Teens become a lot more involved in their self-image. A distorted body image for a teen, or an adult, may result in an eating disorder such as anorexia nervosa. Anorexia nervosa is more common in teenage, white middle-class females who engage in chronic energy restriction to accommodate their fear of being "fat." Even when their body weight is below ideal standards, they still consider themselves "fat" and continue the energy restriction. Combined with reductions in body weight from fat stores are also reductions in body protein. As the ritual continues, the reduction in body protein ultimately affects heart muscle and other vital organs and tissue. Thus, these individuals jeopardize their very existence. Anorexics are obsessed with food and may play with their food when dining with family. They may also have memorized the energy and fat content of most foods.
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