A friend’s 8-year-old daughter packs her own lunch for school. One day, her dad noticed that lunch consisted of a single cherry tomato, one slice of apple and one spoonful of yogurt. When asked, the child replied that she didn’t think she’d be hungry at school.
My friend wanted to know: Was this the start of problem-eating?
Disorders such as anorexia, bulimia and binge-eating most commonly emerge during the adolescent years, says Claire Mysko, the chief executive of the National Eating Disorders Association. “But we’re hearing about younger and younger cases.”
How young? As young as 5, according to the American Academy of Pediatrics, which updated its guidelines on preventing eating disorders and obesity in teens last year. About half of teenage girls and a quarter of teenage boys are dissatisfied with their bodies, according to the AAP.
“The stereotype is of a young, white, thin girl. It’s a common misperception,” Mysko says. “These illnesses occur in all sizes, all races, all genders, all ages.”
If you see signs that concern you, don’t dismiss them, Mysko says. Such signs might include a child who cuts out an entire food group or one who seems anxious at mealtime. Talk to your paediatrician about your concerns.
Paediatricians will look at kids’ growth curves, measuring height and weight at well-child visits to ascertain that growth is on track. They’ll also ask kids whether they eat fruit and vegetables, whether they eat a variety of colours and whether they try new things. By doing so, they’re checking for potential problems and promoting good eating habits.
“It’s normal to expect picky-eating episodes,” says Lynne Lillie, a family physician in Rochester, Minnesota. “Kids can seem hungry one day but not at all the next.”
My friend did not dismiss the signs. She talked to a friend with some expertise, she watched her child eat at home, and she kept an eye on lunch content. An already scheduled well-child visit was coming up soon.
She said she felt she and her husband were doing many things right. They offer a variety of fresh foods and let their kids decide how much to eat. They don’t promote a particular body size or talk about dieting.
This aligns with current advice. Through their actions, parents should be modelling messages of healthy eating and positive body image, Lillie says.
What else can families do to encourage healthy eating?
Avoid putting emphasis on weight. This is a key recommendation of the AAP guidelines.
Losing weight should not be a goal. Nor should “losing a few pounds” or “getting thinner” be associated with hopes for greater happiness or popularity. A parent who talks about weight - their own or their child’s - is a risk factor for eating disorders.
Teasing a child about his or her weight is not good. This may seem obvious, but remember that such teasing might come from any source - parents, siblings or schoolmates. Statistics reported in the AAP document indicate that 40% of 13-year-old girls have experienced this. Such teasing puts boys and girls at risk for becoming overweight, and increases a girl’s chances of such disorders as binge-eating and extreme weight-control behaviours.
“The focus on weight,” Mysko says, even when well intentioned, “can backfire.” Indeed, she says that dieting is a major risk factor for developing an eating disorder. “Not everyone who goes on a diet will get an eating disorder, but the restrictive mind-set is very much linked to eating disorders.”
“Move away from the idea there are good and bad foods. This leads to a feeling of indulging - of saying ‘I’m bad,’ or ‘I’m giving up’.”
Instead, Mysko advises having conversations with your kids about food, exercise and overall health. “Shift attention away from the numbers. Emphasise that good food makes your body feel good. Exercise makes your body strong.”
Talk to your kids about media messages relating to self-esteem and body image. Ask them what they notice about TV commercials and celebrity pages in magazines, including images altered by airbrushing and digital photo editing.
Talking about these things can help kids become critical viewers rather than allow them to internalise faulty messages about body image.
One of the most important things parents can do is eat with their kids. A 2007 study of 1 710 high school pupils found that those who ate most often with their families consumed more fruit and vegetables and fewer cooldrinks than other pupils. Further, these healthy eating trends were maintained into young adulthood.
A 2010 study of 13 000 kids ages 9 to 14 found that regular family dinners were protective against disorders including purging, binge eating and frequent dieting.
If you have a concern about a possible eating disorder, start with a visit to your paediatrician, who may recommend a therapist specialising in eating disorders. Educate yourself; the National Eating Disorders Association website has lots of information, including a tool kit for parents.
But do something. “Early intervention makes a huge difference,” Mysko says. “The sooner you can address the behaviour, the more effective treatment will be.”- Washington Post