Assignment: Nervosa Cardiac Complications

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Assignment: Nervosa Cardiac Complications

Assignment: Nervosa Cardiac Complications

What is Binge Eating Disorder? (APA, 2013)

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• Binge eating disorder is a mental health disorder defined as recurring episodes of eating significantly more food in a short period of time than most people would eat under similar circumstances, with episodes marked by:

– feelings of lack of control – eat too quickly, even when he or she is not hungry – feelings of guilt, embarrassment, or disgust – may binge eat alone to hide the behavior. – distress

• Episodes must occur, on average, at least once a week over three months.
Prevalence of Binge Eating Disorder

• Most common in the obese (BMI >30) and severely obese (BMI >40) – Of those who seek professional treatment for obesity, 1/5 meet the

criteria for BED. • obese with binge eating disorder

– often became overweight at a younger age than those without the disorder

• About 2 percent of all adults in the United States (as many as 4 million Americans) have binge eating disorder – 10 to 15 percent of people who are mildly obese and who try to lose

weight on their own or through commercial weight-loss programs have binge eating disorder

• As many as half of all people with binge eating disorder have been depressed in the past. – Whether depression causes binge eating disorder or whether binge

eating disorder causes depression is not known for sure.
Health Consequences of Eating Disorders

(Casiero & Frishman, 2006)
Anorexia Nervosa Binge Eating Disorder Bulimia Nervosa Cardiac Complications: Arrhythmia, Hypotension, Bradycardia, Low cardiac output. These can lead to severe fatigue and syncope

Cardiac Complications: High BP, High cholesterol, High triglycerides, etc.

Cardiac Complications:

cardiac arrhythmias, cardiac myopathy

Other organs: Dehydration leading to kidney failure, amenorrhea, osteoporosis, muscle loss psychological/cognitive dysfunction due to malnutrition

Other organs: Type II diabetes, Gallbladder disease, etc.

Other organs: Gastric rupture Inflammation and/or tears of the esophagus electrolyte imbalance due to dehydration , constipation, irritable bowel syndrome, Pancreatitis, skeletal myopathies, peptic ulcers

Ingestion/digestion: Re-feeding Syndrome: reintroduction of food too quickly, most often in those who are severely malnourished. Associated with: Tachycardia, Congestive heart failure, Sudden cardiac death

Ingestion/digestion: malnutrition

Ingestion/digestion: Tooth decay and staining, malnutrition

Cosmetic Complications: Lanugo (Downy hair all over body), Hair loss, Dry skin

Other Complications: morbid obesity, major anxiety and depressive disorders
Athletes and Eating Disorders (Insel & Roth, 2016)

• Athletes most at risk – Individual sports vs. team sports

• Gymnasts, Body builders, Wrestlers, Jockeys (avg weight = 110 lbs), Dancers

– Training for a sport since childhood – Being an elite athlete – Endurance sports

• Rowers, Runners, Swimmers

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