%0 Journal Article
%~ PubMed
%A Abraham, Suzanne
%A Kellow, John E
%T Do the digestive tract symptoms in eating disorder patients represent functional gastrointestinal disorders?
%B BMC Gastroenterology
%D 2013
%C United Kingdom
%I BioMed Central Ltd.
%V 13
%N 
%P 38
%@ 1471-230X
%X 
%Z FOR Codes: 110307


%0 Journal Article
%~ PubMed
%A Velickovic, Kathryn M C
%A Makovey, Joanna
%A Abraham, Suzanne F
%T Vitamin D, bone mineral density and body mass index in eating disorder patients.
%B Eating Behaviors
%D 2013
%C United Kingdom
%I Pergamon
%V 14
%N 2
%P 124-127
%@ 1873-7358
%X 
%Z FOR Codes: 110399


%0 Journal Article
%~ PubMed
%A von Lojewski, A
%A Boyd, C
%A Abraham, S
%A Russell, J
%T Lifetime and recent DSM and ICD psychiatric comorbidity of inpatients engaging in different eating disorder behaviours.
%B Eating and Weight Disorders
%D 2012
%C Italy
%I Editrice Kurtis s.r.l.
%V 17
%N 3
%P e185-e193
%@ 1590-1262
%X 
%Z FOR Codes: 110319


%0 Journal Article
%~ PubMed
%A Abraham, Suzanne
%A Luscombe, Georgina M
%A Kellow, John E
%T Pelvic floor dysfunction predicts abdominal bloating and distension in eating disorder patients.
%B Scandinavian Journal of Gastroenterology
%D 2012
%C Norway
%I Informa Healthcare
%V 47
%N 6
%P 625-631
%@ 1502-7708
%X Abstract Objective. Little is known about the symptoms of abdominal bloating and distension in women with eating disorders (EDs). This study aimed to explore the prevalence and predictors of these symptoms in patients with EDs, by examining correlations with functional gastrointestinal disorders (FGIDs) including pelvic floor symptoms and other clinical features. Material and methods. 184 ED inpatients, 16-55 years, completed on admission to hospital the ROME II symptom questionnaire, additional questions about abdominal bloating and distension, and psychological questionnaires. Prediction of abdominal bloating and distension was modeled using logistic regression analyses with individual FGIDs, psychological variables, ED type, and clinical features as the potential predictors. Results. Bloating (78%) was more common than distension (58%) in each ED type. In the final multivariate models, after controlling for BMI, the number of Rome II symptoms of pelvic floor dyssynergia (i.e., having to strain to pass a stool, feeling unable to empty the rectum, and having difficulty relaxing to evacuate the stool) was a significant predictor of both abdominal distension (p < 0.001) and bloating (p < 0.005). The presence of irritable bowel syndrome (IBS, 46%) was a significant predictor of bloating (p < 0.001) but not distension. Conclusions. Symptoms of pelvic floor dysfunction, but not IBS, appear to be especially important in the genesis of abdominal distension in patients with ED.
%Z FOR Codes: 110307


%0 Journal Article
%~ PubMed
%A Coker, Elise
%A Telfer, James
%A Abraham, Suzanne
%T Perceived body weight, eating and exercise problems of different groups of women.
%B Australasian Psychiatry
%D 2012
%C United Kingdom
%I Sage Publications Ltd.
%V 20
%N 5
%P 390-396
%@ 1440-1665
%X 
%Z FOR Codes: 110319 111714


%0 Journal Article
%~ PubMed
%A Lal, M
%A Abraham, S
%T Adolescent development and eating disorder related quality of life in Indian females.
%B Eating and Weight Disorders
%D 2011
%C Italy
%I Editrice Kurtis s.r.l.
%V 16
%N 1
%P e56-60
%@ 1590-1262
%X To study the relationship of adolescent development and eating disorder related quality of life in Indian females.
%Z FOR Codes: 111712 111799


