Anorexia Nervosa is a serious, potentially life-threatening eating disorder characterized by self-starvation and excessive weight loss.

• Refusal to maintain body weight at or above a minimally normal weight for height, body type, age, and activity level.
• Intense fear of weight gain or being "fat."
• Feeling "fat" or overweight despite dramatic weight loss.
• Loss of menstrual periods in post-puberty women and girls.
• Extreme concern with body weight and shape.

• Approximately 90-95% of anorexia nervosa sufferers are girls and women (Gidwani 1997).
• Between 1-2% of American women suffer from anorexia nervosa (Zerbe, 1995).
• Anorexia nervosa is one of the most common psychiatric diagnoses in young women (Hsu, 1996).
• Between 5-20% of individuals struggling with anorexia nervosa will die.  The probabilities of death increases within that range depending on the length of the condition (Zerbe, 1995).
• Anorexia nervosa has one of the highest death rates of any mental health condition.
• Anorexia nervosa typically appears in early to mid-adolescence.

Anorexia nervosa involves self-starvation.  The body is denied essential nutrients it needs to function normally, so it is forced to slow down all of its processes to conserve energy.  This "slowing down" can have serious medical consequences:

• Abnormally slow heart rate and low blood pressure, which means that the heart muscle is changing. The risk for heart failure rises as the heart rate and blood pressure levels sink lower and lower.
• Reduction of bone density (osteoporosis), which results in dry, brittle bones.
• Muscle loss and weakness.
• Severe dehydration, which can result in kidney failure.
• Fainting, fatigue, and overall weakness.
• Dry hair and skin, hair loss is common.
• Growth of a downy layer of hair called lanugo all over the body, including the face, in an effort to keep the body warm.

The chances for recovery increase the earlier anorexia nervosa is detected.  Therefore, it is important to be aware of some of the warning signs of anorexia nervosa.

• Dramatic weight loss
• Preoccupation with weight, food, calories, fat grams, and dieting.
• Refusal to eat certain foods, progressing to restrictions against whole categories of food (i.e., no carbohydrates, etc.)
• Frequent comments about feeling "fat" or overweight despite weight loss
• Anxiety about gaining weight or being "fat"
• Denial of hunger
• Development of food rituals (i.e., eating foods in certain orders, excessive chewing, rearranging food on a plate)
• Consistent excuses to avoid mealtimes or situations involving food
• Excessive, rigid exercise regimen--despite weather, fatigue, illness, and injury, the need to "burn off" calories taken in
• Withdrawal from usual friends and activities
• In general, behaviors and attitudes indicating that weight loss, dieting, and control of food are becoming primary concerns

Gidwani, G.P. and Rome, E.S. (1997).  Eating Disorders.  Clinical Obstetrics and Gynecology, 40(3), 601-615.

Hsu, G.L.K. (1996).  Epidemiology of the Eating Disorders.  Psychiatric Clinics of North America, 19(4), 681-697.

Zerbe, K.J. (1995).  The Body Betrayed.  Carlsbad, CA: Gürze Books.