Severe eating disorder initially diagnosed in a 72‐year‐old man

Parke, Susan; Yager, Joel; Apfeldorf, William J.

doi:10.1002/eat.20505

Cited by 4 publications

(5 citation statements)

References 27 publications

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“…*Privileges based on weight gain *Paroxetine 20 mg to lessen obsessional attention to eating *Dietician review and caloric supplementation *After 3 months, gained enough weight to be discharged to a minimal assisted living facility. *Doing well 6 months post discharge *The need to heighten diagnostic sensitivity for AN and other ED at any age (Parke, 2008) Case study [ 41 ] GQ 72 (M) EDNOS *BMI 16.7 *Disturbed body image *Denial of seriousness of illness. *Dietary restriction, preoccupied with food, excessive exercise to control weight *Medical complications *Inpatient psychiatric admission *Multivitamin, iron, and mineral therapy.…”

Section: Methodsmentioning

confidence: 99%

Treatment of eating disorders in older people: a systematic review

et al. 2021

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Background Historically, eating disorders were not identified in older populations and it is only in more recent times that there is greater recognition of the existence of eating disorders among the elderly. This is despite the high level of morbidity and mortality associated with these disorders. Current guidelines focus on treatment of eating disorders within the adolescent and general adult age groups, without apparent concessions made for the older age group. The aim of this study was to review existing literature on the demographics and treatment of eating disorders in older people. Methods/design A systematic review of the literature was conducted using CINAHL, MEDLINE, EMBASE, PsycInfo, Scopus, and Web of Science to identify publications focusing on treatment of eating disorders in people over the age of 65 years, age of diagnosis, gender distribution, treatment setting, and treatment outcomes. Results A total of 35 articles (reporting on 39 cases) were relevant to our study, with 33 of the 35 articles being either case studies or case series. The mean age of participants was 73.2 years (range 66–94 years) with the majority (84.6%) being female. Most cases (84.6%) were diagnosed with anorexia nervosa, and 56.4% of all cases were reported as late onset (i.e., after age 40 years). The vast majority (94.8%) received treatment, of which 51.5% was hospital-based treatment. In case descriptions where improvement was reported, the majority described a multidimensional approach that included a combination of hospital admission, therapy and pharmacotherapy. Overall, 79.5% of cases who underwent treatment for an eating disorder improved, while 20.5% relapsed or died as a result of the complications from their eating disorder. There were significant inconsistencies and omissions in the way cases were described, thereby impacting on the interpretation of the results and potential conclusions. Conclusions The information available on the treatment of eating disorders in people over the age of 65 years is limited. The quality of case reports to date makes it difficult to suggest specific assessment or treatment guidelines for this population.

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Section: Methodsmentioning

confidence: 99%

Treatment of eating disorders in older people: a systematic review

et al. 2021

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“…Detailed inspection of the case reports illustrated notable difficulties in establishing age of onset among elderly individuals. For example, the ex-wife and daughter of a 72-year old male with BN revealed that food issues had existed "for more than 20 years, and possibly for as long as 40-50 years," although his first encounter with mental health services occurred in his 70s [41]. Apparent newer onset cases may have, in fact, represent an exacerbation or reoccurrence of a pre-existing, yet previously undisclosed or unrecognized syndrome, a caveat long warned by Bruch [58].…”

Section: Case Reports: An Illustration Of Clinical Presentationsmentioning

confidence: 97%

“…In addition to medical sequelae, evidence of psychosocial impairment directly associated with eating disorders was found. For example, the daughter of the 70-year old man reported that his issues surrounding food and eating were a contributing factor to the dissolution of an earlier marriage [41]. Clinical features included dietary restriction, food avoidance, ritualistic eating behavior, preoccupation with shape, weight, or calories, as well as binge eating and compensatory behaviors, including excessive exercise and self-induced vomiting.…”

Section: Case Reports: An Illustration Of Clinical Presentationsmentioning

confidence: 98%

“…The 62-year old male patient reported by Morgan and Mash [54] had sustained two fractures during excessive exercise in his 50s. Although lower rates of excessive exercise might be expected due to frailty or age-related physical limitations in this population, we identified five cases aged 62-75 years old [41,[53][54][55]65] who engaged in excessive exercise behavior. Future research is needed to determine the prevalence and severity of adverse psychiatric and medical risks of long-term weight-loss driven or muscularity-driven exercise behavior, as well as anabolic-androgenic steroids or supplement use, which is a common feature of eating disorders among younger men [67], not yet systematically examined among older men.…”

Section: Case Reports: An Illustration Of Clinical Presentationsmentioning

confidence: 99%

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Eating disorders in men aged midlife and beyond

Reas

Stedal

2015

Maturitas

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“…All the above patients were female. One case of anorexia nervosa symptoms has been reported in a 72-year old male who was known to have a long history of food preoccupation and restrictive eating habits (Manejias Parke, Yager, & Apfeldorf, 2008).…”

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confidence: 99%

Early Life Loss and Trauma

2013

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The onset of an eating disorder in middle-age men is poorly researched as are eating disorders in men generally. Therefore, life events that influence eating disorders in men, including delayed onset of an eating disorder remains unknown. Given the limited understanding of males with eating disorders and limited access to large samples of men with eating disorders, an in-depth analysis of a single case of a male in middle age with an eating disorder was chosen to gain insight and understanding into this phenomenon. A Life History approach explored the case of Joseph (pseudonym), who was diagnosed at age 44 years with an Eating Disorder Not Otherwise Specified. Data were collected through (a) life course open-ended questioning through interviews, (b) written statements, and (c) comments on transcripts. Three themes emerged, loss and unworthiness, becoming bigger, and wanting to change reflecting eating behaviors associated with attachment disruption, loss and trauma, body dissatisfaction, and negative affect. Later in life, an emotional "tipping point" precipitated an eating disorder. Results indicate traumatic loss leading to early attachment disruption as influential in Joseph's delayed onset of an eating disorder. The value of thorough narrative life histories during therapy when eating disorders occur late in life is discussed as well as the significance for men.

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Severe eating disorder initially diagnosed in a 72‐year‐old man

Abstract: This case highlights the need for diagnostic awareness regarding eating disorders in patients of all ages and of both genders.

Cited by 4 publications

References 27 publications

Treatment of eating disorders in older people: a systematic review

Treatment of eating disorders in older people: a systematic review

Eating disorders in men aged midlife and beyond

Early Life Loss and Trauma

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