Kinesiology 1070A/B Lecture Notes - Lecture 12: Disordered Eating, Eating Disorder, Dietitian
Eating Disorders
Disordered eating vs eating disorders
Disordered eating-unhealthy eating behaviors but not necessarily an eating disorder
Anorexia-
• Refusal to maintain body weight
• Maintenance of body weight less than 85% of expected based on BMI
• Intense fear of gaining weight
• Disturbance in the way one view themselves and their body
Putting hospitalized patients together can be dangerous because they are
continuously comparing themselves to others
Restrictive- not regualary engaging in purging and bing eating
Binge eating/purging- regularly binge eats and purging
Prevalence of eating disorders 0.3%-1%
10% of those with eating disorders are men and are more likely to binge eat than
restrict
Highest mortality rate of all psychiatric disorders
10% will die in 10 years
30% boys and 25% of girls reported teasing by peers about weight which triggers
eating disorders
Treatments
Psychotherapy
• Emphasis placed on thoughts, emotions and behaviors
Family approaches
• Educating family about how to provide care
Nutritional Management
• Dietitian or nutritionist to ensure patient is receiving sufficient vitamins and
minerals
Medications
Theory distinction of perfectionism – Terry Short
Based on behavioural theory
Achieving positive consequences vs avoiding negative consequences
Neg perfectionism+ low self esteem leads to loss of control
Loss of control causes controlled eating and is the driving force to disordered eating
Physiological mechanism
• Abnormally high levels of serotonin (overdrive) which regulates mood and
emotion
• Controlling and restricting food intake lowers serotonin levels and makes
patients feel better
Perfectionism and eating attitudes in rowers
Athletes may be at a greater risk of developing an eating disorder in sports where
leanness is emphasized
Measured using positive perfectionism and negative perfectionism scale, BMI and
eating attitude(using questionnaire)
Negative perfectionism was positively related to disturbed eating attitudes
Positive perfectionism was unrelated to disturbed eating attitudes
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Document Summary
Disordered eating-unhealthy eating behaviors but not necessarily an eating disorder. Anorexia: refusal to maintain body weight, maintenance of body weight less than 85% of expected based on bmi, disturbance in the way one view themselves and their body. Putting hospitalized patients together can be dangerous because they are continuously comparing themselves to others. Restrictive- not regualary engaging in purging and bing eating. 10% of those with eating disorders are men and are more likely to binge eat than restrict. 30% boys and 25% of girls reported teasing by peers about weight which triggers eating disorders. Psychotherapy: emphasis placed on thoughts, emotions and behaviors. Family approaches: educating family about how to provide care. Nutritional management: dietitian or nutritionist to ensure patient is receiving sufficient vitamins and minerals. Neg perfectionism+ low self esteem leads to loss of control. Loss of control causes controlled eating and is the driving force to disordered eating.