What paediatricians should know about eating disorders in children and young people

Lee D Hudson1, Andrew J Court

  • 1Department Child and Adolescent Psychiatry, Feeding and Eating Disorders Team, Great Ormond Street Hospital, London, United Kingdom. leehudson@fastmail.co.uk

Insights

Pediatricians play a crucial role in managing eating disorders in children and adolescents, addressing both acute medical instability and chronic underweight for optimal growth and development.

Area of Science:

  • Pediatrics
  • Child and Adolescent Psychiatry
  • Clinical Nutrition

Background:

  • Eating disorders present significant morbidity and mortality risks in pediatric populations.
  • Health professionals, particularly pediatricians, frequently encounter children and young people with eating disorders.
  • Underweight in pediatric patients can manifest as acute medical instability or chronic issues affecting growth and development.

Purpose of the Study:

  • To provide an overview of eating disorders in children and young people.
  • To explore current best practices for managing pediatric eating disorders.
  • To highlight the pediatrician's role in the care of these patients.

Main Methods:

  • This paper is a collaborative review written by a pediatrician and a child and adolescent psychiatrist.
  • It synthesizes current knowledge on eating disorders in pediatric populations.
  • Focuses on practical aspects relevant to health professionals.

Main Results:

  • Effective management requires addressing both acute medical instability and chronic underweight.
  • Weight restoration to adequate nutritional status is essential for appropriate growth and development.
  • A multidisciplinary team approach combining pediatric, mental health, and dietetic expertise is key to successful outcomes.

Conclusions:

  • Pediatricians are integral to the multidisciplinary care of children and young people with eating disorders.
  • Early identification and intervention are critical for improving outcomes.
  • Integrated care models enhance the potential for successful weight restoration and developmental progress.

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