hiya bucks in Bourne End, Flackwell Heath, Marlow, Wycombe, Wooburn June 2017 | Page 16

YOUR HEALTH with Dr. Thakkar EATING WELL FOR MIND AND BODY TOO LITTLE IS AS DANGEROUS AS TOO MUCH Whilst obesity is a growing problem that often hits the press, and rightly so, we also need to consider those who may have an eating disorder. Eating disorders, particularly in men, have been highlighted in the national media of late. Broadly speaking, eating disorders can be categorised into anorexia nervosa, bulimia or a mixture of the two, sometimes referred to as an eating disorder not otherwise specified (EDNOS). Anorexia often manifests as the inability of the person to recognise they are underweight and in fact, patients feel they are overweight despite being thin and malnourished. As such, behaviours such as obsession about weight, excessive exercising, vomiting and abuse of laxatives and other drugs, become the focus of daily life. risk of these conditions as well as improving mental health. Bulimia is a cycle of binge eating and subsequently vomiting the ingested food. Triggers can be many-fold but often include stressful life events. The causes of eating disorders are multi-factorial and include peer and parental pressure, media, criticism, poor coping strategies and genetics. The risks of having an eating disorder are equally as devastating and can be life threatening. Complications include mental health disorders such as depression, anxiety and obsessive neuroses, malnutrition, osteoporosis, rupture of the oesophagus, muscle disorders, dental cavities, heart failure, and abnormalities of electrolytes such as potassium that may, in some cases, lead to cardiac arrest and death. Being overweight can increase the risk of cancer, high blood pressure, heart disease, diabetes, fatty liver and arthritis. There is no doubt that diet and exercise can reduce the The Healthy Bucks programme http:// www.chiltern.gov.uk/article/5458/ Get-Healthy-Bucks can help you find activities near you and can be found online, and Active Bucks offers similar help at http:// activebucks.co.uk/ It is essential that if you, or if you think a loved one, may be suffering from an eating disorder early help is sought. Remember, it’s common for those with an eating disorder to hide their behaviour, and both men and women may be affected. As such, a high degree of vigilance is required. If concerned, you absolutely must see a doctor. Dr. Thakkar is a GP at Pound House Surgery Chiltern Clinical Commissioning Group 16 | hiyabucks.com