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TORONTO -- A new study on teenage girls in Ontario has found "alarming" numbers have unhealthy attitudes toward food and practise dieting methods that could lead to eating disorders such as anorexia and bulimia.
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0 L2 |# d+ d/ Y2 r% g* EMore disturbing is the problems appear to be starting earlier, with significant numbers of girls ages 12 to 14 showing "disordered" -- unhealthy or problematic -- eating attitudes and behaviour.
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' Z* I! J* J+ ^/ H( d& l$ n; HSuch behaviour includes vomiting and use of diet pills, laxatives and diuretics to control weight. 8 f0 g6 Y: E" c& Q* v) W
6 B2 i3 e z7 r) f( J$ a# f"It's really scary . . . (and) we found most of these disordered behaviours and attitudes are not being detected," said lead author Jennifer Jones, a research scientist with Toronto's University Health Network. : ]; w+ M( @7 z, v/ g' R9 {
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Jones added the team is currently studying girls ages nine to 12 and is seeing some of the same troubling tendencies even at that young age. $ P* p5 E$ t7 ]0 u( O/ }" `
. S7 z" a( ~5 R4 WGiven the extent of the problem, the researchers recommend doctors talk to their female teenage patients about body image and diet as a matter of course. " Z) `2 S/ F Z+ R+ m- y7 ]9 X0 Y3 U- u
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Jones is cautious when asked if the results can be extrapolated over the Canadian population, as the study only polled girls from 18 schools in and around Hamilton, Toronto and Ottawa.
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But she said the large sample size -- 1,739 girls aged 12 to 18 -- and the fact the schools drew from urban, suburban and rural populations and crossed the socio-economic spectrum suggest the results may be representative.
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The findings were published today in the Canadian Medical Association Journal. " }1 n3 o# `7 q1 t: X1 Q
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The study doesn't attempt to quantify the prevalence of anorexia or bulimia, because it takes a medical assessment to diagnose those disorders. - J% \% ]/ I1 N8 ]6 U
5 `1 x1 h/ }6 UInstead, the researchers polled the students to see how many had attitudes toward themselves -- their weights and eating patterns -- and toward dangerous dieting methods that might predispose them to an eating disorder. 9 X# P/ e* {$ q% e/ A! w) D" l
) v" O6 E6 A6 b6 @9 h6 SThe researchers did not classify normal dieting as disordered behaviour. But they did define it as binge eating, purging -- either with diuretics or laxatives or self-induced vomiting.
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- o. z3 ]* I) WThe researchers found 27 per cent of respondents had attitudes toward eating or practised dieting behaviour that either put them at risk of developing eating disorders or suggested they already had such a problem.
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( M2 B) A. g! D"What was even more surprising to us was 20 per cent of the girls from 12 to 14 fell into that group," Jones said.
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Historically, eating disorders like anorexia or bulimia have plagued older teens and university students more frequently than younger girls. But the research team found seven per cent of girls 12 to 14 admitted they made themselves vomit after eating in a bid to control their weight. ; B8 |$ A) y& d% }+ Q& E
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And given the survey was based on self-reporting, chances are strong the numbers are conservative. It is well known in statistical circles that people are loath to admit to negative behaviour.
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She and her colleagues may not have expected such high numbers of problems among younger teens, but the findings didn't startle the director of the Toronto-based National Eating Disorder Information Centre.
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- u+ L: w9 ~& [ Z6 N/ N3 H4 ?"It's not a surprise -- but that doesn't make it less disturbing," said Merryl Bear.
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2 G/ y6 C8 v0 _* G* M& S3 m& mThe cult of thin -- omnipresent on TV, in movies and in magazine ads -- is not lost on the young, she said. 4 H$ Y6 k& } |0 i# P7 F$ G
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"They're exposed to the same media messages that we all are. And they're also exposed to the same information or misinformation. So they are going to pick up on pathological and harmful strategies for weight control." |
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发表于 2001-8-29 22:26
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