The Biology of Feast and Famine: Relevance to Eating Disorders

Abstract

Part 1 Control mechanisms in feeding: bulimia nervosa - a syndrome of feast and famine, B.T. Walsh et al neurochemistry of anorexia and bulimia, B.G. Hoebel et al cephalic phase response to food and effect on feeding behaviour, J. LeBlanc peripheral signals for satiety in animals and humans, J. Gibbs and G.P. Smith physiological determinants of food selection - association with protein and carbohydrate, G.H. Anderson et al commentary - integration of signals responsible for eating patterns, J.E. Blundell and D.V. Coscina. Part 2 Physiological determinants of neuronal metabolism: neurotransmitter abnormalities in anorexia nervosa and bulimia nervosa, W.H. Kaye neuroendocrine abnormalities in anorexia nervosa and bulimia nervosa, M. Altemus and P.W. Gold the use of carbohydrate-rich snacks to modify mood state - a factor in the production of obesity, R.J. Wurtman and J.J. Wurtman seasonal patterns of nutrient intake in relation to mood, K. Krauchi and A. Wirz-Justice genetics and adaptation to overfeeding and negative energy balance, C. Bouchard commentary - a model of physiological determinants of neuronal metabolism, G.M. Brown and A.S. Kaplan. Part 3 Food deficits, nutritional status and appetite signals: disturbance in energy metabolism among anorexia nervosa and bulimia nervosa patients, M.H. Fernstrom et al inter-organ metabolic coordination during fasting and underfeeding - an adaptation for mobilizing fat while sparing protein in man, G. Wu and E.B. Marliss famine and refeeding - adaptations in energy metabolism, A.M. Prentice et al neurochemical effects of dieting - relevance to changes in eating and affective disorder, P.J. Cowen et al brain imaging and eating disorders, J.O. Hagman commentary - food deficits, nutritional status and appetite signals - chairpersons' commentary, R. Casper and G. Beaton. Part 4 Treatment of anorexia and bulimia nervosa: the research on the treatment of bulimia nervosa - practical and theoretical implications, C.G. Fairburn et al new drugs - new directions, S.H. Kennedy et al nutritional implications for the treatment of anorexia nervosa and bulimia nervosa, P.B. Pencharz et al applications of current research findings to treatment - what we need for the future, P.E. Garfinkel et al commentary - eating disorder - the transitory state of science and treatment, D.S. Goldbloom and K. Jeejeebhoy.

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