Eating Disorders Prey on Girls
CSU student tells story of struggle, success
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Sherri Barber/The Coloradoan
IN CONTROL: Jenna Radovich, 20, runs on the
track at Colorado State University's Recreation Center. Radovich,
who is a junior at CSU, suffered from anorexia and bulimia starting
at the age of 17. She has had the disorder under control for two
years.
By the numbers
42: Percent of first to third grade girls who want to be
thinner
45: Percent of boys and girls in grades 3-6 who want to be
thinner
9: Percent of 9-year-olds who have vomited to lose weight
81: Percent of 10-year-olds who are afraid of being fat
53: Percent of 13-year-old girls unhappy with their bodies
78: Percent of 18 year-old-girls unhappy with their bodies
Source: From "Body Wars, Making Peace with
Women's Bodies": by Margo Maine, Ph.D., Gürze Books, 2000
Eating disorders and characteristics
ANOREXIA NERVOSA
Description: Severe weight loss, fear of fatness, distorted body
image, body image overemphasized in self-evaluation, loss of period.
Characteristics: Emaciated look, physically active, profound
weight loss, loss of menstrual period, body image distortion, fear
of weight gain
Medical complications: General health, cardiovascular compromise,
osteoporosis, metabolic slowdown, multiple organ compromise, suicide
In adolescence, growth retardation, delay of puberty, peak bone mass
reduction
Anorexia nervosa has the highest mortality rate of any
psychiatric disorder, as high as 20 percent. Death can occur after
severe binging in bulimia nervosa as well.
BULIMIA NERVOSA
Description: Binging with a sense of loss of control followed by
vomiting, laxative abuse, diuretics, extreme fasting or extreme
exercise at least twice a week, body image overemphasized in
self-evaluation. Sometimes food will be chewed then spit out.
Characteristics: Individual "looks normal," binging and purging
behaviors, individual overly concerned about body, secretive
Medical complications: dehydration, heart problems, electrolyte
disturbances, gastrointestinal problems
BINGE EATING
Characteristics: More prevalent: half of all clients of diet
clinics are binge eaters, represented across all ages, equally
represented between sexes, associated with problems of obesity
Medical complications: cardiovascular, diabetes, musculoskeletal,
infectious disease
Fast facts
Out of millions of Americans diagnosed with eating disorders
annually, 90 percent are adolescent and young women
Eating disorders have doubled since the 1960s and are increasing
in younger age groups, as young as 7 years
40-60 percent of high school girls diet
Source: Journal of the American Academy of
Child and Adolescent Psychiatry |
She was encouraged by an
American culture that experts say admires excess
and pushes extremes, but the behavior that was gaining Jenna Radovich's
admiration was taking her from happy to miserable, from a women's size 6 to
children's clothes, and from healthy to
obsessed with food and exercise.
"I started losing weight and someone mentioned it," said Radovich, a
20-year-old junior at Colorado State University. "To me that meant that,
before, I hadn't been presentable or something."
As her
eating disorder progressed, people Radovich knew asked her, "How'd
you do it?" and told her they wished they could look like that. They told
her she must be so happy.
Overexercising and throwing up, however, was not making her happy.
"The only time I would cry is when I was over the toilet," said Radovich,
who two years ago recognized she had an
eating disorder and sought help from
counselors, family and friends.
It was the summer before her senior year at Pomona High School and
Radovich, a centerfielder, was excited about the fall softball season; she
wanted her last year of softball to be her best.
That same summer, her dentist removed her wisdom teeth and for five days,
Radovich couldn't eat solid foods. She said she lost weight and gained
attention.
"I didn't notice anything until people said stuff, and then I kind of
liked it," Radovich said. "That definitely kept the cycle going."
During her junior year of high school, Radovich started measuring her
meals - literally, with measuring cups - after reading a fitness magazine
article about Americans and their misconceptions about portions.
"I never had more than a cup of anything," Radovich said.
Soon, however, she had cut that to a half-cup. Friends kidded her that
Fitness magazine was her Bible.
Her mother, Mille, had suspected that her daughter might have body image
problems, but the food measurement was the "biggest giveaway."
"I knew we had crossed that line," Mille said.
Still, Radovich's grades improved. Her social life was good. On the
outside she didn't seem to be suffering. Her friends were concerned, but
Radovich said she tricked them simply by eating ice cream.
To maintain energy for softball, Radovich "had to eat." She started
exercising excessively to combat eating, something physicians call exercise
bulimia.
Radovich would drive home after school, then run about three miles back
to softball practice. After three hours of practice, she would run another
one to three miles.
"I was basically starving my body ... using exercise," Radovich said.
"Because I was an athlete, it was looked at in a good way."
But she was getting light-headed in class in the mornings and once passed
out when she stood up. Doctors
tested her for diabetes but didn't notice she
had dropped 20 pounds.
