Eating Disorders

Question 1

What are the three types of eating disorders

Answer 1

Anorexia nervosa, bulimia nervosa and binge eating disorder

Question 2

What is anorexia nervosa

Answer 2

While they are small, they think they are fat. 0.3 -1% of population. 10x more common in women. Body image distortion. Begins most commonly in early teens.

Question 3

What are anorexia behaviours?

Answer 3

Severe restriction of food intake, excessive exercise, may use laxatives or diet aids, self-induced vomiting.

Question 4

Anorexia signs and symptoms

Answer 4

Irritability, insomnia, weight loss, abdominal pain, dizziness and/or fainting, cold, social withdrawal, dresses in layers to hide shape, denies hunger, anaemia

Question 5

Anorexia consequences

Answer 5

Heart problems, anemia, kidney failure, lack of period, during pregnancy you can miscarriage, 5-20% will die

Question 6

What is bulimia nervosa?

Answer 6

Can be any body weight. Periods of food restriction followed by binging. tend to have lack of control. 1-3% of population. 90% of cases are female

Question 7

Bulimia signs and symptoms

Answer 7

Weight change, tooth pain or discoloured teeth, swelling in cheeks or jaw, cuts on knuckles from purging, bloating, dehydration (you lose electrolytes from vomitting), frequent washroom trips, anxiety around eating

Question 8

Differences between anorexia vs. Bulimia

Answer 8

Anorexia is underweight when bulimia is any weight. Excessive exercise is common in anorexia not bulimia. Both have body dysmorphia and ‘thin’ body image. Bulimia uses diet pills more commonly and anorexia uses them commonly

Question 9

Age of death for anorexia and bulimia patients.

Answer 9

Anorexia: 36 (16 years after diagnosis). Bulimia: 42 (19 years after diagnosis).

Question 10

How many years does depression, type 1, type 2 diabetes and heart attack shorten your life by?

Answer 10

Depression = 10 yrs, T1D = 8yrs, T2D = 2yrs, heart attack = 16 yrs.

Question 11

Risk factors for eating disorder

Answer 11

Genetics, low self- esteem, influence of media, drive for masculinity.

Question 12

How common is Disordered eating in athletes

Answer 12

0-19% in male and 6-45% in female. Much higher than general public. Sports that value leanness or have weight classes are more likely to have eating disorders.( figure skating, etc.)

Question 13

Treatment For eating disorders

Answer 13

Nutrition therapy, psychotherapy, Support groups, medicine.

Question 14

How many patients with anorexia nervosa make a partial recovery? Vs. How many make a full recovery?

Answer 14

75% partial, 21% full.