scholarly journals Disordered eating in older people: Some causes and treatments

2017 ◽  
Vol 23 (5) ◽  
pp. 331-337
Author(s):  
Victor M. Aziz ◽  
Danika Rafferty ◽  
Isabella Jurewicz

SummaryThis overview considers causes of disordered eating, including eating disorders, in older people. Eating disorders are becoming more common in older adults and research has shown a related mortality of 21%. The wide range of medical and pharmacological causes of weight loss in older people means that eating disorders may go undetected, occurring insidiously and surreptitiously.Learning Objectives• Be aware of the numerous causes of weight loss in older people, and understand that eating disorders are not about weight but about control• Appreciate that physical and mental health problems and polypharmacy affect eating and weight• Understand that successful management focuses on a combination of pharmacological and behavioural interventions

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.


2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Azar Cheshmberah ◽  
Mostafa Hoseini ◽  
Davood Shojaee Zadeh ◽  
Bijan Moghimi-Dehkordi

Background. Many of the older people are encountered with physical and mental health problems, chronic diseases, and also living conditions. We aimed to evaluate the disability scores and its associated factors among a sample of older people in Iran. Material and Methods. 330 people aged 60–70 years were interviewed about daily living activities and physical functioning using two standard questionnaires. Results. According to univariate analysis, aging 66–70 years, being employed, and receiving financial aids were associated with better ADL mean score (P<0.05). Also, being between 66 and 70 years of age, males, being illiterate, being employed, and receiving financial aids were statistically related to higher SF-36 mean scores (P<0.05). Multivariate analyses have shown that higher age and receiving financial aids were related to less need for help and being unemployed with salary was related to higher need for help. However, being illiterate, being employed, and receiving financial aids were significant related factors for better physical functioning. Conclusions. Physical health in old people is decreased not only by aging of people but also by other factors such as financial problems and also employment status could decrease physical health of old people regardless of aging.


2014 ◽  
Vol 24 (4) ◽  
pp. 450-459 ◽  
Author(s):  
Anna Melin ◽  
Monica Klungland Torstveit ◽  
Louise Burke ◽  
Saul Marks ◽  
Jorunn Sundgot-Borgen

Disordered eating behavior (DE) and eating disorders (EDs) are of great concern because of their associations with physical and mental health risks and, in the case of athletes, impaired performance. The syndrome originally known as the Female Athlete Triad, which focused on the interaction of energy availability, reproductive function, and bone health in female athletes, has recently been expanded to recognize that Relative Energy Deficiency in Sport (RED-S) has a broader range of negative effects on body systems with functional impairments in both male and female athletes. Athletes in leanness-demanding sports have an increased risk for RED-S and for developing EDs/DE. Special risk factors in aquatic sports related to weight and body composition management include the wearing of skimpy and tight-fitting bathing suits, and in the case of diving and synchronized swimming, the involvement of subjective judgments of performance. The reported prevalence of DE and EDs in athletic populations, including athletes from aquatic sports, ranges from 18 to 45% in female athletes and from 0 to 28% in male athletes. To prevent EDs, aquatic athletes should practice healthy eating behavior at all periods of development pathway, and coaches and members of the athletes’ health care team should be able to recognize early symptoms indicating risk for energy deficiency, DE, and EDs. Coaches and leaders must accept that DE/EDs can be a problem in aquatic disciplines and that openness regarding this challenge is important.


2019 ◽  
Vol 9 (7) ◽  
pp. 72 ◽  
Author(s):  
Andrea L. Pattinson ◽  
Natasha Nassar ◽  
Felipe Q. da Luz ◽  
Phillipa Hay ◽  
Stephen Touyz ◽  
...  

