Weight requirements for return of menstruations in teenage girls with eating disorders, weight loss and secondary amenorrhoea

2007 ◽  
Vol 93 (11) ◽  
pp. 1449-1455 ◽  
Author(s):  
I Swenne
Author(s):  
Александр Николаевич Кононов ◽  
Анастасия Сергеевна Комиссарова

Представлены результаты исследования методом контент-анализа опубликованных текстов в одном из сообществ ВКонтакте, представляющим определенную социальную группу, включающую более 134 тыс. участников, предметом общения которых является тема борьбы с лишним весом. Цель исследования - изучение психологических характеристик членов данного сообщества на основе анализа их публикаций, выделение смысловых блоков (контекстов) и определение социальных факторов, оказывающих негативное влияние на возникновение и развитие расстройств пищевого поведения. Контент-анализ позволил установить, что высказывания участников группируются вокруг 7 смысловых блоков: жир, жирный, похудение, ужасное, порции, школа, худеть. Проведенный анализ контекстов позволил подтвердить гипотезу исследования, что значительное влияние на возникновение расстройств пищевого поведения оказывают социальные факторы, в частности семья и близкое окружение (друзья, одноклассники), особенно сильно воздействию социальной среды подвержены девушки-подростки. Presents the results of a study by the method of content analysis of texts of one of the communities on VKontakte that includes more than 134 thousand participants and devoted to diets, the use of medications to block appetite and dramatic weight loss. The aim of the study was the selection of semantic blocks (contexts), their analysis and determination of factors contributing to the development of eating disorders. Identified 7 semantic blocks around which statements are grouped. As a result of the analysis of the allocated blocks, the hypothesis was confirmed that a significant influence on the occurrence and development of eating disorders is exerted by the family and close circle (friends, classmates), and teenage girls are especially affected by this effect.


2011 ◽  
Vol 33 (1) ◽  
pp. 14-19 ◽  
Author(s):  
Luiza do Nascimento Ghizoni Pereira ◽  
Fabiana Schuelter Trevisol ◽  
João Quevedo ◽  
Luciano Kurtz Jornada

OBJECTIVES: To analyze eating disorders among female university students and to assess the frequency of bulimia nervosa, anorexia nervosa, and inappropriate weight loss strategies in this population. METHODS: The sample comprised 214 female university students attending different health science programs at a university in southern Brazil, aged over 18 years, assessed using self-administered questionnaires. The 26-item version of the Eating Attitudes Test (EAT-26), the Bulimic Investigatory Test, Edinburgh (BITE), and a supplementary questionnaire covering data on weight status and inappropriate weight loss strategies were used to assess dietary abnormalities. RESULTS: Mean age (± standard deviation) was 21±9.93 years, and mean body mass index (BMI) was 21.1±2.59. Among the respondents, 72.9% said they would like to weigh less, 29% reported the use of different weight loss methods (diuretics were the most common, followed by laxatives, amphetamine-derived drugs, and self-induced vomiting). With regard to EAT-26 scores, 22.4% (95%CI 17.7-27.1) revealed abnormal feeding patterns; BITE indicated that 9.8% (95%CI 6.5-13.1) were at risk for developing bulimia and 36.9% (95%CI 31.5-42.3) required clinical evaluation. Mean BMI was lower among students with normal scores on both tests, but no association was found between BMI and satisfaction with own weight. CONCLUSION: There was a strong trend toward eating disorders in the health science students assessed, as demonstrated by EAT-26 and BITE scores; inadequate weight loss strategies are frequently used as well.


Nutrients ◽  
2020 ◽  
Vol 12 (1) ◽  
pp. 183 ◽  
Author(s):  
Rizk Melissa ◽  
Mattar Lama ◽  
Kern Laurence ◽  
Berthoz Sylvie ◽  
Duclos Jeanne ◽  
...  

Abnormally high levels of physical activity have been documented throughout the literature in patients with eating disorders (ED), especially those diagnosed with anorexia nervosa (AN). Yet no clear definition, conceptualization, or treatment of the problematic use of physical activity (PPA) in ED patients exists. The aim of this review is to propose a new classification of PPA, report the prevalence, triggers, predictors, maintainers and other related factors of PPA in ED patients, in addition to proposing a comprehensive model of the development of PPA in AN. A total of 47 articles, retrieved from Medline and Web of Science, met the inclusion criteria and were included in the analysis. As a result, the new approach of PPA was divided into two groups (group 1 and group 2) according to the dimension (quantitative vs qualitative approach) of physical activity that was evaluated. The prevalence of PPA in ED was reported in 20 out of 47 studies, the comparison of PPA between ED versus controls in 21 articles, and the links between PPA and psychological factors in ED in 26 articles, including depression (16/26), anxiety (13/26), obsessive–compulsiveness (9/26), self-esteem (4/26), addictiveness (1/26), regulation and verbal expression of emotions (1/26) and anhedonia (1/26). The links between PPA and ED symptomatology, PPA and weight, body mass index (BMI) and body composition in ED, PPA and age, onset, illness duration and lifetime activity status in ED, PPA and ED treatment outcome were reported in 18, 15, 7, 5 articles, respectively. All of the factors have been systematically clustered into group 1 and group 2. Results focused more on AN rather than BN due to the limited studies on the latter. Additionally, a model for the development of PPA in AN patients was proposed, encompassing five periods evolving into three clinical stages. Thus, two very opposite components of PPA in AN were suggested: voluntarily PPA increased in AN was viewed as a conscious strategy to maximize weight loss, while involuntarily PPA increased proportionally with weight-loss, indicating that exercise might be under the control of a subconscious biological drive and involuntary cognition.


Author(s):  
Alexandra Keyes ◽  
David Veale

Some individuals with specific phobia of vomiting (SPOV) (emetophobia) may present with disordered eating, including food restriction and weight loss. Such cases may be misdiagnosed as anorexia nervosa (AN), thus complicating case conceptualization, formulation, and treatment. This chapter outlines the clinical features of SPOV, including those that overlap with AN and other disorders. Treatment approaches and their evidence base are discussed, and a clinical case example of an individual with SPOV and disordered eating is presented. More research is needed to address the overlap between eating disorders and SPOV in order to better distinguish overlaps in presentation and to develop treatments that effectively target the central fears in these cases.


Author(s):  
Kathleen M. Pike ◽  
Loren M. Gianini ◽  
Katharine L. Loeb ◽  
Daniel Le Grange

Substantial progress in advancing evidence-based treatments for eating disorders has been made. Many well-designed studies provide cumulative support for cognitive-behavioral therapy (CBT) as the treatment of choice for bulimia nervosa. Interpersonal psychotherapy (IPT) and pharmacotherapy are considered appropriate alternative treatments for bulimia nervosa. While CBT, IPT and pharmacotherapy often produce significant reductions in binge eating and compensatory behaviors, these treatment options need to be improved to help more individuals achieve full and lasting recovery. In the treatment of binge eating disorder, CBT and IPT have been shown to be the most efficacious in reducing symptoms and improving psychological outcomes. Weight loss is often an additional goal of those entering treatment for binge eating disorder; however, existing treatments have generally been unsuccessful in producing significant maintainable weight loss. Initial studies suggest that CBT may be associated with improved outcome both in the acute and maintenance phases of treatment for anorexia nervosa.


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