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Life Cycle > Disordered Eating > Flashcards

Disordered Eating Flashcards

1
Q

When is disordered eating most common?

A

during the adolescent to early adulthood years

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2
Q

What are three forms of disordered eating?

A

anorexia nervosa, bulimia, overeating disorder

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3
Q

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

A

anorexia

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4
Q

Why do anorexic people not want to eat

A

fear of fatness and a disturbed perception of body image

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5
Q

What type of person is usually anorexic?

A

someone from an educated, successful family

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6
Q

Anorexia is most often seen in _______

A

females

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7
Q

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

A

endurance

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8
Q

Anorexia has a mortality rate of about ______%

A

15-25

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9
Q

What is mortality usually due to in anorexia?

A

cardiac arrest, heart failure, suicide

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10
Q

What is the age of onset for anorexia?

A

prior to 25, usually begins in teens

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11
Q

What percentage of original body weight is lost in anorexia?

A

25

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12
Q

What do you lose in anorexia?

A

body fat and lean body mass

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13
Q

What is anorexia characterized by?

A

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

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14
Q

What are aspects of psychological problems

A

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

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15
Q

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

A

no known medical illnesses, no known psychiatric disorders

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16
Q

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

A

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

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17
Q

What is the estimate of anorexia range for females?

A

0.2% to 1.0%

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18
Q

What is the diagnostic criteria for anorexia nervosa?

A

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

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19
Q

How do people with anorexia nervosa see their body?

A

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

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20
Q

What is amenorrhea?

A

absence of a period–must be three consecutive menstrual cycles

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21
Q

What type of anorexia restricts what you eat?

A

restrictive type

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22
Q

What is binge eating or purging?

A

bulemia

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23
Q

What are potential causes of anorexia?

A

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

24
Q

Who is involved on the treatment team for anorexia?

A

psychologist, nutritionist, nurse, social worker

25
Q

What is important to the success of anorexia treatment?

A

early recognition

26
Q

What is essential for treatment of anorexia and why?

A

nutritional correction of severe starvation–can help with psychological problems

27
Q

Why is therapy helpful in treating anorexia?

A

improves underlying psychological misconceptions through therapy

28
Q

What are goals and strategies of nutritional care?

A

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

29
Q

Why is it important to get adequate calcium in anorexia?

A

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

30
Q

What percentage of anorexic people recover?

A

40-50%

31
Q

What percentage of anorexic people show some improvement?

A

25%

32
Q

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

A

30%

33
Q

What are the signs of a good prognosis for recover?

A

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

34
Q

In what population does bulimia occur most frequently?

A

females

35
Q

What is more common, bulimia or anorexia?

A

bulimia

36
Q

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

A

bulimia

37
Q

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

A

bulimics

38
Q

When does bulimia onset?

A

late teens, early 20’s

39
Q

Why does bulimia often occur?

A

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

40
Q

What type of person is often bulimic?

A

frequently well educated, outgoing, social

41
Q

What are some characteristics and background of bulimics?

A

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

42
Q

What is the diagnostic criteria for bulimia?

A

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

43
Q

What are signs of anorexia?

A

vomiting, misuse of laxatives, diuretics, enemasfasting, medication

44
Q

How often does binge eating have to happen?

A

twice a week for three months

45
Q

What is more life threatening–anorexia or bulimia?

A

anorexia

46
Q

What are adverse side effects of bulimia

A

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

47
Q

When would a life threatening situation arise in bulimia?

A

fistulas in upper GI tract and severe electrolyte disturbances

48
Q

What are the goals of nutrition care in bulimia?

A

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

49
Q

When can a bulimic person weigh themselves?

A

scheduled intervals

50
Q

When do relapses happen in bulimia?

A

6-8 months after recover and after 18 months

51
Q

Is prognosis for bulimia better for adolescents or adults?

A

adolescents

52
Q

What is overeating disorder?

A

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

53
Q

What is the education phase for eating disorders?

A

dietitian educates the client about his or her eating disorder

54
Q

What is the experimental phase for eating disorders?

A

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

55
Q

What does the dietitian do in the education phase?

A

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

56
Q

What does the client do during the experimental phase?

A

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

Life Cycle (12 decks)

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