Eating Disorders

Institute of Hygiene, School of Medicine, University of Belgrade, Belgrade, Serbia.
Srpski arhiv za celokupno lekarstvo (Impact Factor: 0.23). 09/2012; 140(9-10):673-8. DOI: 10.2298/SARH1210673K
Source: PubMed


Eating disorders are considered chronic diseases of civilization. The most studied and well known are anorexia and bulimia nervosa. Anorexia is considered one of the most common psychiatric problems of girls in puberty and adolescence. Due to high mortality and morbidity as well as the increasing expansion of these diseases, it is clear why the amount of research on these diseases is growing worldwide. Eating disorders lead to numerous medical complications, mostly due to late diagnosis. The main characteristic of these diseases is changed behavior in the nutrition, either as an intentional restriction of food, i.e. extreme dieting, or overeating, i.e. binge eating. Extreme dieting, skipping meals, self-induced vomiting, excessive exercise, and misuse of laxatives and diuretics for the purpose of maintaining or reducing body weight are characteristic forms of compensatory behavior of patients with eating disorder. The most appropriate course of treatment is determined by evaluating the patient's health condition, associated with behavior and eating habits, the experience of one's own body, character traits of personality, and consequently the development and functioning of the individual. The final treatment plan is individual. Eating disorders are a growing medical problem even in this part of the world. Prevention should be planned in cooperation with different sectors so as to stop the epidemic of these diseases.

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    ABSTRACT: Objective: In this study, we aimed to determine perception, thoughts and behaviors on nutrition and body image of students who have just started their university education, and study their relationships with anthropometric measures, food intakes and feelings about nutrition and body image. Material and Methods: A total of 157 students attending the first classes of Health (n:77) and Social (n:80) Sciences Departments of Ondokuz Mayıs University were included in this study. A questionnaire on demographic characteristics and some psychometric tests (Beck Depression Inventory, Eating Attitudes Test-40 and Beck Anxiety Inventory) were applied to all participants along with some anthropometric easurements. SPSS for Windows 10.0 Statistical Package Computer Program was used for the evaluation of all data. Results: Eating Attitudes Test Scores in females were significantly higher than males (17.67±7.85 vs. 12.68±5.30; p=0.005 respectively). Beck Anxiety Inventory score was significantly higher in students having any disease in their first degree relatives (18.44±10.10 vs. 13.38±8.67; p=0.002). When the relationships between sychometric tests with age and body weight were examined, depression and anxiety scores showed significant negative correlation only with age (p=0.005). In female students, the ratios of insufficiencies for daily carbohydrate and fat intakes along with energy intake were in high levels. Conc lu si on: Female students were more proneto develop eating disorders. Students with any health problems in their first degree relatives significantly preferred health sciences education. The results of this study must be taken into consideration by families, educators and social media in order to decrease the incidence of eating disorders since these affect physical and mental health of the adolescents adversely.
    Turkish Journal of Medical Sciences 03/2013; 33(4):972-80. DOI:10.5336/medsci.2012-31203 · 0.84 Impact Factor
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    ABSTRACT: Anorexia nervosa is classified as a group of eating disorders related to obsessive control of weight and the amount of food intake. This behavioral disorder relates to 1-2% of the population, and is increasing. The etiology of this disorder is complex, and therapy should proceed multidimensionally. However, researchers have drawn attention to the relationship between anorexia symptoms and cognitive problems in recent times. Neuropsychological diagnosis plays an important role in the treatment of anorexia nervosa. This diagnosis is aimed at the selection of optimal treatment for this group of patients. Many medical complications in patients with anorexia nervosa within the central nervous system (CNS) can significantly affect both their attitude towards their illness and treatment undertaken. A review of the literature concerning problems with attention processes in the course of anorexia nervosa is presented in the article. The attention problems mainly relate to the growth of its selectivity. The increased selectivity particularly relates to stimuli related to food and body shapes. The activation of the lateral plane of the bend spindle (Brodmann area 19 and 37), inferior parietal cortex (Brodmann area 40) and lateral prefrontal cortex (Brodmann area 44) is observed in patients with anorexia. Additionally, patients with anorexia are characterized by slower response time, reduced motor speed and prominent deficits in the range of vigilance attention than in the case of the control group. Selected neuropsychological tools used to assess attention are presented in the article.
    Neuropsychiatria i Neuropsychologia 01/2014; 9(1):30-37.
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    ABSTRACT: The aim of this study is to assess the frequency of micronucleated cell (MNC) and nuclear abnormalities (NA) in the buccal mucosa cells of females with anorexia nervosa (AN) or bulimia nervosa (BN), compared with healthy women. Individuals with AN and BN have inadequate feeding and compensatory behaviour to avoid weight gain. These behaviours can cause extreme body stress, thereby inducing DNA damage. In a cross-sectional study, we assessed the frequency of MNC and NA in the buccal mucosa cells of female participants with AN or BN. All of these patients had been admitted to a private clinic for the treatment of eating disorders after diagnosis with AN (n = 10) or BN (n = 7) according to the DSM-IV. Age-matched healthy female participants (n = 17) composed the control group. Oral mucosa samples were collected, fixed, stained by aceto-orcein/fast green and microscopically examined. Normal cells, MNC and NAs were counted within a 2000 cell sample. The results were analyzed with the Kruskal-Wallis and Mann-Whitney tests. Differences were observed in the frequency of MNC in healthy females (1.2±0.9) versus that of patients with AN (3.4±1.5) (P < 0.0001) and BN (4.1±2.2) (P < 0.001). No differences were found among these groups in terms of NA. AN and BN are related to the loss of genetic material through chromosomal fractures and/or damage to the mitotic spindle (i.e. possibly a result of a deficiency in DNA precursors). Self-imposed compensatory behaviours in AN and BN, such as severe food restriction, potential malnutrition, vomiting, use of diuretics and laxatives and acute exhaustive exercise, are possible inducers of MNC and genotoxic damage. Of these compensatory behaviours, only vomiting has not been linked to genotoxic damage. This is the first report in women with BN, which should be studied in the future.
    Mutagenesis 09/2014; 29(6). DOI:10.1093/mutage/geu044 · 2.79 Impact Factor