Disordered Eating (Lecture Six) Flashcards

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1
Q

Why do athletes get eating disorders?

A

Athletes tend to get eating disorders because fields have sports have different requirements or expectations or with the hopes of improving performance e.g running

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2
Q

Define anorexia:

A

A person who does not eat properly and is likely to have body dismorphic image (see themselves differently to how they are)

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3
Q

Define bulimia:

A

Eating disorder coupled with voluntary purging i.e vomiting or laxitives

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4
Q

What is a method of male anorexia?

A

Steroid use, to get big

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5
Q

Which gender is anorexia more prevalent in?

A

Females

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6
Q

In sports such as gymnastics and ice skating where females are pressured to get thin, what is a biological factor that can lead to anorexia development?

A

Being twig like (and healthy) is an unrealistic goal for some women as theyre biologically predisposed to have large breasts and wide hips. Therefore it is an unrealistic goal.

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7
Q

Can a eating disorder be assessed using questionnaires?

A

Yes but it is very difficult as people may lie etc.

called a eating attitude test

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8
Q

An anorexic person would score what on a standard eating attitude test?

A

Above thirty

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9
Q

What are the classification of eating disorders?

A

Anorexia nervosa
Bulimia nervosa
Anorexia athletica
Eating disorders not otherwise specified

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10
Q

What are the physical symptoms of anorexia nervosa?

A
  • Muscle weakness (atrophy)
  • Susceptible to overuse injuries
  • Reduced bone mineral density and increased risk of stress fractures.
  • No menstrual cycle
  • Hypothermia (Low serum volumes inhibit thermeoregulation)
  • Bradycardic (ANS less functional)
  • Low minerals also increases time for wounds to heal, increases number of infections, sores
  • Low haemoglobin, heamatocrit, albumin, Cholesterol, glucose, estradiol
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11
Q

Define anorexia athletica

A

Overexercising/ compulsive exercising coupled with undereating

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12
Q

What are the psychological symptoms of anorexia nervosa?

A
  • Avoidance of eating and absence of meal situations
  • Claim to be fat or feel fat
  • Resistance to recommendations of weight gain
  • Unusual behaviours to weighing ( Wont, Compulsive, never happy with result)
  • Dont seek help.
  • General anxiety
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13
Q

What are some symptoms of anoerxia athletica?

A
Always train, nothing stops it. (compulsive)
Eats less, than required for training
Obsessed with body image
Restless
Socially withdrawn
Tiredness and irritibility
Insomnia
Depression
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14
Q

What is a good indication that an athlete has anorexia?

A

Performance has been comprimised

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15
Q

What is bulimia characterised by?

A

Binge eating of energy dense foods followed by intense purging

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16
Q

What are some traits of a bulimic

A

Eats secretly

Disappear following a meal

17
Q

Can you visual identify a bulimic athlete?

A

Not really as they are still lean and muscular, not underweight

18
Q

What are some physical symptoms of bulimia?

A
Sores, abrasions of hand due to teeth when inducing vomiting
Dehydration
Dental or gum problems due to stomach acid
Oedema
Complains of bloating
Gi problems
serum electrolytes abnormalities
Low weight despite large consumption
Swollen parotid salivary glands
weight fluctuation
Menstrual irregularities
19
Q

What are some psychological factors of bulimia?

A
Binge eating
Substance abuse (laxatives)
Dieting
Secret eating
Disappear post meals
Depression
Vomiting unrelated to illness
20
Q

What are the symptoms of eating disorders not otherwise specified?

A

All the symptoms of anorexia except:
Normal menses
Normal bodyweight

All the criteria of bulimia except occurs twice a week

binge eating without purging

Chewing but then spitting out food ( has to enter stomach to be bulimic)

21
Q

With prevalence of eating disorders, what increases the likelihood?

A

Being an athlete

22
Q

What types of sports have the highest prevalence of eating disorders?

A
Aesthetic (gymnastics) Highest
Weight dependant
Endurance
Technical (motorsport)
Ball games
Power (lifting)
Non-sporting (least)
23
Q

What are the risk factors to develop an eating disorder?

A

Gender and lifestyle
Atheletes
Dieting
Personality

24
Q

How is gender and lifestyle likely to make you have a eating disorder?

A

Being female is more likely (up to 10x so)

Male incidence is on the rise (gains)

25
Q

How is being an athlete likely to lead to a eating disorder?

A

Being an athlete does not put you at risk, playing a sport that requires you to have a certain body image leads to negative influences and disorders

Starting to train at a young age!!

26
Q

Why is personality likely to result in eating disorders?

A
Low self esteem
Being highly critical
Perfectionism
Driven
Compulsive

All traits that can lead to an eating disorder and athletes tend to fit most of them

27
Q

What tends to correlate with eating disorders?

A

Overexercise

28
Q

How does a eating disorder affect performance?

A

Depends on duration of disorder and intensity

Anorexia:
Loss of vitamin and mineral reserves
Temporary VO2 enhancement
Atrophy (decreased power potential)
Dehydration (no thermoregulation)
Electrolyte deficiency (decerased power)
29
Q

How does a eating disorder affect general health?

A
Female athlete triad
Depression
Fatigue and irritability
Anger
Low Energy levels
Stunted growth
delayed puberty
poor bone development
susceptibility to fractures
30
Q

How is a eating disorder managed?

A

Consult a Dr
Have a dietitian or nutritionist give guidance
Counselling psyhc dr or psychologist
Family involvement
Coach and trainer involvement too if appropraite

31
Q

What is very important in management?

A
  • Weight gain should not be the goal unless health is compromised.
  • never force feed
  • Realistic goals should be set