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Körperliche Folgeerkrankungen von Essstörungen

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S3-Leitlinie Diagnostik und Behandlung der Essstörungen

Zusammenfassung

Diabetes mellitus ist bei jungen Frauen im Alter zwischen 15 und 25 Jahren vergleichsweise selten. Man muss von einer Punktprävalenz von < 0,2 % ausgehen. Die klinische Häufigkeit des gemeinsamen Auftretens von AN und Diabetes mellitus ist dennoch vergleichsweise hoch, so dass mutmaßlich eine überzufällige Häufigkeit des gemeinsamen Auftretens besteht. Allerdings fehlen zur AN exakte epidemiologische Daten. Gestörtes Essverhalten, das noch nicht den diagnostischen Kriterien der AN oder BN genügt, findet sich dagegen mit überzufälliger Wahrscheinlichkeit bei jungen weiblichen Typ-I-Diabetikerinnen (51). Ein Drittel der jungen Frauen mit insulinabhängigem Diabetes zeigt gestörtes Essverhalten, mehr als 10 % zeigen eine deutliche Unterdosierung oder ein Auslassen von Insulingaben zur Gewichtskontrolle.Dies erfordert insbesondere bei jüngeren Patienten eine enge Abstimmung der Therapie mit Daibetologen und Pädiatern. Gestörtes Essverhalten ist mit einer schlechteren Diabetes-Einstellung verbunden (52). In einer Metaanalyse zur Komorbidität von Diabetes mellitus und Essstörungen lässt sich bei Diabetikerinnen eine Erhöhung der Prävalenz für die Bulimia nervosa nicht aber für die Anorexia nervosa belegen.

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Authors and Affiliations

  1. Medizinisch-Psychosomatische Klinik Roseneck, Prien am Chiemsee, Deutschland

    Ulrich Cuntz

  2. Klinik für Allgemeine Innere Medizin und Psychosomatik, Universität Heidelberg, Heidelberg, Deutschland

    Christiane Walter

  3. Abteilung Innere Medizin VI, Psychosomatische Medizin und Psychotherapie, Universitätsklinikum Tübingen, Tübingen, Deutschland

    Stephan Zipfel

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  1. Deutsche Gesellschaft für Psychosomatische Medizin und Ärztliche Psychotherapie (DGPM), Bochum, Germany

    Stephan Herpertz

  2. Deutsche Gesellschaft für Psychiatrie und Psychotherapie, Psychosomatik und Nervenheilkunde (DGPPN), Prien a. Chiemsee, Bayern, Germany

    Manfred Fichter

  3. Deutsche Gesellschaft für Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie (DGKJP), Aachen, Germany

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    Almut Zeeck

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Cuntz, U., Walter, C., Zipfel, S. (2019). Körperliche Folgeerkrankungen von Essstörungen. In: Herpertz, S., et al. S3-Leitlinie Diagnostik und Behandlung der Essstörungen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-59606-7_8

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