Nutritional therapy for bulimia nervosa
Keywords:
Counseling, Bulimia nervosa, Food habits, Nutrition therapyAbstract
Bulimia nervosa is an eating disorder characterized by binge eating and compensatory behaviors. The patients present inappropriate food intake and dysfunctional eating behaviors. Proper treatment of this disorder requires a multidisciplinary team and specialized nutrition therapy. It is fundamental to understand the characteristics of this disorder, the intake patterns and the eating behavior, and be attentive to the eating attitudes of these patients to plan and conduct a nutritional approach properly. The nutrition therapy for this disorder is specific and demands greater skillfulness in nutrition counseling from the dietician. Nutrition therapy focuses on nutrition education and nutrition counseling, mainly addressing eating attitudes and dissatisfaction with body image. The professional must keep abreast on nutrition and eating disorders and seek specialization and experience in this area of knowledge to provide efficient care for these patients and succeed in their treatment.
Downloads
References
Russell GFM. Bulimia nervosa: an ominous variant of anorexia nervosa. Psychol Med. 1979; 9(3):429-8.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-III). 3rd ed. Washington (DC): American Psychiatry Association; 1980.
American Psychiatry Association. Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 4th ed. Washington (DC): American Psychiatry Association; 1994.
Organização Mundial de Saúde. Classificação de transtornos mentais e de comportamento da CID-10. Descrições clínicas e diretrizes diagnósticas. Porto Alegre: Artes Médicas; 1993.
Oppenheim AN. Questionnaire design and attitude measurement. New York: Basic Books, 1966.
Alvarenga MS, Scagliusi FB, Philippi ST. Changing attitudes, beliefs and feelings towards food in bulimic patients. Arch Latinoam Nutr. 2008; 58(3): 274-9.
Reiff DW, Reiff KKL. Eating disorders: nutrition therapy in the recovery process. Maryland: Aspen Publishers; 1992.
Mitchell JE, Laine DC. Monitored binge-eating behavior in patients with bulimia. Int J Eat Disord. 1985; 4(2):177-83.
Hetherington MM, Altemus M, Nelson ML, Bernat AS, Gold PW. Eating behavior in bulimia nervosa: multiple meal analyses. Am J Clin Nutr. 1994; 60(6): 864-73.
Alvarenga MS, Negrão AB, Philippi ST. Nutritional aspects of eating episodes followed by vomiting in Brazilian patients with bulimia nervosa. Eat Weight Disord. 2003; 8(2):150-56.
Alvarenga MS, Scagliusi FB, Philippi ST. Consumo e padrões alimentares de pacientes com bulimia nervosa antes e depois de tratamento multiprofissional. Rev Bras Nutr Clin. 2004; 19(4):170-7.
Woell C, Fichter MM, Pirke KM, Wolfram G. Eating behavior of patients with bulimia nervosa. Int J Eat Disord. 1989; 8(5):557-68.
Polivy J. Psychological consequences of food restriction. J Am Diet Assoc. 1996; 96(6):589-92.
Boggiano MM, Chandler PC. Binge eating in rats produced by combining dieting with stress. Curr Protoc Neurosci. 2006; 9(9):23A.
Hagan MM, Chandler PC, Wauford PK, Rybak RJ, Oswald KD. The role of palatable food and hunger as trigger factors in an animal model of stress induced binge eating. In t J Eat Disord. 2003; 34(2): 183-97.
Hetherington MM. Eating disorders: diagnosis, etiology, and prevention. J Nutr. 2000; 16(7-8): 547-551.
Polivy J, Herman CP. Etiology of binge eating: psychological mechanisms. In: Fairburn CG, Wilson GT. (Eds.) Binge eating: nature, assessment, and treatment. New York: Guilford Press; 1993.
Kausman R. A new perspective to long term weight management. Is there a better way? Aust Fam Physician. 2000; 29(4):303-6.
Romano EB, Philippi ST. O que compulsão alimentar? O que é um episódio bulímico? In: Philippi ST, Alvarenga MS. Transtornos alimentares: uma visão nutricional. São Paulo: Manole; 2004.
Alvarenga MS, Dunker KLL. Padrão e comportamento alimentar na anorexia e bulimia nervosa. In: Philippi ST, Alvarenga MS. Transtornos alimentares: uma visão nutricional. São Paulo: Manole; 2004.
Stellefson E. Winning the war within: nutrition therapy for clients with anorexia or bulimia nervosa. Texas: Helm Publishing; 1999.
American Dietetic Association (ADA). Position of the American Dietetic Association: nutritional intervention in the treatment of anorexia nervosa, bulimia nervosa, and eating disorders not otherwise specified (EDNOS). J Am Diet Assoc. 2001; 101(7): 810-19.
American Dietetic Association (ADA). Position of the American Dietetic Association: nutritional intervention in the treatment of anorexia nervosa, bulimia nervosa and binge eating. J Am Diet Assoc. 1994; 94(8):902-7.
