Emergency room presentations of people with anorexia nervosa
AbstractPeople with anorexia nervosa (AN) tend to shy away from engaging in typical primary care provider relationships in order to avoid detection. Therefore, they may seek care for their medical concerns through a local emergency department (ED). Inherently, AN is associated with a litany of medical complications, which become more prevalent as the severity of their eating disorder increases. Notwithstanding the typical young age at the onset of AN, no body system is immune to these medical complications. Thus, ED providers may need to pursue a medical diagnosis in order to explain presenting symptoms in people with AN. ...
Source: Journal of Eating Disorders - February 9, 2023 Category: Eating Disorders & Weight Management Source Type: research
The prevalence of orthorexia in exercising populations: a systematic review and meta-analysis
DiscussionThe overall prevalence of ON in exercising populations was very high. The between-study disparity was large and was partly explained by the ON-instrument administered. One fourth of the studies had a moderate risk of bias. The majority of the studies did not specify relevant demographic information about the sample, and information about the type of sport was frequently missing. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - February 6, 2023 Category: Eating Disorders & Weight Management Source Type: research
Weighing in: qualitative explorations of weight restoration as recovery in anorexia nervosa
ConclusionsResearch findings bear implications for future AN research, advocacy, and clinical practice, as respondents pivot research emphasis from weight as a sociocultural motivation for AN, to weight as a sociocultural obstacle to AN recovery. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - January 31, 2023 Category: Eating Disorders & Weight Management Source Type: research
Pulmonary complications of eating disorders: a literature review
AbstractThe medical complications of eating disorders (EDs) have been described in the literature; however, the pulmonary system has historically been described as relatively spared from the ravages of eating disorders and thus neglected in the literature. Here we review the pulmonary complications that have been described in the literature, including the effects of starvation on the lungs of nutritionally deprived animals and patients with anorexia nervosa. There is clear evidence of weakness of respiratory muscles with starvation in both groups. However, there is discordance in the literature as to whether starvation res...
Source: Journal of Eating Disorders - January 30, 2023 Category: Eating Disorders & Weight Management Source Type: research
Assessment and management of cardiovascular complications in eating disorders
Conclusions were extracted and verified by a Child and Adolescent Psychiatrist and Adolescent Paediatrician, with suitable expertise in this clinical cohort.ConclusionsThe cardiovascular complications in EDs are primarily linked to malnutrition, and patients presenting with Anorexia Nervosa are most often at greatest risk of structural and functional cardiac abnormalities, including aberrations of heart rate and rhythm, haemodynamic changes and peripheral vascular abnormalities. Other cardiovascular abnormalities are secondary to electrolyte imbalances, as seen in patients with Bulimia Nervosa. More recently defined EDs in...
Source: Journal of Eating Disorders - January 30, 2023 Category: Eating Disorders & Weight Management Source Type: research
Validation of the Arabic version of the Muscle Dysmorphic Disorder Inventory (Ar-MDDI) among Lebanese male university students
ConclusionOur findings revealed that the validation of the Arabic scale yielded excellent properties, preliminarily supporting its use for the assessment of muscle dysmorphia among Arabic-speaking university men. This would hopefully allow for its timely detection and management in Arab clinical settings and encourage cross-cultural research on this topic. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - January 26, 2023 Category: Eating Disorders & Weight Management Source Type: research
Disparities in access to eating disorders treatment for publicly-insured youth and youth of color: a retrospective cohort study
ConclusionsAccess to evidence-based mental health treatment is a necessary first step towards health equity for individuals with eating disorders. Additional work is needed to dismantle systemic inequities that contribute to disparities in care for youth of color and those with public insurance. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - January 24, 2023 Category: Eating Disorders & Weight Management Source Type: research
Psychometric properties of the ORTO-R in a community-based sample of women and men from Poland
ConclusionThe 6-item ORTO-R is valid and reliable method to assess orthorexic thoughts and behaviors among Polish-speaking population and could be applied in future research. Using revised version of the items is strongly preferred to using the items in their original ORTO-15 form. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - January 19, 2023 Category: Eating Disorders & Weight Management Source Type: research
