This study examined the prevalence of disordered eating symptomatology and their associations with socio-demographic characteristics and health indicators in a nationally representative sample of Canadian women aged 50 years and older. The study also examined associations of disordered eating symptomatology with comorbid mood disorders, anxiety disorders and alcohol dependence. The study was based on secondary data analysis of the Canadian Community Health Survey, cycle 1.2. About 2.6% of women 50-64 years old and 1.8% of women 65 years or older reported disordered eating symptomatology. These women exhibited elevated frequencies of dieting behaviors and preoccupation with food intake and body shape. Disordered eating symptomatology was positively associated with stress level and negatively associated with physical health. Similar to findings in younger women, risk of eating disorders was strongly associated with mood and anxiety disorders. Results indicate that the risk of having eating disorders is a lifelong concern. Hence, older women should be screened for symptoms of disordered eating and associated psychiatric comorbidity.
"Siguiendo con la argumentación, Gadalla (2008) expondrá que los cada vez más exigentes cánones de belleza incidirán en la población envejecida, irrumpiendo con patrones de delgadez absoluta. Con lo que, se observa como, a modo progresivo, se engrandecen el número de personas mayores que rigen su autoestima y su autoconcepto a través del peso o la silueta, y por lo tanto, se engrosa el riesgo de sufrir un TCA (Drobnjak, et al., 2014; Mangweth-Matzek et al., 2014). "
[Show abstract][Hide abstract] ABSTRACT: ctualmente, apenas existen investigaciones que aborden los trastornos de la conducta alimentaria (TCA) en la población mayor, aún produciéndose una alta prevalencia (Allaz et al., 1998; Cumella y Kelly, 2008; Ackard et al., 2013; Drobnjak, et al., 2014, Mangweth-Matzek et al. 2014). Las investigaciones sobre personas mayores se basan, sobretodo, en la desnutrición y en las complicaciones alimentarias, sin embargo, se produce un vacío literario cuando se tratan los TCA (Gadalla, 2008). La evidencia sobre la presencia de recurrentes preocupaciones acerca de la imagen corporal y la belleza, independientemente de la edad de la mujer, respalda que se produzcan trastornos de la alimentación en personas mayores, quienes utilizan la restricción alimenticia como una estrategia para alcanzar los ideales establecidos (Jones, et al., 2006; Mangweth-Matzek et al. 2014). Las cifras corroboran que la insatisfacción hacia la apariencia física y la importancia otorgada es la misma en los diferentes grupos etarios (Allaz et al., 1998; Marcus et al., 2007; Gadalla, 2008).
Calidad de vida, cuidadores e intervención para la mejora de la salud en el envejecimiento. Vol. III, Edited by JJ. Gázquez, MC. Pérez-Fuentes, MM. Molero, I. Mercader, AB. Barragán, A. Núñez, 07/2015: pages 667-673; ASUNIVEP., ISBN: 978-84-606-8850-1
"The most common psychiatric disorder was major depression, present in 20 of the 29 (69%) cases. This finding is consistent with literature that shows a strong association between risk of eating disorders and mood and anxiety disorders (Gadalla, 2008). Other psychiatric disorders that were present less frequently included obsessional, avoidant, compulsive or dependent personality disorders ( "
[Show abstract][Hide abstract] ABSTRACT: Eating disorders in the elderly are often overlooked. When they occur, significant morbidity and mortality result. In this study we review all existing literature on eating disorders in the elderly and provide practical guidelines for clinicians in recognizing and managing eating disorders in the elderly.
A literature search using Medline, PubMed, Web of Knowledge, and PsychINFO revealed 48 published cases of eating disorders in people over the age of 50 years.
The mean age was 68.6 years (range 50-94), and the majority (88%) of cases were females. The majority (81%) of cases had anorexia nervosa, and 10% had bulimia nervosa. Late onset eating disorders were more common (69%) than early onset. Comorbid psychiatric conditions existed in 60%, most commonly major depression. Management with a combination of behavioral and pharmacologic interventions was most successful, although only 42% were treated successfully. Mortality was high (21%) secondary to the eating disorder and its complications.
Eating disorders do occur in the elderly and should be included in the differential diagnosis of unexplained weight loss in the elderly.
International Psychogeriatrics 02/2010; 22(4):523-36. DOI:10.1017/S1041610210000104 · 1.93 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Contemporary Western society emphasizes thinness for women, and the ideal female body size has become progressively smaller over the past half century. Meanwhile, the actual female body size has increased steadily, and rates of aberrant attitudes and behaviours surrounding food and weight have risen and tend to be much more common in overweight individuals. Thus disordered eating and excess body weight may perpetuate each other's development. We have synthesized the literature concerning female body size and disordered eating within a sociocultural context. Eight cognitions and behaviours that occur in women were examined: media exposure, weight stereotypes, body dissatisfaction, dieting, "fat talk," emotional eating, perfectionism, and the "superwoman" ideal. The research literature suggests that these factors may play a role in both disordered eating and obesity. Furthermore, these factors may induce triggers, exacerbated by perfectionism and excess weight, that increase the risk of binge eating. These triggers include interpersonal discrepancies, low interpersonal esteem, depressive affect, and dietary restraint. Comprehensive interventions targeting the indicated sociocultural cognitions and behaviours, combined with healthy living education, may be the most effective strategy for reducing the prevalence of disordered eating and obesity among females.
Canadian Journal of Dietetic Practice and Research 03/2011; 72(1):e115-25. DOI:10.3148/72.1.2011.50 · 0.77 Impact Factor
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