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Middle Aged Women: Thin at All Cost

When people think of an eating disorder - they usually think of an extremely underweight woman in her late teens or early twenties.

However, new research out of Australia shows a dramatic increase in disordered eating among those in their 30s, 40s, and 50s.

What's driving this?

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The Average American Housewife?

A recent study published in PLoS ONE highlights how difficult it is to get accurate statistics on eating disorders. Only so many people with disordered eating match the exact definitions of Anorexia or Bulimia as set out in the DSM-IV.

However other behaviors - such as Binging, Purging, and Strict dieting or fasting are on the increase.

The main conclusion from the present study is that eating disorders appear to be increasing in point prevalence in Australia, but this increase may be in EDNOS rather than anorexia nervosa or bulimia nervosa.

Note that the research comes from comparing two surveys (1995 and 2005) in South Australia (with approximately 3,000 participants in each).

How Old?

A look at the statistics (click for the image) shows a dramatic increase of "Strict dieting of fasting" behavior among the ages 45-64. In the age group of 45-54 there was a big jump (11% to 28%) in purging behavior - in stark contrast to those who are younger.

The Sydney Morning Herald claims that "Middle-aged women are developing eating disorders to emulate youthful looking celebrities such as Madonna and Teri Hatcher. [...]".

The research doesn't actually give any reasons for the increase - we can only speculate.

The Herald also quotes:

[...] the celebrity-driven phenomenon of the yummy mummy and the pressure to return to pre-baby weight were driving women to go on fad or restrictive diets, leaving them at high risk of an eating disorder.

What do you think?

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44 Comments

Steve Parker

It is probably a real phenomenon there and also in the U.S., and likely media- and celebrity-driven. It's a shame, at least to the extent health can be endangered by eating disorders.

The pressure exerted on middle-aged women to look like 18-year-olds is also regrettable.

One way to counter the trend is for celebrities such as Tyra Banks to come out and say, "I weigh a hundred and sixty pounds and I'm fine with it. This is me. Get over it." (I'm paraphrasing. You remember the media mini-frenzy a year ago?)

-Steve
www.AdvancedMediterraneanDiet.com/blog/

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Chicken Girl

"One way to counter the trend is for celebrities such as Tyra Banks to come out and say, "I weigh a hundred and sixty pounds and I'm fine with it. This is me. Get over it." (I'm paraphrasing. You remember the media mini-frenzy a year ago?)"

Unfortunately, right after she said that, she lost 30 pounds. :p

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Tasz

I am a member of a WW message board and have noticed lately a lot of older members with goal weights at the very low end of the healthy weight range for their height.

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Never teh Bride

It's the world's obsession with youth. We equate skinny and young, and staying young means staying skinny. A woman in her 50s can be healthy without being the same weight she was when she was 18 years old, but the pressure to never weigh more is in her face, all the time. You see articles like, "Sexy at 50 and Beyond" everywhere, but the women pictured in such articles are usually model skinny. I'm not saying anyone ought to be obese or even overweight, but a healthy range is meant to be just that...a range. We don't all need to aim for the lowest possible weight!

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Jan74

The mothers posting on the Special K diet post right here are freaking me out. I assume they are mostly late 20s or 30s, and they are even more disturbed than the teens with all the self-hatred.

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Heather

The culture of hatred to our bodies is disturbing, and affects so many women (and men).

I always try to emphasize in my own life, and would emphasize with clients: Pay attention to HEALTH more than anything -- exercise, eat healthy foods, and love yourself. Don't worry about 5-10 lb, worry about what is best for you health-- mental and physical combined.

I spent a long time with eating disorders to learn this, and I only hope that more women pick up this message. Our culture is not conducive to this though, as it derides extra (or even normal) weight with an almost fear. It pushes thinness as godliness, as the holy grail, and it's just not so. Beauty comes in all shapes and sizes, and health comes in a wide range.

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Claire P.

I know a woman around the age of 50 who's had an eating disorder since she was in her 30's. She still exercises compulsively and won't eat anything unless it's "safe" or fat free. She told me just because you get older doesn't mean you stop wanting to be skinny (this was after I said I'd prefer to be a bit heavier as I aged so not to look haggard). She basically doesn't think she'll ever be free from it. It's sad.
I do agree that the media makes it worse. Marcia Cross of Desperate Housewives has said in interviews that she pretty much has to go hungry.

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bijou

it's definitely a double-edged sword. on the one hand, getting older definitely is not an excuse to let yourself get fatter. on the other, it may be tough to toe the line between being merely conscious of health and appearance and having a full-blown ED. i hope i can keep up my stringent workout and food regimen for the rest of my life. i also know that i'm a little obsessive now. i wonder if my obsession will deepen or subside if/when i get married, have kids, and have a million other things on my plate.

