Caffeine abuse in bulimia nervosa

Fahy, Thomas; Treasure, Janet

doi:10.1002/1098-108x(199105)10:3<373::aid-eat2260100314>3.0.co;2-r

Cited by 12 publications

(7 citation statements)

References 15 publications

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“…There are multiple reports of the use of orlistat, a weight loss drug that decreases fat absorption through inhibition of gastrointestinal lipase, as a means to induce weight loss through development of diarrhea (Fernández-Aranda et al, 2001). Caffeine abuse has also been reported due to its diuretic effect (Fahy & Treasure, 1991) and is consumed in greater amounts in patient with AN-BP and BN (Hart, Abraham, Franklin, & Russell, 2011;Marino et al, 2009). In addition, there is a small amount of research evaluating use of sorbitol and other artificial sweeteners which tend to be used in large amounts by a significant percentage of individuals with AN and BN to capitalize on their propensity to induce an osmotic diarrhea (Klein, Boudreau, Devlin, & Walsh, 2006).…”

Section: Discussionmentioning

confidence: 99%

Metformin abuse: A novel and dangerous purging behavior in anorexia nervosa

Geer

Gibson

Grayeb

et al. 2019

Intl J Eating Disorders

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Objective To report a case of severe multisystem illness, near death and permanent kidney failure in a woman with a history of anorexia nervosa‐binge purge type due to abuse of prescription metformin, an approved oral diabetes medication obtained surreptitiously via the internet. Method Psychiatric and medical records were reviewed from the medical care of this patient. A literature search was also performed on prescription medication abuse as a mode of purging. Discussion Metformin abuse in a patient with an eating disorder as a purging behavior is a rarely reported, albeit very dangerous entity. Clinicians treating eating disorders should increasingly be aware of the potential abuse of prescription medications, unapproved for weight loss but which have weight loss, as a reported side effect. This is particularly important as the ability to obtain prescription medications via the internet, without a prescription, becomes more ubiquitous.

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Section: Discussionmentioning

confidence: 99%

Metformin abuse: A novel and dangerous purging behavior in anorexia nervosa

Geer

Gibson

Grayeb

et al. 2019

Intl J Eating Disorders

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“…Thus, with cessation from self‐induced vomiting as well as the abuse of laxatives or diuretics, the two main issues that need to be addressed are the risk of aforementioned edema formation, in addition to the efforts to normalize electrolytes . Many patients with bulimia nervosa abuse diuretics daily and while prescription diuretics are associated with more severe electrolyte abnormalities and are more difficult to “detox” from, over the counter diuretics, which often contain caffeine as the active ingredient, also are problematic . Indeed, it is possible that the longer the state of chronic volume depletion exists, the more difficult it will be to deal with potential edema formation.…”

Section: Treatment Strategiesmentioning

confidence: 99%

“…43 Many patients with bulimia nervosa abuse diuretics daily 44 and while prescription diuretics are associated with more severe electrolyte abnormalities and are more difficult to "detox" from, over the counter diuretics, which often contain caffeine as the active ingredient, also are problematic. 45,46 Indeed, it is possible that the longer the state of chronic volume depletion exists, the more difficult it will be to deal with potential edema formation. This may be analogous to that seen with compulsive water drinkers, where their prolonged state of excess water ingestion leads to a more permanent inability to control the secretion of antidiuretic hormone (ADH).…”

Section: Pseudo-bartter Syndromementioning

confidence: 99%

Effective medical treatment strategies to help cessation of purging behaviors

Mascolo

McBride

Mehler

2016

Intl J Eating Disorders

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“…La plupart des auteurs sont unanimes quant au fait que la caféine réduit ainsi l'appétit, « procure de l'énergie » (alors que la consommation de calories est faible, la caféine compenserait la fatigue et les effets de la privation), et a une action diurétique. Aussi, les sujets anorexiques et boulimiques consommeraient de la caféine avec l'intention de se couper l'appétit ou de contrôler leurs impulsions à manger [2,11,13].…”

Section: Caféine Et Troubles Alimentairesunclassified

Clinique possible d’une addiction à la caféine à partir de l’observation de 52 sujets et d’une revue de la littérature

Sinanian

Edel

Pirlot

et al. 2010

Annales Médico-psychologiques, revue psychiatrique

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To cite this version:A. Sinanian, Y. Edel, G. Pirlot, D. Cupa. Clinique possible d'une addiction à la caféine à partir de l'observation de 52 sujets et d'une revue de la littérature. Annales Médico-Psychologiques, Revue Psychiatrique, Elsevier Masson, 2010, 168 (7) This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. A c c e p t e d M a n u s c r i p t • une conduite addictive vis-à-vis de la caféine ;• un niveau d'anxiété élevé ;• certains sujets utiliseraient aussi la caféine à visée de « coupe-faim », telle une stratégie de contrôle de poids chez des personnes présentant des troubles alimentaires. The aim of this article, based on a previous study conducted in a research paper, is to observe if high-level consumption of caffeine can be considered as an addictive conduct.Three hypotheses were tested on 52 subjects (one study group with high consumption of caffeine [300mg-1000mg] and a control group with low consumption).They should present:• an addictive conduct towards caffeine;• a high level of anxiety;Page 5 of 22 A c c e p t e d M a n u s c r i p t 3• few subjects would use caffeine as a weight control strategy among people suffering from eating disorders.To validate these hypotheses, we used a control group, the Goodman's definition's criteria, the anxiety scale state-trait STAI and, finally, the MINI diagnostic questionnaire. The results show us that 88% of subjects presenting a high level of caffeine consumption would present an addictive conduct (the average subjects fulfilled 70% of Goodman's criteria). This behaviour is characterized by impulsiveness and the persistence of the behaviour despite harmful consequences for the subject. The anxiety level was higher in the study group, compared to the control group and seven subjects used caffeine as appetite suppressant, in the case of eating disorders.Our study suggests that patients should be asked about their caffeine consumption level during a clinical anamnesis. It also paves the way for other studies, on for example, the link between caffeinism and eating disorders.

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Caffeine abuse in bulimia nervosa

Cited by 12 publications

References 15 publications

Metformin abuse: A novel and dangerous purging behavior in anorexia nervosa

Metformin abuse: A novel and dangerous purging behavior in anorexia nervosa

Effective medical treatment strategies to help cessation of purging behaviors

Clinique possible d’une addiction à la caféine à partir de l’observation de 52 sujets et d’une revue de la littérature

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