By Lori A. Smolin, Ph.D. and Mary B. Grosvenor, M.S., R.D.
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Extra resources for Nutrition and Eating Disorders, Second Edition (Healthy Eating: A Guide to Nutrition)
In 2005, it was replaced by MyPyramid. Food guides are not unique to the United States. Those developed in other countries use a variety of shapes and numbers of groups to emphasize the proportions of foods that should make up a healthy diet. Korea and China use a pagoda shape. Mexico, Australia, and most European countries use a pie or plate shape. Canada uses a rainbow. much or too little energy or nutrients results in malnutrition. The Dietary Reference Intakes (DRIs) recommend amounts of energy and nutrients needed to promote health, prevent deficiencies, and reduce the incidence of chronic disease.
Some may be relieved that someone is concerned and is willing to help, but more likely, he or she will be upset, defensive, or angry. Your friend or relative is likely to be embarrassed and ashamed. People with eating disorders typically hide their behaviors, so it may be traumatic for them to learn that someone has discovered their secret. The first reaction is often denial: There is no problem. People with eating disorders find protection, comfort, and empowerment through the disorder. indd 3 8/23/10 3:58 PM 64 Nutrition and eating disorders Pica: Dining on Dirt People do actually eat dirt!
Studies have shown that parental pressure to lose weight, criticism from family members regarding weight, and mothers’ concern about daughters’ body size all correlate with the incidence of adolescent eating disturbances. Many people report that they started bulimic behavior in response to family pressure to lose weight. The influence of peers also is very strong. If a friend thinks it is good to be thin and is always dieting, an adolescent may follow suit. Abnormal eating patterns and practices such as self-induced vomiting for weight control also may be learned from friends.