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What are Eating Disorders?

Eating disorders are generally defined by severe disturbances in eating behavior. According to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) the specific diagnoses include Anorexia Nervosa, Bulimia Nervosa, and Eating Disorders Not Otherwise Specified. Binge Eating Disorder is currently included in the subcategory Eating Disorders Not Otherwise Specified as experts are in the process of researching and determining if Binge Eating Disorder should become its own diagnostic category.

For a description of each of the major eating disorders (summarized from the Academy for Eating Disorders Website), click on the links below:

 Anorexia Nervosa
 Bulimia Nervosa
 Binge Eating Disorder
 Eating Disorder Not Otherwise Specified

While they are each slightly different in their presentation, they are all associated with physical and emotional distress. Eating disorders are very serious psychiatric illnesses as they are associated with many medical conditions and even death.

Statistics

About 0.5 - 1.0 % of late adolescent or adult women meet criteria for the diagnosis of Anorexia Nervosa while approximately 1.0 - 2.0 % of late adolescent and adult women meet criteria for the diagnosis of Bulimia Nervosa.

When looking at the symptoms more generally (and not looking at satisfying a full diagnosis), about 10% or more of late adolescent and adult women report symptoms of eating disorders, which are also concerns for physical and emotional health. In addition, the vast majority of American women are dissatisfied with their appearance and/or body. Some will develop full-blown eating disorders, some will experience symptoms but will not meet diagnostic criteria, and others may not experience difficulties. Although treatment could be helpful at any point in time, it is important not to wait until one has a full blown eating disorder; early treatment may prevent the manifestation of a more serious disorder.

Obesity

Obesity is not a psychiatric illness. Rather, it is included in the International Classification of Diseases as a general medical condition. This is because obesity has not been consistently associated with any psychological syndrome. Nevertheless, many patients who are obese experience mental disorders alongside including depression, anxiety, binge eating, pain, and other diseases and disorders.

Obesity is measured by body mass index or BMI (calculated as weight in kilograms divided by height in meters squared).

BMI
Calculate Your Body Mass Index

Body mass index (BMI) is a measure of body fat based on height and weight that applies to adult men and women.
  • Enter your weight and height using Standard or Metric measures.
  • Select "Compute BMI" and your BMI will appear below.
STANDARD   METRIC
 
Your Height 
 
 
  (Pounds)
 
Your BMI
 
 
 
 
 
  (Centimeters)
  (Kilograms)
 
Your BMI
 
 
BMI Categories BMI is an estimate of body fat and a good gauge of your risk for diseases that can occur with more body fat. The higher your BMI, the higher your risk for certain diseases such as heart disease, high blood pressure, type 2 diabetes, gallstones, breathing problems and certain cancers.
< 18.5 Underweight
18.5 – 24.9 Healthy weight
25.0 – 29.9 Overweight
30.0 – 39.9 Obese
40.0 + Extreme obese

Obesity is a complex interaction of genetics and environmental causes. Depending on level of BMI, treatment entails diet, physical activity, behavior modification, medication, or bariatric surgery.

 
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