Eating Disorders

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DSM-identified eating disorders

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Anorexia Nervosa, Bulimia Nervosa, Binge-Eating Disorder

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Anorexia Nervosa

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Voluntary self-starvation despite more response to the presence of food than controls

Complex combination of genetic, endocrine, personality, cognitive, and environmental factors

Similar symptoms to Bulimia Nervosa, often difficult to distinguish

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14 Terms

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DSM-identified eating disorders

Anorexia Nervosa, Bulimia Nervosa, Binge-Eating Disorder

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Anorexia Nervosa

Voluntary self-starvation despite more response to the presence of food than controls

Complex combination of genetic, endocrine, personality, cognitive, and environmental factors

Similar symptoms to Bulimia Nervosa, often difficult to distinguish

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Bulimia Nervosa

Bingeing and purging

Similar symptoms to Anorexia Nervosa, often difficult to distinguish

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Binge-Eating Disorder

Tendency to gorge oneself way past the point of fullness

Causes not well understood but thought to involve over activation of dopamine reward mechanisms

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Obesity

Determined based on Body Mass Index (BMI)

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Body Mass Index (BMI) calculation

kg/mxm OR 703(lb/inxin)

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Starvation BMI category

Under BMI 15

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Underweight BMI category

BMI 15 to 18.5

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Normal BMI category

BMI 18.5 to 25

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Overweight BMI category

BMI 25 to 30

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Obese BMI category

BMI 30 or higher

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Weight loss treatment

Is often extremely difficult; minimal success rates

Should ideally involve both diet and exercise

Requires permanent, substantial lifestyle changes; minimal evidence of long term success

Utility of drugs/supplements or surgery; strictly complementary to lifestyle changes

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How can drugs promote weight loss?

Decreasing appetite, increasing metabolism, inhibition of fat tissue, blocking absorption of calories, reducing reward/cravings for specific foods, decreasing meal size (make you feel fuller faster)

To perform these functions, drugs may act in the CNS or the digestive tract

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Health at Every Size (HAES)

Weight loss doesn’t have to be a goal; instead, the idea is to support people in adopting healthy habits for the sake of health and well-being (rather than weight control)

Recognizes that health and fitness can exist at all sizes

<p>Weight loss doesn’t have to be a goal; instead, the idea is to support people in adopting healthy habits for the sake of health and well-being (rather than weight control)</p><p>Recognizes that health and fitness can exist at all sizes</p>