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SUMMARY A long term follow up (mean 7-2 years) of 30 children with anorexia nervosa (mean age at onset 11-7 years) was carried out. The outcome was good in only 18 (60%), 10 children remaining moderately to severely impaired and two died. Poor prognostic factors included early age at onset (<11 years), depression during the illness, disturbed family life and one parent families, and those in which one or both parents had been married before.We have previously described 48 children up to 14 years of age who met the diagnostic criteria of anorexia nervosa.' The group (wWich included 15 boys) had a mean age at onset of 11*7 years (range 7-7 to 13.2). Half the children were prepubertal at

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