Gina Lladó Jordan
Universidad Isabel, Burgos, Spain
Title: Complications related to binge eating and purging behaviors in patients with Eating Disorders (ED)
Biography
Biography: Gina Lladó Jordan
Abstract
Introduction.On physical examination, our patients with Eating Disorders (ED) may present fluctuations in weight, dehydration and mood changes. On the dermatological level, they may present pigmented and cracked skin and Russell's sign (in purging behaviors). Gastrointestinal or digestive tract complications are very common and diverse. Vomiting, as well as alterations in motility and gastric distension, can cause gastroesophageal reflux, achalasia, esophagitis, regurgitation, gastroparesis, constipation and anal fistula. In addition, after a binge episode they may have abdominal pain or discomfort with nausea and distension of the abdomen.
Objective. To evaluate the physical examination and blood test alterations in 169 girls diagnosed with ED, aged between 12 and 18 years old, attended at “Hospital Infantile Universitario Niño Jesus” of Madrid between 2013 and 2016.
Methods. The physical examination and blood tests were performed at the first visit due to suspicion of ED with binge eating and purging behaviors. The statistical study was assessed by contingency tables and Fisher's exact test. Significant differences for values of p <0.05. Statistical package used: SPSS version 23. We studied 73 blood test variables.
Results. The physical alterations described are presented. Aalterations related to binge eating and purging behaviors were: Increased levels of: Cholesterol, Triglycerides, insulin resistance, insulin, Prolactin and Testosterone. Decreased levels of: 25 Hydroxy vitamin D, Cortisol, T3, Leukocytes, hemoglobin.