Orderly dieting and disordered eating: a case report.
A moderately obese 49-year-old woman who was enrolled in a nutrition and weight control clinic quickly attained her target weight through an individualized program of balanced deficit diet, routine exercise, and weekly counseling. Weight loss continued until she was 15% below Metropolitan Relative Weight, when family members grew concerned that she had developed an eating disorder. Despite nutritional and behavioral counseling, she has rigorously maintained her exaggerated weight loss. This case report illustrates a potentially serious but often overlooked reason for careful monitoring of patients undergoing treatment for obesity. Health professionals involved in weight control programs should routinely assess patients for potential eating disorders.
Andronis
P T
PT
University of Chicago, Nutrition and Weight Control Clinic, IL 60637.
Kushner
R F
RF
D004038:Diet, Reducing; D015444:Exercise; D001068:Feeding and Eating Disorders / Q000209:etiology*; D005260:Female; D006801:Humans; D008875:Middle Aged