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Chapter 15. Eating and Exercise Disorders

After working with a new client for several sessions, you notice that she is very focused on her weight, and you are growing concerned that she has an eating disorder due to stories she tells you about binge eating, excessive exercise following binges, and jokes about “purging.” Which of the following steps would be most appropriate for a fitness professional to take with this client?

A. Inform her that she has an eating disorder and will need a physician’s referral before you can continue working with her.

B. Design a program that helps her decrease body fat to direct her focus toward body-composition changes instead of weight loss.

C. Express how much you care about the client and your concern that she may have an eating disorder, recommend that she meet with her physician for evaluation and guidance; and offer to be there for her

D. Show empathy by discussing healthful eating strategies and implementing an exercise routine that will help her reach her weight-loss goals in a safe and effective manner.

After 3 months of training, your client has achieved rapid weight loss, is now borderline underweight, and appears increasingly concerned with her body weight and appearance. Which of the following disorders is most likely to be associated with this type of behavior?

A. Bulimia nervosa

B. Binge-eating disorder

C. Anorexia nervosa

D. Muscle dysmorphia

Julie, an exercise physiology undergraduate student, recently suffered a stress fracture in her left foot. She has been training to run a marathon for the past 3 months. During her doctor’s visit to evaluate the fracture, her doctor expressed concern she may have an eating disorder. Which of the following conditions does Julie most likely have?

A. Bulimia nervosa

B. Anorexia adipositas

C. Anorexia athletica

D. Female athlete triad

Tricia exercises excessively in order to counteract the effects of what she perceives as eating too many calories on a daily basis. With which of the following conditions is this type of behavior associated?

A. Primary exercise dependence

B. Secondary exercise dependence

C. Anorexia athletica

D. Muscle dysmorphic disorder

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