EATING DISORDERS Flashcards

1
Q

what is HAES

A

Health at Every Size
- focus from weight management to health promotion
- shift from external to internal cues
- support behaviour changes

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2
Q

what health effects does HAES have shown from research studies?

A

increase in:
- physiological measures (blood pressure, lipids)
- health behaviours (physical activity)
- psychosocial outcomes (mood, self-esteem, body image)

lifestyle modifications have been shown to improve health markers without changes in weight or with weight gain

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3
Q

3 major risk factors for developing eating disorders

A
  1. biological (genetics - 50-83%)
  2. psychological (personality traits, low self-esteem, trauma, gender identity/self image)
  3. family/social pressures (body dissatisfaction, history of dieting or trying to control weight, weight stigma, athletes, stressful life events)
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4
Q

PHYSICAL red flags for eating disorders

A
  • noticeable fluctuations in weight
  • dry skin/hair
  • brittle nails
  • non-specific GI complaints
  • menstrual changes
  • changes in sex drive
  • difficulty concentrating
  • dizziness
  • feeling cold
  • dental problems
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5
Q

EMOTIONAL red flags for eating disorders

A
  • becoming secretive/irritable
  • isolating from friends, family, events
  • anxiety
  • low mood
  • extreme mood swings
  • significant fear of gaining weight
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6
Q

BEHAVIOURAL red flags for eating disorders

A
  • skipping meals
  • freq trips to bathroom after meals
  • vomiting
  • use of diuretics, laxatives
  • excessive exercise routines
  • frequent body checking or weighing
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7
Q

what is anorexia nervosa

A

restriction of energy intake relative to requirements, leading to a significantly low body weight

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8
Q

what are the two types of anorexia and how are they categorized?

A
  1. restricting type: during the last 3 months, the individual has not engaged in recurrent episodes of binge eating or purging behaviour
  2. binge-eating/purging type: during the last 3 months, the individual has engaged in recurrent episodes of binge eating or purging behaviours
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9
Q

what is bulimia nervosa

A

recurrent episodes of binge eating followed by compensatory behaviours

binge eating: eating lots of food AND a sense of loack of control over eating during the episodes

recurrent inappropriate compensatory behaviours to prevent weight gain (vomiting, laxatives, exercise)

^binge eating and compensatory behaviour both occur on average at least 1/week for 3 months

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10
Q

describe the severity levels of bulimia nervosa

A

mild: average of 1-3 episodes of compensatory behaviours per week

moderate: average of 4-7 episodes per week

severe: average of 8-13 episodes per week

extreme: average of 14 or more episodes per week

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11
Q

describe binge eating disorder and what is the criteria

A

binge eating without the compensation
- occurs at least once a week for 3 months

associated with three or more of the following:
- eating much more rapidly than normal
- eating when you are already full
- eating until uncomfortably or painfully full
eating alone due to embarrassment about the amount of food eaten
- feelings of self-disgust, guilt, and depression

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12
Q

describe avoidant/restrictive food intake disorder

A

similar to anorexia but the reason is not to do with weight or shape

  • restricting for some other reason but its not to do with food insecurity or cultural practices

result of it:
- significant weight loss, malnutrition, nutrient deficiencies

  • often want to gain weight but are afraid of eating
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13
Q

when does AFRID often start

A

in childhood - traumatic experience with food

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14
Q

what is atypical anorexia

A

same characteristics as AN but despite significant weight loss, the individual weight is within of above the normal range

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15
Q

what is bulimia nervosa type

A

cycle of bingeing and purging occurs less frequently than 1/week or for less than 3 months

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16
Q

what is binge-eating disorder type

A

binge eating episodes occur less than 1/week or for less than 3 months

17
Q

what is purging disorder

A

recurrent purging to influence weight or shape without binge eating

18
Q

what is pica

A

persistent eating of non-nutritive food substances over a period of at least 3 months

19
Q

what is rumination disorder

A

repeated regurgitation of food over a period of at least 1 month - may be re-chewed, re-swallowed or spit out and is not from a medical condition

20
Q

health complications common in anorexia nervosa

A
  • muscle wasting
  • alopecia
  • bradycardia
  • hypotension
  • cardiac complications
  • low hormone levels
  • hypoglycemia
  • impaired cognitive function/brain development
  • electrolyte shifts (low)
  • loss of bone density
  • infertility
  • amenorrhea
  • thyroid abnormalities
  • digestive issues
  • sudden death
  • reduced metabolic rate
21
Q

health complications common in bulimia nervosa

A
  • cardiomyopathy/arrythmias (making yourself throw up)
  • peripheral edema
  • palpitations (diet pills)
  • dental issues
  • esophaglitis
  • constipation
  • pancreatities
  • hypokalemia, hyponatremia
  • cardiac arrest
22
Q

health complications common in binge eating disorder

A
  • hypertension
  • blood sugar fluctuations
  • elevated cholesterol levels
  • type 2 diabetes
  • GI complications
  • stomach rupture
  • sleep apnea
  • infertility
23
Q

“goals” for weight restoration

A
  • 2-3 lbs/week inpatient
  • 0.5-1lb/week outpatient

likely will not be consistent

24
Q

nutrition interventions for eating disorders inpatient

A
  • correct nutrient deficiencies (IV, supplementation)
  • weight restoration or stabilization
  • nutrition education
  • normalize eating