teen vegetarians and eating disorders

Vegetarian Diets Linked to Eating Disorders in Teens

Sometimes going veggie can mask unhealthy eating habits.

By Emily Main

What you can do

If your child wants to give up meat, help him or her to make the healthiest food choices.

RODALE NEWS, EMMAUS, PA—Teenagers may be the very greenest among us. According to a recent survey from Greenpeace and the online teen hangout, Habbo.com, 74 percent of American teenagers are concerned about environmental issues like global warming and pollution, while a recent Harris Interactive poll found that only 46 percent of adults feel the same way.

But the way these eco-teens are going about protecting our planet may be putting their own bodies at risk. A recent study published in the Journal of the American Dietetic Association found that teenage vegetarians, most of whom said they chose their diet for its environmental benefits, were more likely to develop eating disorders than their meat-eating peers.

THE DETAILS: The study was based on survey data collected from 2,516 men and women divided into two age groups, a younger group (15 to 18 years old) and an older group (19 to 23 years old). They were asked questions based on whether they ate meat and, if not, why they chose to become vegetarians. Participants also reported on their “weight control behaviors.” Healthy behaviors for weight control were defined as exercising, eating more fruits and vegetables, and avoiding fatty foods and sweets; unhealthy behaviors were categorized as either less-extreme (fasting, skipping meals, eating food substitutes, smoking more cigarettes) and more-extreme (binge eating, taking diet pills or laxatives, making yourself vomit).

The most popular reason for giving up meat in the younger group was to help the environment, while the older vegetarians did so because they wanted to eat a healthier diet. However, among the younger age group, 21 percent of vegetarians reported engaging in uncontrollable binge eating and 20 percent in other more-extreme weight control behaviors, compared with 4 percent and 10 percent, respectively, for non-vegetarians.

WHAT IT MEANS: “Vegetarian” doesn’t automatically equal “healthy,” especially for a teen who doesn’t have a healthy relationship with food. The study authors point out that it’s important for parents to make sure their children aren’t using a vegetarian diet as a socially acceptable excuse for hiding an eating disorder. The key is to get involved and make certain that a child who chooses to forgo meat is eating a healthy diet. Being supportive of a teenager who decides to give up meat can also lead to other healthy behaviors, the study found. “Both the vegetarian adolescents and young adults reported the highest fruit and vegetable intake and lowest percentage of total calories from fat,” says lead author Ramona Robinson-O’Brien, Ph.D., RD, assistant professor in the Nutrition Department of Saint Benedict and St. John’s University. They also found that vegetarian teens got more exercise and were less likely to smoke, drink alcohol, or take other drugs than their formerly vegetarian and non-vegetarian peers.

Here are a few ways to keep your teenager on a healthy track with a vegetarian diet:

• Eat dinner together. “The more the parents eat with their kids, the more they can pay attention to unusual behaviors,” says Keri Gans, RD, spokesperson for the American Dietetic Association. Look for signs that your teenager is eliminating entire food groups without replacing them with healthy alternatives. “If all of a sudden, they’re [eating vegetarian] and eliminating everything from their diet, that’s when it should raise a red flag,” she says.

• Cook dinner together. Include kids in meal preparation, says Gans, “and plan meals together. If you work as a family, [sticking to a vegetarian diet] is also more successful.”

• Consider visiting a dietitian to help your teen plan a healthy diet. “If vegetarian diets, especially vegan diets, are not well-planned, there may be an increased potential for specific nutrient deficiencies,” says Robinson-O’Brien.

• Educate them your teen about eating for a healthy planet. Despite long-held beliefs (and even recent study findings) that vegetarianism may be better for our planet, it is possible to find meat from humanely raised animals that actually benefit the soil and the overall health of our environment. Be sure your teenager has all the facts before he or she decides to give up meat entirely. Make the benefits of organic food part of the discussion; food that's grown organically helps keep greenhouse gases out of the atmosphere. It's also free of agrichemicals and genetically modified (GM) components. (Note that nonorganic soy products, popular among vegetarians, are among the most likely products to contain GM content.)