Anorexia nervosa: A literature review

2020 ◽  
Vol 10 (2) ◽  
pp. 74-79
Author(s):  
Ch. Iliadis ◽  
A. Frantzana ◽  
P. Ouzounakis ◽  
L. Kourkouta

Introduction: Anorexia nervosa is a food intake disorder characterized by acute weight loss that it could cause severe psychosomatic problems. Purpose: To present the data and information as well as the treatment related to Anorexia nervosa. Materials and methods: The study material consisted of reviewed articles on the topic found in Greek and globally accepted electronic databases, Pubmed, Scopus, Medline, Google Scholar, regarding the effects of Anorexia nervosa on health and its treatment. Results: Initial symptoms of Anorexia nervosa and Bulimia Nervosa may be characterised by body-related negative interpretation bias, distorted body image and pronounced body dissatisfaction. Anorexic patients refuse to eat with their family or in public places. They lose weight by drastically reducing their total food intake, with a disproportionate reduction in the amount of meals containing carbohydrates and fats. The term Anorexia is unfortunate, because a decrease in appetite does not occur. Patients are constantly hungry and they are constantly thinking about food, but they refuse it. An indication of their way of thinking is that they often collect recipes or prepare complex meals for others. Conclusions: Anorexia nervosa is a disease that connects the physical with the mental dimension of health. A person's disharmonious relationship with oneself, which may have its roots in a dysfunctional family context or in a demanding and competitive social environment, finds the way to be manifested through the individual's reflection on food.

1985 ◽  
Vol 249 (5) ◽  
pp. R584-R594 ◽  
Author(s):  
M. R. Freedman ◽  
T. W. Castonguay ◽  
J. S. Stern

Male obese and lean Zucker rats were adrenalectomized (ADX) or sham-operated at 10 wk of age. Approximately 16 wk later, patterns of food intake were monitored by computer-interfaced top loading balances. Data were collected from ADX rats before, during, and after access to a corticosterone-supplemented saline solution (20 micrograms/ml). Although total food intake during the precorticosterone treatment period was not different between ADX and sham controls, ADX resulted in attenuation of light cycle food intake, primarily via decreased meal frequency. With steroid replacement, light cycle meal frequency and food intake increased. Despite comparable self-administered dose (20.33 +/- 0.89 vs. 17.05 +/- 1.2 mg corticosterone/period, obese vs. lean), obese ADX rats were more responsive to steroid than were lean ADX rats. This increased responsiveness was reflected by a 30% increase in food intake and 60% increase in body weight gain of obese ADX rats during replacement. Lean ADX rats exhibited no change in total food intake or weight gain with replacement. Further, during corticosterone treatment, obese ADX rats increased meal frequency, total food intake, and consumption of large meals (greater than or equal to 4 g) during the dark cycle. Significant postprandial correlations were found only in obese ADX rats, both with and without replacement during the dark cycle. These results suggest adrenal glucocorticoids have a minimal effect on food intake and meal patterns in lean Zucker rats but significantly alter intake and meal patterns in obese rats.


1924 ◽  
Vol 40 (1) ◽  
pp. 25-42 ◽  
Author(s):  
Philip D. McMaster

The development of a method for the collection of total bile from dogs in a sterile state and uninfluenced by the gall bladder, day after day for weeks, has rendered possible an accurate study of the influence of diet upon the cholesterol output of the secretion. When a diet rich in cholesterol is given the amount of the substance in the bile greatly increases. Not only this but the concentration per cc. is, in almost every instance, greater. An increase in the total food intake, by the addition to the ordinary ration of a bone mash diet containing only a slight additional amount of cholesterol (200 mg.) produces a similar, though lesser, increase. In the fasting dog, the cholesterol yield is greatly cut down. The increase in the cholesterol after food rich in the substance does not depend on the cholagogue action of this latter, though it is true that the concentration of cholesterol in the bile usually increases with the bile volume. Though fasting cuts down the cholesterol of bile, the concentration of the substance per cc. is greatly increased. On an ordinary diet the yield of it fluctuates abruptly and considerably from day to day. In general the rule holds that an animal eating largely puts out not only much more bile but much more cholesterol. The relation between bile quantity and cholesterol yield is anything but a fixed one, however. The cholesterol yield of the bile does not parallel that of bilirubin. The pigment output from day to day remains relatively constant as compared with that of cholesterol.


