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Bulimia nervosa is a complex and severe eating disorder characterized by a cyclical pattern of binge-and-purge eating pattern. It generally involves an episode of binge eating, followed by compensatory behaviors such as vomiting, excessive exercise, laxative use, or fasting, to prevent weight gain. Despite often maintaining a normal weight, individuals with bulimia are intensely preoccupied with their body image and harbor an overwhelming fear of gaining weight. This can contribute to the...
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Anorexia nervosa is a complex and severe eating disorder characterized by an intense fear of weight gain, an unrelenting pursuit of thinness, and a distorted body image. It often leads to dangerously low body weight relative to an individual's age and height. This disorder is marked by significant physical and psychological consequences, making it one of the most life-threatening psychiatric illnesses.
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Gustation, or the sense of taste, is intrinsically linked to the anatomical structures located on the tongue. This organ's surface, along with the entirety of the oral cavity, is adorned with stratified squamous epithelium. Evident on the tongue are elevated structures known as papillae (singular = papilla), which house the mechanisms for the transduction of gustatory stimuli. Four distinct types of papillae exist, each identified by their unique morphological attributes: the circumvallate,...
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Trastornos de la alimentación: un repaso

Evelyn Attia1,2,3, B Timothy Walsh1,3

  • 1Department of Psychiatry, Columbia University Irving Medical Center, New York, New York.

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|March 6, 2025
PubMed
Resumen
Este resumen es generado por máquina.

Los trastornos de la alimentación, que afectan al 2-5% a nivel mundial, son más frecuentes en las mujeres y están relacionados con problemas médicos y psiquiátricos graves. El tratamiento incluye apoyo nutricional, psicoterapia y farmacoterapia.

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Área de la Ciencia:

  • La psiquiatría
  • Médico interno
  • Salud pública

Sus antecedentes:

  • Los trastornos de la alimentación (DE) son frecuentes en todo el mundo y afectan al 2-5% de las personas, con una mayor incidencia en las mujeres.
  • Las disfunciones erécticas están asociadas con complicaciones médicas significativas (por ejemplo, anormalidades de electrolitos, bradicardia, disminución de la densidad ósea) y comorbilidades psiquiátricas (por ejemplo, depresión, ansiedad, aumento del riesgo de suicidio).
  • La anorexia nerviosa tiene una tasa de mortalidad sustancial, y el suicidio representa el 25% de las muertes.

Objetivo del estudio:

  • Revisar la epidemiología, las complicaciones médicas y psiquiátricas y el tratamiento de los trastornos alimentarios comunes.
  • Para resaltar la significativa morbilidad y mortalidad asociadas con los trastornos alimentarios.
  • Para resumir las modalidades actuales de tratamiento de primera línea para varios trastornos alimentarios.

Principales métodos:

  • Revisión de la literatura de los datos epidemiológicos, las presentaciones clínicas y los resultados del tratamiento para los trastornos alimentarios.
  • Análisis de las afecciones médicas y psiquiátricas asociadas, incluidas las tasas de mortalidad.
  • Síntesis de la evidencia relacionada con el apoyo nutricional, la psicoterapia (por ejemplo, TCC, tratamiento basado en la familia) y la farmacoterapia.

Principales resultados:

  • Los EDs comunes incluyen anorexia nerviosa, bulimia nerviosa, trastorno por atracones y trastorno de ingesta de alimentos evasivo / restrictivo.
  • Los tratamientos específicos muestran eficacia: el tratamiento basado en la familia para los jóvenes con anorexia nerviosa y los antidepresivos / lisdexamfetamina para la bulimia nerviosa y el trastorno por atracón.
  • Actualmente no se dispone de medicamentos efectivos para la anorexia nerviosa; la hospitalización está indicada para las complicaciones graves.

Conclusiones:

  • Los trastornos alimentarios representan un grave problema de salud mundial con riesgos médicos y psiquiátricos sustanciales.
  • Los enfoques de tratamiento multimodal, incluida la rehabilitación nutricional, la psicoterapia y la farmacoterapia, son esenciales.
  • Se necesita seguir investigando para desarrollar tratamientos más eficaces, especialmente para la anorexia nerviosa.