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eating habits
Anorexia nervosa
Bulimia nervosa
ANOREXIA NERVOSA
Definition
These are dangerously thin people, only they fail to
recognize as such. Avoiding food is an obsession with
them. They would rather stick to certain low calorie food
or would carefully weight and portion food. People with
anorexia may repeatedly check their body weight, and
many engage in other techniques to control their weight
such as intense and compulsive exercise or vomiting.
Girls with Anorexia often experience a delayed onset of
their first menstrual period. If things get worse, it can
even cause death.
Causes
Genetic.
Six to ten per cent of siblings of affected women
suffer from anorexia nervosa. There is an
increased concordance amongst monozygotic
twins, suggesting a genetic predisposition.
Hormonal. The reductions in sex hormones and
the hypothalamic-pituitary-adrenal axis are
secondary to malnutrition and usually reversed
by refeeding.
Causes…
Psychological factor
Individual
Anorexia nervosa has often been seen as an
escape from the emotional problems of
adolescence and a regression into childhood.
Patients will often have had dietary problems in
early life. Perfectionism and low self-esteem are
common antecedents. Recent studies suggest
that survivors of childhood sexual abuse are at
risk of developing an eating disorder, usually
anorexia nervosa, in adolescence.
Causes
Family.
Families of such patients are allegedly
characterized by overprotection, inflexibility and
lack of conflict resolution. Anorexia is alleged to
prevent dissension in families. However, a
recent case control study suggested that there
is no more evidence of these factors in families
of anorexia nervosa than in control families with
a child with an established physical disease
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