%0 Journal Article
%~ PubMed
%A Abraham, Suzanne
%A Kellow, John
%T Exploring eating disorder quality of life and functional gastrointestinal disorders among eating disorder patients.
%B Journal of Psychosomatic Research
%D 2011
%C United States
%I Elsevier Inc.
%V 70
%N 4
%P 372-377
%@ 1879-1360
%X Functional gastrointestinal-like disorders (FGIDs) are prevalent among eating disorder (ED) patients. The aims are to explore the relationship between quality of life related to eating disorders (QOL ED) and FGIDs.
%Z FOR Codes: 110319


%0 Journal Article
%~ PubMed
%A Hart, Susan
%A Abraham, Suzanne
%A Franklin, Richard C
%A Twigg, Stephen M
%A Russell, Janice
%T Hypoglycaemia following a mixed meal in eating disorder patients.
%B Postgraduate medical journal
%D 2011
%C United Kingdom
%I BMJ Group
%V 87
%N 1028
%P 405-9
%@ 1469-0756
%X OBJECTIVE To describe the incidence of hypoglycaemia, and variables associated with hypoglycaemia, in eating disorder patients following a mixed meal stimulus. METHODS Postprandial blood glucose values of patients admitted to a specialist eating disorder hospital for treatment of an eating disorder between 2000 and 2006 were reviewed and compared to body mass index (BMI), electrolytes, and weight losing behaviours. Analysis of variance (ANOVA) and stepwise logistic regression were undertaken. RESULTS 22% of patients had postprandial glucose values ???3.5 mmol/l (63 mg/dl). Only low BMI significantly predicted postprandial hypoglycaemia. CONCLUSION Clinicians should be aware that postprandial hypoglycaemia is a common finding in eating disorders patients receiving inpatient treatment. As hypoglycaemia is predicted by low BMI, weight restoration is a priority for treatment in patients experiencing hypoglycaemia. Future research should investigate the nutrient composition of refeeding regimens and whether altering the macronutrient composition attenuates the presence of hypoglycaemia. Investigation is warranted in a community sample of eating disorder patients to see if this finding is replicated in non-hospitalised patients.
%Z FOR Codes: 111199 111699


%0 Journal Article
%~ PubMed
%A Hart, S
%A Russell, J
%A Abraham, S
%T Nutrition and dietetic practice in eating disorder management.
%B Journal of human nutrition and dietetics : the official journal of the British Dietetic Association
%D 2011
%C United Kingdom
%I Wiley-Blackwell Publishing Ltd.
%V 24
%N 
%P 144-53
%@ 1365-277X
%X This review examines the current literature that is available on nutrition and dietetic practice in the treatment of eating disorders. Evidence-based guidelines on nutrition and dietetic practice in the management of eating disorder patients are lacking, as is detailed information on how to implement existing recommendations into day-to-day practice.
%Z FOR Codes: 110319 111199


%0 Journal Article
%~ PubMed
%A Hart, Susan
%A Abraham, Suzanne
%A Franklin, Richard C
%A Russell, Janice
%T The reasons why eating disorder patients drink.
%B European eating disorders review : the journal of the Eating Disorders Association
%D 2011
%C United Kingdom
%I John Wiley & Sons Ltd.
%V 
%N 2
%P 
%@ 1099-0968
%X OBJECTIVE: To explore the reasons why eating disorder patients consume non-alcoholic fluids and to examine variables associated with poor and excessive drinking. METHODS: A sample of 115 patients admitted for inpatient treatment to a specialist eating disorder facility completed a semi-standardised retrospective fluid intake history of type and amount of fluid and of reasons for drinking. ANOVA, chi-square and factor analysis were performed. RESULTS: The main reasons for consuming fluids were for fullness and appetite suppression; for feelings of control including feeling empty; to assist with purging; and for physiological reasons such as drinking when thirsty, after exercising and to increase energy levels via caffeine ingestion. DISCUSSION: An eating disorder needs to be considered a disorder of fluid intake, as much as a disorder of food intake. Factors affecting the fluid intake of eating disorder patients are related to the presence of eating disorder behaviours. Copyright ?? 2010 John Wiley & Sons, Ltd and Eating Disorders Association.
%Z FOR Codes: 110319 111104 110319 111104


