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Teen Health Current Topics in Teen Health

Dying to Be Thin: The Pro-Eating Disorder Movement


Author:

Arlen Zamula

Medically Reviewed On: March 05, 2007

“I want to be perfect,” writes one teenage girl on her MySpace page; “think thin,” responds her 16-year-old friend.

Once depicted by a lonely girl picking at her food, eating disorders have gone virtual with a twist: some websites, blogs and message boards are devoted not to helping people recover from an eating disorder, but instead encouraging them to continue in their health-threatening disorder. This so-called “pro-ana” (pro-anorexic) and “pro-mia” (pro-bulimia) movement is proving popular among some patients with these diseases, with some of these sites receiving thousands of visits each day.

Data suggests that about 11 million people in the United States suffer from an eating disorder. But the individuals who run these pro-eating-disorder websites promote the view that anorexia and bulimia are not problems that need to be treated, but a lifestyle that one chooses. One blogger states, “eating disorders are not a learned behavior, but an acquired taste.” Others recognize that what they are doing is not healthy, but are too focused on being thin: “I don’t plan on changing until I am ready,” one writes.

But the health risks of these websites and blogs are real. “These sites are dangerous,” says Dr. Doug Bunnell, director of outpatient clinical services at The Renfrew Center, which runs several treatment centers for eating disorders across the U.S. “If the site says eating disorders are a choice, then you’re getting information that is out of date, wrong and potentially dangerous.”

And there is no doubt that anorexia and bulimia carry serious health risks. In anorexia, “medically, their body starts to shut down,” says Bunnell. “Their brain shrinks, hair starts to grow all over the body in order to conserve heat, and their body stops developing bone mass, which is a big risk factor for osteoporosis.” Regular vomiting can even cause the esophagus to rupture. In some unfortunate cases, it can be fatal. To add to the complexity, Bunnell says, “people with other psychiatric issues like depression or anxiety, or those who have a history of psychological trauma such as abuse, are at increased risk.”

“The eating disorder becomes a chronic condition; the average recovery from onset of treatment for anorexia is between four and seven years,” says Bunnell.

Most of these sites are written by young women with eating disorders for young women with eating disorders. Some allow members to create profiles with pictures and biographical information; but instead of a self-portrait, most profiles use images of shrinking celebrities. Kate Moss, Mary-Kate and Ashley Olsen and Nicole Richie are used as “thinspiration.” One member even uses an image of a girl hunched over a toilet for her profile picture along with the mantra, “nothing tastes as good as being thin.”

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