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Futures in Practice: Physical Activity |
EATING
DISORDERS
Frequently
Asked Questions About Physical Activity and Eating
Disorders
My
daughter plays sports and occasionally goes on a
diet. Should I be concerned?
Restricting
food intake can be harmful, especially during active
periods of growth and vigorous physical activity. Dairy
products are often the first food group to be restricted
in a diet, and this may affect the development and
maintenance of healthy bones. Also, dieting limits
the overall amount of foods consumed, which may affect
overall growth and development. Explain to your daughter
that eating a variety of healthy foods can help her
achieve optimal performance and endurance.
A
coach is asking my son to lose weight. Is this appropriate?
No.
Coaches should never recommend weight loss for children
or adolescents. This decision should be made by the
child or adolescent and their parents in consultation
with a health professional. Weight loss in children
and adolescents can be harmful, especially during periods
of growth and development.
Will
my daughter develop an eating disorder if she participates
in physical activity?
No.
Most physical activity protects male and female adolescents
from eating disorders by improving their self-esteem
and body image. You should be aware of any sudden change
in your daughter's eating behaviors (for example, skipping
meals, always requesting fat-free products, continually
complaining about being fat, and participating in excessive
physical activity).
My
son, who isn't very athletic, loves sports and is
asking for a protein supplement to boost his performance.
What should I do?
There
is little evidence that protein supplements improve
children's or adolescents' physical activity performance.
In fact, most are not regulated by the Food and Drug
Administration, and some may be harmful. Explain to
your son the potential risks of using supplements,
and encourage him to eat healthy foods, including good
sources of protein, to promote growth and development
and optimal performance. Explain to your son that everyone
grows at a different rate, and that differences in
strength, endurance, ability, height, and weight reflect
primarily genetics and the timing of growth. Encourage
your son's interest in physical activity, and emphasize
the importance of having fun, being healthy, and developing
good sportsmanship. Applaud your son's efforts to pursue
different activities, regardless of his skill level.
My
son's basketball coach says that a low resting heart
rate is a sign of good physical condition. Is this
true?
Yes.
A low resting heart rate is a sign of good physical
condition, but a heart rate less than 60 beats a minute
in a child or adolescent can be a concern, and the
child or adolescent should be evaluated by a health
professional. A common cause of a too-low heart rate
is malnutrition associated with decreased caloric intake
and/or excessive physical activity.
Our
family has a history of osteoporosis. Can physical
activity improve my daughter's bone strength?
Yes. Weight-bearing
physical activities (for example, jumping rope, walking,
running, and playing basketball) promotes the development
and maintenance of healthy bones, but only if your
daughter consumes enough calcium. Children ages 4
to 8 need to consume 800 mg of calcium per day, children
and adolescents ages 9 to 18 need 1,300 mg per day,
and adolescents ages 19 to 21 need 1,000 mg per day.
If your daughter is lactose intolerant, a calcium
supplement may be necessary. Calcium-fortified products
(for example, orange juice) can also provide needed
calcium. Female children and adolescents whose menstrual
cycles have stopped or become irregular because of
excessive physical activity and inadequate caloric
intake are at risk for bone loss, even with adequate
calcium intake.
Resources
for Families
See
Tool F: Physical
Activity Resources for
contact information on national organizations that
can provide information on physical activity. State
and local departments of public health and education
and local libraries are additional sources of information.
Berg
F. 1997. Afraid to Eat: Children and Teens in Weight
Crisis (2nd ed.). Hettinger, ND: Healthy Weight Publishing
Network.
Cassel DK. 1994. The Encyclopedia of Obesity and Eating Disorders.
New York, NY: Facts on File.
Clark N. 1996. Nancy Clark's Sports Nutrition Guidebook (2nd
ed.). Champaign, IL: Human Kinetics.
Coleman E, Steen SN. 1996. The Ultimate Sports Nutrition Handbook.
Palo Alto, CA: Bull Publishing Company.
Dietz WH, Stern L, eds. 1999. Guide to Your Child's Nutrition:
Making Peace at the Table and Building Healthy Eating Habits
for Life. Elk Grove Village, IL: American Academy of Pediatrics.
Hall L, Ostroff M. 1997. Anorexia Nervosa: A Guide to Recovery.
Carlsbad, CA: Gurze Books.
Jablow MM. 1992. A Parent's Guide to Eating Disorders and Obesity.
New York, NY: Bantam Doubleday Dell Publishing Group.
Kolodny NJ. 1998. When Food's a Foe: How You Can Confront and
Conquer Your Eating Disorder. Boston, MA: Little, Brown,
and Company.
Kubersky R. 1998. Everything You Need to Know About Eating Disorders.
New York, NY: Rosen Publishing Group.
National Institutes of Health, National Institute of Mental Health.
1993. Eating Disorders. Bethesda, MD: National Institutes
of Health, National Institute of Mental Health.
Way K. 1993. Anorexia Nervosa and Recovery: A Hunger for Meaning.
Binghamton, NY: Haworth Press.
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