advertisement

Eating Disorders

33 %
67 %
advertisement
Information about Eating Disorders
Education

Published on May 2, 2008

Author: Spencer

Source: authorstream.com

advertisement

EATING DISORDERS:  EATING DISORDERS Anorexia Nervosa Bulimia Nervosa Obesity Learning Objectives:  Learning Objectives Define anorexia, bulimia, and obesity. Describe the characteristics, patient profile, subtypes, signs and symptoms, lab findings, course and treatment of anorexia and bulimia. Learning Objectives:  Learning Objectives Describe the patient profile and health problems caused by obesity. Describe diagnostic procedures, lab findings, treatment options, and issues related to obesity. Eating Disorders:  Eating Disorders Anorexia Nervosa Bulimia Nervosa Obesity Eating Disorders:  Eating Disorders Recognized since 9th century Anorexia:  Anorexia Refusal to maintain weight Afraid of gaining weight Significantly disturbed body perception Anorexia:  Anorexia Profile Found frequently in pre- and post-puberty Affects females more than males Possible media influence At risk professions: athletics, acting, dancing, modeling Disease of developed countries Anorexia:  Anorexia Subtypes Restricting Type Binge-Eating/Purging Type Anorexia:  Anorexia Medical condition Signs & symptoms Many attributable to starvation Post menarche-Amenorrhea-common Prepubertal-delay of menarche Anorexia:  Anorexia Medical condition Other Signs & symptoms Constipation, abdominal pain, cold intolerance, lethargy, emaciation, bradycardia, peripheral edema, hypercarotemia, hypertrophy of salivary glands, dental enamel erosion, scars or calluses on the dorsum of the hand Anorexia:  Anorexia Semi-starvation can affect most major organ systems, produces disturbances Lab Findings Leukopenia, mild anemia, elevated BUN indicates dehydration, LFTs may be elevated, hypercholesterolemia Anorexia:  Anorexia Situations/Other Lab findings Induced vomiting may lead to metabolic alkalosis, hypochloremia, hypokalemia Laxative abuse may cause metabolic acidosis Abnormal thyroid function Females < estrogen; Males < testosterone Anorexia:  Anorexia Situations/Lab findings EKG shows sinus bradycardia EEG shows metabolic encephalopathy Brain imaging indicated increase in ventricular-brain ratio Anorexia:  Anorexia Rare after age 40 Course Calcium loss can lead to bone fractures Starvation affects vital organs Anorexia has highest psychiatric illness mortality (6%) Anorexia:  Anorexia Differential diagnosis Consider other weight loss illnesses: Crohn’s disease Mental disorder: depression Patients with mental disorder do not exhibit preoccupation with food Anorexia:  Anorexia Treatment Nutritional rehabilitation Weight restoration Cognitive-behavioral therapy, family therapy Bulimia:  Bulimia Diagnosed in 1980s Characterized by binge-eating episodes, then inappropriate weight control Types of inappropriate weight control methods Fasting, Enemas Laxatives, Diuretics Compulsive exercising Bulimia:  Bulimia Binge Episode in which person eats larger amount of food than normal Not a response to hunger Usually response to depression, stress, self-esteem issue Bulimia:  Bulimia Binge Episode Loss of control Then short-lived calmness Possible self-loathing Cycle is obsessive, repeated Consumption of comfort foods > 2/day Bulimia:  Bulimia Profile Affects1-3% young women More common in women than men Present in industrialized countries High achievers Bulimia:  Bulimia Profile Presentation Anglos Normal weight range Increased frequency of depressive symptoms, mood and anxiety disorders Prevalence of substance abuse, dependence (alcohol/stimulants) 30% Bulimia:  Bulimia Lab Studies: Electrolytes, metabolism show abnormalities from purging, various degrees of starvation Diagnosis Rule out other medical and mental disorders Check participation in inappropriate compensatory behavior, over-concern with body shape/weight Bulimia:  Bulimia Subtypes Purging Type Non-purging type Bulimia:  Bulimia Treatment Medication Antidepressants: SSRIs, generics Imipramine, Despiramine, Trazadone, and MAOIs Bulimia:  Bulimia Treatment Clinical intervention Psychiatric evaluation for comorbid conditions May be on outpatient basis Individual cognitive-behavioral group and family therapy Possible hospitalization Obesity:  Obesity 1.Tobacco 2. ?? 3. Alcohol consumption 4. Microbial agents 5. Toxic agents Leading causes of death in the U.S. in 1990 & 2000: 6. Motor vehicles 7. Firearms 8. Sexual behavior 9. Illicit drug use Obesity:  Obesity # 2 cause of death is poor diet and physical inactivity (16.6%) 1998 NIH report: >50% U.S. adults overweight/obese Obesity:  Obesity Standards BMI: measure of body fat based on height/weight Disadvantages of BMI as standard May overestimate body fat in athletes/those with muscular build May underestimate body fat in older person/those with depleted muscle mass Obesity:  Obesity BMI Categories Underweight = <18.5 Normal weight = 18.5-24.9 Overweight = 25-29.9 Obesity = BMI of 30 or greater Obesity:  Obesity Standards Weight tables Women-5 feet = 100 lbs; add 5 lbs for each additional inch, +/-5%-10% Men-5 feet = 106 lbs; add 5 lbs for each additional inch, +/-5%-10% Obesity:  Obesity Weight factors: genetics, environment, behavioral, psychological Definition of weight gain: Intake of calories exceeds calories expended Obesity:  Obesity 60% U.S. meals consumed outside home. These meals significantly higher in fat, calories, are served in larger portions, lower in fruits, vegetables, grains Obesity:  Obesity Risks to children School lunch nutritional standards do not apply to vending machines 80% U.S. children consume 3 sodas/day Decline in physical activity Time watching TV: 3 hr/day Need early intervention Obesity:  Obesity Risks to adults Inactivity due to sedentary entertainment, job, time at computer, lack of exercise Obesity:  Obesity Costs $75 billion in 2003 Half costs paid by Medicare/Medicaid Obesity-Related Health Problems:  Obesity-Related Health Problems Diabetes Heart disease Sleep apnea Hypertension Osteoarthritis Cancer DVT ESRD Obesity-Other Related Health Problems:  Obesity-Other Related Health Problems Impaired respiratory function Wound infection following surgery Infertility Liver disease Low back pain, Birth defects Chronic venous insufficiency Daytime sleepiness Gall bladder disease, gout, stroke Obesity:  Obesity Recommendations for the HCP Counsel patients Be informed Utilize personal exercise program, watch calories, be a role model Screen patients using BMI/weight tables Provide resources Obesity:  Obesity Lab Studies Check cardiovascular disorders, hypertension, hypercholesterolemia, diabetes, osteoarthritis, others Check for depression/anxiety Treatment Options:  Treatment Options Diets Exercise Behavioral counseling Pharmacotherapy Bariatric surgery Treatment Options:  Treatment Options Diets: restrictive/variety/support groups Exercise Behavioral counseling Treatment Options:  Treatment Options Pharmacotherapy Modestly effective Amphetamines increase norepinephrine Some drugs prevent macronutrient absorption Xenical® inhibits fat absorption Prescription meds are controlled substances except Orlistat [generic] Use caution Treatment Options:  Treatment Options Bariatric surgery: Gastric bypass, stomach transection/stapling Determine degree of obesity Comorbidities Goal to allow patient to make healthy lifestyle changes Treatment Options (cont’):  Treatment Options (cont’) Follow-on considerations Patient determination, education Obesity:  Obesity Issues Health maintenance Summary:  Summary Definitions of anorexia, bulimia, and obesity Characteristics, patient profile, subtypes, signs and symptoms, lab findings, course and treatment of anorexia and bulimia Summary:  Summary Patient profile and health problems caused by obesity Diagnostic procedures, lab findings, treatment options, and issues related to obesity