1984 ◽  
Vol 24 (124) ◽  
pp. 77 ◽  
Author(s):  
BA McGregor

Kids six months old and of mean liveweight 22 kg were offered a basal ration of barley and lupins (crude protein 15 .4%) supplemented with three levels of chopped hay (0, 13% of total intake and ad libitum). Supplementation of the basal ration with 13% hay increased total dry matter intake from 479 to 753 g/d (P< 0.001) and liveweight gain from 10 to 54 g/d (P<0 .01). Non-significant increases in total food intake and liveweight gains were achieved by supplementing with ad libitum hay; kids fed ad libitum hay actually consumed 26.9% of their diet as hay. They were then offered various mixtures of barley, oats and lupins with 13% chopped hay at near ad libitum feeding. Differences in intake or growth were not significant at P= 0.05 with kids growing at 74, 65 and 101 g/d for those fed barley, oats and lupins respectively. Results indicate that highest food intake was obtained when 13% chopped hay was added to whole barley grain rations.


1990 ◽  
Vol 51 (1) ◽  
pp. 189-199 ◽  
Author(s):  
I. Kyriazakis ◽  
G. C. Emmans ◽  
C. T. Whittemore

ABSTRACTTo test the proposition that growing pigs, when given a choice between two foods, are able to select a diet that meets their requirements, and to investigate the rules of diet selection, four foods (L, A, B and H) with similar energy yields, but different concentrations of crude protein (CP) (125, 174, 213 and 267 g CP per kg fresh food respectively) were formulated. The four foods were offeredad libitumeither singly, or as a two-way choice using all the six possible pairs, to 40 individually caged pigs from 12 to 30 kg live weight. On the single foods the rate of food intake fell from 1001 to 971 to 961 to 868 (s.e.d. 40) g/day (F < 0·05) as the protein concentration of the foods increased from L to H; the growth rate followed an opposite trend (492, 627, 743 and 693 (s.e.d. 31) g/day respectively;P< 0·01). When the pigs had to select between two foods limiting in protein (L and A) the less limiting one was preferred (710 (s.e. 200) g A per kg total food intake; the protein concentration of the selected diet was 160 (s.e. 10) g CP per kg). On the choice between B and H (a choice between a food with protein concentration close to requirements and a food with protein excess) the lower food was markedly preferred (928 (s.e. 4) g B per kg total food intake; the protein concentration of the selected diet was 218 (s.e. 1) g CP per kg). When the animals were given a choice between two foods, a combination of which was non-limiting (pairs LB, LH, AB and AH), the protein concentrations of the selected diets were not different between treatments (208, 204, 202 and 205 (s.e.d. 13) g CP per kg respectively) and they also declined systematically with time and weight. The growth rate of the animals on these pairs were 752, 768, 769 and 763 (s.e.d. 54) g/day (P > 0·05), which were not significantly different from the highest growth rate achieved on a single food. The results suggest that pigs, when given a choice between a suitable pair of foods, are able to choose a balanced diet and to change its composition to reflect their changing requirements. The choice-feeding method may well be useful as an effective and economic way of estimating and meeting requirements, and of measuring the growth potential of pigs.


2014 ◽  
Vol 144 (9) ◽  
pp. 1349-1355 ◽  
Author(s):  
Ligen Lin ◽  
Alli M. Nuotio-Antar ◽  
Xiaojun Ma ◽  
Feng Liu ◽  
Marta L. Fiorotto ◽  
...  

Author(s):  
DIAN RATIH LAKSMITAWATI ◽  
UMI MARWATI ◽  
YATI SUMIYATI ◽  
DIAH KARTIKA PRATAMI ◽  
INTAN PERMATA SARI

Objective: This study aims to determine the effect of Amorphophallus muelleri Blume and Moringa oleifera L leaf on body weight, food intake, and hepatic histopathology in mice. Methods: The mice were divided into five groups according to their diet, which includes porang, wheat, porang-moringa, wheat-moringa, and control diet. Each group consists of 5 males and 5 females, which were fed for 28 d, and then analyzed for their body weight, total food intake, alanine aminotransferase (ALT) as well as aspartate aminotransferase (AST) levels in plasma, and hepatic histopathology. Results: The result showed that the group of porang and porang-moringa has lower body weight and feed intake, which is significantly different compared to the others. Furthermore, an increase was observed on plasma AST/ALT activities in 30% porang and 20% porang-moringa group. Also, one of the mice of porang group has inflammatory cell infiltration (++) on histopathology results. Conclusion: It was therefore concluded that feeding containing porang causes low food consumption. Furthermore, weight loss increases AST/ALT and leukocyte infiltration even though a mouse consistently deteriorates.


