Medical Complications of Anorexia Nervosa and Bulimia Nervosa

2017 ◽  
Author(s):  
Philip S. Mehler
Keyword(s):  
Weight Loss ◽  
Anorexia Nervosa ◽  
Bulimia Nervosa ◽  
Morbidity And Mortality ◽  
Direct Result ◽  
Medical Complications ◽  
Body System ◽  
Excess Morbidity

Medical complications are commonly found in patients with anorexia nervosa and bulimia nervosa. In the case of anorexia nervosa, the complications are a direct result of weight loss and malnutrition and can affect every body system. As weight loss becomes more severe and the disorder becomes increasingly chronic, there is an increased likelihood for the development of medical complications. Bulimia nervosa also has many medical complications. In general, they relate to the mode and frequency of purging behaviors, which are inherent to the illness. Many of them are serious and thus contribute to the excess morbidity and mortality that exists in patients with bulimia nervosa. This chapter will discuss the medical complications that occur as a consequence of anorexia nervosa including the purging subtype, and bulimia nervosa.

Cardiac changes in anorexia nervosa

2016 ◽  
Vol 26 (4) ◽  
pp. 623-628 ◽  
Author(s):  
Michael A. Spaulding-Barclay ◽  
Jessica Stern ◽  
Philip S. Mehler
Keyword(s):  
Weight Loss ◽  
Anorexia Nervosa ◽  
Treatment Outcome ◽  
Eating Disorder ◽  
Medical Complications ◽  
Cardiac Complications ◽  
Successful Treatment Outcome ◽  
Comprehensive Literature Review ◽  
Life Threatening ◽  
Weight Restoration

AbstractIntroductionAnorexia nervosa is an eating disorder, which is associated with many different medical complications as a result of the weight loss and malnutrition that characterise this illness. It has the highest mortality rate of any psychiatric disorder. A large portion of deaths are attributable to the cardiac abnormalities that ensue as a result of the malnutrition associated with anorexia nervosa. In this review, the cardiac complications of anorexia nervosa will be discussed.MethodsA comprehensive literature review on cardiac changes in anorexia nervosa was carried out.ResultsThere are structural, functional, and rhythm-type changes that occur in patients with anorexia nervosa. These become progressively significant as ongoing weight loss occurs.ConclusionCardiac changes are inherent to anorexia nervosa and they become more life-threatening and serious as the anorexia nervosa becomes increasingly severe. Weight restoration and attention to these cardiac changes are crucial for a successful treatment outcome.

Abuse of Laxatives to Reduce Weight

1988 ◽  
Vol 9 (7) ◽  
pp. 208-234
Keyword(s):  
Weight Loss ◽  
Body Weight ◽  
Anorexia Nervosa ◽  
Bulimia Nervosa ◽  
Diagnostic Criteria ◽  
Normal Weight ◽  
Intense Fear ◽  
Maintain Body Weight ◽  
Psychiatric Conditions ◽  
Weight For Age

Two psychiatric conditions are commonly associated with laxative and/or diuretic abuse to control weight. They are anorexia nervosa and bulimia nervosa. The newest diagnostic criteria for anorexia nervosa now makes it possible to diagnose this disorder before profound weight loss has occurred. There are four criteria: (1) refusal to maintain body weight greater than a minimum normal weight for age and height, the minimum being 15% below that expected; (2) intense fear of gaining weight; (3) a disturbance in the way one's body weight, size, or shape is experienced; and (4) amenorrhea in girls. Anorexia nervosa usually begins in early to late adolescence. It is primarily a disorder of girls.

scholarly journals Eating disorders in male elite athletes

2020 ◽  
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Bulimia Nervosa ◽  
Disordered Eating ◽  
Elite Athletes ◽  
Mental Illnesses ◽  
Medical Complications ◽  
Exercise Behaviors

Among elite athletes disordered eating (DE) behavior as well as eating disorders (ED) are one of the most common mental illnesses. According to Sundgot-Borgen et al. [1] DE can be illustrated by a continuum ranging from performance-oriented eating and exercise behaviors to subclinical EDs and clinical EDs such as Anorexia nervosa (AN) and Bulimia nervosa (BN) along with other medical complications and impairment of performance.

