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Have Pen, Will Travel: Observations of a Globetrotter

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M.J. Akbar

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“Runaway competition for thinness generates an evolutionary mismatch, which drives up the risk of maladaptive eating symptons; in particular Abed suggested that AN arises as a direct consequence of competition for thiness, whereas BN may stem from attempts to maintaina nubile body shape.”

“Androgens in Eating Disorders show an intriguing pattern: while anorexics tend to have low testosterone, there are indications that bulimia is associated with exposure to high levels of prenatal androgens. In addition, polycystic ovarian syndrome (PCOs, a condition caused by elevated androgens) has been associated with increased BN risk but decreased AN risk.”

“Social anxiety plays an important role in status competition as a behavioral defense against rejection and defeat. Intense social anxiety is especially adaptive for subordinate or unattractive individuals who need to avoid further status losses. However, excessive or misplaced anxiety may interfere with the acquisition of status and mates, and potentially lead to self-reinforcing circles of low self-esteem.”

“Ferguson and colleagues also reviewed that thin models in the media have comparatively small effects on body dissatisfaction, and mainly on women with preexisting weight concerns and/or high neuroticism. Instead, the largest and most consistent effects are those of mating competition in the peer network -that is, the number of attractive and available women in one's inmediate social environment (for example, friends and colleagues).”

“The pubertal surge of sex hormones plays a major role in the onset of eating symptoms in females, as shown by the fact that the heritability of Eating Disorders increases sharply at mid-puberty in girls, but not in boys. In particular, binge eating is strongly modulated by the interaction of estrogens and progesterone acrosss the menstrual cycle, consistent with the role played by these hormones in the regulaion of hunger and feeding. Both the frequency of bingeing and its heritability peak after ovulation, in tandem with rising progesterone levels.”

“A thinness ideal at the social and individual levels is not the only precondition for the bingeing-purging cycle: bingeing require easy access to large amounts of high-calorie food, and most purging methods are impractical without modern plumbing and sanitation.”