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Updated: Jun 4, 2025

A Computer-Based Platform for Aiding Clinicians in Eating Disorder Analysis and Diagnosis
Published on: May 10, 2022
FIGIJ and NASPAG Advocacy Statement: Recognize Eating Disorders Early and Intervene!
Ellen S Rome1, Anastasia Vatopoulou2, Emily Gelson3
1Center for Adolescent Medicine, Cleveland Clinic Children's Hospital, Cleveland Clinic Lerner College of Medicine at Case, Cleveland, Ohio.
Clinicians can detect eating disorders (EDs) in young people by monitoring menstrual cycles and growth charts. Early identification of irregular periods or significant growth changes can lead to timely intervention and better health outcomes.
Area of Science:
- Reproductive health
- Pediatrics
- Eating disorder research
Background:
- Eating disorders (EDs) are serious biopsychosocial illnesses affecting youth globally.
- Reproductive health clinicians are well-positioned for early ED detection.
- Menstrual irregularities like oligomenorrhea and amenorrhea can signal disordered eating.
Purpose of the Study:
- To highlight the role of reproductive health clinicians in identifying eating disorders.
- To emphasize the importance of menstrual cycle and growth chart monitoring as vital signs for detecting EDs.
- To advocate for prompt referral to multidisciplinary care for improved patient outcomes.
Main Methods:
- Review of clinical indicators for eating disorders in adolescents and young adults.
- Emphasis on recognizing menstrual irregularities (oligomenorrhea, amenorrhea) as potential ED signs.
- Utilizing growth charts to track weight and height percentile changes as indicators.
Main Results:
- Oligomenorrhea and amenorrhea are key early signs of developing or progressing disordered eating.
- Growth chart deviations (crossing 2+ major percentiles) warrant further assessment for EDs or other causes.
- Integrating menstrual cycle assessment and growth monitoring can aid early ED detection.
Conclusions:
- Menses should be considered a vital sign, alongside growth charts, for identifying potential eating disorders.
- Early recognition and referral by clinicians managing reproductive health are crucial for improving outcomes in youth with EDs.
- Multidisciplinary care is essential for managing eating disorders effectively.
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