Stating that the eating disorder, which is mostly seen in women, has increased in men recently, Psychiatrist Prof. Dr. Ercan Abay also said that this health problem makes him asocial.
Mental Health and Diseases Specialist Psychiatrist Prof., who noted that inactivity, inability to socialize, loss of work, constant thoughts about weight or eating during the pandemic period, caused an increase in the rate of eating disorders. Dr. Ercan Abay, eating disorders; stated that there may be genetic, biological and psychosocial causes. prof. Dr. Abay warned that individuals with reduced self-esteem, depression, feelings of worthlessness, family conflicts and personality problems are prone to eating disorders.
prof. Dr. Ercan Abay said that eating disorders are commonly seen in the 15-19 age group and said, “It is 10 times more common in women, but the incidence is increasing in men today.”
HIGH RISK OF DEVELOPING EATING DISORDER IN COMPETITIVE PEOPLE
Stating that sociocultural factors also play a role in eating disorders, Prof. Dr. Ercan Abay said, “There is an important relationship between dieting behavior and eating disorders. In today’s society, it is desirable to have a slim body. The goal of those who voluntarily diet is to try to be more attractive. Those who diet voluntarily are people who are competitive in their careers, such as models, ballerinas, athletes, jockeys, and they have a high risk of developing eating disorders.” made statements.
“Eating DISORDERS INCREASED EVEN DURING THE PANDEMIC PERIOD”
Speaking about the increase in the pandemic period, Prof. Dr. Abay said, “The number of patients presenting with symptoms of eating disorders has increased during the pandemic period. The reasons for this increase are narrowing of interests, inability to participate in different activities, loneliness, job loss, being together with all family members, increasing body-related pursuits, tendency to over-exercise at home, and eating or not eating as their only preoccupation. used his statements.
“INDIVIDUALS WITH EATING DISORDER PREFER AN ASOCIAL LIFE”
Stating that people with eating disorders avoid socializing, Prof. Dr. Abay said, “They prefer to eat alone. They do not want to eat together with family or friends. For this reason, being away from the office, school and social environments and providing them with the environment they want can also be a trigger for restrictive eating or binge eating behaviors.
Noting that the inability to cope with negative situations such as stress and depression encourages people to overeat, Prof. Dr. Ercan Abay said, “Due to the anxiety caused by the pandemic process and the possibility of harming themselves and their loved ones, they move further away from the social life they have already avoided. This alone can lead to binge eating or restrictive eating.” said.
STRESS EATS MORE
Stating that there is a relationship between stress and eating disorders, Prof. Dr. Ercan Abay said, “In case of stress, the hormone cortisol is secreted in high amounts and the consumption of salty, sweet and fatty foods increases. The greater the stress, the greater the consumption of such foods for emotional relief. The trigger factor for the desire to eat is the feeling of pleasure. When food is consumed in the brain reward system, dopamine and serotonin neurotransmitters are released, resulting in a feeling of happiness. This increase in happiness causes the eating behavior to be repeated in negative emotions.” used his statements.
The increase in the sense of happiness causes the repetition of eating behavior in negative emotions.
Emphasizing the need to focus on different things instead of emotional eating hunger, Prof. Dr. Abay said, “Each emotion has triggers and sedatives. Food does not cure these feelings. Maybe it can calm down for a little while, but it won’t provide a solution. After everything that is eaten due to emotional hunger, the person feels worse, and the uneasiness of overeating is added to the reason for eating together with the feeling of regret. It is necessary to be aware of emotional eating and understand what drives the person to this behavior.” said.
IT IS NOT CORRECT TO IMPLEMENT STRICT NUTRITIONS
Also giving advice against eating disorders, Prof. Dr. Abay said, “While eating, all the senses focus on food by being aware. Take small bites and eat slowly. Food can be tasted more easily when small bites are taken into the mouth. Instead of eating, it would be right to participate in a more fun activity such as going for a walk, sleeping for a short time, chatting with a friend to get away from the feelings of eating. It is not right to impose strict bans on nutrition. After the restricted diet, a larger desire may be triggered by eating large portions.”
Stating that people who want to eat other than meals can benefit from two strategies, Prof. Dr. Abay said, “First of all, they are asked to spend time with other activities, such as walking or watching movies, apart from eating. Second, when the urge to eat occurs and the mind is focused on it, people need to remind themselves that it is a ‘temporary craving’. In addition, the feeling of hunger can be tried to be delayed by drinking water or low-calorie foods and healthy snacks.
prof. Dr. Ercan Abay also shared important information about the types of eating disorders “anorexia nervosa (AN), bulimia nervosa (BN) and binge eating disorder (TYB):
Anorexia nervosa (AN) was formerly defined as ‘neural loss of appetite’. Today AN is not about loss of appetite. It is about preventing food from entering the body and trying to remove what does.
Although the patient is under his ideal weight, he sees and feels fat and always wants to lose weight.
The desire to lose weight is accompanied by a tendency to refuse to eat and to discard the small amount of food that one eats.
Methods used by anorexia nervosa patients to lose weight: Using laxatives (diarrhea drugs) and diuretics (fluid thinners), making oneself vomit, doing intense exercise.
It is an important feature of the disease to see himself as fat even though he is well below his ideal weight. The patient obsesses about his weight and eating behavior. Weighing repeatedly and monitoring weight change is characteristic of the disease.
BULIMIA NERVOSA (BN) – BULIMIA NERVOSA (BN)
The word bulimia means ‘to be hungry enough to eat an ox’. in the Roman Empire; It is known that the rich eat uncontrollably and binge and they continue to vomit in order to continue the pleasure. It is known that special rooms were made for vomiting.
Binge eating attacks followed by voluntary vomiting, excessive exercise, and use of diuretics and laxatives are observed in BN patients.
Unlike patients with anorexia nervosa, the person may be of normal weight or slightly overweight. The binge eating behavior is done in secret because it is a feeling of shame. The frequency of binge eating behavior can range from a few times a week to several times a day.
BIDDING EATING DISORDER (BED)
It is an eating disorder in which the person consumes a large amount of food in a short time and in a short time, cannot restrain the eating behavior and repeats the eating behavior.
In the case of binge eating disorder, unlike BN, measures such as forcing the patient to vomit, using laxative or diuretic drugs, restraining the eating habits for a long time, and accelerating the metabolism with strenuous body movements are not available to eliminate the effects of binge eating attacks.