The Tiger in the Jungle: Identifying Eating Disorders

Southwest
Michigan
Eating
Disorders
The Tiger in the Jungle:
Identifying Eating Disorders
NEW WEBSITE URL!
V o l u m e
http://
www.swmichiganeatingdisorders.org/
Ask the Expert:
Sources of Information and
Help
(Book links are to
Amazon.com)
Full Mouse, Empty
Mouse by Dina Zeckhousen, Ph.D.
Intuitive Eating by Evelyn Tribole and Elyse
Resch
I'm Like So Fat! Helping Your Teen Make
Healthy Choices About
Eating and Exercise in
a Weight Obsessed
World by Dianne Neumark-Sztainer
Analysis Paralysis (A
blog entry that looks at
a practical approach to
explaining the difference between a brain
controlled by ED and a
"normal" brain).
Planet Health (A site
offering lessons and
activities to help students learn how to
make healthy life
choices.
American Academy of
Pediatrics Policy Statement: Promotion of
healthy weight-control
practices in young
athletes, 2005. Can be
accessed ,
American College of
Sports Medicine Position Statement: Nutrition and athletic performance, 2009.
3 6
We are rounding off our interviews
with a physician’s perspective.
Dilip Patel MD is a member of the
Department of Pediatrics and Adolescent Medicine at WMU’s
School of Medicine and a sports
medicine specialist.
We asked
Dr. Patel to
comment on
the following
three questions. Over
the next two
issues we will explore his responses and how his insights can
be translated to the school setting.
M a r c h
2 0 1 3
Dilip Patel, MD, Sports Medicine, WMED (Pt. 1)
gradual. A given change
should not exceed 1.5%
of the total body weight,
or 1 to 2 lb, each week.
To lose 1 lb of body
weight in 1 week, one
must expend 3500 kcal
more than one consumes.
The preferred way to do
this is to consume 1750
kcal fewer per week and
expend 1750 kcal more
per week by exercising.
© T. M.
Protein intake, caloric
intake and strength training all must be balanced
“Once the desired weight in order to gain muscle
is attained, an athlete
mass. In addition to a
1) If you are expecting any
should maintain that
regular strength training
weight gain or loss, what
weight, rather than going
regimen, in order to gain
increments of change do
through cycles of weight
you consider healthy?
1 lb of muscle or lean
2) What are your dietary suggain and loss. Studies
weight in 1 week, the
gestions to the athlete?
have shown that athletes athlete must consume
3) What bearing does a young
who maintain their desired 2000-2500 kcal more
person’s weight have on
your assessment?
weight tend to burn more
than one expends, and
calories as a result of
consume 1.5 to 1.75 g of
relatively higher resting
protein per kg of body
If you are expecting
metabolic rates than do
weight per day.”
any weight gain or loss, athletes who go through
what increments of
cycles of loss and gain.
***
change do you consider Therefore, athletes who
healthy?
We are planning a statemaintain a constant
weight can consume more wide conference regarding the community-based
“Many young athletes at- calories than those who
management of eating distempt to either gain or
go through ‘cyclic’ weight orders for October 11 & 12,
lose weight for sports re- loss.
2013. The conference will
quirements or with the
be open to teachers and
“The key factors that afbelief that it will improve
trainers, as well as medical
sports performance. Ath- fect the rate and amount
and mental health profesof weight gained and spe- sionals. Please keep an
letes should do so with
cific muscles developed
proper professional adeye out for further informavice and supervision. Any are genetic predisposition, tion on these exciting edutype of training, dietary
such weight loss as well
cational opportunities.
as weight gain should be habits, and motivation.