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Bulimia Nervosa in Male Horse Jockey

Bulimia Nervosa in Male Horse Jockey. Chauntoiya Jones Cherell Lawson Rayhan Mursalin Rebekah Parris Richard Graham Whitney Moore. Statement of the Problem. - Rebekah Parris. Background Leading to Problem. Bulimia How do men get an disorder like bulimia? What is a Horse Jockey?

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Bulimia Nervosa in Male Horse Jockey

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  1. Bulimia Nervosa in Male Horse Jockey Chauntoiya Jones Cherell Lawson Rayhan Mursalin Rebekah Parris Richard Graham Whitney Moore

  2. Statement of the Problem - Rebekah Parris

  3. Background Leading to Problem • Bulimia • How do men get an disorder like bulimia? • What is a Horse Jockey? • About the sport and how bulimia plays a part.

  4. Clear Statement of Problem Effects of Bulimia on male horse jockeys

  5. Cited Sources • Caulfield, Michael J. and Karageorghis, Costas I.(2008)'Psychological effects of rapid weight loss and attitudes towards eating among professional jockeys', Journal of Sports Sciences,26:9,877 — 883 • Baum, Antonia. (2006). Eating disorders in the male athlete. Sports Medicine, 36(1): 1-6 • Hall, L., Leigh, C. (1999) Bulimia: a guide to recovery • Kirkpatrick, J., Caldwell, P. (2001) Eating disorders.

  6. Significance to Optimal Health - Chauntoiya Jones

  7. Restate Problem Effects of Bulimia on male horse jockeys

  8. Connection to Health Effect Physical signs and symptoms of bulimia • Calluses or scars on the knuckles or hands from sticking fingers down the throat to induce vomiting. • Puffy “chipmunk” cheeks caused by repeated vomiting. • Teeth Discoloration - from exposure to stomach acid when throwing up. Teeth may be yellow • Frequent variations in weight - Weight may fluctuate by 10 pounds or more due to alternating episodes of bingeing and purging.

  9. Connection to Health Effect • Dehydration • Weight gain • Abdominal pain, bloating • Swelling of the hands and feet • Chronic sore throat, hoarseness • Broken blood vessels in the eyes • Swollen cheeks and salivary glands • Weakness and dizziness • Tooth decay and mouth sores • Acid reflux or ulcers • Ruptured stomach or esophagus • Chronic constipation from laxative abuse

  10. Impact of Health Effect

  11. Cited Sources • Suzanne Barston, Melinda Smith, M.A., and Jeanne Segal, Ph.D., contributed to this article. Last modified on: 3/3/08. “Bulimia Nervosa - Signs, Symptoms, Treatment, and Help”.http://www.helpguide.org/mental/bulimia_signs_symptoms_causes_treatment.htm • Irina Webster. :The Long Term Effects of Bulimia Nervosa”. 2008 Street directory. The Health Issues Program. http://www.streetdirectory.com/travel_guide/47330/lose_weight/long_term_effects_of_bulimia_nervosa.html • Jane Kirby. “Dieting Jockeys risk eating disorders”. March 10, 2008.http://news.scotsman.com/anorexia/Dieting-jockeys-risk-eating-disorders.3859401.jp • Video Clip: Compliments of MTV- I Want the Perfect Body Part 2 Episode 20. http://www.mtv.com/videos/misc/208166/complete-change-of-life.jhtml#id=1581175

  12. Possible Solutions Cherell Lawson Whitney Moore

  13. Connect Effect/Impact & Solutions • Jockey’s receive their assigned weight from a racing secretary at the track they are racing. • In the U.S. the limits are often under 120 lbs. • The limit at the Kentucky Derby is 126 lbs • The average American male weighs over 190 lbs • Their weight is directly related to their weight, so they will so practically anything to achieve the assigned weight. • Ex: Purging or “flipping” as the jockey’s call it, sitting in saunas, plastic exercise suits, stimulant drugs, • Many tracks have “heaving bowls” for purging • 30% of jockeys purge to achieve their goal weight.

  14. Variety of Approach/Specificity • Increase the minimum weight limit for the jockeys. However, after being discussed, the people in the jockey industry seem to care more about the horses rather than the jockey’s themselves • Give jockeys some type of psychological support as they are trying to lose the weight. • Provide eating programs for healthier weight loss.