%0 Journal Article
%~ PubMed
%A Lal, Maala
%A Abraham, Suzanne
%T Translation of the Quality of Life for Eating Disorders questionnaire into Hindi.
%B Eating Behaviors
%D 2011
%C United Kingdom
%I Pergamon
%V 12
%N 1
%P 68-71
%@ 1873-7358
%X The Quality of Life for Eating Disorders questionnaire was translated into Hindi (QOL ED-H) using the forward-backward translation procedure for use with Indian females.
%Z FOR Codes: 110319 170106


%0 Book Section
%A Abraham, Suzanne
%T Weight Problems and Eating Disorders
%B General Practice: The Integrative Approach
%D 2011
%C Australia
%I Elsevier Australia
%V 
%N 
%P 678-686
%@ 9780729538046
%E Hassed, Craig
%E Phelps, Kerryn
%X 
%Z FOR Codes: 111199 110306 170106


%0 Journal Article
%~ PubMed
%A Hart, Susan
%A Abraham, Suzanne
%A Franklin, Richard
%A Russell, Janice
%T Weight changes during inpatient refeeding of underweight eating disorder patients.
%B European eating disorders review : the journal of the Eating Disorders Association
%D 2011
%C United Kingdom
%I John Wiley & Sons Ltd.
%V 
%N 5
%P 
%@ 1099-0968
%X AIM: To describe patterns of weight change in patients admitted to a specialised eating disorder program with established protocols for inpatient refeeding. METHODS: Weight records between January 2000 and December 2006 were categorised using Body Mass Index (BMI) at first admission (BMI ranges <???14.0, 14.1-17.49, 17.5-18.9???kg/m(2)). Total weight gained, number of days of inpatient treatment and rate of weekly weight gain were examined. RESULTS: In total there were 247 patients representing 414 admissions. The rate of weight gain was 0.77, 0.63 and 0.53???kg/week, respectively, for each BMI group. Twenty patients (8.1%) in the refeeding program did not gain weight. CONCLUSION: Weight gain in underweight patients is highly variable. A greater understanding of the processes that contribute to weight gain, and establishment of best practice in achieving weight gain in patients needs to be determined. This data provide detailed information about expectations for refeeding without artificial feeding. Copyright ?? 2010 John Wiley & Sons, Ltd and Eating Disorders Association.
%Z FOR Codes: 1111 1701


%0 Journal Article
%~ PubMed
%A Boyd, Catherine
%A Abraham, Suzanne
%A Kellow, John
%T Appearance and disappearance of functional gastrointestinal disorders in patients with eating disorders.
%B Neurogastroenterology and motility : the official journal of the European Gastrointestinal Motility Society
%D 2010
%C United Kingdom, Neth
%I Wiley-Blackwell Publishing Ltd.
%V 22
%N 
%P 1279-83
%@ 1365-2982
%X Functional gastrointestinal disorders or ''functional gastrointestinal disorder-like'' symptoms (FGIDs) occur commonly in eating disorders (ED), but it is not known if these disorders are stable over time. The aims were to evaluate the turnover of FGIDs in patients with ED, and to relate this turnover to changes in body mass index (BMI), ED behaviors, and psychological variables.
%Z FOR Codes: 110307


%0 Journal Article
%~ PubMed
%A Abraham, S F
%A von Lojewski, A
%A Anderson, G
%A Clarke, S
%A Russell, J
%T Feelings: what questions best discriminate women with and without eating disorders?
%B Eating and Weight Disorders
%D 2009
%C Italy
%I Editrice Kurtis s.r.l.
%V 14
%N 1
%P e6-e10
%@ 1590-1262
%X This study explored feelings that discriminate between eating disorder and community groups of women. Responses to 25 questions about body image (9), eating (8) self-esteem (3) general psychology (5) were collected in 2002-2003 (N=268) and 2005-2006 (N=472). Wilk''s lambda was used to test discrimination. The most discriminating psychological questions were: ''feeling unhappy and unable to cope as well as usual'', ''unease attending social functions'', ''fearing loss of control over emotions''; and for eating questions were: ''feeling uneasy if other people saw you eating'', ''feeling preoccupied with food/eating'', ''fearing loss of control over eating''. For body image only ''feeling preoccupied with body weight/shape'' and ''fearing loss of control over your body'' discriminated. Questions relating to weight and shape for self-esteem (''feeling fat'', ''fearing weight gain'' and ''wanting to lose weight'') discriminated poorly. Results for both cohorts were consistent. Preoccupation with thoughts of eating or body image and fear of loss of control of these would be useful additions to eating disorders criteria. Psychological impairment should also be present.
%Z FOR Codes: 110319


