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Read the passage given below.(1) Millions of people in the United States are affected by eating disorders. More than 90% of those afflicted are adolescents or young adult women. Although all eating disorders share some common manifestations, anorexia nervosa, bulimia nervosa, and binge eating each has distinctive symptoms and risks. People who intentionally starve themselves (even while experiencing severe hunger pangs) suffer from anorexia nervosa.(2) The disorder, which usually begins around the time of puberty, involves extreme weight loss to at least 15% below the individual’s normal body weight. Many people with the disorder look emaciated but are convinced they are overweight. In patients with anorexia nervosa, starvation can damage vital organs such as the heart and brain. To protect itself, the body shifts into slow gear: Menstrual periods stop, blood pressure rates drop, and thyroid function slows. Excessive thirst and frequent urination may occur. Dehydration contributes to constipation, and reduced body fat leads to lowered body temperature and the inability to withstand cold. Mild anemia, swollen joints, reduced muscle mass, and light-headedness also commonly occur in anorexia nervosa. (3) Anorexia nervosa sufferers can exhibit sudden angry outbursts or become socially withdrawn. One in ten cases of anorexia nervosa leads to death from starvation, cardiac arrest, other medical complications, or suicide. Clinical depression and anxiety place many individuals with eating disorders at risk for suicidal behavior.(4) People with bulimia nervosa consume large amounts of food and then rid their bodies of the excess calories by vomiting, abusing laxatives or diuretics, taking enemas, or exercising obsessively. Some use a combination of all these forms of purging. Individuals with bulimia who use drugs to stimulate vomiting, bowel movements, or urination may be in considerable danger, as this practice increases the risk of heart failure. Dieting heavily between episodes of binging and purging is common.(5) Because many individuals with bulimia binge and purge in secret maintain normal or above normal body weight, they can often successfully hide their problem for years. But bulimia nervosa patients-even those of normal weight can severely damage their bodies by frequent binge eating and purging. In rare instances, binge eating causes the stomach to rupture; purging may result in heart failure due to loss of vital minerals such as potassium. Vomiting can cause the esophagus to become inflamed and glands near the cheeks to become swollen. As in anorexia nervosa, bulimia may lead to irregular menstrual periods. Psychological effects include compulsive stealing as well as possible indications of obsessive-compulsive disorder, an illness characterized by repetitive thoughts and behaviors. Obsessive compulsive disorder can also accompany anorexia nervosa. As with anorexia nervosa, bulimia typically begins during adolescence. Eventually, half of those with anorexia nervosa will develop bulimia. The condition occurs most often in women but is also found in men.(6) Binge-eating disorder is found in about 2% of the general population. As many as one-third of this group is men. It also affects older women, though with less frequency. Recent research shows that binge-eating disorder occurs in about 30% of people participating in medically supervised weight-control programs. (7) This disorder differs from bulimia because its sufferers do not purge. Individuals with binge eating disorder feel that they lose control of themselves when eating. They eat large quantities of food and do not stop until they are uncomfortably full. Most sufferers are overweight or obese and have a history of weight fluctuations. As a result, they are prone to the serious medical problems associated with obesity, such as high cholesterol, high blood pressure, and diabetes. (8) Obese individuals also have a higher risk for gallbladder disease, heart disease, and some types of cancer. Usually they have more difficulty losing weight and keeping it off than do people with other serious weight problems. Like anorexic and bulimic sufferers who exhibit psychological problems, individuals with bingeeating disorder have high rates of simultaneously occurring psychiatric illnesses, especially depression.On the basis of your understanding of the above passage, find out the correct options of the questions1.) Majority of people suffering from eating disorders are __________ . a) Adolescents b) Young adult women c) Obese people d) Both A and B 2.) Mild anemia, swollen joints, reduced muscle mass, etc. commonly occur in _______ . a) Bulimia b) Binge - eating c) Anorexia nervosa d) obsessive compulsive disorder3.) Depression and anxiety place many individuals with eating disorders at risk of __. a) Suicidal behaviour b) Obesity c) C )Binge eating d) None of these 4) Binge eating disorder occurs in about 30% of people undergoing ___________ . a) Treatment b) Weight control programs c) Depression d) Puberty 5) Obese individuals also have a risk of ____________ . a) Heart disease b) Some types of cancer c) Gallbladder disease d) All of these 6) Individuals suffering from anorexia can also suffer from ___________ . a) Cardiac arrest b) Suicidal behaviour c) Both (a) and (b) d) None of these 7) “Many people with the disorder look emaciated but are convinced they are overweight. The word ‘emaciated’ here means _________ . a) Fat b) Skeletal c) Nervous d) Depressed(8) According to the passage, which of the following is correct? a) Among the suffers of anorexia nervosa, half of them will eventually develop bulimia. b) Binge eating disorder is found mainly in children. c) People with bulimia nervosa keep themselves in starvation. d) More than 90% of those afflicted with eating disorders are men and old-age people.

Answer»

1. D) Both A and B

2. C) Anorexia nervosa

3. A) Suicidal behaviour

4. B) Weight control programs

5. D) All of these

6. A) Cardiac arrest

7. B) Skeletal

8. A) Among the suffers of anorexia nervosa, half of them will eventually develop bulimia.



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