Does focus on ‘thigh gap’ lead to eating disorders?

Anne Becker has been studying eating disorders for nearly three decades, but it was from her twin 13-year-old daughters that she learned the term “thigh gap.”

Her daughters got their Seventeen magazine and pulled up website images to show Becker, a psychiatrist and eating disorders specialist at Harvard Medical School, what a thigh gap looks like.

“They said kids at school talk about it offhandedly like, ‘Well, you have a thigh gap, so you can have the extra ice cream,’ ” Becker says.

This disturbing ultra-thin-body trend pressures women and girls to achieve a gap between the thighs when they stand with their feet touching.

Women’s idolisation of skinny legs is not new. But the term has caught on as a popular hashtag on social media sites and a meme within the “thinspiration movement.” By achieving a thigh gap, some women believe that “they’ve become a member of an exclusive club,” says Barbara Greenberg, a clinical psychologist based in Weston, Conn.

Experts fear that the focus on thigh gap is driving a small number of women, especially teens, into behaviour that could lead to eating disorders and other destructive habits.

“We have seen an increased trend in which adolescent girls and young women are engaging in extreme dieting in pursuit of a so-called thigh gap,” says Tania Heller, medical director of the Washington Center for Eating Disorders and Adolescent Obesity in Bethesda, Md..

Most women – even those who are very thin – do not have a thigh gap, says Angela Guarda, an associate professor of psychiatry at the Johns Hopkins School of Medicine and director of the Johns Hopkins Eating Disorders Program. YouTube videos offer how-to’s on achieving a thigh gap, and some self-proclaimed experts argue that there is a healthful way to achieve a thigh gap through exercise.

But eating disorder experts say that the quest is dangerous, noting that even many lean athletes do not have a thigh gap. Whether a woman’s inner thighs touch depends on bone structure, shape of the pelvic girdle and how far apart the hipbones are, in addition to weight, Guarda says.

“Most women’s thighs touch somewhere from between their crotch and their knees,” even at a healthful thin weight, she says. Aside from a small minority of body types, “you have to be severely underweight for (the thighs) to separate, but that’s not the message that’s being perceived by teens.”

Fat talk

“It’s important to remember that talking about thigh gap or being interested in it – the stuff you see in middle schools – is not in and of itself an eating disorder,” Becker says. “But what it is is sort of a pathway to conversations that set girls up for being unhappy with their bodies.”

This “fat talk” – denigrating one’s body, usually among peers – aggravates poor body image and can be a catalyst for people who are at risk for eating disorders.

Experts say that social media are giving such terms as thigh gap and “orthorexia” – a fixation on eating healthful food that can spark anxiety, and, paradoxically, malnutrition – an unprecedented following. When promulgated by social media, these terms “give people something to latch onto,” says Claire Mysko, a consultant for the National Eating Disorders Association’s youth program. “The existence of social media really allows that kind of obsession to take on a new life.”

Social media

Blogging platforms such as Tumblr have become a forum for “pro-ana” (short for pro-anorexia) and “thinspiration,” or “thinspo,” communities that glamorise and glorify the pain of excessive weight loss.

On these blogs, the lines quickly blur between images of presumably healthy, bikini-clad models to starkly lean, skeletal – sometimes emaciated – women, with hash tags such as #thinspo, #depressed, #anorexic, #pale, #hip bones, #thigh gap and #sexy.

The images are accompanied by such statements as “Nothing tastes as good as skinny feels,” "Ribcage is the new black” and “Don’t eat anything today that you’ll regret tomorrow.” One image shows a person staring down at her thighs; printed atop the image is the message “Look at your thighs. Now put the food down.” Authors of these blogs boast about how many pounds they have lost or how little they have eaten, and implore followers to exercise frequently and excessively.

Experts say that these platforms pose dangers for vulnerable people in part because they provide a strong sense of community. “Now at the click of a keyboard you can access all these like-minded people who may be focusing on a very specific thing,” says Jennifer Wildes, an assistant professor of psychiatry and psychology at the University of Pittsburgh School of Medicine. “What was once anomalous now seems much more common when you can reach out to everyone in the whole world who has access to the Internet who shares those feelings or thoughts.”

Still, Heller says, “it’s important to remember that not all people who are exposed to these images do develop problems. But those adolescents who are vulnerable and already have negative self-esteem and negative body image may be particularly at risk.”

Tumblr has responded by posting a message that anyone who searches for terms including “thigh gap,” "pro-ana,” "thinspiration” and “thinspo” will see. It directs readers to a free help line run by the National Association of Eating Disorders, to other counseling and crisis prevention services and resources, and to nedafeedinghope.tumblr.com, the association’s Tumblr site.

When counseling teens and women who are preoccupied with their body image, Greenberg says, she tries to help them focus on what their bodies can do, such as sports or dancing, and on “what gives them joy and brings out the best in them.” And she works to open their eyes “to see this vicious cycle of dieting fruitlessly . . . and how unrealistic it is that getting the thigh gap will make their lives better in any way.”

 

By Amanda Mascarelli, for Washington Post