Treatment of obesity

1
Treatment of obesity

• drug treatments
• early amphetamine
• more recent - 5HT drugsSibutramine (Meridia)
  
• jaw wiring
• surgery

2
Other end of the spectrum

• anorexia
• occurs 1 females typically teens to 20s
• bulimia
• harder to estimate more likely 4 or so
  affected

3
Criterion for Anorexia

• Weight 15 below ideal body weight. Refusal to
  maintain a normal weight or above normal weight
  for height and age.
• Intense fear of gaining weight or becoming fat,
  even though underweight.
• Body Image Problems
• 4. No Periods for at least 3 months

4

• The illness typically occurs in teen or early
  20s
• 86 report onset of illness by the age of 20
• 10 report onset at 10 years or younger
• 33 report onset between ages of 11-15
• 43 report onset between ages of 16-20

5

• This is an illness that persists for many people.
• Only 50 report being cured
• 77 report duration from one to fifteen years
• 30 report duration from one to five years
• 31 report duration from six to ten years
• 16 report duration from eleven to fifteen years
• It is estimated that six percent of serious cases
  die

6
Bulimia

• Binge Eating
• -a few to several thousand calories within a few
  hours
• - a feeling that one cannot stop eating although
  one desires to
• 2. Purging
• -vomiting, laxatives, diuretics or excessive
  exercise
• 3. Binging and Purging occurs more than 2 x a
  week for at least 3 months
• 4.Body Image Self evaluation and self esteem is
  overly influenced by weight and shape

7
There are many diseases, disorders, and problem
conditions involving food, eating, and weight.

• Dieting teens
• More than ½ teenaged girls are, or think they
  should be, on diets. About 3 become anorexic or
  bulimic.

8
What are the underlying causes?
9
Also recent data on altered 5HT function No real
pharmacotherapy appears effective