Dietary Needs for Binge Eating and Anemia Management - Nutrition

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Dietary issues


The doctor mentioned that for binge eating syndrome, it's important to choose high-protein foods with moderate fat content.
How much is considered moderate fat? For example, how much meat can be consumed in one meal? Additionally, if someone has anemia, friends and family suggest increasing iron intake.
What foods should be consumed and in what quantities to meet the requirements? Is it necessary to eat a lot of organ meats? Thank you!

A Jin, 20~29 year old female. Ask Date: 2013/05/12

Dr. Cai Xiuwen reply Nutrition


Hello, A-Jin! Generally speaking, it is important to first determine your caloric needs before calculating your daily fat intake.
For an intake of 1800 calories, fat should comprise about 30%, which amounts to approximately 60 grams.
After accounting for five servings of protein sources such as eggs, beans, fish, and meat, you would need to consume about 6.5 servings of fats per day, with each serving being around 5 grams (equivalent to one teaspoon of oil).

In cases of dumping syndrome, it is crucial to limit the intake of simple sugars, as they can lead to high osmotic pressure, resulting in symptoms such as cramping, diarrhea, and cold sweats.
For example, sweet beverages and desserts should be avoided.
Instead, soft foods in small amounts taken multiple times throughout the day are recommended.
If anemia is present following gastric surgery, it may be due to a deficiency in vitamin B12, which is caused by the lack of intrinsic factor necessary for absorption.
It is advisable to use injectable vitamin B12.
If the anemia is indeed due to iron deficiency, incorporating sources such as pork liver, beef, and lamb, which have a higher absorption rate of heme iron, is recommended.
Patients are encouraged to consult a nutritionist at the hospital to discuss their specific issues, allowing for tailored adjustments to their dietary plan.
Wishing you peace and health.
This information is provided by Dietitian Tsai Hsiu-Wen from Nantou Hospital, Department of Health.

Reply Date: 2013/05/12

More Info


When managing dietary needs for individuals with binge eating disorder (BED) and anemia, it is essential to focus on a balanced approach that incorporates high-protein foods, appropriate fats, and iron-rich options. Here’s a comprehensive breakdown of how to approach this dietary management.


Understanding Binge Eating Disorder (BED)
Binge eating disorder is characterized by recurrent episodes of eating large quantities of food, often quickly and to the point of discomfort. Individuals may feel a lack of control during these episodes and often experience feelings of shame or guilt afterward. Therefore, the dietary approach should not only focus on the types of food consumed but also on establishing a healthy relationship with food.

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High-Protein Foods
High-protein foods are crucial for individuals with BED as they can help promote satiety and reduce the likelihood of binge episodes. Protein-rich foods include:
- Lean meats: Chicken breast, turkey, and lean cuts of beef or pork.

- Fish: Salmon, tuna, and other fatty fish are also beneficial due to their omega-3 fatty acids.

- Plant-based proteins: Beans, lentils, chickpeas, tofu, and tempeh are excellent sources of protein for vegetarians and vegans.

- Dairy: Greek yogurt and cottage cheese are high in protein and can be included in meals or snacks.

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Recommended Protein Intake
For an average adult, the recommended dietary allowance (RDA) for protein is about 0.8 grams per kilogram of body weight. However, for those managing BED, it may be beneficial to increase protein intake to about 1.2 to 1.6 grams per kilogram of body weight, depending on individual needs and activity levels.
In terms of portion sizes, a serving of meat is typically around 3 ounces (about the size of a deck of cards). For a balanced meal, aim for one serving of protein, complemented by vegetables and whole grains.


Appropriate Fats
Fats are essential for overall health, but the type and amount consumed should be monitored. Healthy fats can help with satiety and should be included in moderation.
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Types of Healthy Fats
- Avocados: Rich in monounsaturated fats and fiber.

- Nuts and seeds: Almonds, walnuts, chia seeds, and flaxseeds provide healthy fats and protein.

- Olive oil: A great source of monounsaturated fats, ideal for cooking or salad dressings.

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Recommended Fat Intake
The Dietary Guidelines for Americans recommend that 20-35% of total daily calories come from fats. For a 2,000-calorie diet, this translates to about 44 to 78 grams of fat per day. It’s important to focus on portion sizes and choose healthy fats over saturated and trans fats.


Managing Anemia
Anemia, particularly iron-deficiency anemia, requires dietary adjustments to increase iron intake. Iron is crucial for the production of hemoglobin, which carries oxygen in the blood.

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Iron-Rich Foods
- Red meat: Beef and lamb are excellent sources of heme iron, which is more easily absorbed by the body.

- Poultry: Chicken and turkey also provide heme iron.

- Fish: Tuna and salmon are good options.

- Legumes: Lentils, chickpeas, and beans are rich in non-heme iron.

- Leafy greens: Spinach and kale contain iron but should be consumed with vitamin C-rich foods to enhance absorption.

- Fortified cereals: Many breakfast cereals are fortified with iron.

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Recommended Iron Intake
The RDA for iron varies by age and gender. Adult men typically require about 8 mg per day, while women of childbearing age need about 18 mg per day. For those with anemia, it may be necessary to increase iron intake through diet and possibly supplements, but this should be done under medical supervision.


Conclusion
In summary, individuals managing binge eating disorder and anemia should focus on a balanced diet rich in high-protein foods, healthy fats, and iron-rich options. Portion sizes should be monitored, and it’s essential to establish a healthy relationship with food. Consulting with a registered dietitian can provide personalized guidance tailored to individual needs, ensuring that dietary choices support both mental and physical health.

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