title: Children and adolescents with eating disorders: the state of the art.
abstract: 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.
authors.affiliation: Section of Adolescent Medicine, Division of Pediatrics, Children's Hospital at the Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA. romee@ccf.org
authors.forename: Ellen S
authors.initials: ES
authors.lastname: Rome
authors.forename: Seth
authors.initials: S
authors.lastname: Ammerman
authors.forename: David S
authors.initials: DS
authors.lastname: Rosen
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Keller
authors.forename: James
authors.initials: J
authors.lastname: Lock
authors.forename: Kathleen A
authors.initials: KA
authors.lastname: Mammel
authors.forename: Julie
authors.initials: J
authors.lastname: O'Toole
authors.forename: Jane Mitchell
authors.initials: JM
authors.lastname: Rees
authors.forename: Mary J
authors.initials: MJ
authors.lastname: Sanders
authors.forename: Susan M
authors.initials: SM
authors.lastname: Sawyer
authors.forename: Marcie
authors.initials: M
authors.lastname: Schneider
authors.forename: Eric
authors.initials: E
authors.lastname: Sigel
authors.forename: Tomas Jose
authors.initials: TJ
authors.lastname: Silber
mesh_terms: 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