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I recently read about Heather Hill a women age 39, whose diet consists entirely
of French fries, pasta with butter or marinara sauce, vegetarian pizza, cooked
broccoli, corn on the cob, and cakes and cookies without nuts… This made me
so sick and of course started many thoughts.

Heather isn’t alone. New findings indicate that there may be thousands of adult
strange eaters. Duke University and the University of Pittsburgh have launched
a national public registry of adult “picky” eaters. Respected publications like
JAMA and Psychology Today are recognizing another eating disorder,
orthorexia, an obsession with healthy eating.
Eat the right foods to keep your bones strong.

Kristie Rutzel, 27, dropped to 68 pounds when she was in a fixation on healthy
eating….at one point she ate little more than raw broccoli and cauliflower.
Neither adult picky eating disorder nor orthorexia is included in the Diagnostic
and Statistical Manual (DSM), the American Psychiatric Association’s “bible” of
mental disorders. Once a disorder is listed, treatment is often covered by
insurance and it’s easier for researchers to get grants to study it. Here’s what
we know so far:

What is Adult Selective Eating? Like kids, adult picky eaters limit themselves to
an extremely narrow range of foods. Unlike those who suffer from anorexia
nervosa or bulimia, adult picky eaters are seemingly not worried about calorie
counts or body image. But so far, researchers don’t know if adult picky eaters
just haven’t outgrown childhood patterns or if their eating habits are a new
twist on obsessive compulsive disorder. Some may be “supertasters,” with an
abnormally acute sense of taste that turns them off certain foods. Many appear
to have had unpleasant childhood associations with food.
What is orthorexia? Identified in 1997 by Colorado physician Steven Bratman,
MD, orthorexica is Latin for “correct eating.” Here, too, the focus isn’t on losing
weight. Instead, sufferers increasingly restrict their diets to foods they consider
pure, natural and healthful. Some researchers say that orthorexia may combine
a touch of obsessive compulsive disorder with anxiety and warn that severely
limited “healthy” diets may be a stepping stone to anorexia nervosa, the most
severe - and potentially life-threatening - eating disorder.
What do they eat?

Adult picky eaters: Food preferences tend to be bland, white or pale colored -
plain pasta or cheese pizza are said to be common foods along with French fries
and chicken fingers. Some picky eaters stick to foods with a common texture or
taste.
Orthorexics: Those affected may start by eliminating processed foods, anything
with artificial colorings or flavorings as well as foods that have come into
contact with pesticides. Beyond that, orthorexics may also shun caffeine,
alcohol, sugar, salt, wheat and dairy foods. Some limit themselves to raw foods.
Check out this mobile phone app that guides healthy food choices.

What are the risks?

Health consequences: Limiting your diet to only a few foods - because you’re a
picky eater or have a long list of foods you deem unhealthy - can lead to
potentially dangerous nutritional deficiencies. At its most extreme, a diet limited
to only a few foods perceived to be healthy is described as orthorexia nervosa
and can lead to the same emaciation and health risks seen with anorexia
nervosa.
Social Isolation: Being an adult picky eater can take an enormous social toll. Out
of embarrassment, these folks avoid dining with friends or co-workers. Heather
Hill tries to hide her eating habits from her children for fear that they will pick
them up. Going to extremes in an effort to eat only healthy foods can also be
socially isolating and can undermine personal relationships.
How are these disorders treated?

Adult Selective Eating: Techniques that have proven successful in treating kids
who are picky eaters - learning assertiveness skills and systematically trying
new foods - are being used on adults, but it’s still too soon to know whether
they work.
Orthorexia: Cognitive behavior therapy designed to change obsessive thought
patterns regarding food is usually recommended.
Learn to grow your own healthy foods at home.

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Get the information you need to improve your health and wellness on Healthline.
com.
Kate Moss in 'Haute Couture'
Photographed by Mert & Marcus
Scanned by yala_agni
Vogue Paris May 2011