Eating disorders, disordered eating, and body image research in New Zealand: a scoping review
ConclusionThis study provides a comprehensive and detailed overview of research into eating disorders and body image in New Zealand, while highlighting important considerations for both local and international research. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - January 17, 2023 Category: Eating Disorders & Weight Management Source Type: research
Risk factors for eating disorders: findings from a rapid review
ConclusionEating disorders are associated with multiple risk factors. An extensive amount of research has been conducted in the field; however, further studies are required to assess the causal nature of the risk factors identified in the current review. This will assist in understanding the sequelae of eating disorder development and in turn allow for enhancement of existing interventions and ultimately improved outcomes for individuals. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - January 17, 2023 Category: Eating Disorders & Weight Management Source Type: research
Understanding eating disorder symptoms in same-gender couples: social environmental factors
ConclusionsIndividuals in same-gender relationships experience macro (e.g., sociocultural) level vulnerability factors in relation to disordered eating; however, internalization of sociocultural attitudes may be greater for men. Support at the microsystem level in the form of a high quality committed romantic relationship appears to be helpful protection against uncontrolled eating for men. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - January 11, 2023 Category: Eating Disorders & Weight Management Source Type: research
Prevalence and associated factors of binge eating disorder among Bahraini youth and young adults: a cross-sectional study in a self-selected convenience sample
ConclusionIn conclusion, the prevalence of BED symptoms was significantly high among the study participants. The results point out the crucial role of awareness of the interaction between obesity, depression and anxiety as potential risk factors for binge eating tendencies. Further research should examine their relationship with BED. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - January 10, 2023 Category: Eating Disorders & Weight Management Source Type: research
Asian students in the anglosphere – unravelling the unique familial pressures contributing to eating pathology: a systematic review
ConclusionThe findings demonstrate the perception of Asian parenting styles as overprotective and incompatible with individualist-oriented Western values could increase eating pathology in adolescent and university students living in Anglosphere countries. The synthesised findings of the literature also indicate disordered eating acts as a compensatory mechanism for the ongoing psychological distress generated from intergenerational conflict and familial achievement orientation. Conversely, traditional eating disorder literature on familial cohesion and low parental care may not be applicable to young Asians. Future resear...
Source: Journal of Eating Disorders - January 10, 2023 Category: Eating Disorders & Weight Management Source Type: research
Medical and physiological complications of exercise for individuals with an eating disorder: A narrative review
AbstractIndividuals with eating disorders (ED) experience prolonged malnutrition, binge episodes, and compensatory behaviours that affect every organ system. Psychological and physiological symptoms are worsened with comorbid dysfunctional exercise, seen in up to 80% of those with an ED. Although return to exercise is an important component of treatment and recovery, little is known about the contraindications and risks of exercise engagement specific to those with an ED. This paper provides a comprehensive narrative review of the medical and physiological complications of engaging in exercise during ED treatment and outli...
Source: Journal of Eating Disorders - January 10, 2023 Category: Eating Disorders & Weight Management Source Type: research
A lived experience response to the proposed diagnosis of terminal anorexia nervosa: learning from iatrogenic harm, ambivalence and enduring hope
AbstractThe ethical approach to treatment non-response and treatment refusal in severe-enduring anorexia nervosa (SE-AN) is the source of significant ethical debate, particularly given the risk of death by suicide or medical complications. A recent article proposed criteria to define when anorexia nervosa (AN) can be diagnosed as ‘terminal’ in order to facilitate euthanasia or physician-assisted suicide (EAS), otherwise known as medical assistance in dying, for individuals who wish to be relieved of suffering and accept treatment as ‘futile’. This author utilises their personal lived experience to reflect on the is...
Source: Journal of Eating Disorders - January 5, 2023 Category: Eating Disorders & Weight Management Source Type: research
