Eating Disorders Flashcards
RF for eating disorders?
- genetics
- psychological RF: perfectionism, obsessive-compulsiveness, neuroticism
- developmental: early childhood abuse/disturbance, obesity in childhood
- cultural: cultural standards, society, social media, pressures from activities
def eating disorder
disruptive eating behaviour with excessive concern about body weight that results in impaired functioning and impaired physical health
def binge eating disorder
binge eating activity ➔ consuming food in a larger amount than normal in a short time period
no purging/compensatory behaviour
no obsession about weight/body shape
def bulimia
binge (eat tons in short period of time) and purging (compensatory behaviour) activity ➔ vomiting, laxatives, diuretics, excessive exercise
fear of gaining weight despite
normal weight
def anorexia nervosa
very low weight, fear of gaining weight/strong desire to be thin, and distorted body image
how do people feel after binging in binge eating disorder?
guilt
shame
disgust
types of anorexia nervosa (2)
- restricting type ➔ lose weight via fasting, excessive exercise
- binging/purge-eating time ➔ vomiting, laxatives, diuretics
healthy BMI
15.5-24.9
underweight BMI
<18.5
overweight BMI
> 25
cardiac cx of eating disorders
- arrhythmias
- sudden death
- hypotension
- bradycardia
- prolonged QT interval
differentials for obesity
- medication use ➔ antipsychotics, antidepressants (SSRI), steroids, BB, OCP
- endocrine: Cushing’s, hypothyroid, PCOS
- fluid retention from cardiac or renal failure
- low physical activity
- genetic ➔ Prader-Willi
GI cx of eating disorders
- Mouth sores/ulcers
- Mallory Weiss tears
- esophageal tear
- vitamin deficiency: folate, B12, thiamine, D
GU cx of eating disorders
- amenorrhea
- stones
what are immediately life threatening cx of eating disorders
- arrhythmias
- bradycardia
- electrolyte imbalances ➔ refeeding syndrome
- dehydration (hypotension)
