Anorexia nervosa in cystic fibrosis

Linkson, Lynette; Macedo, Patricia; Perrin, Felicity; Elston, Caroline

doi:10.1016/j.prrv.2017.03.002

Cited by 8 publications

(11 citation statements)

References 8 publications

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“…In addition, those patients with CF also add malabsorption due to the associated impairment in exocrine pancreatic function (42). A relevant symptom that frequently appears in chronic respiratory diseases is anorexia (43)(44)(45), defined as a reduction or loss of appetite. This symptom can be related to the lung disease itself but also to the treatment and/or the accompanying emotional distress, and can worsen nutritional abnormalities.…”

Section: Inappropriate Diet Anorexia and Malabsorptionmentioning

confidence: 99%

Nutritional status and muscle dysfunction in chronic respiratory diseases: stable phase versus acute exacerbations

Gea¹,

Sancho-Muñoz²,

Chalela³

2018

J. Thorac. Dis.

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Nutritional abnormalities are frequent in different chronic respiratory diseases such as chronic obstructive pulmonary disease (COPD), bronchiectasis, cystic fibrosis (CF), interstitial fibrosis and lung cancer, having important clinical consequences. However, nutritional abnormalities often remained underdiagnosed due to the relative lack of awareness of health professionals. Therefore, systematic anthropometry or even better, assessment of body composition, should be performed in all patients with chronic respiratory conditions, especially following exacerbation periods when malnutrition becomes more accentuated. Nutritional abnormalities very often include the loss of muscle mass, which is an important factor for the occurrence of muscle dysfunction. The latter can be easily detected with the specific assessment of muscle strength and endurance, and also negatively influences patients' quality of life and prognosis. Both nutritional abnormalities and muscle dysfunction result from the interaction of several factors, including tobacco smoking, low physical activity-sedentarism, systemic inflammation and the imbalance between energy supply and requirements, which essentially lead to a negative balance between protein breakdown and synthesis. Therapeutic approaches include improvements in lifestyle, nutritional supplementation and training. Anabolic drugs may be administered in some cases.

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Section: Inappropriate Diet Anorexia and Malabsorptionmentioning

confidence: 99%

Nutritional status and muscle dysfunction in chronic respiratory diseases: stable phase versus acute exacerbations

Gea¹,

Sancho-Muñoz²,

Chalela³

2018

J. Thorac. Dis.

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“…Second, it is also the case that sampling female adolescents and young adults with eating disorders (Collin et al., 2016; Cornelius & Blanton, 2016; Macleod, 1981; Pelletier Brochu et al., 2018) carries a risk of including those with additional psychiatric and somatic issues. Indeed, there is a considerable overlap between eating disorders and perfectionism (Johnston et al., 2018), complex multiple physical symptoms and comorbid psychiatric disorders (Cooney et al., 2018; Marucci et al., 2018), body image disturbances (Lewer et al., 2017), obesity (He et al., 2017), cystic fibrosis (Linkson et al., 2018), and Type I Diabetes (Toni et al., 2017). It is therefore quite possible that latent confounders biased the results of the studies referred to above.…”

Section: Discussionmentioning

confidence: 99%

Self-Esteem and Symptoms of Eating-Disordered Behavior Among Female Adolescents

Sani¹,

Fathirezaie

Gerber³

et al. 2020

Psychol Rep

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Background Compared to males, female adolescents show greater concerns about their appearance, concerns related to their self-esteem. We explored the associations between self-esteem, body image and BMI as proxies for appearance, and eating-disordered behavior among adolescent females. Methods A total of 263 females (mean age:15.78 years) took part in this study. They completed questionnaires covering anthropometric characteristics, self-esteem, eating-disordered behavior, subjective physical activity levels, and body image. Results Higher scores for self-esteem were associated with higher scores for eating-disordered behavior, indices of physical activity, and slimmer body image. Body image was not associated with eating-disordered behavior. Multiple regression analyses showed that self-esteem, but not physical activity, or body image predicted eating-disordered behavior. Conclusions Among a non-clinical sample of female adolescents, self-esteem and eating-disordered behavior were positively associated. Body image was associated in a complex and contradictory fashion. It is possible that cognitive-emotional mastering of the vital impulse to eat may enhance self-esteem.

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“…Table 1 describes all available primary research evaluating disordered eating attitudes and practices and the prevalence of EDs. Most studies have adopted a cross-sectional design [ 16 , 17 , 18 , 19 , 20 , 21 ], with few case-control studies [ 22 , 23 , 24 , 25 , 26 , 27 , 28 ] and case reports [ 8 , 29 , 30 , 31 ]. Research originates mainly from the UK [ 8 , 16 , 17 , 18 , 20 , 21 , 22 , 23 , 30 ], the USA [ 19 , 25 , 26 , 27 , 31 ], Canada [ 24 , 29 ], and Australia [ 28 ].…”

Section: Research On Disordered Eating Eds and Other Feeding And Eds ...mentioning

confidence: 99%

“…Nevertheless, several additional comorbidities appear to change these dynamics, and visibly apparent factors, including scars, ports, and tubes, and the need for supplementary oxygen supply, may also influence body image perception [ 11 ]. For instance, in CF-related diabetes, women have been dissatisfied with their body appearance, exhibiting low self-esteem [ 30 ]. When patients with CF receiving no intervention were compared to those on a nasogastric tube or receiving oral nutrient supplementation, the first exhibited more aggravated dieting behavior [ 22 , 23 ].…”

Section: Research On Disordered Eating Eds and Other Feeding And Eds ...mentioning

confidence: 99%

Eating Disorders and Disordered Eating Behaviors in Cystic Fibrosis: A Neglected Issue

et al. 2022

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As with the majority of chronic diseases having specific nutrition recommendations, in cystic fibrosis (CF), the emphasis placed on patients regarding their diet and ideal body weight status often increases the risk of developing disordered eating behaviors and by inference, eating disorders (EDs). Body weight appears to be an important concern for patients with CF, with many patients struggling to lose weight. Between sexes, women appear more preoccupied with dieting compared to men, but exhibit a better body image, mainly due to their preference for a lower weight. Several comorbidities appear to change these dynamics, and visibly apparent factors, including scars, ports, and tubes, and the need for supplementary oxygen supply, may also influence body image perception. Disordered eating is usually initiated during a bout of pulmonary infection, with the patient feeling unwell to eat. Regarding the prevalence of EDs, research appears conflicting on whether it is higher among individuals with a CF diagnosis or not. As for comorbidities, anxiety and depression consist of the most common psychiatric diagnoses in CF, also greatly prevalent in EDs. Despite the plethora of studies, non-specific CF tools, small samples, and lack of data regarding important outcomes, including lung health, indicate the need for more research.

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Anorexia nervosa in cystic fibrosis

Cited by 8 publications

References 8 publications

Nutritional status and muscle dysfunction in chronic respiratory diseases: stable phase versus acute exacerbations

Nutritional status and muscle dysfunction in chronic respiratory diseases: stable phase versus acute exacerbations

Self-Esteem and Symptoms of Eating-Disordered Behavior Among Female Adolescents

Eating Disorders and Disordered Eating Behaviors in Cystic Fibrosis: A Neglected Issue

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