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Titolo:
Detection, evaluation, and treatment of eating disorders - The role of theprimary care physician
Autore:
Walsh, JME; Wheat, ME; Freund, K;
Indirizzi:
Univ Calif San Francisco, Dept Med, Div Gen Internal Med, San Francisco, CA 94143 USA Univ Calif San Francisco San Francisco CA USA 94143 ancisco, CA 94143 USA Univ Calif San Francisco, Dept Epidemiol & Biostat, Div Gen Internal Med, San Francisco, CA 94143 USA Univ Calif San Francisco San Francisco CA USA 94143 ancisco, CA 94143 USA Albert Einstein Coll Med, Dept Epidemiol & Social Med, Barnard Coll Student Hlth Serv, Bronx, NY 10467 USA Albert Einstein Coll Med Bronx NY USA 10467 lth Serv, Bronx, NY 10467 USA Boston Univ, Med Ctr, Evans Dept Med, Sect Gen Internal Med,Womens Hlth Unit, Boston, MA USA Boston Univ Boston MA USA Internal Med,Womens Hlth Unit, Boston, MA USA
Titolo Testata:
JOURNAL OF GENERAL INTERNAL MEDICINE
fascicolo: 8, volume: 15, anno: 2000,
pagine: 577 - 590
SICI:
0884-8734(200008)15:8<577:DEATOE>2.0.ZU;2-H
Fonte:
ISI
Lingua:
ENG
Soggetto:
COGNITIVE-BEHAVIORAL TREATMENT; DEPENDENT DIABETES-MELLITUS; MITRAL-VALVE PROLAPSE; ANOREXIA-NERVOSA; BULIMIA-NERVOSA; CONTROLLED TRIAL; LAXATIVE ABUSE; LIGHT THERAPY; DOUBLE-BLIND; YOUNG-WOMEN;
Keywords:
eating disorders; primary care; medical complications;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
101
Recensione:
Indirizzi per estratti:
Indirizzo: Walsh, JME UCSF Mt Zion Div Gen Internal Med, 1701 Divisadero Box 1732, San Francisco, CA 94115 USA UCSF Mt Zion Div Gen Internal Med 1701 DivisaderoBox 1732 San Francisco CA USA 94115
Citazione:
J.M.E. Walsh et al., "Detection, evaluation, and treatment of eating disorders - The role of theprimary care physician", J GEN INT M, 15(8), 2000, pp. 577-590

Abstract

OBJECTIVE: To describe how primary care clinicians can detect an eating disorder and identify and manage the associated medical complications. DESIGN: A review of literature from 1994 to 1999 identified by a medline search on epidemiology, diagnosis, and therapy of eating disorders, including anorexia nervosa and bulimia nervosa. MEASUREMENTS AND MAIN RESULTS: Detection requires awareness of risk factors for, and symptoms and signs of, anorexia nervosa (e.g., participation in activities valuing thinness, family history of an eating disorder, amenorrhea, lanugo hair) and bulimia nervosa (e.g., unsuccessful attempts at weightloss, history of childhood sexual abuse, family history of depression, erosion of tooth enamel from vomiting, partoid gland swelling, and gastroesophageal reflux). Providers must also remain alert for disordered eating in female athletes (the female athlete triad) and disordered eating in diabetics. Treatment requires a multidisciplinary team including a primary care practitioner, nutritionist, and mental health professional. The role of the primary care practitioner is to help determine the need for hospitalization and to manage medical complications (e.g., arrhythmias, refeeding syndrome, osteoporosis, and electrolyte abnormalities such as hypokalemia). CONCLUSION: Primary care providers have an important role in detecting andmanaging eating disorders.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/03/20 alle ore 18:15:48