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mntrevino
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the inability to control overeating accompanied by guilt, but no compensation to prevent wt gain
bine eating disorder
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eating in the absence of hunger or regardless of feeling full some people have both problems causing obesity
compulsive overeating
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the cause of overeating syndromes is unknown but growing evidence show that
biochemical factors are involved
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there is an imbalance of neurotransmitters& neurohormones which affect the appetite center in the brain such as
norepinephrine, serotonin or orexin A or B or leptin or cortisol
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a hormone released by the adrenal cortex in response to stress
cortisol
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a hormone secreted by the mucosa of the upper small intestine that cause lab animals to stop eating when they feel full
cholecystokinin
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natural chemicals with marijuana-like properties that activate the appetite center
endocannabinoids
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psychoactive chemicals that stimulate eating behavior in research animals
Y and YY neuropeptides
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increased amounts of endocannabinoids or increased sensitivity to their presence explains
some syndrome characterized by overeating, & using it as a way of coping to stress
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complications of binge or compulsive eating
hyperlipidemia, HTN, type 2 DM, degenerative arthritis,and sleep apnea
- high risks : gallbladder dz, heart dz, & types of CA
- some may feel unhappy, ashamed, disgusted w/self & isolate themselves
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s/s of binge or compulsive eating
- eat foods in high sugar & high fat
- nibble over several hours or gorge until uncomfortable
- when angry,sad,bored,or anxious
- hx of alcohol, drug abuse, or suicide
- self mutilation-cutting,burning, pulling hair,punish self
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diagnostic findings of binge or compulsive eating
- BMI over 30
- elevated BG, cholesterol, and serum lipid levels
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medical management: tx for binge or compulsive eating
- sensible wt loss regimen
- weight reduction
- psychotherapy
- self help support groups
- strict dieting prohibited-
- short term drug therapy
- surgery
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meds for binge/compulsive eating
- antidepressants-SSRI
- prozac,fluoxetine
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goals for maintaing wt loss
a goal of 10% to 20% rathar than an ideal wt
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