  15. Applicability of Solutions

  16. Cited Sources • Hughes, Mark. Jockeys’ Run Risk of Eating Disorders’ in Bid To Stay Thin. March 11, 2008. http://www.independent.ie/health/latest-news/jockeys-run-risk-of-eating-disorders-in-bid-to-stay-slim-1313391.html • Jockeys dieting to reach riding weights risk eating disorders March 10, 2008 http://www.thaindian.com/newsportal/health/jockeys-dieting-to-reach-riding-weights-risk-eating-disorders_10025863.html • Tiemeyer, Matthew. Weight Limits for Horse Jockeys Demand Disordered Eating February 9, 2008 http://eatingdisorders.about.com/od/riskfactors/a/jockeyweight.htm

  17. Select / Support Best Solution Rayhan Mursalin

  18. Based on Literature • Increase the minimum weight limit for both Jockey and horse • Medical Treatment (Antidepressant) • Nutritional Adjustment (Registered dietician) • Social Support (With the help of family and friend) • Psychotherapy: - Cognitive-Behavioral Therapy - Psychodynamic/Psychoanalytic Therapy

  19. Process of Identifying Best • Patients receiving medication in combination with psychologicaltreatment experienced greater improvement in binge eating and depressionthan did patients receiving placebo and psychological treatment. (BT Walsh et al.) • Cognitive-Behavioral Therapy has been found to be superior to other psychotherapies in reducing bulimic symptoms.(Peterson CB, Mitchell JE.)

  20. Impact of Solution on Problem • Jockeys can be benefited with the support from psychiatrist and dietician. • If they are given registered dietician, they can loose weight in a healthy way. • Therapist can change the way they think and can alter their behavioral pattern. • Jockeys will be in lesser risk of starvation and dehydration and will be able to live healthy.

  21. Cited Sources • WS Agras, EM Rossiter, B Arnow, JA Schneider, CF Telch, SD Raeburn, B Bruce, M Perl and LM Koran. Pharmacologic and cognitive-behavioral treatment for bulimia nervosa: a controlled comparison. American Journal of Psychiatry 1992. 149:82-87 http://ajp.psychiatryonline.org/cgi/content/abstract/149/1/82 • BT Walsh, GT Wilson, KL Loeb, MJ Devlin, KM Pike, SP Roose, J Fleiss and C Waternaux. Medication and psychotherapy in the treatment of bulimia nervosa.American Journal of Psychiatry 1997. 154:523-531 http://ajp.psychiatryonline.org/cgi/content/abstract/154/4/523 • Peterson CB, Mitchell JE. J Clin Psychol. Psychosocial and pharmacological treatment of eating disorders: a review of research findings. 1999 Jun. 55(6):685-97. http://www.ncbi.nlm.nih.gov/pubmed/10445860 • Matthew Tiemeyer. Eating Disorders: Getting the Help You Need http://eatingdisorders.about.com/od/resourcesandreviews/u/treatment.htm • Matthew Tiemeyer. Eating Disorder Treatment.Updated. September 23, 2008 http://eatingdisorders.about.com/od/treatmentstrategies/a/edtreatment.htm • Matthew Tiemeyer. Therapy for Bulimia Speeds Recovery. Updated: October 16, 2007 http://eatingdisorders.about.com/od/whatisbulimianervosa/a/bulimiatherapy.htm

  22. Summary and Conclusions - Richard Graham

  23. Effect of Problem on health Effects on physical health • Extreme weight loss • BMI reduces below 17.5 • Stunted growth • Swollen saliva glands • Endocrine disorder • Impotence in males

  24. What if not addressed? • If not addressed symptoms can get worse and the body could show signs of starvation and dehydration. If still not treated possible death

  25. Possible Solutions • Bring a certified dietitian to work on losing weight in a healthy and effective manner. • Increase the weight of both the horse and rider • Provide one-on-one therapy sessions taking the Cognitive Behavioral Approach

  26. Selected Solution Anticipated Outcome • Cognitive-Behavioral Therapy is a form of psychotherapy that emphasizes the important role of thinking in how we feel and what we do. • One on one therapy sessions with jockeys who feel they need help. • I anticipate that if enough jockeys start seeking help the problem can become large enough to create awareness of this system.

  27. Cited Sources • Rosenbaum, Dr. Michael, and Dr. Rex Gatto. "What is Cognitive Behavioral Therapy." NACBT Online Headquarters. 5 Apr. 2007. NACBT. 30 Nov. 2008 <http://www.nacbt.org/whatiscbt.htm>. • Let's Talk Facts About: Eating Disorders, American Psychiatric Association, 2005 • Health Consequences of Eating Disorders, Copyright 2006 by the National Eating Disorders Association

  28. Video • True Life - I want the perfect body part II http://www.mtv.com/videos/misc/208166/complete-change-of-life.jhtml#id=1581175

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