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EATING DISORDERSJOHNSON COUNTY HEALTH DEPARTMENT
AMBER TERHUNE, RN, BSN, HEALTH EDUCATOR
MARCH 2018
INTRODUCTION
• Conditions related to severe eating behaviors
• Third most common adolescent chronic illness
• Usually starts in teens/young adults
I., Robyn. That’s What Makes You Blogiful. Persuasive Speech on Eating Disorders, 1 May 2013.http://thatswhatmakesyoublogiful.blogspot.jp/2013/05/persuasive-
speech-on-eating-disorders.html
CAUSES/RISK FACTORS
Aspire Wellness. Common Eating Disorders, n.d. http://aspirewellnessclinic.com/service/eating-disorders/
Often associated with other mental health disorders:
• Depression
• Substance abuse
• Anxiety
• Obsessive-compulsive disorder
ANOREXIA NERVOSA
Lifetime adolescent prevalence is
1.7% in females
Shilpakar, Ashmina. Smith College. Eating Disorders, 14 Jul. 2011. https://www.smith.edu/health/bygirlsforgirls/2011/Research/AshminaShilpakar.html
• Restrictive calorie intake
• Compulsive exercising
BULIMIA NERVOSA
Women’s Health. Bulimia Nervosa, 1 Dec. 2017. https://www.womenshealth.gov/a-z-topics/bulimia-nervosa?from=AtoZ
Lifetime adolescent prevalence is
0.8% in females
• Binge-purge cycles
• Lack of control
BINGE-EATING DISORDER
Lifetime adolescent prevalence is
2.3% in females
Eating Disorders Victoria. Binge Eating Disorder, 13 Jul. 2016. https://www.eatingdisorders.org.au/eating-disorders/binge-eating-disorder
• Binge without purging
• Eat until uncomfortably full or when not hungry
CONSEQUENCES
I. Robyn. That’s What Makes You Blogiful. Persuasive Speech on Eating Disorders, 1 May 2013. http://thatswhatmakesyoublogiful.blogspot.jp/2013/05/persuasive-speech-on-eating-disorders.html
• Severe health problems
• Substance use
• Growth and development issues
• Social problems
• Suicidal thoughts/behaviors
Cardiovascular issues Muscle weakness Death
RED FLAGS
Pinterest. Understanding Eating Disorders, n.d. https://www.pinterest.com/futurehealth1/understanding-eating-disorders/
• Skipping meals
• Overly restrictive diet
• Large amounts of food hidden
• Large amounts of empty wrappers
• Loss of tooth enamel
• Frequent weight changes
DIAGNOSING
Booth, PharmD, Christopher et. al. US Pharmacist. Male Eating Disorders: An Update on an Underrecognized Population, 16 Oct.
2015. https://www.uspharmacist.com/article/male-eating-disorders-an-update-on-an-underrecognized-population
• Based on signs, symptoms, eating habits
• Physical exam
• Tests
• Psychological evaluation
TREATMENT
New, PhD, Michelle. Rady Children’s Hospital. Eating Disorders, Oct. 2014. https://www.rchsd.org/health-articles/eating-disorders/
Booth, PharmD, Christopher et. al. US Pharmacist. Male Eating Disorders: An Update on an Underrecognized Population, 16 Oct. 2015. https://www.uspharmacist.com/article/male-
eating-disorders-an-update-on-an-underrecognized-population
• Healthy eating and weight• Treat medical conditions• Improve mental well-being
Goals:
PREVENTION
NEDA. Eating Disorders, n.d. https://www.nationaleatingdisorders.org/eating-disorders-obesity
NO SURE WAY
ROAD TO RECOVERY
Purple Dreamer. My Purple Dreams. NEDA Week: What Counts, 25 Feb. 2016. http://my-purple-dreams.blogspot.com/
• Learn about your illness
• Follow treatment plan
• Do not weigh in often
• Do not check mirror often
• Spend time with family and friends
• Develop new hobbies
• Seek help during relapse
REFERENCES
American Psychological Association. “Eating Disorders.” APA.org, Oct. 2011. http://www.apa.org/helpcenter/eating.aspx. Accessed 6 Mar. 2018.
Bhandari, MD, Smitha. “Signs of an Eating Disorder.” WebMD.com, 17 Aug. 2017. https://www.webmd.com/mental-health/eating-disorders/signs-of-eating-disorders#1. Accessed 6 Mar. 2018.
Franco, MD, Kathleen N. et. al. “Eating Disorders.” ClevelandClinicMedED.com, Jul. 2017. http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/psychiatry-psychology/eating-disorders/. Accessed 6 Mar. 2018.
Mayo Clinic. “Eating Disorders.” MayoClinic.org, 22 Feb. 2018. https://www.mayoclinic.org/diseases-conditions/eating-disorders/symptoms-causes/syc-20353603. Accessed 6 Mar. 2018.
National Alliance on Mental Illness. “Eating Disorders.” NAMI.org, n.d. https://www.nami.org/Learn-More/Mental-Health-Conditions/Eating-Disorders. Accessed 6 Mar. 2018.
New, PhD, Michelle J. “Eating Disorders.” KidsHealth.org, Oct. 2014. http://kidshealth.org/en/teens/eat-disorder.html. Accessed 6 Mar. 2018.