%0 Journal Article
%~ PubMed
%A Friesen, Noel
%A Hansen, Ross D
%A Abraham, Suzanne F
%A Kellow, John E
%T Fructose-sorbitol ingestion provokes gastrointestinal symptoms in patients with eating disorders.
%B World Journal of Gastroenterology
%D 2009
%C China
%I WJG Press
%V 15
%N 42
%P 5295-5299
%@ 1007-9327
%X AIM: To evaluate gastrointestinal (GI) symptoms and breath hydrogen responses to oral fructose-sorbitol (F-S) and glucose challenges in eating disorder (ED) patients. METHODS: GI symptoms and hydrogen breath concentration were monitored in 26 female ED inpatients for 3 h, following ingestion of 50 g glucose on one day, and 25 g fructose/5 g sorbitol on the next day, after an overnight fast on each occasion. Responses to F-S were compared to those of 20 asymptomatic healthy females. RESULTS: F-S provoked GI symptoms in 15 ED patients and one healthy control (P<0.05 ED vs control). Only one ED patient displayed symptom provocation to glucose (P<0.01 vs F-S response). A greater symptom response was observed in ED patients with a body mass index (BMI)<or=17.5 kg/m2 compared to those with a BMI>17.5 kg/m2 (P<0.01). There were no differences in psychological scores, prevalence of functional GI disorders or breath hydrogen responses between patients with and without an F-S response. CONCLUSION: F-S, but not glucose, provokes GI symptoms in ED patients, predominantly those with low BMI. These findings are important in the dietary management of ED patients.
%Z FOR Codes: 111103 110319 110307


%0 Journal Article
%~ Isi
%A Engel, S. G.
%A Adair, C. E.
%A Hayas, C. L.
%A Abraham, S.
%T Health-Related Quality of Life and Eating Disorders: A Review and Update
%B International Journal of Eating Disorders
%D 2009
%C United States
%I John Wiley & Sons, Inc.
%V 42
%N 
%P 179-187
%@ 0276-3478
%X 
%Z FOR Codes: 110319


%0 Journal Article
%~ PubMed
%A Abraham, Suzanne
%A Boyd, Catherine
%A Lal, Maala
%A Luscombe, Georgina
%A Taylor, Alan
%T Time since menarche, weight gain and body image awareness among adolescent girls: onset of eating disorders?
%B Journal of Psychosomatic Obstetrics and Gynecology
%D 2009
%C United Kingdom
%I Informa Healthcare
%V 30
%N 2
%P 89-94
%@ 1743-8942
%X BACKGROUND: Eating, body weight and shape feelings and behaviours of female adolescents in relation to the time since their first menstrual period were studied. METHOD: Three hundred sixty three female school students, aged 12-17 years participated in a cross-sectional computer survey. RESULTS: There was a significant increase in body weight following menarche including a rapid rise from 7-12 months after menarche (47.4 kg, 95% CI 45.2-49.7, 56.9 kg 95% CI 54.0-59.8). Students did not immediately adjust their perception of body weight to incorporate this rapid rise. The discrepancy between actual and desired weight was greatest 7-12 and 13-24 months after menarche. Weight losing behaviours and associated feelings around body image increased significantly following menarche in adolescents of all body weights. Increases were related to body weight and time since menarche, but not to age. Binge eating commenced more than 6 months after menarche and purging behaviour after 12 months. CONCLUSION: Both time since menarche and increase in body weight following menarche are associated with increasing concerns about eating, body image and weight losing behaviour. Some young women develop eating disorders. Menarche and subsequent weight gain appear as a risk factor for the onset of eating disorders.
%Z FOR Codes: 110306


