Eating Disorders Flashcards
eating disorder
must be diagnosed by a psychiatrist and in the DSM
disordered eating
general term for abnormal/atypical eating behaviours associated with efforts to control weight
There is a high risk for:
university students and athletes
warning signs:
increased fatigue or injury, decreased concentration or work performance, complaints of dizziness or abdominal pain, increased isolation, increased crankiness/impatience/perfectionism, preoccupied with food/weight/body image/hydration, avoidance of social eating, trips to bathroom after meals, weight loss, severe self criticism, depressed/anxious mood
anorexia nervosa
characterized by distorted body image and excessive dieting leading to severe weight loss, pathological fear of being fat despite being underweight (BMI<17), intense fear of being obese by losing control (overeating), dissatisfaction with body shape
the two types of anorexia nerves are ___ and ___
restricting/binging and purging
malnutrition from eating disorders is accompanied by:
starvation, feeling cold, lethargy, organ failure, confusion, delirium, death, halted development, low bone density/osteoporosis, growth stops
anorexia nervosa is characterized by behaviours like:
sense of powerlessness, high expectations of self and others, obsessive-compulsive personality traits, perfectionism, fear of age/sexuality/independence, strange eating behaviours (vegetarianism, eating off small plates, measuring, excessive water consumption or gum chewing, eating very slowly)
bulimia nervosa
frequent episodes (at least one a week) of binging followed by behaviours such as purging to avoid weight gain, feelings of lack of control over binges, over concern with body shape/weight (even if normal)
compensatory behaviours for bulimia nervosa:
self-induced vomiting, diuretic or laxative use, strict dieting or fasting, diet pills, vigorous exercise
Dangers of bulimia nervosa:
clinical malnutrition, electrolyte imbalance, GI tract or heart disease
Co-morbidities for bulimia nervosa:
substance abuse, depression
Binge eating disorder (BED)
recurring episodes of eating significantly more food in a short period time than one normally would, episodes are naked by feelings of lack of control, guilt, embarrassment, disgust. may binge eat alone to hide to, associated with marked distress, usually once/week over 3mo
warning signs of BED
history of yoyo dieting, missing food/empty containers, pattern of weight fluctuations
Risk factors for athletes:
food depreciation/dehydration practices, impairs performance, muscle dysmorphia, good intensions to improve health
warning signs/symptoms of orthorexia:
compulsive food label checking, increase in concern about health of ingredients, cutting out an increasing number of foods, inability to eat anything “unhealthy”, unusual interest in the health of what others are eating, obsession about food that will be serves at upcoming events, distress when “healthy” foods aren’t available, obsessive following of food/lifestyle blogs, body image concerns
“making weight”
restricting foods and fluids leading up to weighing to make it into a lower weight category then replenishing right before the performance, a myth because things take more than a few hours to replenish
Relative Energy Deficiency in Sports (RED-S)
issues with immunological, GI, cardiovascular, psychological, growth/development, hematological, metabolic, endocrine, bone health, menstrual function result from it
female athlete triad
RED-S, bone health and menstrual function
diabulemia
people with T1D skipping/reducing insulin to lose weight
drunkorexia
heavy drinking combined with restricting, purging, and/or bingeing
therapy should be ___
multidisciplinary
