Eating disorder is a serial mental illness related to food consumption patterns.Here the way of prevention and treatment is briefed.

1. Name
Eating Disorder
Md. Sabbir Hossain
Institution
Mawla Bhashani Science
and Technology University
Food Technology and
Nutritional Science

2. Eating Disorder
Eating Disorder is a mental illness
that is described as the irregular
eating habits in addition to the
unusal overly concern about the
body weight and shape.
It has the highest mortality
rate over any other
psychiatric disorder

3. Eating Disorder Statistics
7000
every year in Eating disorder
1/10 Men suffer from Eating Disorder
1/5 women suffer from Eating Disorder
95%Eating disorder age
between 12-25. Among
them
of People withPeople die
42%
Girls want to be thinner
52%
Of high school girl fast
or skip meal

4. 86 %
Eating Disorder rate among different age of people
10% Diagnosed less than 10 years of age
Patients are diagnosed as preteen and adolescent
upto the age of 15
33%
86% Patients are diagnosed with eating disorder
before the age of 20

5. Causes of Eating Disorder
Psychological Factor
• Low self-esteem
• Feeling of inadequacy, lack of control in life
• Depression, anxiety, strees ,loneliness, trauma
Interpersonal Factor
Biological Factor
• Genetics
• Irregular hormone functions
• Troubled relationships
• Difficulty expressing emotions
• Hx of being teased based on
shape/weight
• Hx of physical or sexual abuse

6. Causes of Eating Disorder
• Cultural pressure that glorify “thinness or muscularity and place value
on obtaining “perfect body”
• Narrow definition of beauty
• Cultural norms that value people on the basis of physical appearance
and not inner qualities and strength
Others
• Inappropriate food consumption pattern
• Using smartphone while eating
• Forcibly feeding
Cultural Factor

7. Anorexia Nervosa
Bulimia Nervosa
Binge Eating Disorder
Rumination Disorder
Pica
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2
3
4
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Night Eating Disorder
Types of Eating Disorder
Avoid food due to the fear of getting fat
Eat large amount of food at a time and then compensate or purge
Eat large amount of food at a time but don’t purge
Eat large amount of food in the evening and throughout the night
Eating things that are not considered as food. Such as ice, dirt, soil, chalk etc
A condition in which a person regurgitates food they have previously
chewed and swallowed, re-chews it, and then either re-swallows it or
spits it out

8. The male and female who is suffering from anorexia have a disorted body image,
which makes them see themselves as overweight even when they are dangerously
thin.
Anorexia Nervosa
• People with anorexia limit the quantity of food they eat to maintain a body
weight that is below a minimal normal level of age, sex and physical health.
• Anorexia nervosa has the highest death rate of any mental disorder.
• Anorexia are more likely to be female 90-95% .

9. Sign and Symptoms of Anorexia Nervosa
A distorted view of body
weight, size and shape
Sees self as a fat even
when very underweight
Obsessively counting
calories or gram of fat in
the diet
Denial of feeling hunger
Compulsive or excessive
exercise
Pronounced emotional
changes such as irritability,
depression and anxiety

10. Nervosa
Effect of
Anorexia
BRAIN
Preoccupation with food and weight,anxiety, depression
MOUTH
THROAT
HEART
STOMACH
INTESTINES
HORMONES
KIDNEYS
SKIN
MUSCLES
Erosion of dental enamel, swollen jaw, bad breath, gum disease, tooth decay
Chronic sore throat, indigestion,inflamed or repture of oesophagus
Irregular or slow heart beat, cardiac arrest, heart failure, low blood presuure
Ulcer, pain, stomach rupture
Bowel problems, constipation,diarrhea,cramps
Irregular or absent of periods, loss of libido, infertility
dehydration
Calluses on knuckles, dry skin
Fatique, cramps caused by electrolyte imbalance, tiredness, lethargy

11. • People with bulimia frequently eat
usually large amount of food in a
specific period of time and then purge
• 80% bulimic are female
It is characterized by a cycle of bingeing
and purging behaviors such as force
vomiting ,fasting, laxatives, diuretics,
enemas and excessive exercise
Bulimia Nervosa
Binge Eating cycle
Deprivation,
food obsession
Binging,mindles
s,overeating
Guilt and
shame
Desperate to be
in control again
Search for a
better diet
Begin diet

12. Sign and Symptoms of Bulimia Nervosa
Recurrent
episodes of
binge eating
with a feeling
of lack of
control
Eating large
amount food
with no
apperant
change
Recurrent
episodes of
inappropriate
purging
behavior to
prevent
weight
Excessive
exercise to
prevent
weight
Frequent tips
to the
bathroom
after meals

13. Nervosa
Effect of
Bulimia
BRAIN
Preoccupation with food and weight,anxiety, depression
MOUTH
THROAT & ESOPHAGUS
HEART
STOMACH
INTESTINES
HORMONES
KIDNEYS
SKIN
MUSCLES
Cavities, tooth enamel erosion, cheeks swelling teeth sensitive to hot and cold foods
Sore,irritated, can tear and rupture, blood vomit
Irregular heart beat cardiac arrest, heart failure, low pulse and blood pressure
Ulcer, pain, stomach rupture, delayed emptying
Bowel problems, constipation,diarrhea,cramps
Irregular or absent of periods
Problems grom diuretic abuse
abrasion on knuckles, dry skin
Fatique,
BODY FLUID
Dehydration, low potassium, sodium, magnessium

14. Binge Eating Disorder (BED) is described by consuming larger amount of food
than normal people usually eat in the same period of time and circumstances,
the person generally lose the control over his or her eating
Binge Eating Disorder (BED)
• Unlike bulimia nervosa, periods of binge eating are not followed by purging,
excessive exercise or fasting. As a result people with binge eating disorder
often are overweight or obese
• 60 binge eating disorder are female

