eating disorder
characterized by a persistent disturbance in eating behavior.
anorexia nervosa
pursuit of thinness that is relentless and that involves behaviors that result in a significantly low body weight.
anorexia nervosa restricting type
every effort is made to limit the quantity of food consumed. caloric intake is tightly controlled.
anorexia nervosa binge-eating/purging type
in addition to restrictive eating, they also either binge eat, purge, or binge eat and purge.
binge
involves an out-of-control consumption of an amount of food that is far greater than what most people would eat in the same amount of time and under the same circumstances.
purge
remove the food they have eaten from their bodies,
bulimia nervosa
uncontrollable binge eating and efforts to prevent resulting weight gain by using inappropriate behaviors such as self-induced vomiting and excessive exercise.
binge-eating disorder (BED)
a binge, the person does not engage in any form of inappropriate “compensatory” behavior such as purging, using laxatives, or even exercising to limit weight gain.
16 to 20 years old
when is anorexia nervosa most likely to develop
21 to 24 years old
when is bulimia nervosa most likely to develop
30 to 50 years old
when is binge eating disorder most likely to develop
lanugo
downy hair associated with anorexia nervosa
meta analysis
statistical method used to combine the results of a number of similar research studies.
set point
weight that our individual bodies try to “defend”
negative affect
feeling bad; causal risk factor for body dissatisfaction
cognitive behavioral therapy (cbt)
changing behavior and maladaptive styles of thinking, has proved to be very effective in treating bulimia nervosa.
<18.5
underweight bmi
18.5 to 24.9
normal weight bmi
25.0 to 29.9
overweight bmi
30
obesity bmi
40 or 100lbs
morbid obesity
leptin
produced by fat cells; informs the central nervous system about the state of the body’s fat reserves.
ghrelin
hormone that is produced by the stomach; it is a powerful appetite stimulator.
obesity
which condition accounts for the highest morbidity and mortality totals in the usa?
the stigma associated with this disorder will end
major impacts of having binge eating disorder listed in the dsm-5 are NOT
lack of appetite induced by nervousness
what does anorexia nervosa mean?
<17
mild anorexia nervosa
16-17
moderate anorexia nervosa
<15-16
severe anorexia nervosa
<15
extreme anorexia nervosa
heart attack is the most common. suicide is second most common
what is the most common and second most common cause of death from anorexia nervosa?
3:1
ratio of females: males that have anorexia nervosa and bulimia nervosa
to eat like an ox
what does bulimia mean?
normal or slightly overweight
what is the weight for people with bulimia nervosa?
dsm-5 criteria for bulimia nervosa
recurrent episodes of binge eating
lack of control over eating
inappropriate compensatory behaviors to prevent weight gain
occur at least once a week for three months
self evaluation influenced by body shape/weight
patient is usually older
what is unique about binge-eating disorder?
same sex attraction
what is a risk factor for eating disorders in men?
5
people with anorexia nervosa are __ x more likely to die
depression and cognitive changes
what can a thiamin deficiency lead to
amenorrhea
no period
ocd and personality disorders
comorbid diagnoses of those with anorexia and bulimia nervosa
66
weight discrimination increased by ___% over past decade
the amount of critical comments a family makes about appearance
strongest predictor for developing bulimic symptoms?
lack of ambivalence of treatment
hillary's dentist comments on damage due to vomiting and she is diagnosed with anorexia, binge-eating subtype. she immediately entered a treatment program. what is unique about her case?
10 years
what is the average length of time people wait before seeking treatment for eating disorders?
yes
can aggressive treatment backfire for those with anorexia nervosa?
family therapy
what is the most effective treatment for adolescent patients with anorexia nervosa?
interpersonal psychotherapy
ginger is a 30 year old black women with BED. what is the best approach to treatment?
bmi
measure of person's weight to height
5-20
people with obesity have a life expectancy reduced by ___ years
minorities
obesity is more common in ___ (except asians)
undisciplined, annoying, and noncompliant
how are obese patients seen by healthcare providers?
increased considerably
weight discrimination in our culture has...
genie; a heavier female
who is most likely to be found guilty?
culture of supersizing
providing easy access to high fat junk foods
having an obese parent
the characteristic in a finnish study was greatest predictor of childhood obesity?
prevention
best treatment for obesity
lifestyle modifications, medications, bariatric surgery
3 treatments for obesity
96
what restrictive crash dieting, ___% regain weight they lose within one year