Brief Discussion of Eating Disorderslisagor/Spring 2017/494 S17/PNC Eating Disorders.pdfEating Disorders * 1% 12-18 yo * 15% < IBW * Denial of appetite * Perfectionist? * Symptoms:

BriefDiscussionofEatingDisorders

PNCSpring2017

AN, BN, Eating Disorders Not Otherwise Specified (EDNOS), Compulsive Overeating, etc.

Helpfulterms

What’s too thin?

What do they see?

Eating Disorders

*  1%12-18yo*  15%<IBW*  Denialofappetite*  Perfectionist?*  Symptoms:Lanugo,êBMR,

heartrate;arrhythmia,amenorrhea,marasmus

*  Depression

•  2-4%youngwomen,adolescents•  ~Normalweight•  Binge-Purgecycle•  Addictivebehavior•  Molestationhistory?•  Symptoms:Electrolyteimbalance,

dentalerosion,ulcers,“chipmunkcheeks,”calluses,stomachpain

•  DepressionAN death risk (DR): 10%* BN DR ~4-25%** *Mitka, M. ( 2010). DSM Panel Considers Ways to Clarify Diagnostic Criteria for Eating Disorders. J Am Med Assoc. Vol.3(22). **University of Maryland Medical Center. http://www.umm.edu/patiented/articles/how_serious_anorexia_nervosa_000049_5.htm:.

Fig.12.4

NutritionIssuesandOralHealth

Negative self-perceptions

Binge eating

Restrictive dieting

Purging

Mechanism of Action?

Binge-EatingDisorder

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DistinguishingBetweenEatingDisorders

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OtherEatingDisorders

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Female Athlete Triad

Relative Energy Deficiency in Sports

RED-S*

*JAND.May2016.QoftheMonth,p.744.

Why?

FactorsContributingtoEatingDisorders

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Bronfenbrenner (1998)

PNCwebsiteED

18

TreatmentApproach-Holistic

Goals in Treatment

* Stopweightloss!*  Symptoms:lanugo,êBMR,

heartrate;arrhythmia,amenorrhea,marasmus

*  Depression

•  Normalizeeatingbehaviors•  Symptoms:Electrolyteimbalance,

dentalerosion,ulcers,“chipmunkcheeks,”calluses,stomachpain

•  Depression

BN DR ~4-25%**

AN death risk (DR): 10%*; **University of Maryland Medical Center. http://www.umm.edu/patiented/articles/how_serious_anorexia_nervosa_000049_5.htm:. Retr. 1/22/06.