Overzichtsartikel 5) The disturbance does not occur exclusively during episodes of anorexia nervosa. 307.51 (F50.8) Binge-eating disorder 1) Recurrent episodes of binge-eating. An episode of binge eating is characterized by both of the following: a. Eating in a discrete period of time an amount of food that is definitely larger than what most individuals would eat in a similar period of time under similar circumstances. b. A sense of lack of control over eating during the episode. 2) The binge-eating episodes are associated with three (or more) of the following: a. Eating much more rapidly than normal b. Eating until feeling uncomfortably full c. Eating large amounts of food when not feeling physically hungry d. Eating alone because of feeling embarrassed by how much one is eating e. Feeling disgusted with oneself, depressed or very guilty afterward 3) Marked distress regarding binge-eating is present. 4) The binge-eating occurs on average at least once a week for 3 months. 5) The binge-eating is not associated with the recurrent use of inappropriate compensatory behavior as in bulimia nervosa and does not occur exclusively during the course of bulimia nervosa or anorexia nervosa. 307.59 Other specified feeding or eating disorder This category applies to presentations in which symptoms characteristic of a feeding an eating disorder that cause clinically significant distress or impairment in social, occupational or other important areas of functioning predominate but do not meet the full criteria for any of the disorders in the feeding and eating disorder diagnostic class. Diagnosing is done by recording a specified feeding or eating disorder followed by the specific reason for not meeting the full criteria (e.g. bulimia nervosa of low frequency). APPENDIX B: Gronden voor beslissing hoeveelheid belasting I Rood stoplicht (niet meer belasten bij een van de onderstaande punten): a) Anorexia nervosa b) Boulimia nervosa c) Forse fysieke gevolgen van verminderde energiebeschikbaarheid d) Minimaal drie criteria van categorie II II Oranje stoplicht (niet meer belasten bij drie of meer van de volgende punten): a) BMI onder de 18.5 en / of vetpercentage <12% en amennorhoea (vrouwen) b) BMI onder de 18.5 en / of vetpercentage <5% en laag testosteron (mannen) c) Amennorhoea langer dan 6 maanden d) Verminderde Bone Mass Density (t.o.v. een eerdere meting of Z-score <-1) e) Stress fracturen of labafwijkingen als verlaagd Hb, elektrolytenstoornis f) Niet meewerkende sporters g) Sporters waarbij hun gedrag rondom eten een dusdanig effect heeft dat dit het groepsproces verstoort h) Hypokaliemie <2 of <3,5 met ECG afwijkingen 12 Sport & Geneeskunde | september 2014 | nummer 4 Pagina 11
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Sport & Geneeskunde nummer 4 | november 2014 Lees publicatie 43Home