15. Sign and Symptoms of Binge Eating Disorder
Eating large amount of food rapidly
Eating food until comfortably full
Consuming large amount of food, when even not feeling physically hungry
Consuming alone to avoid embrassement or feeling disgusted or guily after the
eating event
No use of purging behaviors such as calorie restriction,vomiting,exercise
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16. Eating
Effect of
Binge
BODY
Weight gain, fatique, lethargy
BRAIN
THROAT
HEART
STOMACH
GALLBLADDER
PANCREAS
KIDNEYS
BONES
Sleep apnoea
High blood pressure, high cholesterol, strock, heart attack
Ulcer, pain, stomach rupture
Galbladder disease
Types 2 diabetes
Chronic kidney problem, kidney failure
osteoarthritis
Disorder
Low self-esteem, anxiety, depression, guilt, distressed by behaviour

17. Complications
A eating disorded person with diabetes, typically type 1 diabetes ,where in
the person purposely restricts insulin in order lose weight (National Eating
Disorder Association, 2018)
Diabulimia
• Diabulimia is considered the most dangerous eating disorder ,but
sad thing is that diabulimia is not an official eating disorder

18. This means If a diabetic
begins insulin
manipulation at the age
of 17, she could be
totally blind, suffering
terrible nerve pain or
anticipating kidney
transplant by her mid-
20s
Medical complication of
diabetes such as vision
loss, kidney failure
escalate dramatically.
The mortality rate for
these young women
escalates to 35%
Manipulating insulin as
a form of weight control
places their health and
lives in extreme
jeopardy
Diabetes is already hard
on the body, add
anorexia to the mix and
it goes from merely
hard to horrific
Consequences of Diabulimia

19. Re-feeding Syndrome is
one of the most prevalent
complications characterized
by the inability of the body
to cope with the extreme
change in metabolic
function.
Re-feeding Syndrome

20. Assemble your treatment team
Address health problems
A long term treatment
Learn self help stratigies
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Treatment of Eating Disorder
• Effective treatment not only address your symtoms and destructive eating habits but also
address the root cause of the problems that lead to disordered eating and difficulty coping
with stress, anxiety, fear , sadness.
The following steps involve for the treatment of eating disorder

21. Assemble your treatment team
1
Treatment teams
• Family
• Trained volunteer or social
worker
• People who recovered from
eating disorder
• Nutritionist
• Psychologist
• Psychiatrist
• Physician
• Fitness consultant
Non Professional Professional

22. Address health problems
2
• Eating disorder can be deadly and not just if you’re drastically
underweight, your health may be in danger,even if you only
occasionally fast, binge or purge.so it is important to get a full
medical evaluation.
• If the evaluation reveals health problem they should take priority.
• If you’re suffering from any life threatening problem, you may need
to be hospitalized in order to keep you safe.

23. A long term treatment
3
Once your health problems are under control, you and your treatment
teams can work a long term recovery plan.
This includes …
(a) Individual therapy This therapy can help to
• Improve your self-esteem
• Learn healthy way of responding to stress and emotional pain

24. (b) Family therapy
A long term treatment3
• Family therapy can help your family members how the eating disorder affecting
your relationship.
• Together they will work to improve communication, respect and support.
(c) Nutritional therapy
• The goal of nutritionist or dietatian is to help you incorporate healthy eating
behavior into your every life.
• Nutritionist can’t change your habits overnight, but over a period of time
you can learn to develop a healthier relation with food .

25. (d) Medical monitoring
A long term treatment3
• Treatment will include monitoring by a doctor to make sure wheather you are in
danger.
• This may include blood test, ECG and other health screening.
(d) Residential treatment
• In rare case, you may need more support than can be provided on a outpatient
basis
• The goal is to get you stable enough to continue treatment at home.

26. (f) Fitness therapy
• It will help you to reduce anxiety, stress, depression.
• It will help you to build self-esteem and sharpen memory.
• It will lessen muscle loss and fatique.
• It will make you happier and provide quality of life .
A long term treatment3

27. Learn self help stratigies
4
Tips 1 Learn healthier way of cope with emotional pain
Here are few suggestion to get started
• Write in a journal
• Go to movies
• Get out into nature
• Do something helpful to
someone else
• Call a friend
• Listen to music
• Play with pet
• Read a good book

28. Tips 2 Develop a balance relationship with food
• Let go rigid eating rules
• Don’t diet all the time
• Don’t skip meal
• Learn to listen your body
Tips 3 Learn to accept and love yourself as you are
• Placing too much importance on how you look leads to low self-esteem
• Make a list of your positive qualities
• Stop body checking and avoid fat talk
• Dress for yourself, not others
• Stop comparing with others
• Stay active
Learn self help stratigies4

29. Tips 4 Avoid relapse
• Develop a solid support system
• Identify your ‘triggers”
• Fill your live with positive thoughts
• If you lapse don’t beat yourself up
Learn self help stratigies4

30. Do’s and Don’ts for Parents
Eat together
Keep
conversations
positive during
meals
Try to reduce
stress and “food
talk” at the table
Distract after
meals
Plan ahead
Do
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31. Do’s and Don’ts for Parents
Don’t talk about
portion size or
treatment
Don’t use food as
reward or
punishment
Don’t label food
as good or bad
Avoid ‘health” or
fashion magazine
Don’t make your
child feel guilty
Don’t
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32. Conclusion
Story of Brittany Burgunder (Mental health advocate)
“No food will ever hurt you as much as unhealthy
mind”
25kg 95kg 56kg

33. Thank you for your
kind attention