That’s why teens need to be educated about how to lose weight in healthy ways and to be shown healthy role models. In fact, Kerri Boutelle, Ph.D., a weight and eating disorders expert at the University of Minnesota, states, “Several studies actually suggest that teaching teens healthful methods to control their weight may reduce weight concerns and the risk of subsequent eating disorders.”

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The truth is, far more teens in our society are overweight than have eating disorders. For instance, the eating disorders bulimia and anorexia nervosa affect no more than 4 to 5 percent of teens. Yet more than one third (34 percent) of twelve- to nineteen-year-olds in the United States are overweight or at risk for being overweight, according to a 2006 report in the Journal of the American Medical Association.

James Anderson, M.D., a weight expert at the University of Kentucky who works with teens, sums up the situation this way: “The risk of inducing eating disorders in overweight teens is very low, and the risk from their untreated obesity is much higher.”

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Katie S. says that she loosely followed a popular diet when she started losing 94 pounds. Today, however, she says, “when people ask me if I went on a diet, I say, ‘No, I changed my lifestyle. This is forever. I will never go back to how I used to eat.’” Likewise, Xavier L., who went to Weight Watchers and followed its Points system, which some would consider a diet, advises, “You must change your lifestyle. This is a lifelong process. It isn’t about a day, a week, or a month.”

It’s true that some studies suggest that teens who report going on a lot of diets are heavier than nondieters, but it’s hard to know if they re¬ally were dieting - that is, if they actually ate few enough calories to lose weight. Eric Stice, Ph.D., a University of Texas researcher who studies teens and dieting, concludes, “I don’t think that dieting causes weight gain.

On the contrary, I think that effective dieting results in weight loss - and not many dieters cut back on calories long enough to actually lose weight.” He adds, “We need to help teens diet effectively and in healthy ways as well as to make changes in food and activity that are not just temporary.”