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 Post subject: Anorexia hitting men increasingly hard
PostPosted: Mon Jan 21, 2013 5:32 pm 
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Anorexia hitting men increasingly hard: One in three cases in new study is male

Sharon Kirkey, Postmedia News
Monday, Jan. 21, 2013

Bulimia, anorexia nervosa and other eating disorders, long thought to be serious problems for many women, are showing up among surprisingly large numbers of men, some of whom are starving themselves or exercising obsessively to look like the pictures in men’s magazines.

Yet neither men themselves, nor most doctors, think of males as being at risk for these illnesses, experts say.

Community-based studies suggest one case in three of anorexia nervosa is a male, said Dr. Blake Woodside, director of the program for eating disorders at Toronto General Hospital. For bulimia, it is about one in four.

“And that’s a dramatic finding, because in clinical samples (based on people in treatment) it’s more like one in 15, or one in 20,” Woodside said.

The stigma, isolation and confusion around suffering from what has long been perceived as a “girl’s problem” can make men so reluctant to come forward that many arrive in treatment sicker than women. “For men there is still such a stigma attached to the idea of having an eating disorder and reaching out for help,” said Joanna Anderson, clinical director at Sheena’s Place in Toronto. “If you go for treatment and you’re in a group with 10 or 12 women and you’re the only man, it’s very difficult to feel like you’re not different.”

Men develop eating disorders for the same reasons women do, doctors say

Yet men develop eating disorders for the same reasons women do, doctors say. Most have an underlying genetic vulnerability to the disease that can be triggered by a stressful life event, such as undiagnosed psychiatric conditions, sexual or physical abuse, trouble in school, job loss – “the enormous range of things that make people feel bad,” Woodside said.

For boys, it can start with bullying or teasing, or something as simple as puberty. An eating disorder can become a coping mechanism, a desperate grasp for control at a time when it feels as if their lives are unravelling.

But there can be a strong cultural component as well. Men, like women, are under pressure to conform to the “ideal” body type, and for men, that body tends to be linked to perceptions of success, control and power, said Merryl Bear of the National Eating Disorder Information Centre, which has launched a poster campaign to raise awareness of eating disorders in men.

‘There has been a much stronger link between advertising and a particular glorification of the male physique in recent years’

“There has been a much stronger link between advertising and a particular glorification of the male physique in recent years,” Bear said. “The social ideal of the male body has become much more tightly linked to personal success.”

Media images can make men feel vulnerable about “who they are and how they present (themselves) in the world,” Bear said.

“And they’re told they can manage that by controlling their bodies.”

The ideal body shape for men traditionally has been the inverted triangle, Woodside said – broad shoulders tapering to a narrow waist.

Super-skinny male models have also become increasingly popular in men’s fashion magazines

But super-skinny male models have also become increasingly popular in men’s fashion magazines, “a kind of ‘geek-thin’ thing that is a potential route into dieting behaviours for some guys,” Woodside said.

Both sexes experience the illness in the same isolating, “very painful, very difficult ways,” Woodside said. The difference with men is that when they tell family or friends they have anorexia or bulimia, people initially don’t believe them. “They say, ‘that’s an illness of girls.’”

Families are also far less likely to think “eating disorder” in a boy who suddenly begins to lose weight.

Tom Wooldridge, assistant professor of psychology at Golden Gate University in San Francisco, knows of cases where parents didn’t realize the seriousness of the situation until their son’s hair began falling out. Men often feel a sense of shame and embarrassment, he said. “It’s really common for men to feel very alienated,” Wooldridge told the Canadian Medical Association Journal in one of two articles published on eating disorders in males last week.

Woodside said greater public awareness is needed to recognize that men are at risk, “and that people shouldn’t ignore unexplained weight loss in a 20-year-old man, or failure to grow in a 14-year-old boy, or evidence of binging and purging.

“Those are not normal behaviours for men any more than they’re normal behaviours for women,” he said.



Eating Disorders Hitting Men

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 Post subject: Re: Anorexia hitting men increasingly hard
PostPosted: Mon Jan 21, 2013 8:11 pm 
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I am wondering if the increase can be tied into the celebrities popular nowadays.
Most of them are on the slim side...
But also there is so much out there that implies that a "real" man has "enough" muscles and such. I don't know. Another theory is that men are just being more upfront about their struggles.

Lots to think about.

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 Post subject: Re: Anorexia hitting men increasingly hard
PostPosted: Wed Jan 23, 2013 6:02 am 
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I had this exact argument with my husband last night. He was under the impression that 'only gay men' got EDs. So another reason men would have been reluctant to seek treatment is that people might make assumptions about their sexuality.

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 Post subject: Re: Anorexia hitting men increasingly hard
PostPosted: Wed Jan 23, 2013 6:48 am 
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I think it's also important to note that, like with eating disorders in women, it's often not possible to tell whether a man has an eating disorder simply by looking at them. EDs come in all shapes and sizes, as well as genders. It's not just the emaciated guys to look out for - it's every guy.

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 Post subject: Re: Anorexia hitting men increasingly hard
PostPosted: Wed Jan 23, 2013 9:26 am 
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veGA wrote:
I think it's also important to note that, like with eating disorders in women, it's often not possible to tell whether a man has an eating disorder simply by looking at them. EDs come in all shapes and sizes, as well as genders. It's not just the emaciated guys to look out for - it's every guy.


I had that argument too with him! I had to tell him you can only tell EDs by behaviour not looks and that many were not underweight. He really didn't get that at all.

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 Post subject: Re: Anorexia hitting men increasingly hard
PostPosted: Wed Jan 23, 2013 11:42 am 
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Persephone wrote:
veGA wrote:
I think it's also important to note that, like with eating disorders in women, it's often not possible to tell whether a man has an eating disorder simply by looking at them. EDs come in all shapes and sizes, as well as genders. It's not just the emaciated guys to look out for - it's every guy.


I had that argument too with him! I had to tell him you can only tell EDs by behaviour not looks and that many were not underweight. He really didn't get that at all.

Ah, it can be so frustrating if people don't get that - it's classed as a mental health problem for a reason! It's great to hear that you're trying to educate him though - every little helps :D

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