It seems that 'in general, she was relentlessly competitive with her siblings...and was repeatedly sent to health farms for thorough rest, salutary walks, and some extra pounds to fill out her all too slender shape': she may have suffered from depression which caused eating disorders.
Parece que "en xeral, ela era incansablemente competitiva cos seus irmáns... e foi enviada repetidamente a granxas de saúde para un descanso rigoroso, paseos saudables e algunhas libras de máis para encher a súa forma demasiado fraca": puido sufrir de depresión que lle causou desordes alimentarias.