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Dr. J

Bijou!
I commend your realizing that with time changes are inevitable. Remember this, however, if I may loosely quote a famous woman, "Do not cut your conscience to suit the fashions of the day!" Stay true to what has been working for you.

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Jan74

To quote another famous woman:

"At a certain age, you have to choose between your face and your ass" - Catherine Deneuve

Not that her ass is overweight in any way - it is just not at its original La Belle du Jour size anymore... and her face looks as beautiful as ever.

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Dr. J

"À un certain âge, vous devez choisir entre votre visage et votre âne."

Fabulous! :-)

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Regina

ROFL!

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SCal

This is when you get your own set of weights at home.

A power rack and barbell of course.

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Spectra

I think a lot of it is media-driven. You see older actresses like Madonna and Angelina Jolie who have children AND have a model-perfect body and then mere mortals like ourselves who can't afford to spend 5 hours a day in the gym see them and want to emulate them. I think it's also a stress response. I suffered with bulimia in the past and I find now that when I get stressed out, I still turn to the ED behaviors to cope. I wonder how many of those women had EDs when they were teens and they are now resurfacing now that they are no longer having kids and are trying to look younger.

LMAO @ Jan's comment..."at a certain age, you have to choose between your face or your ass". Classic! One look at Janice Dickinson or Madonna and you'll understand that quote a lot better. I bet the Botox industry wouldn't be so lucrative without skinny wrinkly women in their 40's buying them out.

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Never teh Bride

Angelina Jolie is only about 31 years old, yet I think she looks quite a bit older...

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Jan74

It is the cost of being so skinny, looking older than you are.

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sl

I thought it's weight that ages you: wrinkles, bumps and lumps. Not to mention that if you got to your weight via eating junk food, that would age you too.

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Karen Anderson

I think this is silly. I guess it is much more interesting for those of us in the overweight, inactive majority to tut-tut about the dangers of too much diet and exercise (on the part of a small minority) than it is to come to grips with the much more prevalent dangers of our own lifestyles.

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Jan74

The rest of the site is all about the dangers of obesity.

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ilakdala

There is nothing silly about eating disorders. There are dangers on both sides of the fence--as you rightly pointed out--but as someone who has only recently recovered from a 20-year-long eating disorder, I don't see people "tut-tutting," I see them caring and being sad about such disorders and the images/celebrities that contribute to glorifying them.

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Linds

Unfortunately, hardly anyone cares if the ED'd individual isn't on the verge of death. The greatest exception are the ones that are actually educated on the illness, or those that have lived with/through it.

The rest of the time it's 'Oh... they don't look that skinny.', Or 'Good for them for keeping their figure.'.

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Heather

Dude. I used to have an eating disorder as well. I now would rather be ~10 lb overweight than go through that hell and self-hatred again... and it scares me when I see it glorified.

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Spectra

I agree that the media basically ignores or glorifies anorexia/bulimia/EDNOS as long as the person isn't a skeleton yet. There are SO MANY celebrities that are most definitely NOT at a healthy weight that are said to look "fabulous" and then when they gain a much needed 10 lbs, the media says they're pregnant.

I've heard that one of the Hollywood stylists, Rachel Zoe (who's definitely got some sort of ED) encourages all her clients to be a size 0 because "it makes the clothing look better". It really angers me because there are a LOT of healthy women out there that really aren't designed to be a size 0.

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Jan74

What disturbs me the most is when they are accepted as legitimate lifestyle choices - not eating, taking Ritalin, taking Clembuterol, etc. We hate fat so much that we'd rather see someone destroy their health as long as they are not fat.

Not to make light of the whole Terri Schiavo situation, but people hardly reported on how she got into the coma anyway: not eating made her heart fail.

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Jan74

Well eating and vomiting leads to the same as not eating, lack of potassium and subsequent heart failure.

But the coverage the ED casualties get is minimal when compared to all the coverage that glorifies EDs, such as pictures of celebrities smoking instead of eating lunch.

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Dr. J

"Well eating and vomiting leads to the same as not eating"

It's probably even worse as the kidneys don't even get the chance to retain the electrolytes.

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Spectra

Vomiting is your body's defense mechanism for when you ingest toxins...your system isn't designed to "go" that way. It's like driving your car with the brakes on all the time...it'll wear down your brakes really quickly. I can believe that constantly vomiting would have more consequences on the body than simply reducing your food intake because of the stress on your system.

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Heather

Not to mention that many bulimics I have met, like me, showed anorexic behaviors when not binging/purging... long period fasting, and overly reduced food intake.

