Nutrition-Eating Disorders Flashcards Preview

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Flashcards in Nutrition-Eating Disorders Deck (26):
1

Psychiatric disorder with highest rate of mortality

Anorexia nervosa (slow death from starvation, cardiac or suicide) has a 20% mortality rate.

2

Eating disorder most likely to cause sudden death?

Bulimia (gag reflex stops working and you choke)

3

What is an eating disorder

Persistent disturbance of eating behavior that impairs both physical and mental health.

4

Groups at risk for development of an eating disorder

Frequent dieters, athletes and military (stress, weigh-ins, achievement)

5

Anorexia nervosa definition

Denial of impact of low weight, use of weight to determine happiness and disturbed perception of physique.

6

How common is anorexia and bulimia nervosa?

1-4% lifetime prevalence. 1:10 male:female

7

Distinctive features of anorexia

Sense of specialness, effort and competitiveness.

8

Co-morbid conditions with anorexia and bulimia nervosa

Depression, anxiety, PTSD, OCD and substance abuse

9

Physiological consequences of anorexia nervosa.

*

10

Good prognosis for anorexia

Early age of onset and early intervention by family and social network.

11

When do you admit someone with anorexia?

*

12

What is commonly used to prevent relapse of anorexia after recovery?

SSRIs

13

Role of provider in managing anorexia and bulimia

Recognize signs, refer to mental health and treat health complications

14

Definition of bulimia nervosa

Binge eating w/inappropriate compensatory behavior (vomiting, laxatives, diuretics, enemas, fasting, exercise) 1x a week for 3 months. Self-evaluation is influenced by physique. **Anorexia trumps bulimia**

15

Binge eating

Eating an amount of food larger than the average person would eat and a lack of control over eating during that episode.

16

How does bulimia affect the body?

Chipmunk cheeks, esophageal erosions, perimylolysis (erosion of tooth enamel).

17

Good treatments for bulimia

Psychotherapy, CBT and SSRIs

18

Most prevalent eating disorder. What defines it?

Binge eating disorder, highly associated with obesity. Note that there are no compensatory behaviors. Marked distress from binge eating. Binges 1x a week for 3 months.

19

Psychotherapy for binge eating disorders

Help them see that food is okay to eat, but try to prevent obesity

20

Comorbid in people with binge eating disorders

75% have another psychiatric disorder (obesity, anxiety)

21

What should you always assess for in people who present that are overweight or obese?

Binge eating disorder

22

Treating binge eating disorders

Psychotherapy, appetite suppressants, antidepressants

23

Definition of eating disorders not otherwise specified.

Anorexia w/normal weight range. bulimia less than 1x a week, compensatory behavior after eating small amounts of food, chewing and spitting out large amounts of food.

24

Most prevalent eating disorders in military women?

Bulimia and not otherwise specified. Deployed women at higher risk

25

How do weigh ins affect men in military

15% perform eating disorder habits around weigh ins

26

Physican’s role in preventing/treating eating disorders

Moderation in eating/exercise, collaborate with mental health provider, don’t refer solely for nutritional counseling, monitor physical comorbidities and be supportive.