Children and adolescents with eating disorders: the state of the art.
BACKGROUND
Eating disorders in children and adolescents remain a serious cause of morbidity and mortality in children, adolescents, and young adults. The working knowledge of pathophysiology, recognition, and management of eating disorders continues to evolve as research in this field continues.


OBJECTIVE
This article builds on previous background and position papers outlining issues relevant to the care of the adolescent patient with an eating disorder.


METHODS
The eating disorder special interest group from the Society for Adolescent Medicine recognized the need to update the state of the art published guidelines for the care of the adolescent patient with an eating disorder. This article was a multidisciplinary, group effort to summarize the current knowledge of best practice in the field.


RESULTS
This article summarizes newer findings on pathogenesis and etiology, prevention and screening, risk factors, nutritional issues, care from the primary care clinician's perspective, appropriate use of a multidisciplinary team, and issues of managed care and reimbursement.


CONCLUSIONS
Primary prevention combined with early recognition and treatment helps decrease morbidity and mortality in adolescents with eating disorders.
Rome
Ellen S
ES
Section of Adolescent Medicine, Division of Pediatrics, Children's Hospital at the Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA. romee@ccf.org
Ammerman
Seth
S
Rosen
David S
DS
Keller
Richard J
RJ
Lock
James
J
Mammel
Kathleen A
KA
O'Toole
Julie
J
Rees
Jane Mitchell
JM
Sanders
Mary J
MJ
Sawyer
Susan M
SM
Schneider
Marcie
M
Sigel
Eric
E
Silber
Tomas Jose
TJ
D000293:Adolescent / Q000502:physiology*; D002648:Child; D019091:Critical Pathways; D001068:Feeding and Eating Disorders / Q000175:diagnosis* / Q000209:etiology / Q000517:prevention & control*; D005260:Female; D017408:Guidelines as Topic; D006801:Humans; D007349:Insurance, Health, Reimbursement / Q000331:legislation & jurisprudence; D008297:Male; D008403:Mass Screening / Q000379:methods; D009748:Nutrition Disorders / Q000517:prevention & control; D009751:Nutritional Requirements; D010348:Patient Care Team / Q000458:organization & administration; D012307:Risk Factors; D016896:Treatment Outcome; D014481:United States