Update on the medical management of eating disorders in adolescents

Neville H Golden; Debra K Katzman; Susan M Sawyer; Rollyn M Ornstein; Ellen S Rome; Andrea K Garber; Michael Kohn; Richard E Kreipe

doi:10.1016/j.jadohealth.2014.11.020

Update on the medical management of eating disorders in adolescents

J Adolesc Health. 2015 Apr;56(4):370-5. doi: 10.1016/j.jadohealth.2014.11.020. Epub 2015 Feb 7.

Authors

Neville H Golden¹, Debra K Katzman², Susan M Sawyer³, Rollyn M Ornstein⁴, Ellen S Rome⁵, Andrea K Garber⁶, Michael Kohn⁷, Richard E Kreipe⁸

Affiliations

¹ Department of Pediatrics, Division of Adolescent Medicine, Stanford University School of Medicine, Palo Alto, California. Electronic address: ngolden@stanford.edu.
² Department of Pediatrics, Division of Adolescent Medicine, Hospital for Sick Children and University of Toronto, Toronto, Ontario, Canada.
³ Department of Pediatrics, The University of Melbourne, Parkville, Victoria, Australia; Centre for Adolescent Health, Royal Children's Hospital, Parkville, Victoria, Australia; Murdoch Childrens Research Institute, Parkville, Victoria, Australia.
⁴ Division of Adolescent Medicine and Eating Disorders, Penn State Hershey Children's Hospital, Hershey, Pennsylvania.
⁵ Center for Adolescent Medicine, Cleveland Clinic Children's Hospital, Cleveland, Ohio; Department of Pediatrics, Cleveland Clinic Lerner College of Medicine, Cleveland, Ohio.
⁶ Division of Adolescent Medicine, University of California Benioff Children's Hospital, San Francisco, California.
⁷ Department of Adolescent Medicine, The Sydney Children's Hospital Network, Westmead, New South Wales, Australia; Faculty of Medicine, The University of Sydney, Westmead, New South Wales, Australia.
⁸ Department of Pediatrics, Division of Adolescent Medicine, Golisano Children's Hospital, University of Rochester Medical Center, Rochester, New York; New York State ACT for Youth Center of Excellence, Western New York Comprehensive Care Center for Eating Disorders, Rochester, New York.

PMID: 25659201
DOI: 10.1016/j.jadohealth.2014.11.020

Abstract

The medical practitioner has an important role to play in the management of adolescents with eating disorders, usually as part of a multidisciplinary team. This article reviews the role of the medical practitioner in the diagnosis and treatment of eating disorders, updating the reader on the changing epidemiology of eating disorders, revised diagnostic criteria, newer methods of assessing degree of malnutrition, more aggressive approaches to refeeding, and current approaches to managing low bone mass.

Keywords: Adolescents; Eating disorders; Medical management.

Publication types

Review

MeSH terms

Adolescent
Bone Density
Feeding and Eating Disorders / diagnosis
Feeding and Eating Disorders / epidemiology
Feeding and Eating Disorders / therapy*
Female
Humans
Male
Malnutrition / diagnosis
Malnutrition / etiology

Abstract

Publication types

MeSH terms

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