Add a comment

Related presentations

Related pages

Eating disorder - Wikipedia

Eating disorders are mental disorders defined by abnormal eating habits that negatively affect a person's physical or mental health. They ...
Read more

National Eating Disorders Association

National Eating Disorders Association Call Our Helpline: 800-931-2237. NEDA supports individuals and families affected by eating disorders, and serves as a ...
Read more

NIMH » Eating Disorders

Explore information about eating disorders, including signs and symptoms, treatment, research and statistics, and clinical trials. Examples of eating ...
Read more

Eating Disorders: MedlinePlus

Directory of resources about all aspects of eating disorders from the National Library of Medicine at the National Institutes of Health.
Read more

dict.cc | eating disorders | Wörterbuch Englisch-Deutsch

Übersetzung für eating disorders im Englisch-Deutsch-Wörterbuch dict.cc.
Read more

NIMH » Eating Disorders: About More Than Food

The eating disorders anorexia nervosa, bulimia nervosa, and binge-eating disorder, and their variants, all feature serious disturbances in eating behavior ...
Read more

What is an eating disorder? Eating Disorders Explained

Eating disorders are associated with significant physical complications and increased mortality. The mortality rate for people with eating disorders is the ...
Read more

Eating Disorders: Anorexia, Bulimia, Binge Eating

Discover the warning signs of binge eating disorder, anorexia and bulimia. Read about the symptoms and causes of eating disorders as well as treatment options.
Read more

Eating Disorder Types and Symptoms - anad.org

There are many different types of eating disorders out there. This is a breakdown to give you an overview of the different types and symptoms.
Read more

Eating disorders - NHS Choices

Read about the different types of eating disorders including anorexia nervosa, bulimia and binge eating, as well as what causes them and the treatments ...
Read more