Transcript Bulimia Nervosa in Male Horse Jockey

- Chauntoiya Jones
- Cherell Lawson
- Rayhan Mursalin
- Rebekah Parris
- Richard Graham
- Whitney Moore
- Rebekah
Parris
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.
Clear Statement of Problem
Effects of Bulimia on male horse jockeys
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.
- Chauntoiya
Jones
Restate Problem
Effects of Bulimia on male horse jockeys
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.
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
Impact of Health Effect
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_o
f_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
- Cherell Lawson
- Whitney Moore
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.
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.
Applicability of Solutions
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-riskof-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/jockeysdieting-to-reach-riding-weights-risk-eatingdisorders_10025863.html
 Tiemeyer, Matthew. Weight Limits for Horse Jockeys Demand
Disordered Eating February 9, 2008
http://eatingdisorders.about.com/od/riskfactors/a/jockeyweight.
htm
-Rayhan Mursalin
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
Process of Identifying Best
 Patients receiving medication in combination with
psychological treatment experienced greater improvement in
binge eating and depression than 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.)
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.
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
- Richard
Graham
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
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
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
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.
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
Video
 True Life - I want the perfect body part II
http://www.mtv.com/videos/misc/208166/completechange-of-life.jhtml#id=1581175