Disordered Eating

Question 1

When is disordered eating most common?

Answer 1

during the adolescent to early adulthood years

Question 2

What are three forms of disordered eating?

Answer 2

anorexia nervosa, bulimia, overeating disorder

Question 3

A clinical syndrome of self-induced starvation characterized by a voluntary refusal to eat

Answer 3

anorexia

Question 4

Why do anorexic people not want to eat

Answer 4

fear of fatness and a disturbed perception of body image

Question 5

What type of person is usually anorexic?

Answer 5

someone from an educated, successful family

Question 6

Anorexia is most often seen in _______

Answer 6

females

Question 7

If anorexia is seen in a male, it is usually an _________ athlete

Answer 7

endurance

Question 8

Anorexia has a mortality rate of about ______%

Answer 8

15-25

Question 9

What is mortality usually due to in anorexia?

Answer 9

cardiac arrest, heart failure, suicide

Question 10

What is the age of onset for anorexia?

Answer 10

prior to 25, usually begins in teens

Question 11

What percentage of original body weight is lost in anorexia?

Answer 11

25

Question 12

What do you lose in anorexia?

Answer 12

body fat and lean body mass

Question 13

What is anorexia characterized by?

Answer 13

distorted attitude towards eating, food, and body weight that overrides hunger

Question 14

What are aspects of psychological problems

Answer 14

Apparent enjoyment in losing weight, desired body image of extreme thinness, obsession with food

Question 15

What do you have to check for before determining if someone is anorexic?

Answer 15

no known medical illnesses, no known psychiatric disorders

Question 16

What are examples of physical symptoms of anorexia? (MUST HAVE 2)

Answer 16

amenorrhea, lanugo, bradycardia, periods of overactivity, episodes of laxative abuse or forced vomiting, dry yellowish skin, brittle hair, cold intolerance, hypotension

Question 17

What is the estimate of anorexia range for females?

Answer 17

0.2% to 1.0%

Question 18

What is the diagnostic criteria for anorexia nervosa?

Answer 18

refusal to maintain body weight at or above minimally normal weight for age and height, leading to a body weight <85% than expected

Question 19

How do people with anorexia nervosa see their body?

Answer 19

denial of seriousness of current low body weight, disturbed view of body

Question 20

What is amenorrhea?

Answer 20

absence of a period–must be three consecutive menstrual cycles

Question 21

What type of anorexia restricts what you eat?

Answer 21

restrictive type

Question 22

What is binge eating or purging?

Answer 22

bulemia

Question 23

What are potential causes of anorexia?

Answer 23

maternal control, enmeshed families, biochemical abnormalities, onset of puberty, sociocultural image of thinness, psychological factors

Question 24

Who is involved on the treatment team for anorexia?

Answer 24

psychologist, nutritionist, nurse, social worker

Question 25

What is important to the success of anorexia treatment?

Answer 25

early recognition

Question 26

What is essential for treatment of anorexia and why?

Answer 26

nutritional correction of severe starvation--can help with psychological problems

Question 27

Why is therapy helpful in treating anorexia?

Answer 27

improves underlying psychological misconceptions through therapy

Question 28

What are goals and strategies of nutritional care?

Answer 28

increased energy intake, specific meal plan, food choices based on nutrient contributions, formerly forbidden foods introduced with reassurance e

Question 29

Why is it important to get adequate calcium in anorexia?

Answer 29

to improve bone mineralization as weight i restored and hormonal abnormalities are corrected

Question 30

What percentage of anorexic people recover?

Answer 30

40-50%

Question 31

What percentage of anorexic people show some improvement?

Answer 31

25%

Question 32

What percentage of anorexic people have the chronic illness and is marked by relapses?

Answer 32

30%

Question 33

What are the signs of a good prognosis for recover?

Answer 33

young age of onset, normal premorbid weight, no bulimia, insignificant family pathology

Question 34

In what population does bulimia occur most frequently?

Answer 34

females

Question 35

What is more common, bulimia or anorexia?

Answer 35

bulimia

Question 36

Person generally maintains normal or close to normal body weight while gorging and purging

Answer 36

bulimia

Question 37

Who has a less distorted body image and less restrictive weight goal?

Answer 37

bulimics

Question 38

When does bulimia onset?

Answer 38

late teens, early 20's

Question 39

Why does bulimia often occur?

Answer 39

anxiety over separation (family), going off to college, low self esteem and personal identity

Question 40

What type of person is often bulimic?

Answer 40

frequently well educated, outgoing, social

Question 41

What are some characteristics and background of bulimics?

Answer 41

emotional instability, conflicted family environments, low self-esteem, depression, guilt anger, secretive

Question 42

What is the diagnostic criteria for bulimia?

Answer 42

recurrent episodes of binge eating (eating a large amount of food in discrete periods of time; lack a sense of control over eating)

Question 43

What are signs of anorexia?

Answer 43

vomiting, misuse of laxatives, diuretics, enemasfasting, medication

Question 44

How often does binge eating have to happen?

Answer 44

twice a week for three months

Question 45

What is more life threatening--anorexia or bulimia?

Answer 45

anorexia

Question 46

What are adverse side effects of bulimia

Answer 46

dental erosion, irritation of throat and esophagus, swollen salivary glands, rectal bleeding, electrolyte imbalance

Question 47

When would a life threatening situation arise in bulimia?

Answer 47

fistulas in upper GI tract and severe electrolyte disturbances

Question 48

What are the goals of nutrition care in bulimia?

Answer 48

planned meals and snacks, not excessive levels of energy intake, adequate fat and fiber intake, no dieting behavior, inclusion of formerly forbidden foods

Question 49

When can a bulimic person weigh themselves?

Answer 49

scheduled intervals

Question 50

When do relapses happen in bulimia?

Answer 50

6-8 months after recover and after 18 months

Question 51

Is prognosis for bulimia better for adolescents or adults?

Answer 51

adolescents

Question 52

What is overeating disorder?

Answer 52

less fear of becoming fat, similar to bulimia but no purging

Question 53

What is the education phase for eating disorders?

Answer 53

dietitian educates the client about his or her eating disorder

Question 54

What is the experimental phase for eating disorders?

Answer 54

the dietitian helps the client make changes in food and weight related behaviors in a safe environment

Question 55

What does the dietitian do in the education phase?

Answer 55

collects info, establishes relationship, defines principles and concepts of food and weight regulation, presents examples of typical eating patterns

Question 56

What does the client do during the experimental phase?

Answer 56

separates food and weight related behaviors from feelings, makes gradual changes in feeding behavior, slows increase or decrease in weight, learns to maintain a weight that is healthy, learns to be comfortable in social eating situations