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Spectra

I remember the Terry Schiavo case well. She was indeed bulimic, which is what caused her to go into the coma. Her situation was so incredibly sad, yet I wonder how many other people out there suffer similar problems.

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Zach Hunt

I think as we mature we see that time is running out and we tend to go over board trying to make up for lost time. but no matter what your age you can get healthier and fitter, just do it right.

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Deb

I am 53 and the first person I ever heard of having anorexia was Karen Carpenter. I think the trend having reached the middle age group is because the potential anorexics of 20 years ago are now middle aged -- doesn't really take a rocket scientist to figure that one out. It is the social clime we were raised in. I so hope that the advances in this area have created a better social environment for my 11 year old granddaughter to grow through adolescence, without that poor self image many of the women in my generation and my daughter's generation had.

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Jan74

Deb, I'm sure having you setting a good example for her helps.

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Portail Galbe

Why do we never hear from healthy fit thin women? They do exist.
Women who eat a healthy diet, exercise moderately, and are thin... AND in excellent health.

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Jan74

Cause average or moderately thin is no longer thin, is it?

Seriously. The moderately thin healthy people aren't held up as standards cause they are considered fat.

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Kandace

What is it with this obsession we have with weight? "Don't be too fat, but don't get an eating disorder."

Studies show that the number one predictor of health is your cardio fitness level, NOT your weight. Even if you are 40 pounds overweight, being physically fit is better than being inactive and ten pounds underweight. Being fat, in an of itself, is not unhealthy.

It is as if we rationalize the hatred of fat people, especially women, by finding any health correlation to justify society's penchant to marginalize people who are different. And when she goes to extremes to achieve it, we punish her for not doing it the right way.

Then, the medical community and society harps on weight and we beat ourselves up over it. Why not just encourage people to ignore the scale and look at how much they exercise? It has much greater immediate health benefits and is a realistic goal that people can easily achieve. Anyone can achieve 30 minutes of exercise a day, statistically very few people will ever achieve keeping off 30 pounds.

Imagine if all those resources were directed to something worthwhile, like world peace, ending hunger, or just treating each other with more kindness. Imagine if women were valued for what they did instead of how they looked. Wouldn't the world be a much better place?

Look at the comments here. . . how many talk about Angelina Jolie and how she looks, instead of her work with orphans. I don't see any mention of celebrity men. Did you realize that Brad Pitt is technically overweight by medical standards? Why doesn't anyone mention that?

Why do women perpetuate this when we realize how utterly brutalizing it is?

Why do we bash ourselves?

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Portail Galbe

I agree with you both, Jan and Kandance
It is true. One can be “fat and fit”, but I have to tell you that life is a whole lot easier (and fun) “thin and fit”.
It is brutal fact.

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Mark Holowaychuk

I personally think people tend to ignore basic healthy lifestyle fundamentals and then when their body chemistry changes and staying in shape actually takes work, they go to extremes to combat it as opposed to the proper long lasting methods of consistent balanced eating, exercise and moderate supplementation

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Portail

On the other hand, being at goal weight feels so great, and being fit with energy to spare, makes it a pleasure to continue with the nutrition and exercise. Staying within 2 lbs up or down is easy. Especially when I love what I am eating and I get a kick out of the exercise routine, neither of which, is extreme.
But you might have a point about body chemistry. Maybe it is easier when one is older.

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Deborah

There's a reason why women gain wait around menopause. From what I understand from what I've learned at the Menopause Clinic I attend, if you are a bit fat, you naturally retain more oestrogen. Which is GOOD for women's health.

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Angel 43

Im a mother of 3 and a grandmother of 9.I'm @ 123lbs and I watch what I eat and the amount. But don't count cals. or carbs.I don't think I have a eating disorder.But everyone else around me seems to think I do.Just because I take good care of myself.I know that there are people in my own family that do have a eating diorder and I know what they go through everyday.And my heart goes out to all those men and woman that do have a eating disorder.
Because it is something that affects their whole family not just them.And it does destroy many lives everyday.

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Charles

Madonna just had a couple of concerts here in Boston and I was blown away by how good she looked on stage.

I definitely think the celebrity driven image ideal is associated with a rise of eating disorders in older women.

Another thought is that the older women of today are actually the first generation of obsessed dieters from the 1980's.

In the 1980's aerobics classes, lifting weights at the gym, and fad diets took off like rockets. Teenagers and 30 year old dieters of the 80's are the 40-60 years olds of today.

Just like the baby boomers created a wave in every industry, they are likely creating a wave of eating disorders also.

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Get a Man!

I started using www.GoWorkoutDaily.com and feel great now, is anyone else using it on this dicussion board? I live in Boise and if anyone is looking for a workout partner let me know.

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