1985 ◽  
Vol 248 (5) ◽  
pp. R578-R583 ◽  
Author(s):  
D. P. Figlewicz ◽  
L. J. Stein ◽  
S. C. Woods ◽  
D. Porte

Gastrin-releasing peptide (GRP) is a peptide structurally related to bombesin that appears to be localized to the mammalian gastrointestinal tract. This study examined the ability of GRP, when administered on either an acute or chronic basis, to suppress food intake in baboons. When administered at 8 micrograms/kg iv before a morning meal, GRP significantly suppressed both food intake and the postprandial rise of plasma glucose and insulin. GRP at doses of 1, 2, 4, and 8 micrograms/kg stimulated basal insulin secretion. Chronic administration of GRP (q.o.d. for 11 days) at a low dose before the A.M. meal resulted in suppression of the A.M. meal and an initial suppression of total food intake, which recovered before the end of the treatment period. In conclusion, GRP appears to be effective in acute suppression of food intake and stimulation of basal insulin secretion in the nonhuman primate.


1989 ◽  
Vol 257 (6) ◽  
pp. R1328-R1334 ◽  
Author(s):  
G. H. Collier ◽  
D. F. Johnson ◽  
J. Naveira ◽  
K. A. Cybulski

Eating, drinking, wheel running, and nesting were recorded continuously in animals living in cages where they foraged for and consumed food by completing operant bar-press requirements. The ambient temperature was either 24 or 0 degrees C. Two food costs, that of initiating meals and that of pellets within meals, were separately manipulated at each temperature. Compared with room temperature, the cold temperature produced a doubling of food and water intake and a greater than twofold increase in nesting time each day. Running behavior was not altered. Regardless of temperature, the cost of initiating meals influenced the frequency and size of meals but did not affect total food intake or time spent feeding, and this cost had no effect on any other activity. As the cost of pellets within meals increased, the time spent feeding increased and there was a decline in daily food intake. The change in intake was greater at the cold temperature because in the cold the rats did not increase daily feeding time sufficiently to maintain intake as pellet cost increased. Such an increase in feeding time would have required that less time be spent in one of the other activities.


2020 ◽  
Vol 111 (3) ◽  
pp. 493-502 ◽  
Author(s):  
Ashley N Gearhardt ◽  
Sonja Yokum ◽  
Jennifer L Harris ◽  
Leonard H Epstein ◽  
Julie C Lumeng

ABSTRACT Background Food advertising is a major contributor to obesity, and fast food (FF) restaurants are top advertisers. Research on the impact of food advertising in adolescents is lacking and no prior research has investigated neural predictors of food intake in adolescents. Neural systems implicated in reward could be key to understanding how food advertising drives food intake. Objectives To investigate how neural responses to both unhealthy and healthier FF commercials predict food intake in adolescents. Methods A cross-sectional sample of 171 adolescents (aged 13–16 y) who ranged from normal weight to obese completed an fMRI paradigm where they viewed unhealthy and healthier FF and nonfood commercials. Adolescents then consumed a meal in a simulated FF restaurant where foods of varying nutritional profiles (unhealthy compared with healthier) were available. Results Greater neural activation in reward-related regions (nucleus accumbens, r = 0.29; caudate nucleus, r = 0.27) to unhealthy FF commercials predicted greater total food intake. Greater responses to healthier FF relative to nonfood commercials in regions associated with reward (i.e., nucleus accumbens, r = 0.24), memory (i.e., hippocampus, r = 0.32), and sensorimotor processes (i.e., anterior cerebellum, r = 0.33) predicted greater total food and unhealthier food intake, but not healthier food intake. Lower activation in neural regions associated with visual attention and salience (e.g., precuneus, r = −0.35) to unhealthy relative to healthier FF commercials predicted healthier food intake. Conclusions These findings suggest that FF commercials contribute to overeating in adolescents through reward mechanisms. The addition of healthier commercials from FF restaurants is unlikely to encourage healthier food intake, but interventions that reduce the ability of unhealthy FF commercials to capture attention could be beneficial. However, an overall reduction in the amount of FF commercials exposure for adolescents is likely to be the most effective approach.


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