Re: Bulimia
From: jodi (anonymous@obgyn.net)
Tue, 11 Jun 2002 10:47:34 -0500 (CDT)
At Tue, 11 Jun 2002, anonymous@obgyn.net wrote:
>
>I think this information is very interesting as a former bulimic, I know the
>food you binge on is high carb food. I think the want/need to be thin is what
>sparks eating disorders in most cases (of course combined with other issues)
>but Bulimia doesn't make you thin, in fact most women who have been bulimia
>move on to anorexia because they don't get results, so why keep doing it?
>When I became pregnant I gave up being bulimic & made sure I ate a very
>balanced diet & I have never looked back. I wonder if maybe eating a of high
>carb foods only enhances your craving for more high carb foods
>
You do indeed binge on high carb foods. Even fried chicken isn't so
great because while it may be carby, it's still painful to bring back
up... ;-)
My experience with EDs, though, is many women seem to start out
anorexic, then go bulimic because the anorexia is hard to stick with,
and eventually biology overrides your desire for thinness and drives you
to eat. Some people CAN get thin with bulimia... but personally, I
gained weight when I made the switch, and I wonder if THAT is the
difference between an IR bulimic and a non-IR bulimic? If purging
doesn't control your weight... maybe IR is at play? I don't know. All
I know is I was a fat kid. Anorexia thinned me down. Then I guess I
couldn't take any more and I went bulimic and bulimia is a hellova lot
harder to give up than anorexia. Once you're used to eating insane
amounts of food and getting rid of it, it's really hard to stop. It's
hard to even know what normal portions are... I still have issues. If
I put ice cream in a bowl, I put in three times what a normal person
would put in.
There are many who insists eating disorders have nothing to do with
weight, that bulimia is about stuffing feelings, not weight control...
and while I will admit that depression can drive you to eat... bulimia
is much more powerful... i think there must be some biological issue at
stake... and everything I have read and experienced makes me think that
my IR made me fat... I made myself anorexic... my body eventually
overpowered me... and the IR fueled my bulimia... need those carbs...
carbs carbs carbs!!! but don't want to gain weight... so throw it up
and repeat the cycle... day after day after day. I always felt there
was more at stake than "stuffing feelings..."
- jodi
>In a message dated 11-Jun-02 11:08:02 PM W. Australia Standard Time,
>rcordrey@earthlink.net writes:
>
>> My first thought is that with the bulimic activities, the women were
>> bingeing
>> on high carb foods, such as ice-cream, chips, sweets and starchy foods. You
>> don't binge on eggs and chicken breast (unless it's fried, perhaps). So,
>> they
>> were high-carbing. Even with the purge, many of those foods have a high
>> glycemic index and are quickly absorbed. I know it just takes a few
>> minutes
>> for me to feel the impact of carbs. The rest of the food they consumed may
>> have been fairly balanced. Those who were no longer having bulimic
>> episodes
>> were eating a more balanced diet overall, and that may have influenced the
>> cyst formation.
>>
>> Questions to be answered in the full study:
>> Food diaries from the women? What did they eat pre and post-treatment
>> program? What are "normal eating patterns?"
>> Was it PCOS or just PCO? Did they have any other symptoms of PCOS?
>> Remember, cysts are pretty common in women, and don't mean PCOS.
>> What percentage of women in the general population would develop cystic
>> ovaries over a 2 year period?
>> What was the baseline at T(0)? Was there any change from baseline to time
>> 1?
>> Only T(1) to T(2) is noted.
>> What is the author's explanation for the findings? Do they have support
>> from
>> other sources?
>> What has been done on this topic in the past?
>> How did they get their subjects? Their selection method may have biased
>> them
>> toward a particular type of woman, rather than those with a predisposition
>> to
>> cystic ovaries.
>> Is bulimia more prevalent in PCOS populations than the general population?
>> (I
>> cited a study in my presentation last week that showed that there was no
>> difference in prevalence for eating disorders between PCOS women and
>> non-PCOS
>> women. However, there may have been some selection bias in it, though it
>> was
>> likely equal bias for both groups.)
>> What are the "criteria of Adams" for defining polycystic ovary morphology?
>> 8 women is a very small group, and hard to generalize from. Has anyone
>> looked
>> at larger groups? Do these authors view this as a pilot, and plan to do
>> more
>> study later?
>> In the general population, when women have ovarian cysts, do they tend to
>> resolve themselves over time? How long? Do they recur?
>>
>> Just a few thoughts based on the abstract.
>>
>> Renee
>>
>> Victoria wrote:
>> >
>> > Fertil Steril 2002 May;77(5):928-31
>> >
>> > Polycystic ovarian morphology and bulimia nervosa: a 9-year follow-up
>> study.
>> >
>> > Morgan JF, McCluskey SE, Brunton JN, Hubert Lacey J.
>> >
>> > Department of Psychiatry, St. George's Hospital Medical School,
>> University of London, London, United Kingdom
>> >
>> > OBJECTIVE: To examine long-term changes in polycystic ovarian morphology
>> in women with polycystic ovaries and bulimia nervosa after treatment of the
>> latter condition.DESIGN: Longitudinal follow-up study.SETTING: Eating
>> disorder unit of a university hospital.PATIENT(S): Eight women originally
>> treated for bulimia nervosa (T(0)) who underwent ultrasonography up to 2
>> years after treatment (T(1)) and had a second ultrasonographic scan 9 years
>> later (T(2)).INTERVENTION(S): Treatment of bulimia nervosa that combined
>> cognitive behavioral therapy with insight-orientated psychotherapy.MAIN
>> OUTCOME MEASURE(S): Ovarian morphology evaluated by ultrasonography, using
>> the criteria of Adams to define polycystic ovaries; Diagnostic and
>> Statistical Manual of Mental Disorders, Fourth Edition diagnosis of eating
>> disorders.RESULT(S): At T(1), 7 women had recent bulimia and 1 was
>> quiescent. The woman with quiescent disease had normal ovaries. Of the 7
>> bulimic women, 6 had polycystic ovaries and!
>> 1!
>> > had multifollicular morphology. At T(2), 5 women were bulimic, all of
>> whom had polycystic ovaries. Three women had normal eating patterns and
>> normal ovarian morphology.CONCLUSION(S): This study clearly shows a strong
>> association between resolution of bulimia and changes in ovarian
>> morphology, suggesting that changes in the former mirror changes in the
>> latter. It also demonstrates normalization of ovarian morphology in
>> previously polycystic ovaries.
>>
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