Midterm 2 Section 2

Question 1

eating disorder stats

Answer 1

4.4% of population 5-17 years old
70% of women dislike their bodies, 43% of men

Question 2

disordered eating definition

Answer 2

general term for abnormal or atypical eating behaviors associated with efforts to control weight
warning signs: severe self-critique, depressed or anxious, belief that only worthwhile when thin, preoccupied with weight, shape and dieting, loss of control

Question 3

high risk groups

Answer 3

teenagers, university students, athletes

Question 4

eating disorders that must be diagnosed by a psychiatrist

Answer 4

Anorexia nervosa, bulimia nervosa, binge-eating disorder, other specified feeding/eating disorder, unspecified feeding/eating disorder

Question 5

Anorexia nervosa stats and description

Answer 5

strong genetic components, can be long term
.9% of women, .3% of men lifetime risk
distorted body image and excessive dieting with weight loss and pathological fear of becoming fat despite being underweight (BMI < 17 for 3 months or longer to be diagnosed))
types: restricting and binge eating/purging

Question 6

Anorexia nervosa common feelings or traits
treatment

Answer 6

powerlessness, high expectations, type A, black and white thinking, fear of age/sexuality/independence, unusual eating behaviors, fear of getting older
priority is stopping weight loss
multidisciplinary treatment plan

Question 7

Protein Energy Malnutrition

Answer 7

low macro intake, starvation from anorexia nervosa
symptoms: feeling cold, amenorrhea in women, osteoporosis, growth/development falters, lethargy, confusion, delirium, death

Question 8

Bulimia Nervosa stats and description

Answer 8

1.5% of women and .5% of men
over concern with body weight and shape, binge eating followed by using compensatory behaviors to avoid weight gain, feeling lack of control over binges, at least once per week for 3 months
normal BMI
compensatory behaviors include: self induced vomiting, emetics, laxatives/diuretics, strict dieting/fasting, diet pills, excessive exercise

Question 9

Bulimia nervosa dangers

Answer 9

subclinical malnutrition
dehydration from electrolyte imbalances, problems with GI, teeth, heart, death
comorbidities: depression and substance abuse

Question 10

Bulimia nervosa common feelings or traits
treatment

Answer 10

binge eating in secret, guilt/shame/obsessive thoughts of food and weight, giving excuses to leave table after a meal, signs of compensatory behavior
family influence - controlling yet emotionally uninvolved
treatment - structured eating, learn to avoid restrictive dieting

Question 11

binge eating disorder definition

Answer 11

related to bulimia without purging
recurring (1x per week over 3 months) episodes of eating more than normal in short period of time
feeling out of control, hiding, feelings of guilt, embarrassment/disgust, associated with distress

Question 12

bing eating disorder warning signs

Answer 12

yoyo dieting, weight fluctuations, evidence of secretive eating

Question 13

orthorexia definition

Answer 13

compulsive checking of ingredient lists, cutting increased number of food groups, obsessed with eating “clean”, spends hours per day thinking of what food might be served, distressed when approved foods not available
type of other specified eating disorder
might not present with underweight, binging or purging
body image concerns may or may not be related

Question 14

muscle dysmorphia

Answer 14

see one’s own musculature differently than it is (different from body dysmorphia)

Question 15

risk factors for ED with athletes
aesthetic sports

Answer 15

food deprivation/dehydration practices
impaired performance
muscle dysmorphia
overuse of diets/supplements
obsessive behaviors
orthorexia nervosa
steroids
aesthetic sports: bodybuilding, gymnastics, ice skating, wrestling, rowing, horse racing

Question 16

myth busting “making weight”

Answer 16

re-establishing fluid and electrolytes takes 1-2 days
replenishing glycogen stores 2-3 days
replacing lean tissue takes longer

Question 17

female athlete triad

Answer 17

eating disorder (restrictive dieting, overexercising, weight loss, lack of body fat) leads to amenorrhea (diminished hormones) and then osteoporosis (loss of calcium from bones)
old model for athletic eating disorders

Question 18

RED-S
olympic committee assessment tool

Answer 18

relative energy deficiency in sport
athletes eat too little food and are unable to meet energy needs

associated with: reduced endurance and muscle strength, reduced concentration and coordination, increased injury risk, impacts on mental and physical health

new name associates condition for men too and more complications beyond female athlete triad

RED-S CAT: relative energy deficiency in sport clinical assessment tool

Question 19

side effects of RED-S

Answer 19

altered hormones, anemia, bone loss, poor growth, menstrual dysfunction, decreased concentration, depression, impaired judgement, irritability, decreased coordination and training response

Question 20

Diabulemia

Answer 20

people with type I diabetes will skip insulin to lose weight
very risky (high blood sugar), damage blood vessels, increase use of protein and fat for energy

Question 21

Drunkorexia

Answer 21

alcohol anorexia
heavy drinking combined with restricting, purging and/or binging

Question 22

compulsive exercise

Answer 22

type of eating disorder
exercise interferes with important things or leads to injury and continues despite injury

Question 23

CBT is most effective for

Answer 23

binge eating disorder and other specified eating disorders

Question 24

prevention of ED

Answer 24

avoid labeling food good/bad/junk
intuitive eating
criticize culture of dieting, not ourselves
don’t make fun of size/weight
self-esteem based on other things besides physical appearance
health at every size
manage stress
family meals