Fascinating study, one that doesn't surprise me, either about
vegetarians or other kinds of "food trippers" -- those who stick to a
rigid diet of any kind.
Vegetarianism, Eating Disorder Study Reveals Worrisome Relationship
Among Women          "I can't eat that, sorry."
If you're a vegetarian, that's a refrain you're probably familiar  with.
Food abounds -- at work, at social gatherings -- but you don't  partake
because of your dietary restrictions. That mystery hors d'oeuvre  or
greasy teriyaki stick? Thanks but no thanks.

There are many valid reasons to be a vegetarian (see: the  environment,
your health, and the dismal state of the meat industry, for  starters).
But what if you go vegetarian to help disguise and aid an  eating
disorder?

New research suggests a large percentage of women with eating disorders
may be doing just that.

Women suffering from eating disorders are four times more likely to  be
vegetarian than women without eating disorders, according to a recent
study published
<http://www.andjrnl.org/article/S2212-2672%2812%2900627-2/abstract>  in
the Journal of the Academy of Nutrition and Dietetics.

The researchers found that 52 percent of women with a history of  eating
disorders had been vegetarians at some point in their lives. In 
contrast, only 12 percent of women without eating disorders had 
experimented with a vegetarian diet.

For clinicians who work with eating disorder patients, the results of
the study were not surprising.

"Going vegetarian can be another way to cut out a food category, or a 
number of food categories, if you become a vegan," Vanessa Kane-Alves, a
registered dietician with Boston Children's Hospital's Eating Disorders 
Program, told The Huffington Post. "It makes it easier when people ask 
you questions about where those foods have gone. It's a more socially 
acceptable way to restrict foods."

Especially as a teen, parents might be less apt to argue with you for
not eating, she added.

Kane-Alves, who was not involved in the study, emphasized that the 
research doesn't argue vegetarianism causes eating disorders, or is 
unhealthy. Instead, it suggests vegetarianism can be a symptom of an 
eating disorder for some women.

"The takeaway of this study is, as a clinician, if you have a patient 
who tells you they want to be a vegetarian, it's worth exploring that 
more than you would have otherwise," she said. She suggests doctors ask 
their patients why they want to go vegetarian.

In the study, the motivation to go vegetarian was starkly different 
between women with eating disorders and those who were not. None of the 
women without eating disorders reported becoming vegetarians to lose 
weight. In contrast, almost half of those with an eating disorder 
history said weight was their primary motivator.

Of the women with a history of eating disorders and a history of 
vegetarianism, 68 percent said there was a relationship between the two.
A vegetarian diet helped them lose weight, cut calories and feel in 
control, they reported.

Going vegetarian in order to lose weight and control eating can also 
fall into the category of orthorexia -- an obsession with healthy eating
that can cover for an eating disorder
<http://www.xojane.com/it-happened-me/it-happened-me-im-orthorexic> ,
according to Kane-Alves.

"It's one and the same," she said. "It's all restricting food groups, 
spending a lot of time in your life thinking about food, preparing 
food, reading labels, when you don't necessarily have to."

She pointed out, too, that only five percent of those fully recovered
from their eating disorder were still vegetarians.

"We always try to respect vegetarian eating practices, but what this 
suggests is that maybe we should have different recommendations for 
vegetarians with eating disorders who are trying to get better," she 
said. "We need to at least have a discussion with the person about how 
it might be getting in the way of their recovery."







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