14- Stress and Eating Disorders Flashcards
what are the 4 kinds of unhealthy eating cues ?
social cues, situational cues, negative thoughts, negative feelings
what BMI would make a woman and man underweight ?
women <19.1
man <20.7
what BMI would make a woman anorexic ?
<17.5
how many people in America have a diagnosable eating disorder ?
5 million
what is the rate of obesity among teens ?
17%
when is the usual onset of anorexia nervosa ?
middle teens after a period of life stress or an intense period of dieting
what is the ratio female to male of anorexia affliction?
10:1
what are the two types of anorexia nervosa ?
restricted type: self-starvation
binge-eating/purging type: self-starvation + purging to help control weight
what is the relationship between anorexia nervosa and stress ?
no direct relationship
how does AN affect the HPA axis ?
dysregulates it
what are the two subtypes of bulimia nervosa ?
purging: self-induced vomiting or misuse of laxatives
nonpurging: compensate for binge eating by indulging in excessive fasting or exercise
what is the onset age of bulimia nervosa ?
adolescence to early adulthood
is binging something that is planned ?
yes
what is the main differing symptom of bulimia nervosa ?
loss of dental enamel
which is more common: anorexia or bulimia ?
bulimia
what is the main comorbid disorder for bulimia ?
major depression (between 36-63 of bulimics)
in bulimia, what is the activation of the HPA axis due to ?
the psychological stress and the physiological stimuli caused by ingestion of large meals
do stressors significantly alter food consumption in bulimic women vs healthy women ?
nope, both increased food intake of carbs following a stressor
what is the prevalence of binge eating in women and men ?
in women only 1.5 times higher than men (compared to BN or AN where prevalence 10x)
how can increased cortisol level lead to more fat ?
insulin resistance therefore promotes visceral fat accumulation
what are women more likely to consume to cope ?
food
what are men more likely to consume to cope ?
alcohol or cigarettes