Anorexia is no longer a problem isolated to just younger women; it is an
affliction that is growing in its reach and numbers to people of all ages
and walks of life. Anorexia Nervosa is characterized by self-starvation
and excessive weight loss. Anorexia may in some cases be associated with
bulimia. Girls whose
families criticize their weight or eating habits may develop lasting
problems with body image and self-esteem. This web site discusses anorexia
treatment.
Anorexia symptom
Anorexia symptoms include:
* Refusal to maintain body weight at or above a minimally normal weight
for height, body type, age, and activity level
* Intense fear of weight gain or being fat
* Feeling fat or overweight despite dramatic weight loss
* Loss of menstrual periods
* Extreme concern with body weight and shape
Subscribe
to a FREE
Supplement Research Update newsletter.
Twice a month you will
receive an email with brief abstracts of several new studies on various
supplements and natural medicine topics and their practical interpretation by
Ray Sahelian, M.D.
We will mention research updates on anorexia nervosa treatment when available.
Anorexia treatment
Early treatment for anorexia involves behavioral techniques,
psychotherapy for improved self-esteem, and a variety of approaches
including nutritional therapy, massage, and relaxation exercises.
Treatment of anorexics is especially difficult because these individuals
are resistant to getting help. More than 95% of anorexics deny that they
have a problem and view anorexia treatment as an attempt to "make them fat." They
believe that their low body weight is the solution, not the problem. This
means that those who are close to the anorexic individual must take an
active role in getting help. They may need to accompany the anorexic to
appointments to make sure that the anorexic's behaviors are adequately
described. When a person with suspected anorexia consults a doctor for
diagnosis and treatment, the doctor first makes sure that endocrine,
metabolic, and central nervous system disorders do not explain the
apparent weight loss. They do a physical exam and take a physical history.
In an individual with anorexia, the physical problems are usually the result of
not eating.
Teen Anorexia
Young girls with eating disorders whose growth is stunted by undernutrition may
achieve catch-up growth in height if they regain weight soon enough -- but it
takes several years. For most people with an eating disorder, weight loss begins
at an age when little further growth is expected. Younger patients who have not
yet completed puberty, however, may experience insufficient weight gain and
stunted growth at an age when further increases in stature would normally be
expected. To investigate whether such patients are at risk of permanent short
stature, researchers measured catch-up growth in a study of 46 girls with eating
disorders, such as anorexia nervosa. At the start of the study the girls, who
were 13 years old on average and weighed about 77 pounds, had heights that were
below what was expected, based on their prepubertal measurements. The girls
quickly gained weight during their first year of treatment for the eating
disorder, and continued to gain weight at a slower rate during the following
years. However, the girls continued to lag even further behind in height during
the first year, and it was only during their second to fourth years of treatment
that they achieved catch-up growth. Three out of four girls began their periods
during follow-up. By the last check-up, these girls achieved weights and heights
similar to that of their peers in the general population and had resumed their
pre-pubertal growth track. Those that had not begun menstruation experienced
smaller increases in height and weight. International Journal of Eating
Disorders, December 2005.
Anorexia and Osteoporosis
Women with anorexia are prone to develop brittle bones, but medical
treatment either with the bone-strengthening
calcium and
vitamin D effectively reverses the degree of
osteoporosis. To prevent bone loss
and fracture risk in patients with anorexia nervosa, it is very important,
albeit challenging, to restore normal weight but in the meantime, calcium and
vitamin D supplementation seems to be a good anorexia treatment for the bones. International Journal of Eating Disorders, January 2006.
Cause of Anorexia
The cause of anorexia nervosa is not fully known. Anorexia usually begins
as innocent dieting behavior, but gradually progresses to extreme and unhealthy
weight loss. Social attitudes toward body appearance, family influences,
genetics, and neurochemical and developmental factors are considered possible
contributors to the cause of anorexia. Adolescents who develop anorexia are more
likely to come from families with a history of weight problems, physical
illness, and other mental health problems, such as
depression or
drug
abuse. Mental health problems such as
anxiety disorders or affective disorders
are commonly found in teens with anorexia.
Genetic factors account for more than 50 percent of the
risk of developing anorexia nervosa, according to a report in the Archives of
General Psychiatry. This information should provide some reassurance to patients
and families that the disease is not the result of something they did wrong. The
findings are based on a comparison of anorexia in identical and fraternal twins
logged in the Swedish Twin Registry. The study featured 31,406 subjects, born
between 1935 and 1958, who were screened for anorexia nervosa and other
disorders from 1999 through 2002. Detailed information on all subjects was also
provided in 1972 to 1973. Anorexia statistics showed the overall
prevalence of anorexia nervosa in women was 1.20 percent and in men, 0.29
percent.
Anorexia Danger
Full recovery from anorexia nervosa is slow, and women with the disease
have close to a nine-fold increased risk of death. Anorexia nervosa patients who
are treated during adolescence fare much better than those who undergo treatment
as adults. Women who fare poorly are more likely to also have
sexuality problems
such as low libido, and impulsivity. They also suffer from their eating disorder longer before
receiving treatment for the first time.
Hair Analysis for Bulimia or
Anorexia
Scientists at Brigham Young University have developed a test that may be able to
diagnose anorexia and bulimia by analyzing the nitrogen and carbon content of
just a few strands of hair. Right now, diagnosis of these disorders relies
heavily on the patients' honesty about their eating habits and body image. This
is a significant obstacle because women with anorexia or bulimia often deny that
they have a problem. For hair to grow, proteins have to be added to the base of
the strand, and the composition of these proteins is influenced by diet. So each
strand essentially contains a record of dietary intake over time. For their
study, Hatch and his colleagues measured the carbon and nitrogen ratios in hair
samples from 20 women with anorexia, bulimia or both, and from 23 healthy women.
They found that the test was able to identify those with an eating disorder 80
percent of the time. Rapid Communications in Mass Spectrometry, November 30,
2006.
anorexia y bulimia is the Spanish
pro anorexia
Sign of anorexia
The main sign of anorexia nervosa is weight loss, accompanied by unusual
behaviors related to food, eating, or exercise. A person for whom a healthy
weight would be 130 pounds, for example, may drop 25, or even as much as 50
pounds below this normal weight. Even in this thin condition, the person with
anorexia may insist that he or she is overweight. Additional anorexia signs
include changes in menstrual cycle, mostly minimal or absent, cold hands and
feet, dry skin, and thinning hair. Another sign of anorexia could be bloated
stomach.
Anorexia nervosa questions
Q. Should women with anorexia take a
multivitamin?
A. Yes, that would be reasonable anorexia treatment for potential
vitamin deficiencies.
Q. Are there any
herbs that improve appetite?
A. I have not studied this area that much, and besides
marijuana I am not
familiar with other herbs that improve appetite.
Q. Could
5-HTP be helpful for
anorexia treatment?
A. It's difficult to say whether 5-HTP offers an effective anorexia
treatment since 5-HTP helps with
serotonin increase, but 5-HTP could also curb appetite.