During her senior year of high school, she wrote a 27-page research paper
for an English class about exercise addiction. Still, it would be another
year until she recognized the symptoms of an eating disorder that was
ruining her life.
The youngest of three girls, Radovich grew up trying to keep up with her
older sisters.
"She skipped over childhood toys and went straight to Barbies because
they were into those sorts of things," Mille Radovich said.
"Of all my daughters, I never thought it would be her," Mille said.
Women have long been pressured to stay thin, said Dr. Jane Higgins, staff
physician at Hartshorn Health Center at CSU for more than 17 years.
"I think it's always been normalized," Higgins said. "How many magazines
don't have articles about losing weight?"
The No. 1 wish of girls 11-17 years old is to lose weight, according to
Margo Maine's "Body Wars: Making Peace with Women's Bodies."
As many as one-fifth of people with an eating disorder die from the
illness, according to Eating Disorders Coalition, an advocacy group created
to promote awareness of eating disorders as a public health priority.
Up to 3.7 percent of females suffer from anorexia nervosa, while as many
as 4.2 percent of females have bulimia, according to the EDC. Nearly 4.5
percent of female and 0.4 percent of male college freshmen report
bulimia in
their first year of school.
About nine out of every 10 people with an eating disorder are girls or
young women, though 19-30 percent of young anorexic patients are male,
according to the American Psychiatric Association.
In people with bulimia, between 50 percent and 70 percent of patients who
received
psychological treatment and medication recovered in the short-term,
according to the APA. Other studies suggest that 30 percent to 50 percent of
patients relapse six months to six years later, according to the APA.
CSU's Higgins said many of her patients see at least a short-term
recovery.
"I think we see lots of success, or I wouldn't do this," Higgins said.
Other studies show that the biggest risk factor in people who develop
eating disorders is dieting, said Danielle Oakley, a licensed psychologist
and group coordinator at the Colorado State University counseling center.
That's "pretty scary" given that 91 percent of girls and women between 14
and 18 are dieting, Oakley said.
HealthyPlace.com Video
The Causes and Effects of Eating Disorders
Today's
mainstream culture projects a narrow view of beauty for
women. Attempting to attain this level of "perfection" can
have unhealthy consequences. Joyce A. Adams, M.D. and Trish
Stanley, PsyD, MFT discuss the cause, effect and treatment
of eating disorders in adolescent women.
View with
Real Player. |
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"It's absolutely a body image issue," Oakley said.
Gyms and fitness centers can be breeding grounds for eating disorders,
Oakley said.
"We tend to see it more in that gym culture in having the perfect body,"
Oakley said. "They're not thinking, 'Something's wrong here. I'm way too
obsessed with this.' "
It was a flier on the wall of a CSU building that caught Radovich's
attention during her freshman year of college. She was going to see her
academic adviser when the flier, which had a list of eating disorder
symptoms, "scared me."
"I was just looking at it saying, 'I do that, I do that, I do that,' "
said Radovich, who was secretly throwing up in her dorm bathroom despite
living with her closest childhood friend. "I called my sisters and said, 'I
don't know what to do.' "
Her parents quickly set her up with a counselor in Westminster. Radovich
said that to show support, her parents would drive from Arvada to Fort
Collins, take her to the appointment in Denver and then drive her back to
CSU; her parents would sit in the waiting room during her sessions.
"The hardest thing to say was, 'I'm struggling and I need your help right
now,' " Radovich said.
Oakley said friends and family who approach people with eating disorders
about getting help should be prepared for rejection.
"Don't let that discourage you from ever helping again," Oakley said.
"Leave an open door for them to come back."
Also, avoid "anything that looks like you're taking that person's
control," she said.
Mille Radovich knew she would have to pick and choose her chance to
intervene with her daughter.
"She really is a strong, individual soul," Mille said. "Like most people,
it has to be on you. She wasn't ready to hear, 'Jenna, you have a problem.'
"
Nearly two years later, Radovich is recovering, though she says "it's a
constant battle I deal with every day."
"I would not wish what I went through on my worst enemy," she said. "It
was unhealthy, disgusting, and it was dragging me down."
Radovich, a health and exercise science major who wants to be a physical
therapist, is a certified personal trainer at the CSU recreation center,
where she sees many students going down the same road she traveled.
"If I wasn't as confident with who I am and where I've been, it would be
really difficult (to work there) because it's all around you," Radovich
said. "I feel like I can help."
Her hope is that she can be a resource for people stuck in the same cycle
she fell into.
"What they think is helping them is hurting them."
Radovich will tell her story March 3 during Eating Disorder Awareness
Month at CSU, another step in
recovery and another chance to
stop the spread
of eating disorders.
By Kevin Darst
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