When we think of the term eating disorder, most people think of adults or
teenagers, but eating disorders affect children as well.
Physical development
of children is a vital component of childhood and eating disorders can lead to
significant damage to the child both mentally and physically — and can create a
lot of stress for the family. While
children will vary in their eating habits,
making sure that a child develops a healthy relationship with food is one of
parents’ most important and difficult jobs. Therefore, early detection and
prevention is key for every parent or anyone that works with children who may
be susceptible to the risk of developing an eating disorder.
اضافة اعلان
According to the
UK’s National Health Service, an eating disorder is a mental health illness
where “you use the control of food to cope with feelings or other situations.”
Eating disorders can happen to any child of any gender, race, or ethnicity.
Eating disorders can range from developing unhealthy habits of eating too much
or eating too little and worrying about your weight or body shape. With the
appropriate treatment, it is possible for someone to recover from their eating
disorder. However, due to the lack of resources, education, and awareness
surrounding this mental illness, many people go far too long without being
diagnosed or receiving the help and treatment necessary. This contributes to
the fact that according to multiple sources, including the US’ National
Institute of Health, eating disorders remain the deadliest mental illness
today. The Eating Disorders Coalition reports that every 62 minutes, at least
one person loses their life as a direct result of an eating disorder, with
anorexia nervosa having the highest mortality rate amongst all eating disorders.
The American Journal of Clinical Nutrition stated that the global
prevalence of eating disorders increased from 3.4 percent to 7.8 percent
between 2000 and 2018. According to John Hopkins All Children’s Hospital, 95
percent of people with eating disorders are between the ages of 12–25. A recent
study in the British Medical Journalist Open Journal found that cases of
anorexia have nearly doubled between 2006 and 2015 in preteen children in the
UK and Ireland. The study stated that those vulnerable to developing an eating
disorder may have been exposed to risk factors such as being pressured to diet
or do well at school at an earlier age.
A 2020 study
released in the
Eastern Mediterranean Health Journal reported variable
prevalence rates of 12–40 percent of eating disorders in Jordanian adolescents.
One study byOhio
Wesleyan University that looked at the prevalence,
perceptions, treatments of eating disorders in Jordan found 72 percent of
surveyed students at a Jordanian university believed that young Jordanian women
struggled with an eating disorder, with 14 percent of those surveyed reporting
that they have or are currently struggling with an eating disorder. The study
suggested that culture, media, and a lack of resources and education serve as major
reasons behind low self-body image and eating disorders among Jordanian women.
Another 2018 study published in the International Journal of Nursing Practice
found that among 963
Jordanian students sampled, disordered eating was present
in 40.4 percent and body shape dissatisfaction was present in 16.8 percent. The
study also found that self-induced vomiting, substance abuse, and smoking, were
common weight loss behaviors. In addition, sociocultural variables including
parents, peers, and mass media where significantly associated with disordered
eating among Jordanian youth who try to embrace Western norms to fit in with
the demands of Western culture portrayed in media.
While there are various types of eating disorders, there are some that
are more common in young children. One of the most common eating disorders in
children is avoidant/restrictive food intake disorder (ARFID). ARFID is
characterized by a disturbance in eating, such as a lack of interest in food or
having a sensory aversion to certain foods due to their texture. This stops
children from being able to swallow a type of food even if it was something
they once enjoyed. A child with ARFID may also have a fear that eating a
certain food will give them a stomachache or cause them to vomit. Forcing a
child with ARFID to finish their plate because it is culturally deemed as rude
will only cause them more anxiety and stress. Instead, you should encourage
them to slowly widen their food palette and reward positive eating behavior.
A 2020 study released in the Eastern Mediterranean Health Journal reported variable prevalence rates of 12–40 percent of eating disorders in Jordanian adolescents.