Alvarenga MS, Dunker KLL, Romano ECB, Philippi ST. Terapia nutricional para Transtornos Alimentares. In: Philippi ST, Alvarenga MS. Transtornos alimentares: uma visão nutricional. São Paulo: Manole; 2004.
Latterza AR, Dunker KLL, Scagliusi FB, Kemen E. Tratamento nutricional dos transtornos alimentares. Rev Psiq Clin. 2004; 31(4):173-6.
Alvarenga MS, Larino MA. Terapia Nutricional na anorexia e bulimia nervosas. Rev Bras Psiquiatr. 2002; 24 (Supl III): 39-43.
Herrin M. Nutrition counseling in the treatment of eating disorders. New York: Taylor and Francis; 2003.
Rock CL, Curran-Celentano J. Nutritional management of eating disorders. Psych Clin North Am. 1996; 19(4):701-13.
Miller WR, Rollnick S. Motivational interviewing: preparing people for change. 2nd ed. New York: Guilford; 2002.
Treasure JL, Ward A. A practical guide to the use of motivational interviewing in anorexia nervosa. Euro Eat Disord Rev. 1997; 5(2):102-14.
Alvarenga MS, Philippi ST. Padrão e comportamento alimentar de bulímicas atendidas no AMBULIM. In: Philippi ST, Alvarenga MS. Transtornos alimentares: uma visão nutricional. São Paulo: Manole; 2004.
Cash TF. The body image workbook: an 8-step program for learning to like your looks. Oakland: New Harbinger; 1997.
Christian SS. Working with groups to explore food and body connections. Michigan: Whole Person Associates; 1996.
LoBue A, Marcus M. The Don’t Diet Live It Workbook. Carlsbad: Gurze; 1999.
Waterhouse D. Working as a team to enhance eating habits and self-esteem. Portland: Waterhouse; 1997.
Segal A, Cordás TA, D´Elia FLG, Larino MA, Alvarenga MS, Bucaretchi H, et al. Bulimia nervosa II: tratamento. J Bras Psiquiatr. 1995; 44(supl.1): S25-S31.
Silva FML, Silva FJL. Bulimia nervosa: um grande desafio. J Bras Med. 1998; 75(2):78-80.
Bacaltchuk J, Phillipa H. Tratamento da bulimia nervosa: síntese das evidências. Rev Bras Psiquiatr. 1999; 21(3):184-7.
Kaye W, Gendall K, Strober M. Serotonin neuronal function and selective serotonin reuptake inhibitor treatment in anorexia and bulimia nervosa. Biol Psychiatry. 1998; 44(9):825-38.
Monteleone P, Martiadis V, Rigamonti AE, Fabrazzo M, Giordani C, Muller EE, et al. Investigation of peptide YY and ghrelin responses to a test meal in bulimia nervosa. Biol Psychiatry. 2005; 57(8):926-31.
Monteleone P, Santonastaso P, Mauri M, Bellodi L, Erzegovesi S, Fuschino A, et al. Investigation of the serotonin transporter regulatory region polymorphism in bulimia nervosa: relationships to harm avoidance, nutritional parameters, and psychiatric comorbidity. Psychosom Med. 2006; 68(1):99-103.
Laessle RG, Beumont PJ, Butow P, Lennerts W, O’Connor M, Pirke KM, et al. A comparison of nutritional management with stress management in the treatment of bulimia nervosa. Br J Psychiatry. 1991; 159(2):250-61.
Brambilla F, Draisci A, Peirone A, Brunetta M. Combined cognitive-behavioral, psychopharmacological and nutritional therapy in bulimia nervosa. Neuropsychobiology. 1995; 32(2):68-71.
Beumont PJ, Russell JD, Touyz SW, Buckley C, Lowinger K, Talbot P, et al. Intensive nutritional counseling in bulimia nervosa: a role for supplementation with fluoxetine? Aus N Z Psychiatry. 1997; 31(4):514-24.
Hsu LK, Rand W, Sullivan S, Liu DW, Mulliken B, McDonagh B, et al. Cognitive therapy, nutritional therapy and their combination in the treatment of bulimia nervosa. Psychol Med. 2001; 31(5):871-9.
Sundgot-Borgen J, Rosenvinge JH, Bahr R, Schneider LS. The effect of exercise, cognitive therapy, and nutritional counseling in treating bulimia nervosa. Med Sci Sports Exerc. 2002; 34(2): 190-5.
Willard SG, Anding RH, Winstead DK. Nutritional counseling as an adjunct to psychotherapy in bulimia treatment. Psychosomatics. 1983; 24(6): 545-7.
Ventura M, Bauer B. Empowerment of women with purging-type bulimia nervosa through nutritional rehabilitation. Eat Weight Disord. 1999; 4(2):55-62.
Salvy SJ, McCargar L. Nutritional interventions for individuals with bulimia nervosa. Eat Weight Disord. 2002; 7(4):258-67.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Marle dos Santos ALVARENGA, Fernanda Baeza SCAGLIUSI
This work is licensed under a Creative Commons Attribution 4.0 International License.
