Eating Disorders in Late-life

Luca, Antonina; Luca, Maria; Calandra, Carmela

doi:10.14336/ad.2014.0124

Cited by 17 publications

(13 citation statements)

References 94 publications

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“…EDs also can be defined as a heterogeneous group of complex psychiatric disorders characterized by abnormal eating behaviours that lead to a high rate of morbidity, or even death, if underestimated and untreated [2].…”

Section: Introductionmentioning

confidence: 99%

Eating disorders in older women

et al. 2015

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Eating disorders (EDs) are disturbances that seriously endanger the physical health and often the lives of sufferers and affect their psychosocial functioning. EDs are usually thought of as problems afflicting teenagers. However, the incidence in older women has increased in recent decades. These cases may represent either late-onset disease or, more likely, a continuation of a lifelong disorder. The DSM-5 classification differentiates 4 categories of eating disorder: anorexia nervosa, bulimia nervosa, binge-eating disorders and other specified feeding and eating disorders. The weight loss and malnutrition resulting from EDs have widespread negative consequences for physical, mental and social health. The main risk factors for developing long-term consequences are the degree of weight loss and the chronicity of the illness. Most of the cardiac, neurological, pulmonary, gastric, haematological and dermatological complications of EDs are reversible with weight restoration. EDs are serious illnesses and they should never be neglected or treated only as a manifestation of the fashion for dieting or a woman's wish to achieve an imposed standard feminine figure. Additionally, EDs are associated with high risk of morbidity and mortality. The literature concerning EDs in older, postmenopausal women is very limited. The main aim of this paper is to ascertain the epidemiology and prognosis of EDs in older women, and to review their diagnosis and management.

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Section: Introductionmentioning

confidence: 99%

Eating disorders in older women

et al. 2015

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“…The since here discussed molecular alterations could account, at least in part, for the frequent association between depression and neurological conditions (i.e., traumatic brain injury, stroke, and multiple sclerosis) characterized by endothelial dysfunction and inflammation [34]. Concerning the latter, depression is characterized by the release of inflammatory molecules inducing vascular damage, such as IL-6-and cytokine-like leptin, an anorexogenic agent linked to the eating disturbances frequently associated with late-life depression [43][44][45]. In the latter type of depression, the endothelial damage is further stimulated by the age-related dysfunctional hyperactivation of glial cells, determining the release of several proinflammatory cytokines and ROS hyperproduction [46,47].…”

Section: Vascular Endothelium and Vascular Depressionmentioning

confidence: 99%

Oxidative Stress-Related Endothelial Damage in Vascular Depression and Vascular Cognitive Impairment: Beneficial Effects of Aerobic Physical Exercise

Luca

2019

Oxidative Medicine and Cellular Longevity

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Oxidative stress- (OS-) related endothelial damage is involved in the occurrence and progression of several disorders, such as vascular depression and dementia. It has been reported that moderate, aerobic, physical exercise could reduce OS and inflammation, thus limiting the cardiovascular risk factors while improving endothelial homeostasis, mood, and cognition. In this review, we will discuss about the role of OS and OS-related endothelial damage in vascular depression and vascular cognitive impairment. Then, we will comment on the effects of physical exercise on both disorders.

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“…EDs in this population can be divided into young-onset disorders that have recurred or continued in later life and late-onset disorders that have emerged for the first time at an older age. Unfortunately, the definition of late-onset ED is not clear, due to the heterogeneity of studies and the reduced life-expectancy of these patients, but generally an onset after the age of 40 may be considered as late-onset [63].…”

Section: Eating Disorders (Eds)mentioning

confidence: 99%

Eating disturbances in the elderly: A geriatric-psychiatric perspective

Bulut

Khoury

Lee

et al. 2019

NHA

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The prevalence of malnutrition among older adults is increasing, leading to poor health outcomes and increased mortality. This review sheds light on the different etiologies of eating disturbances in the elderly and discusses assessment tools and treatment strategies. Older adults are found to be more prone to nutritional deficiencies and weight loss due to age related physiological and psychosocial changes, in addition to pathological medical and psychiatric disorders. The short form of the Mini Nutritional Assessment is considered the most commonly used screening tool in older persons. Individuals identified as malnourished or at high risk of malnutrition would benefit from comprehensive treatment plans according to the underlying etiology. Those involve environmental changes, oral nutritional supplements and ultimately pharmacotherapy.

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Eating Disorders in Late-life

Cited by 17 publications

References 94 publications

Eating disorders in older women

Eating disorders in older women

Oxidative Stress-Related Endothelial Damage in Vascular Depression and Vascular Cognitive Impairment: Beneficial Effects of Aerobic Physical Exercise

Eating disturbances in the elderly: A geriatric-psychiatric perspective

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