Hostname: page-component-77c89778f8-cnmwb Total loading time: 0 Render date: 2024-07-20T11:57:26.088Z Has data issue: false hasContentIssue false
  • English
  • Français

Is an integral nutritional approach to eating disorders feasible in primary care?

Published online by Cambridge University Press:  08 March 2007

Alberto Miján de la Torre ,
Ana Pérez-García ,
Elvira Martín de la Torre  and
Beatriz de Mateo Silleras
Alberto Miján de la Torre*
Affiliation:
Servicio de Medicina Interna (Nutrición), 8a Planta, Hospital Gral Yagüe, Avda Cid 96, E-09005 Burgos, Spain Nutrition and Bromatology Department, Faculty of Medicine, University of Valladolid, Spain
Ana Pérez-García
Affiliation:
Primary Care Team, Federico García Lorca, Burgos, Spain
Elvira Martín de la Torre
Affiliation:
Servicio de Medicina Interna (Nutrición), 8a Planta, Hospital Gral Yagüe, Avda Cid 96, E-09005 Burgos, Spain
Beatriz de Mateo Silleras
Affiliation:
Nutrition and Bromatology Department, Faculty of Medicine, University of Valladolid, Spain
*
*Corresponding author: Dr Alberto Miján de la Torre, fax +34 947 281 771, email mijan@hgy.es
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Patients with eating disorders (ED) show alterations in both their behaviour and their intake of food, frequently presenting nutritional and somatic affectations. Besides the classical forms such as anorexia or bulimia nervosa, there has recently been an increase in atypical or incomplete forms of ED, such as binge eating. Primary care (PC) services form the central and closest nucleus of health care for the individual and the family, where ED occur and leave their mark. This allows PC to provide an integral response at all levels of care for ED. Primary prevention at school, in the family and community is fundamental to avoiding its inception. Secondary prevention is based on early diagnosis and treatment of ED and favours a better prognosis of the illness. Tertiary prevention tries to reduce the serious consequences with rehabilitation measures to alleviate complications and avoid risk to life. Due to its complexity, these patients are afforded the attention of multidisciplinary teams of specialists with experience in treating this condition. In consultation with the team, the general practitioner should adopt a leading role at all levels of attention, as he/she is the link between the team, the family and the patient. This requires both regulated, specific training in the disease and the allocation of resources to carry it through. Putting into practice all these plans would allow us to give a positive answer to the question posed in the title of the present article.

Keywords

Eating disordersNutritional carePrimary careAnorexia nervosaBulimia nervosa
Type
Research Article
Information
British Journal of Nutrition , Volume 96 , Issue S1 , August 2006 , pp. S82 - S85
Copyright
Copyright © The Nutrition Society 2006

References

American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders, 4th ed. Washington, DC: American Psychiatric Association.Google Scholar
Cabranes, JA, Gil, I, Gomez Candela, C et al. (2000) Protocolo de Atención a Pacientes con Trastornos del Comportamiento Alimentario Dirigido a Médicos de Atención Primaria. Madrid: Ministerio de Sanidad y Consumo, Secretaría Gral Técnica.Google Scholar
Camarero, E, Miján, A (1998) Trastornos de la conducta alimentaria. In Tratado de Nutrición Artificial. pp. 401–422 [Celaya, S editor] Madrid: Grupo Aula Médica SA.Google Scholar
Chinchilla, A (1994) Anorexia y Bulimia Nerviosas. Madrid: Ed Ergón SA.Google Scholar
Fairburn, CG, Cowen, PJ & Harrison, PJ (1999) Twin studies and the etiology of eating disorders. Int J Eat Disord 26, 349–358.3.0.CO;2-B>CrossRefGoogle ScholarPubMed
Garner, DM & Garfinkel, DE (1997) Handbook of Treatment for Eating Disorders. 2nd ed. New York: Guilford Press.Google Scholar
Herzog, DB, Nussbaum, KM & Marmor, AK (1996) Comorbidity and outcome in eating disorders. Psychiatr Clin North Am 19, 843–859.CrossRefGoogle ScholarPubMed
Hsu, LK (1996) Epidemiology of the eating disorders. Psychiatr Clin North Am 19, 681–700.CrossRefGoogle ScholarPubMed
Kreipe, RE & Birndores, A (2000) Eating disorders in adolescents and young adults. Med Clin North Am 84, 1027–1049.Google Scholar
López, C, García, A, Migallón, P (2000) Nutrición Saludable y Prevención de los Trastornos Alimentarios Madrid Ministerios de Sanidad y Consumo, Educación Cultura Deporte y del InteriorGoogle Scholar
López Nomdedeu, C (2004) Educación nutricional de la población general y de riesgo. In Nutrición y Metabolismo en Trastornos de la Conducta Alimentaria, 459–476 [Miján de, laTorre, A, editors]. Barcelona: Ed. Glosa.Google Scholar
Mehler, PS (2001) Diagnosis and care of patients with anorexia nervosa in primary care setting. Ann Intern Med 134, 1048–1059.Google Scholar
Miján, de, la, Torre, A, Velasco & Vallejo, A (1999) Nutrición y trastornos de la conducta alimentaria: anorexia y bulimia nerviosas. Nutr Hosp 14, Suppl. 2. 81–91.Google Scholar
Organización Mundial de la Salud (1992) Trastornos Mentales y del Comportamiento, CIE10. Madrid: Mediator (versión española).Google Scholar
Pérez, García, A, Miján, de la Torre, A (2004) Nutrición y trastornos de la conducta alimentaria en atención primaria. In Nutrición y Metabolismo en Trastornos de la Conducta Alimentaria, pp. 477–492 [Miján de la Torre, A, editors]. Barcelona: Ed. Glosa.Google Scholar
Putukian, N (1994) The female trial-eating disorders, amenorrhea and osteoporosis. Med Clin North Am 78, 345CrossRefGoogle ScholarPubMed
Walsh, JM, Wheat, ME & Freund, K (2000) Detection, evaluation, and treatment of eating disorders. The note of the primary care physician. J Gen Intern Med 15, 577–590.CrossRefGoogle Scholar
Winstead, DK & Willard, SG (1983) Bulimia: diagnostic clues. South Med J 76, 313–315.Google Scholar