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Perspectives

Eating disorders: addressing metabolic and endocrine changes

Katrin Kosbab-Jackson, Ian D. Caterson

Figures

© ian boddy/spl   Model used for illustrative purposes only
© ian boddy/spl Model used for illustrative purposes only

Abstract

Eating disorders such as anorexia nervosa are on the increase and the management of affected patients is challenging. Many metabolic and endocrine changes occur with restrictive eating but most resolve once weight has been restored.

Key Points

  • Restrictive eating disorders carry the highest mortality of any psychiatric Illness.
  • Endocrine and metabolic changes in people with these disorders mainly occur to preserve energy and to maintain euglycaemia.
  • The main goal of treatment is to restore weight.
  • Low bone mineral density, and resultant increased fracture risk, is one of the long-term complications of eating disorders.

Figures

© ian boddy/spl   Model used for illustrative purposes only
© ian boddy/spl Model used for illustrative purposes only