Defining Eating Disorders

2017 ◽  
pp. 289-314
Author(s):  
Evelyn Attia ◽  
Anne E. Becker ◽  
Cynthia M. Bulik ◽  
Alison E. Field ◽  
Neville H. Golden ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Young Adults ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
General Population ◽  
Bulimia Nervosa ◽  
Binge Eating Disorder ◽  
Medical Complications ◽  
Dsm 5 ◽  
Psychological Comorbidities

This chapter describes the diagnostic criteria used in clinical and research settings to define eating disorders and highlights important changes in the criteria introduced by DSM-5 in 2013. Emerging evidence suggests that the DSM-5 categories usefully capture a range of eating problems in need of clinical attention that were not well described in previous DSM editions. The chapter also reviews the characteristics of adolescents and young adults with eating disorders, their frequency in the general population, and their psychological comorbidities. Important medical complications associated with the disorders, especially among adolescents, are summarized, as well as approaches to their treatment. The chapter covers in greatest detail anorexia nervosa, bulimia nervosa, and binge-eating disorder.

Eating disorders

2020 ◽  
pp. 6509-6513
Author(s):  
Christopher G. Fairburn
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Bulimia Nervosa ◽  
Dietary Restriction ◽  
Eating Behaviour ◽  
Medical Attention ◽  
Medical Complications ◽  
Electrolyte Disturbance ◽  
Medical Unit ◽  
Life Threatening

The eating disorders are a group of conditions, central to which is a disturbance of eating behaviour. The main diagnoses are anorexia nervosa and bulimia nervosa, in both of which there is an extreme concern with weight and shape. In anorexia nervosa, persistent dietary restriction leads to weight loss, which may be severe. In bulimia nervosa, the dietary restriction is interrupted by repeated episodes of binge eating (typically followed by self-induced vomiting) and weight is usually unremarkable. Both disorders may be accompanied by medical complications that present to physicians. Anorexia nervosa has the potential to be life-threatening because of the consequences of starvation. Patients may require medical attention for the correction of electrolyte disturbance and sometimes admission to a medical unit for refeeding. The main treatment of eating disorders is psychological. The prognosis of bulimia nervosa is generally good but is less positive for anorexia nervosa.

Medical Complications of Anorexia Nervosa and Bulimia Nervosa

2019 ◽  
Vol 42 (2) ◽  
pp. 263-274 ◽  
Author(s):  
Dennis Gibson ◽  
Cassandra Workman ◽  
Philip S. Mehler
Keyword(s):  
Anorexia Nervosa ◽  
Bulimia Nervosa ◽  
Medical Complications

The Dexamethasone Suppression Test in Bulimia Nervosa

1988 ◽  
Vol 152 (5) ◽  
pp. 654-656 ◽  
Author(s):  
G. O'Brien ◽  
F. Hassanyeh ◽  
A. Leake ◽  
K. Schapira ◽  
M. White ◽  
...  
Keyword(s):  
Weight Loss ◽  
Anorexia Nervosa ◽  
Bulimia Nervosa ◽  
Previous History ◽  
Dexamethasone Suppression Test ◽  
Clinical Correlates ◽  
History Of ◽  
State Marker ◽  
Suppression Test ◽  
Dexamethasone Suppression

In a study of the dexamethasone suppression test (DST) in patients with bulimia nervosa, a non-suppression rate of about 50% was found. The only clinical correlates of DST non-suppression were a previous history of weight loss and/or of anorexia nervosa. These results suggest that DST non-suppression in these subjects may be a trait rather than a state marker of anorexia nervosa.

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