It’s amazing how already it has curbed my appetite with absolutely no cravings. It doesn’t leave you jittery at all. I’m very excited to see the outcome. Just wondering if anyone else out there has tried this and what results and even recommendations you have.

Maricela answers:

You sound like the spam answers you’re getting, pushing out some product.
Unlike your picture, you sound like a clueless teenage girl who can believe any crap.

I can’t say that I have.
Weight loss pills?
You cannot really get in shape and improve your cardiovascular system by popping pills.
I’d rather go the old fashioned way of just eating healthy and exercising.

You never need to “curb your appetite” when you have a healthy fulfilling diet.
Just exercising will curb your appetite. 2hrs after a good high carbs meal, you get a high blood sugar level and plenty of energy so you start exercising and about 30 min. In your THR zone, the body starts releasing chemicals to prevent pain/hunger so you can keep going. Those natural chemicals (endorphins, epinephrine, serotonin, and dopamine, among others) make you feel so good…happy, energetic (runner’s high).

Then you cool down for 5 min., stretch for 15 min. And then take a shower (20 min. After your workout as you need to wait to stop sweating before you shower or you cannot dry after your shower if you’re still sweating) and then (30 min. After your workout) the chemicals wear off and hunger hits you like a ton of brick because you depleted your blood sugar level so you need to replenish and you can eat a well deserved snack/meal.

Food cravings are a way for your body to communicate with you and let you know what missing nutrients you need. I answer my food cravings, whether it’s an urge to eat more protein to repair muscle mass (juicy filet mignon, steamed salmon or shellfish, eggs, chocolate milk, homemade lentils/rice soup, nuts…) or more sodium to retain water (chips…anything salty) or chocolate to get the natural antidepressants (+ awesome antioxidants) to make me feel better when my hormones fluctuates.
Trying to eliminate or deny your food cravings is a way to tell your body “shut up, I’m not listening to you, and I don’t care if you know better than I do and just want to help and guide me”. Your body will eventually shut up if you’re not answering your food cravings and you’re left alone fumbling in the dark with no idea what you should eat.

When you say “today is Day 2”…Make several months assessments, not weeks assessments (stupid) or 2 days assessments (?!?).
Even for meds, you sometimes need 4 to 6 weeks to get the full impact so brace yourself.

Green coffee bean extract are just like any other diet pills crap out there.
Caffeine (coffee plants/beans, tea bushes) comes from plants and is natural, like nicotine (tobacco) or cocaine (coca plant) that also come from plants.
You have no idea about the side effects as diet pills are “food supplements” and not FDA approved and therefore not regulated as drugs (just the real ones, available only by prescription, under a doctor’s supervision). You cannot expect safety, efficacy or purity control. It’s a buyer-beware market and if you’re a smart buyer, you beware enough to not fall for it. Some unregulated diet pills actually have more potent ingredients than prescription drugs but you’re on your own. Even if you keep all your receipts and proof of purchase, you won’t be able to sue the manufacturer when you need a transplant. You’ll die of organ failure and the manufacturer will be long gone as they close shop and restart another company (with the same crappy pill under another name) every 5 to 10 years.

The “study” to justify that manufacturer to make bogus claims was of course conducted by that manufacturer, using a bunch of overweight and obese people (16 of them…hardly a statistic) in some countries where they cannot be sued, surely not the US. I think they used young Indians in India (22/26yo) so they were less likely to drop dead within the six months study.

Caffeine is a huge diuretic and overweight/obese people have a lot of water weight so they lost a few pounds in 6 months.
Of course, that “study” was never published in any medical journal as they would never publish a bogus study about 16 people popping diet pills for 6 months.

On average, those 16 unfortunate poor Indian people, probably doing the study to get money to get food (skinny people are starving in India, if you’re obese and need more calories, you do drastic measures) lost 11% of their body weight in 6 months. As I said…caffeine = diuretic = water loss and dehydration. Also caffeine, like nicotine is a stimulant and suppresses appetite (in a bad way as you don’t get the nutrients that you need).

If I would reach my 130lbs weight threshold, I would not need caffeine to dehydrate. I would choose to lose body fat…11% would be 14.3lbs x 3500 calories of exercising = 50050 calories of exercising divided by 26 weeks (6 months) = 1925 calories of exercising on a weekly basis…like 4 hours/week (8cal/min).
If I could not find 4 hours in a week (that has 168 hours) to be physically active…yeah, I might as well pop pills and hope for the best, while getting weaker, flabbier and fatter.

Laura asks…

Is this a good type of exercise for losing weight?

I eat a healthy 1200 calorie diet.
Walking/dancing for 30 minutes a day and doing 30 minutes of either:
*yoga/pilates
*tae bo
*bellydancing
*or other types of workout exercises on tv help me lose weight?– I do workouts from time warner cable’s channel exercise on demand which is basically a bunch of different show to exercise to that focus on certain parts of your body or are organized in a certain type of exercise…

About how long do you think it will take to feel a difference? I am worried that I’m doing this and I won’t see any improvement.
And just for the record that is not me in my yahoo picture it’s roy orbison, there have been people who think its me and call me fat a– when they don’t know me and plus I am a teenage girl, Roy Orbison is amazing so they have no idea what they are talking about, but thanks for the help and if you’re not going to be nice please don’t answer.
Its an hour total of exercise.

Maricela answers:

I like the 1200 calories a day. As long as you’re sweating for those 30 minutes you’re doing fine and should be seeing about a 2 pound a week weight loss. If you’re not then you’re missing something in the exercise department. It can be anything you like as long as it’s 30 minutes of sweat everyday…good luck

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