When we think about eating disorders, the image that often comes to mind is of a teenager or young adult struggling with body image who looks extraordinarily thin. However, eating disorders don’t discriminate by age or body size. In fact, research shows that approximately 13% of women over age 50 are living with an eating disorder. Yet, the misconception that these conditions are exclusive to adolescents contributes to stigma—leaving many older adults suffering in silence.
The risks can be especially high at this time of year when many people make New Year’s resolutions centered on healthy eating or weight loss. These can unintentionally trigger or exacerbate eating disorders by fostering an unhealthy preoccupation with food, body image or restrictive behaviors.
A silent epidemic in older adults
Eating disorders can develop at any stage of life, but they often go unrecognized in older adults. Times of transition such as menopause, retirement, divorce, or the loss of a loved one can leave individuals vulnerable. These life changes can lead to feelings of loss or struggles with self-worth, which can trigger or exacerbate disordered eating patterns.
Our youth-obsessed culture further compounds the issue. The pressure to maintain a youthful appearance can lead some older adults to adopt extreme measures, such as dangerous dieting, excessive exercise or other behaviors aimed at achieving unrealistic body standards. This is especially concerning because the aging body is less resilient to the physical toll that eating disorders take.
Health risks of eating disorders in aging bodies
Eating disorders, whether it’s anorexia, bulimia or binge eating, have serious consequences for people of all ages. For older adults, the stakes are even higher. Malnutrition, for instance, can accelerate bone density loss, leading to fractures and osteoporosis. Dehydration and electrolyte imbalances can strain the heart, increase the risk of arrhythmias, and exacerbate existing cardiovascular conditions.
Additionally, older adults often have underlying health issues such as diabetes, hypertension or arthritis. Eating disorders can worsen these conditions, complicate treatment, and hinder recovery. In severe cases, disordered eating can lead to organ failure and even death. These risks underscore the importance of identifying and addressing eating disorders as soon as possible.
Breaking down stigma and seeking help
One of the biggest barriers to treatment for older adults is stigma. Many feel ashamed to admit they’re struggling, thinking, “Shouldn’t I have grown out of this?” But eating disorders are not a “phase.” They are complex mental health conditions that require compassion and treatment at any age.
Some healthcare providers may play a role in perpetuating this oversight. Symptoms of eating disorders such as weight loss, fatigue or gastrointestinal distress are often misattributed to “normal” aging or other medical conditions. Educating both providers and the public is key to ensuring older adults receive proper diagnosis and care.
Recognizing the warning signs
Being aware of the signs of an eating disorder can make a significant difference. Here are some red flags to watch for:
Significant changes in weight (up or down)
Preoccupation with food, weight or body image
Skipping meals or avoiding eating in social settings
Excessive exercise or an unusual focus on fitness
Gastrointestinal complaints without a clear medical cause
Withdrawal from social activities or changes in mood
If you notice these behaviors in yourself or a loved one, it’s crucial to seek help. Recovery is possible at all ages.
Steps toward healing
Treatment for eating disorders typically involves a multidisciplinary approach, including medical care, nutritional counseling and mental health therapy. The Alaska Eating Disorders Alliance (AKEDA) is available to answer questions, provide resources, and help people find treatment resources that can help move the eating disorder to the rearview mirror. The organization hosts Alaska-based support groups for individuals and family members. Nobody should have to walk this journey alone.
In addition, the AKEDA website lists providers statewide, including doctors, therapists and dietitians who work with clients with this illness.
People can recover from eating disorders at any age or stage of illness. Reaching out for help is the first step towards healing. If you or someone you know is struggling, reach out to a health care provider or contact AKEDA for help. It’s never too late to experience the peace of recovery.
Contact the Alaska Eating Disorders Alliance at http://www.akeatingdisordersalliance.org, call 907-308-8400 or email info@akeatingdisordersalliance.org.
Jenny Loudon is the co-founder and board chair of the Alaska Eating Disorders Alliance.
