Drunkorexia, Manorexia, Diabulimia: New Eating Disorders?

  • Medical Author:
    Melissa Conrad Stöppler, MD

    Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.

  • Medical Editor: William C. Shiel Jr., MD, FACP, FACR
    William C. Shiel Jr., MD, FACP, FACR

    William C. Shiel Jr., MD, FACP, FACR

    Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.

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Are there new kinds of eating disorders?

In recent years media reports that mentioned both "drunkorexia" and "manorexia." I have fielded questions about "diabulimia" from coworkers and friends. From the sound of these terms, it appears that there are a lot of new and recently discovered eating disorders. I certainly did not hear the word drunkorexia in medical school.

Actually, these new terms (which, by the way, are not official or standard medical terms) simply refer to subcategories of the well-known eating disorders anorexia nervosa and bulimia nervosa, both of which affect up to 1% of women and a lower percentage of men at some point in their lives.

What is Drunkorexia eating disorders?

The term drunkorexia has been coined to describe the condition of binge drinking combined with the typical self-imposed starvation seen with anorexia nervosa. It has also been used to refer to individuals who use purging (as seen with bulimia nervosa) or who have other eating disorders and try to reduce caloric intake to offset the calories consumed in alcohol. The typical individual described as a drunkorexic is a college-aged woman who is a binge drinker, starving all day in order to get drunk at night.

What is Manorexia eating disorders?

Manorexia simply refers to a male suffering from anorexia nervosa. The disease is similar in males and females and is characterized by a refusal to maintain a normal body weight and distorted perspectives of appropriate body shape and size.

What is Diabulimia eating disorders?

Diabulimia is a form of eating disorder that affects people taking insulin to treat diabetes. It refers to the practice of minimizing insulin dosages by patients with type 1 diabetes mellitus in an attempt to control body weight. Since insulin encourages fat storage, the manipulation of insulin dose is an attempt to reduce weight gain. The term does not refer to a recognized medical condition but to a practice recognized by diabetes experts. Diabulimia is most common in young girls and women with type 1 diabetes.

While the names may be new, all of these conditions refer to established and described eating disorders that are potentially life-threatening. In addition to the health consequences and risks associated with eating disorders, drunkorexics are at risk for complications related to alcohol abuse, while diabulimics, by altering their insulin dosages, are putting themselves at risk for the development of complications related to their underlying diabetes.

Medically reviewed by Marina Katz, MD; American Board of Psychiatry & Neurology

REFERENCES:

"Eating disorders: Overview of epidemiology, clinical features, and diagnosis"
UpToDate.com


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Reviewed on 2/10/2017

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