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Eating Disorders
Men with Eating Disorders Have Healthy Body "Ideal"

February 17, 2004- Eating disorders in men may be fueled by a distorted perception of their own bodies, rather than an unhealthy notion of what the "ideal" body is, the results of a small study suggests.

Researchers found that while men with anorexia or bulimia saw themselves as much heavier than they actually were, their idea of an ideal body was no different from that of healthy men their age.

Distorted body image is well known to be at the roots of eating disorders. But studies have traditionally not distinguished between patients' perceptions of their own bodies and what they believe to be the ideal body, according to the new study's lead author.

"Our study suggests that the body image distortion in eating disorders is based primarily on a distorted body perception, and not on the body ideals of patients," Dr. Barbara Mangweth of the University Clinics Innsbruck in Austria told Reuters Health.

This distinction is important, according to Mangweth and her colleagues, because it could make a difference in treatment. For example, men with eating disorders may not need to be "re-educated" about healthy body fat levels, they report in the International Journal of Eating Disorders.

Whether the findings might extend to women, who suffer from eating disorders much more often than men do, is unclear, according to the researchers. However, they point to a recent study that found normal-weight, dieting women had distorted perceptions of their own bodies, but had body ideals similar to those of women who were not dieting.

The new study involved 27 men ages 19 to 43 with anorexia or bulimia, and 42 athletic and non-athletic men of the same age. Mangweth's team had the men take a computerized test that allowed them to "morph" an image of a male body to have various levels of fat and muscle.

Participants had to choose images that best represented their own bodies, the body they would like to have, and the one they thought women would prefer.

The researchers found no differences between the groups when it came to body fat ideals. However, men with eating disorders saw themselves as twice as fat as they actually were, while healthy participants showed no such distortion.

The findings, according to Mangweth, suggest that in both research and therapy, it is important to distinguish patients' beliefs about their bodies from their general body preferences.

SOURCE: International Journal of Eating Disorders, January 2004.

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