The prevalence of obesity with comorbid binge eating behaviour is growing at a faster rate than that seen for either obesity or eating disorders as separate conditions. Approximately 6% of the population are affected and they potentially face a lifetime of poor physical and mental health outcomes and an inability to sustain long-term weight loss. Current treatment options are inadequate in that they typically address either obesity or eating disorders exclusively, not the combination of both conditions. By treating one condition without treating the other, relapse is common, and patients are often left disappointed with their lack of weight loss. An integrated approach to treating these individuals is needed to prevent a worsening of the comorbidities associated with excess body weight and eating disorders. A new therapy has recently been developed, named HAPIFED, which addresses both overweight/obesity and comorbid binge eating behaviour with the combination of behavioural weight loss therapy and cognitive behaviour therapy-enhanced (CBT-E). The aim of this paper is to document the protocol for the Real Happy Study, which will evaluate the effectiveness of the HAPIFED program in treating overweight or obesity with comorbid binge-eating behaviour in a real-world setting.


2021 ◽  
Author(s):  
Alexandra Burton ◽  
Claudia Cooper ◽  
Ayesha Dar ◽  
Lucy Mathews ◽  
Kartikeya Tripathi

Although older people rarely report being victims of financial cybercrime, there is evidence that older online users are at increased risk. This realist review identified factors leading to older adults’ victimisation and reviewed the theory and evidence for interventions to reduce victimisation risks. We developed an initial programme theory from a scoping review and expert stakeholder consultations. We searched electronic databases, references and websites for literature meeting inclusion criteria. We analysed 52 primary and secondary data sources, seeking stakeholder views to develop and refine the programme theory and generate Context-Mechanism-Outcome Configurations (CMOCs) explaining how, why and in what circumstances older adults become financial cybercrime victims; and extrapolated this to consider rational intervention strategies. Our programme theory comprised 16 CMOCs describing how: social isolation, cognitive, physical and mental health problems; wealth status, limited cyber security skills or awareness, societal attitudes and content of scams led to victimisation. Only interventions to enhance older internet users’ awareness and skills have been trialled to date. Other theoretically plausible interventions include: offender management programmes, tailored security measures, society-wide stigma reduction and awareness-raising with groups who support older people. We recommend that the new UK Online Safety Bill is extended in scope to include online frauds.


2020 ◽  
Vol 6 (1) ◽  
pp. e000801
Author(s):  
Yannis Karrer ◽  
Robin Halioua ◽  
Sonja Mötteli ◽  
Samuel Iff ◽  
Erich Seifritz ◽  
...  

BackgroundEating disorders (ED) and disordered eating (DE) among male elite athletes share some of the characteristics seen in female elite athletes and the population, but also exhibit some key differences.ObjectiveScoping review of ED and DE in male elite athletes.MethodsIn May 2020, a comprehensive systematic literature search was conducted for DE and ED in male elite athletes.ResultsWe identified 80 studies which included 47 uncontrolled, 14 controlled studies, one interventional trial and 18 reviews.DiscussionThere was a wide range of definitions of DE and a high level of heterogeneity regarding competitive level, age and sport type. In adult male elite athletes, ED prevalence rates up to 32.5% were found, higher than in the general population. Prevalence was not higher in young/adolescent male elite athletes. The most frequently associated factor was competing in weight-sensitive sports. Male elite athletes tended to exhibit less body dissatisfaction than controls and were not always associated with DE. There were no studies looking at the prognosis or reporting an evidence-based approach for the management of DE in male elite athletes.ConclusionExisting literature indicates high prevalence of DE and ED in male elite athletes, with a wide range of aetiopathogenesis. There is a need for longitudinal studies to characterise the pathology and long-term outcomes, as well as develop standardised tools for assessment and treatments.


2018 ◽  
Vol 14 (4) ◽  
pp. 254-267 ◽  
Author(s):  
Gambhir Shrestha ◽  
Rashmi Mulmi ◽  
Deepak Kumar Yadav ◽  
Dharanidhar Baral ◽  
Birendra Kumar Yadav ◽  
...  

