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over-weight?

You may even have an eating disorder

30-50 percent of people who think they "only" suffer from obesity actually suffer from an offensive eating disorder.

They will find themselves doing diets over and over again, and blaming themselves for reluctance, when in fact they are suffering from a real problem.

what do we do with it?

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• diet

• eating disorder

• obesity

Violet Paz

Sunday, 02 May 2021, 11:41 Updated: Thursday, 06 May 2021, 08:26

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Uncontrolled bouts of eating accompanied by a feeling of shame.

Woman fills her mouth with food (Photo: ShutterStock)

In recent years everyone is talking health, but the percentage of obesity and eating disorders is only growing.

At the same time, the endless preoccupation with communication and Instagram about body and weight, is causing more women and men to fall into the deep abyss of eating disorders.

One of the most common eating disorders in the Western world is Binge Eating Disorder, although it is at least recognized from bulimia and anorexia.

3.5 percent of the population suffers from an offensive eating disorder, with 30-50 of overweight people seeking obesity treatment actually suffering from this disorder.

More on Walla!

How can eating disorders in children and adolescents be identified?

To the full article

Offensive eating disorder is characterized by uncontrollable eating attacks that are accompanied by a feeling of shame and lack of control.

These seizures have very severe mental and physiological costs.

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An eating attack is actually an eating event in which a very large amount of food is eaten in a short time, one that leads to a feeling of overfilling or an unpleasant explosion.

Most often the eating will be impulsive, standing, on the road, in front of the open refrigerator door.

The pace will usually be fast.

Most foods will be foods that are considered "unhealthy", high in carbohydrates and sugars.

As mentioned, there is usually also a feeling of lack of control while eating, and a feeling of guilt, disgust and shame after it.

How is an offensive eating disorder diagnosed?

Diagnosis of the disorder should be made by a psychiatrist, and these are the accepted criteria:

1. Repeated events of offensive eating (binge eating).

2. Offensive eating events are associated with at least 3 of the following conditions:

• Fast eating

• Eating until feeling uncomfortable or full

• Eating large amounts of food without a physical feeling of hunger

• Eating alone due to embarrassment and shame

• Feeling self-loathing, depressed or Guilt after eating.

3. Significant distress due to eating attacks.

4. Eating attacks occur at least once a week, for 3 months.

5. The eating attack does not end in compensatory behavior (vomiting, fasting, or increased exercise).

How Does Offensive Eating Disorder Affect Sufferers?

A lot of people live with this disorder in secret.

They eat large amounts of food, then go and buy the foods again so that no one notices the missing food.

After eating bouts a very severe feeling of shame, guilt and self-loathing usually arises.

There is damage to self-image and self-efficacy, a very large preoccupation with body and weight.

And of course there are physiological prices as well.

70 percent of the foods eaten in eating bouts are ultra-processed foods, which when eaten in large quantities cause metabolic damage to the body.

Because this is not a one-time event, but a daily occurrence, seizures that involve thousands of calories of processed food, the entire hormonal array goes wrong.

As a result, there is a real health risk for accelerated development of cardiovascular disease, diabetes and more.

Studies show a double chance of mortality in people with this eating disorder if left untreated, compared to the general population.

Can diet help?

Those who suffer from this eating disorder often also suffer from obesity, but the standard treatment for obesity cannot help them.

In fact, a standard diet will only aggravate the eating bouts and increase the feeling of failure.

Slimming diets often use menus that, even if they are nutritionally balanced, are low in calories.

Reducing calories and reaching starvation situations, raises the urge for seizures and worsens their intensity.

Beyond that, the very limitation and creation of deprivation resulting from avoiding certain foods, increases the preoccupation and longing for them.

So for the most part such prohibitions will only encourage uncontrolled eating of these foods during an eating attack.

Diet will not help here.

Illustration of weight (Photo: ShutterStock)

Another difference speaks to the frequency of eating.

If in a diet aimed at losing weight one can choose different styles of eating, in cases of offensive eating disorder it is critical to distribute the food over all waking hours, within a range of 3-4 hours.

It is especially important to eat a regular meal at night, as studies have shown that uncontrollable urges often occur at night due to decreased levels of leptin, the satiety hormone.

How do you start treating an offensive eating disorder?

1. For starters, the goal is to stop the eating attacks and therefore make sure that the body is physically fed with enough calories, proper food composition and proper eating frequency. By doing so we will significantly lower the physiological urge for seizures. It is very important to meet a clinical dietitian who specializes in eating disorders to tailor a realistic eating plan that meets the body’s needs.

2. It is important to learn what drives the urge. The most effective way to learn what triggers for impulses is to make a comprehensive eating record that beyond the description of the eating, also describes emotions, thoughts and feelings. This way we can identify patterns that raise impulses for eating and make a specific plan on how to avoid them.

3. Disassemble and investigate the eating attack. After an attack, we will want to analyze it and identify recurring characteristics, for example reaching increased hunger, thoughts of reduction or limitation, negative emotions that encouraged the binge and also certain behaviors that increased it.

4. We'll wait a bit.

An impulse acts like a wave, it rises, reaches a certain peak, and then it moderates.

Usually within an hour or two, it passes.

If we manage to survive the record, and pass it, it will no longer run us, so delaying the response to the urge is critical.

Usually we will not be able to wait for this time for the beginning, so we will start with a delay of a few minutes and over time we will be able to postpone the attack longer.

What do you do while waiting?

Most effective to get out of the house, and get away.

If not possible, you can do other sweeping actions - crossword puzzles, sudoku puzzles, you can call a friend or girlfriend.

5. Feeling guilty.

Feelings of guilt do not burn calories, and can not go back in time.

If anything, they encourage more eating, and are triggers for more binge eating.

So if there was an eating attack, try to learn from what was, and practice a quick return to routine, and already from the next meal, eat a balanced and healthy meal.

Eat fast and alone.

Man opens the refrigerator door (Photo: ShutterStock)

It is important to note that emotional and emotional support is essential for success in the process.

It helps to deal with high self-criticism, identify terrorist thoughts, and can give the patient practical tools on how to reduce suffering and cope better with seizures.

Research-proven treatment is cognitive behavioral therapy (CBT) that is integrated into the clinics of dietitians and psychologists.

This type of treatment results in a dramatic improvement in 66 percent of those who complete the treatment.

There is also medical help that can moderate the seizures and lower their frequency, and to that end it is advisable to have an evaluation by your eating disorder psychiatrist.

With proper care it is possible to give up a lot of suffering.

If you suspect you are having bouts of binge eating or binge eating, do not be left with it alone.

You can learn to manage the disorder so that it will not take over your life.

Sigalit Paz is a clinical dietitian and director of the company Mutar Li - Dietitians for the Treatment of Obesity and Eating Disorders

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