Eating disorders and body image in cystic fibrosis

Eating disorders and disturbed body image have been reported in individuals with cystic fibrosis (CF) and may contribute to poor weight gain, reduced lung function and increased mortality. CF individuals often look and feel different from their peers and bear the additional burden of body-altering s...

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Autores principales:	Amy Darukhanavala, Lina Merjaneh, Kelly Mason, Trang Le
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Cystic fibrosis Eating disorder Food Weight Anorexia Nervosa Bulimia nervosa Diseases of the endocrine glands. Clinical endocrinology RC648-665
Acceso en línea:	https://doaj.org/article/e51ca2036c124e1a820c6a6b8a8bcbe8
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spelling	oai:doaj.org-article:e51ca2036c124e1a820c6a6b8a8bcbe82021-12-04T04:34:20ZEating disorders and body image in cystic fibrosis2214-623710.1016/j.jcte.2021.100280https://doaj.org/article/e51ca2036c124e1a820c6a6b8a8bcbe82021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2214623721000326https://doaj.org/toc/2214-6237Eating disorders and disturbed body image have been reported in individuals with cystic fibrosis (CF) and may contribute to poor weight gain, reduced lung function and increased mortality. CF individuals often look and feel different from their peers and bear the additional burden of body-altering side effects of treatment. As a result, the impact of disorders such as binge eating, anorexia nervosa, and bulimia nervosa may adversely affect the social, emotional, and physical development of those with CF.Multiple risk factors may contribute to the development of an eating disorder in CF. Growth failure is affected by the physical impairments of CF, including pancreatic insufficiency, high energy demands, respiratory infections, and delayed and stunted growth and puberty. Psychological factors, such as CF associated depression and anxiety, intense focus on BMI, lack of control in a chronic disease, and preoccupation with morbidity and mortality, likely further contribute. Exercise inefficiency, secondary to poor lung function, low BMI and pulmonary exacerbations, and the potential for medication manipulation are also additional risk factors.The intense scrutiny around BMI may lead to a poor relationship with food, including disordered eating habits, abnormal mealtime behaviors, and stressful caregiver-patient interactions regarding meals. This further contributes to a discrepancy between ideal CF nutritional standards and the reality of the challenges of appropriate daily energy intake for an individual with CF.It is imperative that CF providers are equipped to identify potential eating disorders and disturbed body image in their CF patients. Improved screening and monitoring practices should be developed and implemented, with multidisciplinary support from all CF care team members, including dietitians, mental health professionals, and social workers, to best support holistic care and optimize outcomes. Increased attention to these concerns may help reduce CF related morbidity and mortality.Amy DarukhanavalaLina MerjanehKelly MasonTrang LeElsevierarticleCystic fibrosisEating disorderFoodWeightAnorexia NervosaBulimia nervosaDiseases of the endocrine glands. Clinical endocrinologyRC648-665ENJournal of Clinical & Translational Endocrinology, Vol 26, Iss , Pp 100280- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Cystic fibrosis Eating disorder Food Weight Anorexia Nervosa Bulimia nervosa Diseases of the endocrine glands. Clinical endocrinology RC648-665
spellingShingle	Cystic fibrosis Eating disorder Food Weight Anorexia Nervosa Bulimia nervosa Diseases of the endocrine glands. Clinical endocrinology RC648-665 Amy Darukhanavala Lina Merjaneh Kelly Mason Trang Le Eating disorders and body image in cystic fibrosis
description	Eating disorders and disturbed body image have been reported in individuals with cystic fibrosis (CF) and may contribute to poor weight gain, reduced lung function and increased mortality. CF individuals often look and feel different from their peers and bear the additional burden of body-altering side effects of treatment. As a result, the impact of disorders such as binge eating, anorexia nervosa, and bulimia nervosa may adversely affect the social, emotional, and physical development of those with CF.Multiple risk factors may contribute to the development of an eating disorder in CF. Growth failure is affected by the physical impairments of CF, including pancreatic insufficiency, high energy demands, respiratory infections, and delayed and stunted growth and puberty. Psychological factors, such as CF associated depression and anxiety, intense focus on BMI, lack of control in a chronic disease, and preoccupation with morbidity and mortality, likely further contribute. Exercise inefficiency, secondary to poor lung function, low BMI and pulmonary exacerbations, and the potential for medication manipulation are also additional risk factors.The intense scrutiny around BMI may lead to a poor relationship with food, including disordered eating habits, abnormal mealtime behaviors, and stressful caregiver-patient interactions regarding meals. This further contributes to a discrepancy between ideal CF nutritional standards and the reality of the challenges of appropriate daily energy intake for an individual with CF.It is imperative that CF providers are equipped to identify potential eating disorders and disturbed body image in their CF patients. Improved screening and monitoring practices should be developed and implemented, with multidisciplinary support from all CF care team members, including dietitians, mental health professionals, and social workers, to best support holistic care and optimize outcomes. Increased attention to these concerns may help reduce CF related morbidity and mortality.
format	article
author	Amy Darukhanavala Lina Merjaneh Kelly Mason Trang Le
author_facet	Amy Darukhanavala Lina Merjaneh Kelly Mason Trang Le
author_sort	Amy Darukhanavala
title	Eating disorders and body image in cystic fibrosis
title_short	Eating disorders and body image in cystic fibrosis
title_full	Eating disorders and body image in cystic fibrosis
title_fullStr	Eating disorders and body image in cystic fibrosis
title_full_unstemmed	Eating disorders and body image in cystic fibrosis
title_sort	eating disorders and body image in cystic fibrosis
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/e51ca2036c124e1a820c6a6b8a8bcbe8
work_keys_str_mv	AT amydarukhanavala eatingdisordersandbodyimageincysticfibrosis AT linamerjaneh eatingdisordersandbodyimageincysticfibrosis AT kellymason eatingdisordersandbodyimageincysticfibrosis AT trangle eatingdisordersandbodyimageincysticfibrosis
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Eating disorders and body image in cystic fibrosis

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