Eating Disorders: Anorexia Nervosa and Dialysis: We Have No Time When the Body Is So Damaged!

Anorexia nervosa and dialysis: we have no time when the body is so damaged!

Filed under: Eating Disorders

BMJ Case Rep. 2013; 2013:
Osório E, Milheiro I, Brandão I, Roma Torres A

Anorexia nervosa remains challenging to treat and difficult to prevent. Nearly 5% of affected individuals die of this disease and 20% develop a chronic eating disorder. Anorexia nervosa may be associated with several medical complications of varying severity, including dysfunction of the renal system. Though there are some reports of renal failure in patients with anorexia nervosa, few reports are available concerning patients who required maintenance dialysis. We report a case of a patient with long-term untreated anorexia nervosa-binge eating/purging type who started psychiatric treatment when in a life-threatening situation (renal failure requiring dialysis), with unsuccessful weight recovery while on dialysis and died of septicaemia. The mechanisms that seem to be involved in the development of end-stage renal disease in this patient and the challenges associated with her treatment are reviewed. Patients with anorexia nervosa should be carefully monitored to discover the subtle manifestations of early renal failure.
HubMed – eating


Access to excess: how do adolescents deal with unhealthy foods in their environment?

Filed under: Eating Disorders

Eur J Public Health. 2013 Jan 16;
de Vet E, de Wit JB, Luszczynska A, Stok FM, Gaspar T, Pratt M, Wardle J, de Ridder DT

Purpose: Easy access to unhealthy foods is believed to contribute to the current overweight epidemic. It remains unclear, however, how access to unhealthy foods is related to self-regulation of food intake. This study tests the hypothesis that using self-regulation strategies buffers the negative influences of easy access to unhealthy foods. METHODS: Cross-sectional survey data from 2764 adolescents aged 10-17 years from four European countries (The Netherlands, UK, Poland and Portugal) about use of self-regulation strategies, access to unhealthy foods and intake of unhealthy foods (sweet and salty snacks and sugar-sweetened beverages) were used. RESULTS: Both access to unhealthy foods and use of self-regulation strategies were independently, but in opposing directions, related to intake of unhealthy foods. Easy access to unhealthy food products was associated with higher consumption, but this effect could be attenuated by use of self-regulation strategies to facilitate healthy eating even when the food environment tempts one to do otherwise. CONCLUSIONS: Health promotion policy and programs should not only address the food environment but could also teach young people better strategies to deal with it.
HubMed – eating


Prediction of Survival by Pretreatment Health-Related Quality-of-Life Scores in a Prospective Cohort of Patients With Head and Neck Squamous Cell Carcinoma.

Filed under: Eating Disorders

JAMA Otolaryngol Head Neck Surg. 2013 Jan 1; 139(1): 14-20
Osthus AA, Aarstad AK, Olofsson J, Aarstad HJ

OBJECTIVE To evaluate the association between pretreatment health-related quality-of-life (HRQOL) scores and survival in a heterogeneous cohort of patients with newly diagnosed head and neck squamous cell carcinoma (HNSCC). DESIGN Prospective cohort study. SETTING University hospital and referral center in Western Norway. PATIENTS A total of 106 patients with intact cognitive functioning who were younger than 78 years, were diagnosed as having HNSCC, and underwent treatment with curative intent from November 1, 2002, through June 30, 2005. MAIN OUTCOME MEASURES Overall survival and HRQOL scores obtained at the time of diagnosis. RESULTS All dichotomized HRQOL sum scores except the functional score (P = .20) were significantly predictive of survival in univariate analyses. The hazard ratios of the dichotomized general symptom, global quality-of-life, and head and neck sum score were 3.66, 0.31, and 2.28, respectively. All sum scores except the dichotomized functional score remained predictive of survival after sequential adjustment for sociodemographic and clinical characteristics, neuroticism, choice of psychological coping, current smoking and alcohol consumption, and comorbidities. Similar findings were found for specific HRQOL indices of physical functioning, dyspnea, sleep disturbance, appetite loss, swallowing, and social eating from the European Organization for Research and Treatment of Cancer 30-Item Core Quality of Life Questionnaire, version 3.0, and the Quality of Life-Head and Neck Cancer Module. Moreover, patients in the highest scoring quartiles for the symptom sum scores and/or the lowest scoring quartile for the global score had overall mortality rates of 50% to 64% compared with 23% to 26% among the other patients. CONCLUSION The HRQOL sum scores and specific indices among HNSCC patients predict survival independently of established known prognostic factors.
HubMed – eating



Littlest Pet Shop: Popular (Episode #18: Savannah) [SEASON 2 PREMIERE – Part 1/2] – A lot can change in just a few weeks. Things seem to be going wonderfully for Savannah… but who says that can’t be taken away in the blink of a perfectly made-up eye? There’s a new beauty in town — Brigitte. She’s fresh, French and fabulous… and she’s also a little too close for comfort. VERY IMPORTANT WARNING: The Popular series is rated PG. Although these videos are made with Littlest Pet Shop toys, the Popular series is NOT meant for very young children and is geared more towards preteens. This story is set in a high school and thus explores themes that are definitely more mature (but not too mature, don’t worry), the most prevalent being teenage romance and eating disorders. Although the theme of eating disorders is dominant in my story, this does NOT mean that I condone eating disorders in any way. Eating disorders are awful and I would NEVER want to encourage anyone to adopt one. Instead, I wish to educate about them and their dangers, and this will become clearer as the story progresses. Please be aware of this! Also, while teenage romance is explored in this story, there is nothing inappropriate. But if you can’t handle plastic toys kissing each other, you should probably go watch a different video. Viewer and PARENTAL discretion is always advised. Viewers, if you are not sure, ask your parents please! A HUGE THANKS to Girls Love Shoes for letting me use their song Bad Girl! SUSCRIBE TO THEIR CHANNEL: ? BUY “BAD GIRL” ON ITUNES: ?


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