Prognosis

The outcome for patients with anorexia nervosa is variable; a worse outcome is associated with older age of onset, severity and duration of the illness, male sex, and severe associated psychiatric disturbances. In general, 40-60% of patients achieve full nutritional and psychological recovery after 612 months. Approximately 20-40% attain a borderline normal weight and existence for the rest of their lives, but with the occurrence of significant stress they may revert to their previous anorexic behavior. There is a mortality rate of 5-30% in the most severe cases due to suicide, electrolyte imbalance, and starvation-induced myocardial damage causing intractable arrhythmias; it is rarely due to infection. Long-term follow-up of these patients has shown an increased later mortality due to alcoholism.

See also: Adolescents: Nutritional Requirements. Eating Disorders: Bulimia Nervosa. Malnutrition: Primary, Causes Epidemiology and Prevention; Secondary, Diagnosis and Management. Obesity: Definition, Etiology and Assessment. Starvation and Fasting.

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Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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