Another eating
disorder in children is pica, a condition characterized by a child persistently
eating substances that are not considered food. This can include dirt, chalk,
sand, and hair. This behavior must fall out of a child’s expected developmental
level, so an infant chewing on their toys does not qualify as pica. Clinicians
usually encounter pica when working with children who have an intellectual
disability or those with specific sensory needs such as oral stimulation —
common in children with a type of autism spectrum disorder.
Anorexia nervosa
is a common eating disorder that can affect both girls and boys. Children with
anorexia have a distorted body image and believe that they are overweight,
therefore begin to obsess over their food intake and wanting to control their
weight. They usually maintain a weight that is below average to their height
and weight. However, anorexia is not just about weight, but about unhealthy
coping mechanisms to deal with emotional problems, perfectionism, and a desire
for control. Anorexia is usually comorbid with mood or anxiety disorders in
children and adolescents.
Some children
suffer from a different eating disorder that involves consuming abnormally
large amounts of food without attempting to get rid of those calories once they
are consumed. This is called binge eating disorder and tends to result in
obesity and sufferers usually struggle to regulate their emotions and have
trouble in dealing with stress.
It is common in
the
Middle East for older family members or even family friends to comment on a
child’s changing body, especially young girls, as it goes through puberty and
any natural changes that come with that, such as weight gain or weight loss.
Despite the intentions behind such comments, they tend to be misinterpreted and
can have a negative effect on a child’s self-image. Developing a healthy
self-image cannot come from other’s advice on how one should change their body
but should originate from within. Therefore, misdirected comments can disrupt a
child’s process of achieving a healthy self and body-image.
Eating disorders are not always obvious, and while a child might look
“normal” on the outside, they might be dealing with serious physical and
emotional problems. Some early signs of an eating disorder are the child no
longer wanting to eat things that they used to enjoy and taking a longer time
that usual to eat their food. They might even try to avoid eating when the rest
of the family eats and avoid going to events with food, such as birthdays.
It is important to
take comments that a child might make about their body and how much they don’t
like it seriously, as is a telling sign of a possibly serious problem the child
is experiencing. They might also make comments about other people’s bodies as
well. Children with anorexia might experience feeling cold, dizzy, and tired.
They might also experience thinning hair loss and not getting their period or
other delayed signs of puberty. Weight loss and the desire to constantly
exercise all the time are other alarming signs as well.
Children with
AFRID usually avoid eating certain categories foods such as fruits and
vegetables and prefer foods with lots of carbs. In addition, they will only eat
specific brands and at specific restaurants too. As for children with binge
eating disorder, they usually feel embarrassed about the amount of food they
are consuming, however they feel such a compulsion to eat that they cannot
stop. They might also try frequent dieting without weight loss. Children with
eating disorders might exhibit behavioral problems as well such as a lack of
focus at school, throwing tantrums, and changes in mood such as feeling
anxious, depressed, or withdrawn.
Treating eating disorders requires a multidisciplinary approach that
involves different health professionals. Common therapeutic approaches include
cognitive behavioral therapy, family therapy, and basic nutrition counseling.
Eating disorders are not always obvious, and while a child might look “normal” on the outside, they might be dealing with serious physical and emotional problems.
As a parent, the
best way to help a child struggling with an eating disorder is to be vigilant
and watch for warning signs. By educating yourself on the topic you can stay
informed, especially as the body of work studying eating disorders is growing.
Misinformation about eating disorders and how to treat them are peddled online,
through commercials, on social media, and sometimes even through otherwise
credible sources. One of the most common myths is that children with eating
disorders simply choose not to eat. Eating disorders are a serious and complex
medical and mental illness that children do not choose to have.
Researchers and clinical
experts believe that a combination of genetic and environmental factors may
lead to a child developing an eating disorder. The family environment plays a
crucial role in determining the kind of relationship a child will develop with
food. Therefore it is fundamental to model healthy eating practices and
communicate openly with your child about the harmful media messages about
weight and body image bombarding them at all times. Criticizing a child for
their body shape, weight, and eating habits — no matter your intentions — can
be the first or final trigger for that child to enter a long battle with the
deadliest mental illness.
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