DHN 212 CHAPTER 14: EATING DISORDERS AND DISORDERED EATING

Types of eating disorders:

-Bulimia nervosa -Anorexia nervosa -Binge-eating disorder

Statements that are true about bulimia nervosa:

-a person with BN can be slightly underweight, normal weight, or overweight -a person with BN is difficult to identify by appearance -a person with BN often feels ashamed about their behavior and tries to hide it

The hypokalemia observed in people suffering from bulimia nervosa can be caused by:

-abuse of diuretics -self-induced vomiting

Choose appropriate alternative therapies that may be helpful in reducing stress and anxiety:

-acupuncture -yoga and massage therapy -meditation

What role does an RDN have when treating a person with an eating disorder?

-answer patient questions about nutrition and food -provide appropriate medical nutrition therapy -teach healthy eating patterns

Types of medications that may be used for treating eating disorders:

-antipsychotics -antidepressants -mood stabilizers

Which psychological factors often accompany eating disorders?

-anxiety disorders -mood disorders

People with muscle dysmorphia:

-are often body builders -are usually male -exercise obsessively

Which of the following is associated with disordered eating?

-concerns about body image -skipping meals or following fad diets

Two classic characteristics of binge eating disorder:

-consuming a large amount of food over a brief period -does not include purging behavior

Disordered eating patterns that are described in DSM-5 as unspecified feeding or eating disorders:

-diabulimia -muscle dysmorphia -orthorexia

Behavioral therapies used in the treatment of bulimia nervosa and binge-eating disorder are:

-dialectical behavior therapy -cognitive behavioral therapy

An intense fear of gaining weight compels people with anorexia nervosa to:

-diet frequently -exercise excessively -fast frequently

Signs and symptoms of bulimia nervosa:

-frequent heartburn -chronic sore throat -worn tooth enamel

Which factors can contribute to the development of an eating disorder?

-genetic -biological -social -psychological -environmental factors

People with anorexia nervosa

-have distorted body image -severely restrict their food intake

To help in the treatment of patients with eating disorders, registered dietitians can:

-help patients in recovery to avoid relapse -provide medical nutrition therapy -answer questions about food and nutrition

The types of food consumed while binge eating often include:

-ice cream -cakes -cookies

Females exhibiting the female athlete triad may intentionally restrict their calorie intake to:

-improve athletic performance -main a lean physique -lose weight

Treatments for eating disorders can occur in which settings?

-inpatient hospitalization -outpatient care with counseling

Supportive activities used in the treatment of patients with eating disorders are:

-massage -movement therapy -yoga

Treatments for eating disorders should include:

-medical nutrition therapy -psychotherapy

Physiological consequences of low estrogen levels include:

-menstrual disturbances -reduced bone mass

Examples of stressful events or situations that can lead to the development of an eating disorder are:

-moving to a new locations -dealing with a dysfunctional family -going away to college

The optimal treatment of eating disorders requires a multidisciplinary team of experts in the following fields:

-nutrition -medicine -mental health

Bulimia nervosa is characterized by:

-purging -binge eating

Anorexia nervosa is characterized by:

-self-imposed starvation -becoming emaciated

What can contribute to the development of an eating disorder?

-social media -issues of self-esteem -peer and family pressure

Night eating syndrome is characterized by:

-the belief that one can only fall asleep after a large meal -sleep disturbances -waking up during the night to binge eat

Progression of disordered eating

1. healthy eating behavior 2. concerns about body image 3. clinically evident eating disorder recognized

Define orthorexia

Extreme obsession with eating healthy foods

An eating disorder is a term used to describe a short-term and mild change in a person's eating habits

FALSE

Define muscle dysmorphia

Unhealthy preoccupation with the body being too small or not muscular enough

Which eating disorder has the highest mortality?

anorexia nervosa

The best approach to preventing the female __________ _________ is to provide info about the disorder to parents and those in sports who associate with young women, such as coaches and trainers.

athlete triad

Eating large amounts of food in a short time period is called:

binge eating

People with eating disorders typically have a distorted view of their:

body image

The psychological condition characterized by binge eating followed by purging behaviors is called:

bulimia nervosa

The form of behavioral therapy used in the treatment of bulimia nervosa and binge-eating disorder that addresses unhealthy behaviors by challenging current beliefs and replacing them with more realistic thoughts is called ______________ ______________ therapy.

cognitive behavioral

Binge-eating disorder, Bulimia nervosa and Anorexia nervosa are all examples of:

eating disorders

Psychological disturbances that can lead to abnormal food-related behaviors and subsequent dangerous physiological complications are:

eating disorders

Define biofeedback

encourages slow, meditative breathing, thus decreasing anxiety

Low energy availability is associated with a(n):

estrogen deficiency

Define phototherapy

exposure to certain wavelengths of light through use of a specific lamp for prescribed amounts of time

Female athletes have a ________ risk of disordered eating practices compared to males and females who do not participate in sports

higher

The rapid loss of electrolytes and fluids due to purging in bulimia nervosa can cause low blood lipid levels of potassium, a condition known as _________

hypokalemia

In order to diagnose a patient with anorexia nervosa, healthcare providers look for changes in body ________ _________ (BMI) and body _________ over time.

mass index, composition

A girl will not experience ________ until she has about 17% body fat

menarche (onset of the first menstrual cycle)

Binge-eating disorder may be __________ common than anorexia nervosa or bulimia nervosa

more

People with a mother or sister with anorexia nervosa are ________ likely to develop an eating disorder themselves

more

An eating disorder characterized by food binges occurring after the evening meal and/or when the person awakens from sleep during the night is called __________ ___________ ____________ (NES)

night eating syndrome

Because people with binge-eating disorder do not purge, their risk for _________ increases

obesity

Define equine therapy

patient engages with horses to support self-discovery, self-relations, and fun

Define diabulimia

people with type 1 diabetes who manipulate their body weight by skipping insulin injections

To optimize the effectiveness of prescription medications ________ should accompany their use

psychological counseling

A stressful life event that can lead to the development of an eating disorder is called a:

trigger

Define emaciation

very low body weight