HUN 201 LECTURE NOTES CHAPTER 13 5 In Depth Disordered Eating Disordered Eating maintain a lower body weight Eating behaviors occur on a continuum Eating Disorders Describe a variety of atypical eating behaviors that people use to achieve or Psychiatric conditions involving extreme body dissatisfaction and long term eating patterns that negatively affect body functioning Anorexia nervosa Bulimia nervosa Contributing Factors self starvation leading to a severe nutrient deficiency recurrent episodes of extreme overeating and compensatory behaviors to prevent weight gain Many factors contribute to disordered eating behaviors Family Media Social and cultural values Personality Genetic factors Anorexia Nervosa Potential deadly eating disorder Health risks Energy and nutrient deficiency Electrolyte imbalance Cardiovascular problems Gastrointestinal problems Bone problems 90 95 are young girls or women 5 20 of females with anorexia will die from complications within 10 years of diagnosis Early intensive treatment is the best chance for recovery Characterized by repeated binge eating followed by purging Bulimia Nervosa Binge eating Binge feels a loss of self control a sense of euphoria a drug induced high large quantity of food eaten in a short period of time Affects more women than men Affects 1 4 of women 1 of bulimia patients will die from complications within 10 years of diagnosis Purging Occurs after most binge episodes weight gain can be significant by vomiting laxatives diuretics fasting excessive exercise Recurrent episodes of binge eating and inappropriate compensatory behavior to prevent weight gain Occurs on average at least twice a week for 3 months Body shape and weight unduly influence self evaluation Chronically inflamed and sore throat Swollen glands in the neck and below the jaw Symptoms Signs Health risks Dehydration loss of sodium and potassium ions from vomiting Electrolyte imbalance irregular heartbeat Gastrointestinal problems Dental problems Binge Eating After stressful events 2x weekly not followed by purging 2 3 of adults 8 of obese population Common in men Food triggers Foods high in fat and sugar can increase blood lipids Psychological consequences Low self esteem avoidance of social contact depression and negative thoughts Night Eating Syndrome People who were not hungry during the day but eat in the evening and night Depressed mood and insomnia Female Athlete Triad Combination of eating disorder sleep disorder and mood disorder Serious syndrome in some active females Low energy availability with or without eating disorders Amenorrhea Osteoporosis Early warning signs excessive dieting and or weight loss excessive exercise stress fractures and self esteem dictated by body weight shape Treatment for Disordered Eating Successful treatment requires a multidisciplinary approach including Patient Physician Psychologist Nutritionist Nutritional Therapy Goals Person s coach if an athlete Family members and friends issues Body image issues regaining weight Acceptability of certain foods Food situations gatherings eating out Healthful food plan for weight maintenance Addressing negative feelings trigger foods To restore to healthy body weight and resolve nutrition related eating
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