%0 Journal Article
%~ PubMed
%A Neil, Alice
%A Abraham, Suzanne
%A Russell, Janice
%T "Ice" use and eating disorders: A report of three cases.
%B The International journal of eating disorders
%D 2008
%C United States
%I John Wiley & Sons, Inc.
%V 42
%N 0
%P 188-91
%@ 1098-108X
%X To describe the use of crystal methamphetamine hydrochloride "ice," a powerful, synthetic stimulant drug associated with rapid weight loss.
%Z FOR Codes: 110319


%0 Journal Article
%~ Isi
%A Hart, S.
%A Abraham, S.
%A Luscombe, G.
%A Russell, J.
%T Eating disorder management in hospital patients: Current practice among dietitians in Australia
%B Nutrition & Dietetics
%D 2008
%C Australia
%I Wiley-Blackwell
%V 65
%N 1
%P 16-22
%@ 1446-6368
%X 
%Z FOR Codes: 111199


%0 Journal Article
%~ PubMed
%A Boyd, Catherine
%A Abraham, Suzanne
%A Luscombe, Georgina
%T Exercise behaviours and feelings in eating disorder and non-eating disorder groups.
%B European Eating Disorders Review
%D 2007
%C United Kingdom
%I John Wiley & Sons Ltd.
%V 15
%N 2
%P 112-118
%@ 1099-0968
%X OBJECTIVES: To compare exercise feelings and behaviours between female eating disorder (ED) (n = 287) and non-ED (n = 613) groups. To determine if exercise feelings and behaviours predict the presence of an ED. METHODS: Nine hundred females completed questions about their exercise behaviours and feelings. RESULTS: Both groups did similar amounts and days of exercise; the ED group scored higher on all other exercise behaviours and feelings except feeling that exercise was important for mood, and for weight loss. Best predictors of an ED diagnosis (VE 15.2%) were; ''being annoyed if exercise interrupted'' (OR: 1.49; 95% CI 1.04-2.15), ''others feeling you exercise a lot'' (OR: 1.61; 95% CI 1.06-2.44), ''feeling bad if unable to exercise a certain amount'' (OR: 1.53; 95% CI 1.34-1.74), ''feeling that you have/have had problems with exercise'' (OR: 2.12; 95% CI 1.33-3.39). DISCUSSION: Clinicians assessing eating disordered individuals should address specific exercise feelings, rather than exercise amount or frequency. Copyright (c) 2006 John Wiley & Sons, Ltd and Eating Disorders Association.
%Z FOR Codes: 110319


%0 Journal Article
%~ PubMed
%A Abraham, Suzanne F
%A Boyd, Catherine
%A Luscombe, Georgina
%A Hart, Susan
%A Russell, Janice
%T When energy in does not equal energy out: Disordered energy control.
%B Eating Behaviors
%D 2007
%C United Kingdom
%I Pergamon
%V 8
%N 3
%P 350-356
%@ 1471-0153
%X OBJECTIVE: To explore women''s fear of loss of control and excessive inappropriate control of eating, exercise or their body in relation to patient/nonpatient status. To examine the utility of a concept of Disordered Energy Control (DEC). METHODS: Comparison of the features of DEC of 169 female eating disorder, first admission inpatients, 61 previous inpatients (''recovering'') and 225 female students who completed computer questions including the Quality of Life Eating Disorder (QOL ED). RESULTS: Fear of loss of control was reported by 89% of inpatients, 36% of ''recovering'' patients and 34% of students. Fear of loss of control or excessive controlling behaviour (defined as BMI <15.5, vomiting >7days/month) was reported by 96% of inpatients (97% anorexia nervosa, 100% bulimia nervosa, 89% EDNOS), 51% of ''recovering'' patients and 35% of students. There was significantly more impact on QOL ED psychological aspects, daily living, and acute medical health for student and patient groups reporting control issues compared to those who did not. DEC was present in 13% of students, 94% of inpatients and 28% of recovering patients. DISCUSSION: The concept of disordered energy control warrants further investigation particularly in overweight and obese groups. A biological measure of inappropriate energy control associated with medical and psychological problems would be useful.
%Z FOR Codes: 110319