"Optimum health requires the mind, physical body, and spirit to be in balance."

Friday, October 10, 2014

In the News: A New Eating Disorder is on the Rise.


 
We’ve all heard about eating disorders before, whether is anorexia nervosa or bullemia, and we are all aware that eating disorders are a growing concern in the female, as well as, the male population.  However; there’s a new eating disorder on the rise that several people are unaware of, and it’s called orthorexia nervosa.  For my third installment of In the News, I came across a CNN Health news article called Orthorexia: When Healthy Eating Becomes an Obsession.  According to the article, “Orthorexia is characterized by disordered eating fueled by a desire for ‘clean’ or ‘healthy’ foods.  Those diagnosed with the condition are overly pre-occupied with the nutritional makeup of what they eat.  They rigidly avoid any food they deem to be ‘unhealthy,’ or spend excessive amounts of time and money in search of the ‘most pure’ foods.”

There is, however, a fine line between eating well and eating obsessively.  Because of the lack of information and research on orthorexia, it is unclear how widespread this disorder is.  Signs of orthorexic individuals include heavy spending on “pure” foods as well as eating unbalanced meals.  According to an individual who had suffered from orthorexia, “Orthorexic eating becomes almost like a religion.  It becomes a position instead of a preference.  You can’t eat out with a friend.  You can’t go to the party.  You have to bring your own food wherever you go.”  That is the key difference between obsessive eating and eating well.

As an athletic trainer, we must be able to recognize eating disorders amongst our athletes.  In order to have a better chance at recognizing and helping and individual with an eating disorder we must work hard at forming and keeping a respectful relationship with our athletes.  If our athletes trust and feel comfortable around us, the chances of them seeking help and guidance are greatly increased.  We must also be able to recognize the signs and symptoms of every eating disorder and pay attention to the dietary habits of our athletes.  In terms of orthorexia, we must be able to identify the difference between eating obsessed and eating well.  Our scope of practice doesn’t allow us to diagnose and treat eating disorders, but it does give us the opportunity to be able to identify the potential of one.  We must refer the athlete to a qualified individual who specializes in disordered eating.
 
The following is a good questionnaire you can ask an athlete to determine if they should seek help...
If you identify with two or more of the following traits, you may want to seek out a nutritionist or counselor. (According to Thomas Dunn (Associate professor of Psychology at the University of Northern Colorado)).
• You consume a nutritionally unbalanced diet because of concerns about "food purity."
• You're preoccupied about how eating impure or unhealthy foods will affect your physical or emotional health.
• You rigidly avoid any food you deem to be "unhealthy," such as those containing fat, preservatives, additives or animal products.
• You spend three or more hours per day reading about, acquiring or preparing certain kinds of food you believe to be "pure."
• You feel guilty if you eat foods you believe to be "impure."
• You're intolerant of other's food beliefs.
• You spend an excessive proportion of your income on "pure" foods.
If you recognize any of the above behaviors in yourself, seeking the help of a medical professional should be your first step. Reclaiming balance isn't easy, but some of these tips might help:
• Seek a compromise. Even if you're stuck at a place where there's seemingly "nothing to eat," you can still find a way to take care of yourself -- even if that means grabbing a fast-food salad, says Krongberg.
• Stop demonizing foods as "good" or "bad" and visit a nutritionist to sort through the clutter of conflicting health advice around you, says Angela Ginn, spokeswoman for the Academy of Nutrition and Dietetics.
• See a therapist to deal with the emotional components of eating disorders, such as poor self-esteem or a need to feel in control.
 

Wednesday, October 1, 2014

In the News: Long Work Hours & Type 2 Diabetes


For my second installment of In the News, I decided to choose a different path in terms of healthcare.  Instead of focusing on the athletic and patient population, the following research focuses on the work population, more specifically, athletic training.  A recent study, found in Medical News Today, concluded that long hours combined with a low-salary in jobs have been linked to a 30% increase in type 2 diabetes among working professionals. Researchers believe that long working hours can cause stress, unhealthy lifestyles, depressive symptoms, and disturbed sleep.  These results can contribute to the development of diabetes.  While Athletic Training wasn’t one of the jobs listed in the study, it very much fits into the demographic of long hours and low income.

Athletic trainers don’t necessarily earn a low-income, but compared to the 50-60+ hours that they do put in, the salary doesn’t add up.  With an increase in work hours, there is a decrease in sleep and physical activity.  The lack of sleep as well as physical exercise has been seen far too often in athletic training.  These two examples can predispose an individual to type 2 diabetes.  According to Mika Kivimaki, the professor who conducted this study, “although working long hours in unlikely to increase diabetes risk in everyone, health professionals should be aware that it is associated with a significantly increased risk in people doing low socioeconomic status jobs.”

I believe that this study should be eye-opening to athletic trainers.  Maintaining a healthy lifestyle for ourselves should be a top priority.  There is always enough time to perform 10-15 minutes of physical activity a day, no matter how busy an individual is.  Whether it's walking from field to field instead of taking a cart, or going on a light jog on a lunch break, being physically fit is important in staying healthy.  Stress is another factor that has been prevalent in this profession and can be linked to type 2 diabetes.  Athletic trainers must learn to deal with problems in a calm demeanor. 
While it may be impossible to change work hours and your salary, our health can be positively manipulated with the right amount of effort.