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Anorexia in the elderly--an annotation

P Hall1, R Driscoll

  • 1Eating Disorders Programme, Woodbourne Clinic, Birmingham, United Kingdom.

The International Journal of Eating Disorders
|December 1, 1993
PubMed
Summary
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Anorexia nervosa in the elderly is rare and often mistaken for depression. This study distinguishes true eating disorders from appetite loss in older adults.

Area of Science:

  • Geriatric Medicine
  • Psychiatry
  • Eating Disorders

Background:

  • Anorexia nervosa (AN) is typically diagnosed in adolescents and young adults.
  • Genuine AN presenting in elderly individuals is considered uncommon.
  • Distinguishing AN from other conditions causing appetite loss in the elderly is crucial.

Observation:

  • This study presents two illustrative cases of elderly patients with genuine anorexia nervosa.
  • The cases highlight the challenges in diagnosing AN in older populations.
  • Previous reports may have misattributed symptoms of depression to eating disorders.

Findings:

  • Genuine anorexia nervosa can manifest in the elderly, though it is rare.
  • It is essential to differentiate true eating disorders from age-related appetite decline or depression.

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  • Psychological mechanisms underlying late-onset AN require further investigation.

    • Implications:

    • Increased awareness and diagnostic criteria are needed for geriatric AN.
    • Early and accurate diagnosis can lead to better patient outcomes.
    • Further research into the psychological aspects of AN in the elderly is warranted.