Eating behavior of patients with bulimia nervosa



The eating behavior of 30 female bulimics was studied by a 24-hour dietary recall for 3 weeks. The patients showed a wide range of bulimic behavior as can be seen by the wide range of 0–54 bingings per patient during investigation. Binge-eating episodes favorably happened in the afternoon and at night, preferably following regular meals. The average total daily energy intake (including bingings) was 3100 kcal. When binging, the women chose high-calorie food, which is easy to handle. The nutrient (carbohydrates, protein, fat) content was high in fat. Despite consumption of high-calorie diets, there were still patients who did not reach the actual German recommendations for daily food intake, particularly for vitamins and minerals. In addition, nutritional depletion by vomiting and laxative abuse has to be taken into account.