Eating Disorders: Signs, Prevention & Awareness – EMU Health Column

Ypsilanti, MI – As February’s National Eating Disorder Awareness Month draws to a close, a team of graduate students at Eastern Michigan University is working to break the silence surrounding these often-misunderstood conditions. The initiative, spearheaded by the “WellNest Watch” health column contributors, aims to educate the campus and wider community about the prevalence, complexities and often-hidden nature of eating disorders.

The WellNest Watch column features insights from Kegan Tulloch, Ebrima Jobarteh, and Ruby Wyles, all graduate assistants in the Office of Health Promotions, alongside Shafaat Ali Choyon and Nathaniel King, graduate hall directors within the Department of Residential Life. All five are currently pursuing master’s degrees in the Public Health Program at EMU’s School of Health Promotion and Human Performance.

Statistics reveal a significant public health concern: approximately 9% of the U.S. Population will experience an eating disorder in their lifetime. Tragically, a life is lost every 52 minutes due to the direct consequences of these illnesses, making eating disorders the second leading cause of death among psychiatric illnesses, surpassed only by opiate addiction. A particularly challenging aspect of addressing these conditions is the widespread misconception that they are limited to those who are medically underweight; in reality, fewer than 6% of individuals struggling with an eating disorder fall into that category, meaning the vast majority – 94% – are of normal or higher weight.

The column’s authors highlight the potential for well-intentioned health goals to veer into disordered eating patterns, particularly in January when societal pressures surrounding “New Year, new you” resolutions intensify. Discounted gym memberships, restrictive diets, and heavily marketed supplements can exploit insecurities and fuel unhealthy fixations on food and fitness.

The distinction between disordered eating and a clinical eating disorder is crucial. While eating disorders are formally diagnosed psychiatric conditions involving significant disruptions in eating behaviors, thoughts, and coping mechanisms, disordered eating exists on a spectrum. Disordered eating often manifests as problematic behaviors – frequent dieting, “clean” eating obsessions, cutting out entire food groups, rigid food rules, or extreme exercise – but may not meet the full criteria for a diagnosed disorder.

The three most commonly recognized eating disorders are Anorexia Nervosa, characterized by restriction of food intake and a distorted body image; Bulimia Nervosa, involving cycles of binge eating followed by compensatory behaviors like vomiting or excessive exercise; and Binge Eating Disorder, marked by recurrent episodes of binge eating without compensatory actions. These disorders impact both physical and psychological well-being, with warning signs ranging from ongoing fatigue and digestive issues to preoccupation with food, anxiety around meals, and mood changes.

The authors emphasize that eating disorders do not discriminate, affecting individuals of all genders, races, sexual orientations, body sizes, and backgrounds. They also note that college students may be particularly vulnerable due to academic stress, social comparison, athletic pressures, and changes in meal structure.

To promote prevention, the WellNest Watch team recommends focusing on consistency rather than perfection in health goals, examining the motivations behind fitness and food choices, questioning rigid rules, diversifying social circles, and openly discussing concerns. They encourage anyone struggling with thoughts about food, exercise, or body image to reach out for support from counselors, dietitians, doctors, or trusted friends and family members.

Resources are available by emailing hphp_ohp@emich.edu. Ruby Wyles, a graduate assistant contributing to the column, is also a member of the EMU Women’s Track & Field and Cross Country teams, having transferred from Tennessee Tech where she competed from 2021-2023 and achieved personal records in the 5K and 6K.

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