PurposeThe purpose of this paper is to assess the health status and risky behaviours of inmates in Nepal.Design/methodology/approachThis cross-sectional study was conducted in Jhumka Regional Prison, the largest male prison in eastern Nepal from September 2014 to August 2015. Data were collected through face-to-face interviews from 434 randomly selected incarcerated participants using semi-structured questionnaires.FindingsThe mean age of 434 participants was 35.7 years (SD 13.3). The majority (84 per cent) had at least one current health problem, of which the commonest were respiratory (50 per cent), skin (38 per cent) and digestive (26 per cent). Alcohol (73 per cent) and cigarettes (71 per cent) were the most commonly used substances prior to imprisonment. Approximately, 27 and 11 per cent reported illicit drug use and injectable drug use prior to incarceration, respectively. A total of 204 inmates reported having intercourse with sex workers. Of these, 49 per cent did not use a condom in their last intercourse with a sex worker.Research limitations/implicationsThis paper illustrates that a wide range of physical and mental health problems exist among incarcerated people in Nepal. The study may lack generalisability, however, as it was conducted in a single male prison.Practical implicationsThe paper suggests a need for medical, psychiatric and substance abuse care in correctional settings to improve the health status of the prison population. It is also important to develop screening policies for blood-borne viral and other infectious diseases in the prison.Originality/valueThis is the first study of its kind drawn from prisons in Nepal.


Author(s):  
Jon Arcelus ◽  
Fernando Fernández-Aranda ◽  
Walter Pierre Bouman

An overall increased prevalence of eating disorders psychopathology has been reported among the LGBTQ population, particularly among gay men. For some transgender people transitioning post puberty, pressure to conform to a social gender role with the body of their assigned gender may precipitate body dissatisfaction and eating disorders as a consequence. For gay men in particular, trying to conform to specific roles, and the effect of the media, may also affect body dissatisfaction. In addition, concurrent mental health problems such as anxiety and depression may make the LGBTQ population more vulnerable to developing eating disorders. Helpful interventions for eating disorders in the LGBTQ population include addressing the maintaining factors of the eating disorder through therapy; improving interpersonal skills; and considering specific themes for this population, such as coming out, fears of rejection, and personal/societal acceptance.


Author(s):  
Sophie Leontopoulou

Hope lies at the core of human psyche. It has a unique power to propel individuals, groups, organizations, and communities to action and can sustain their energies to help them achieve their goals. Hope is differentially conceptualized and studied as an emotion; as a positive motivational state incorporating elements of pathways and agency thinking and also as goals pursuit cognitions that can cause emotions; and, lately, as a character strength. Thus, hope research and practice transverses major theoretical and applied fields of psychology (namely positive) developmental, educational, and counseling psychology. Long-established links between hope and well-being places it in a unique position to affect positive youth development through positive education practices but also to enhance physical and mental health and positive psychosocial adaptation throughout the life cycle with the use of successful approaches in therapy and counseling. Established criteria for hope-based interventions and programs were developed all over the world with the express dual aim to enhance well-being and reduce psychopathology in different populations, ranging from children, adolescents, youths, and adults with and without physical and mental health problems and learning disabilities; and also across various settings, as diverse as educational institutions, therapy and counseling, recreational centers, and correctional facilities. Overall, hope-based interventions were successful in enhancing positive psychosocial outcomes and reducing depression and other problems. Underlying mechanisms that drive hope programs include the development of upward spirals of positive emotions that help people build enduring psychosocial resources; the process of goal setting and pursuit in itself; and the identification of optimal combinations of individual characteristics and intervention goals and techniques. A wide range of individual factors, such as participants’ and implementers’ characteristics and levels of motivation, in addition to contextual factors such as protocols, research designs, techniques, materials, analyses, and reporting choices impact the effectiveness of hope interventions. Future research can benefit from targeted hope interventions, matching specific needs, skills, and capacities of people and groups in different settings, including educational, therapy, organizational, and community ones, which can greatly improve academic performance, physical and mental health, productivity, and life quality.


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