Abstract | Poremećaji u prehrani su česti kod djece i adolescenata, a dva najčešća su anoreksija i bulimija. Anoreksija se karakterizira nedostatkom tjelesne mase, prekomjernim strahom od debljanja, poremećajem tjelesne slike i niskim samopouzdanjem. Bulimija uključuje ponavljajuće epizode prejedanja praćene pokušajima da se hrana eliminira iz tijela, obično povraćanjem ili korištenjem laksativa. Oba poremećaja mogu dovesti do ozbiljnih fizičkih i emocionalnih problema. Uzroci anoreksije i bulimije su složeni i uključuju biološke, psihološke i društvene faktore. Djeca i adolescenti koji su skloni poremećajima u prehrani često imaju nisko samopoštovanje, poteškoće u vladanju emocijama, težem postavljanju granica i mogu biti skloni perfekcionizmu. Dijagnoza se postavlja ispitivanjem psihičkog i fizičkog stanja, detaljnom anamnezom i uvidom u prehrambene navike i ponašanja djeteta te različitih upitnika za procjenu. Liječenje se zasniva na psihoterapiji, medicinskom praćenju, vođenju prehrane i hidracije, vraćanja tjelesne težine na normalnu razinu. Prevencija poremećaja u prehrani uključuje promicanje zdravog stila života, uključujući uravnoteženu prehranu i redovitu tjelesnu aktivnost te promicanje pozitivnog tjelesnog samopoštovanja. Također je važno educirati roditelje, učitelje i druge osobe koje rade s djecom o ranoj dijagnostici i liječenju poremećaja u prehrani te o zdravim pristupima prehrani i tjelesnom izgledu. |
Abstract (english) | Eating disorders are common in children and adolescents, the two most common being anorexia and bulimia. Anorexia is characterized by a lack of body mass, excessive fear of gaining weight, body image disturbance, and low self-esteem. Bulimia involves repeated episodes of binge eating followed by attempts to eliminate food from the body, usually by vomiting or using laxatives. Both disorders can lead to serious physical and emotional problems. The causes of anorexia and bulimia are complex and include biological, psychological, and social factors. Children and adolescents who are prone to eating disorders often have low self-esteem, difficulties in controlling emotions, difficulty setting boundaries, and may be prone to perfectionism. The diagnosis is made by examining the mental and physical condition, a detailed medical history and insight into the child's eating habits and behavior, as well as various evaluation questionnaires. Treatment is based on psychotherapy, medical monitoring, nutrition and hydration management, and restoring body weight to a normal level. Prevention of eating disorders involves promoting a healthy lifestyle, including a balanced diet and regular physical activity, and promoting positive body self-esteem. It is also important to educate parents, teachers, and others who work with children about early diagnosis and treatment of eating disorders and about healthy approaches to eating and body image. |