Calculation of Expected Body Weight in Adolescents With Eating Disorders

Grange, Daniel Le; Doyle, Peter; Swanson, Sonja A.; Ludwig, Kali; Glunz, Catherine; Kreipe, Richard E.

doi:10.1542/peds.2011-1676

Cited by 122 publications

(80 citation statements)

References 13 publications

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“…In adolescents, absolute BMI cut-offs should not be used. The BMI percentile method for calculating estimated body weight examines an adolescent's weight in relation to the 50th BMI percentile (which is their expected body weight) 66. Deviations for this point are used as an indicator of medical stability to set a target weight and to assess progress in adolescents with DE and ED 66.…”

Section: Diagnosis Of the Triadmentioning

confidence: 99%

“…The BMI percentile method for calculating estimated body weight examines an adolescent's weight in relation to the 50th BMI percentile (which is their expected body weight) 66. Deviations for this point are used as an indicator of medical stability to set a target weight and to assess progress in adolescents with DE and ED 66. BMI percentiles adjusted for age and gender are recommended until age 20 by the Centers for Disease Control and Prevention (http://www.cdc.gov/growcharts).…”

Section: Diagnosis Of the Triadmentioning

confidence: 99%

See 1 more Smart Citation

2014 Female Athlete Triad Coalition Consensus Statement on Treatment and Return to Play of the Female Athlete Triad: 1st International Conference held in San Francisco, California, May 2012 and 2nd International Conference held in Indianapolis, Indiana, May 2013

et al. 2014

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The Female Athlete Triad is a medical condition often observed in physically active girls and women, and involves three components: (1) low energy availability with or without disordered eating, (2) menstrual dysfunction and (3) low bone mineral density. Female athletes often present with one or more of the three Triad components, and an early intervention is essential to prevent its progression to serious endpoints that include clinical eating disorders, amenorrhoea and osteoporosis. This consensus statement represents a set of recommendations developed following the 1st (San Francisco, California, USA) and 2nd (Indianapolis, Indiana, USA) International Symposia on the Female Athlete Triad. It is intended to provide clinical guidelines for physicians, athletic trainers and other healthcare providers for the screening, diagnosis and treatment of the Female Athlete Triad and to provide clear recommendations for return to play. The 2014 Female Athlete Triad Coalition Consensus Statement on Treatment and Return to Play of the Female Athlete Triad expert panel has proposed a risk stratification point system that takes into account magnitude of risk to assist the physician in decision-making regarding sport participation, clearance and return to play. Guidelines are offered for clearance categories, management by a multidisciplinary team and implementation of treatment contracts. This consensus paper has been endorsed by the Female Athlete Triad Coalition, an International Consortium of leading Triad researchers, physicians and other healthcare professionals, the American College of Sports Medicine and the American Medical Society for Sports Medicine.

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Section: Diagnosis Of the Triadmentioning

confidence: 99%

Section: Diagnosis Of the Triadmentioning

confidence: 99%

2014 Female Athlete Triad Coalition Consensus Statement on Treatment and Return to Play of the Female Athlete Triad: 1st International Conference held in San Francisco, California, May 2012 and 2nd International Conference held in Indianapolis, Indiana, May 2013

et al. 2014

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“…Children and adolescents continue to grow and develop throughout puberty and into young adulthood. 113,138 Body composition and activity changes will mandate changes in weight even if a final adult linear height has been achieved. This is an important concept to highlight for parents and patients when working toward recovery.…”

Section: Recovery Goalsmentioning

confidence: 99%

“…138,139 It is important to note that children and adolescents are not "little adults," and because of their hypermetabolic state, once nutrition is introduced, their caloric needs are high, typically between 3000 and 6000 kcal daily. They may remain hypermetabolic for up to 2 years, 113,140 so it is important not to reduce caloric intake prematurely once they reach their weight goal; instead, the treatment team can work on activity increases as development of muscle mass requires continuation of caloric goals.…”

Section: Recovery Goalsmentioning

confidence: 99%

Eating Disorders in Children and Adolescents: State of the Art Review

2014

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This is the 3rd in our series on Adolescent Health. abstract Despite their high prevalence, associated morbidity and mortality, and available treatment options, eating disorders (EDs) continue to be underdiagnosed by pediatric professionals. Many adolescents go untreated, do not recover, or reach only partial recovery. Higher rates of EDs are seen now in younger children, boys, and minority groups; EDs are increasingly recognized in patients with previous histories of obesity. Medical complications are common in both full and subthreshold EDs and affect every organ system. No single cause of EDs has emerged, although neurobiological and genetic predispositions are emerging as important. Recent treatment paradigms acknowledge that they are not caused by families or chosen by patients. EDs present differently in pediatric populations, and providers should have a high index of suspicion using new Diagnostic and Statistical Manual, 5th edition diagnostic criteria because early intervention can affect prognosis. Outpatient family-based treatment focused on weight restoration, reducing blame, and empowering caregivers has emerged as particularly effective; cognitive behavioral therapy, individual therapy, and higher levels of care may also be appropriate. Pharmacotherapy is useful in specific contexts. Full weight restoration is critical, often involves high-calorie diets, and must allow for continued growth and development; weight maintenance is typically inappropriate in pediatric populations. Physical, nutritional, behavioral, and psychological health are all metrics of a full recovery, and pediatric EDs have a good prognosis with appropriate care. ED prevention efforts should work toward aligning with families and understanding the impact of antiobesity efforts. Primary care providers can be key players in treatment success.

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“…21 Both the McLaren and Moore methods make assumptions not supported by data, particularly in the adolescent age group. The McLaren method, which does not take into account age, assumes that the weight-for-height ratio is a constant.…”

Section: Figurementioning

confidence: 99%