Medical Complications of Eating Disorders in Youth

Peebles, Rebecka; Sieke, Erin H.

doi:10.1016/j.chc.2019.05.009

Cited by 37 publications

(28 citation statements)

References 189 publications

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“…School districts may, therefore, benefit from guidelines for providing high-risk youth with coherent referrals to higher levels of care (e.g., inpatient medical stabilization, hospitalization, and residential treatment) to address life-threatening patterns of behavior beyond the scope of school counselors, nurses, and safety officers (Derenne, 2019). Similarly, DEB is frequently overlooked in medical settings due to an overreliance on lower body mass index and misattribution of medical complications to other morbidities (Peebles & Sieke, 2019). Thus, comprehensive statewide assessment approaches paired with statistically driven conceptualizations of what constitutes as suicide risk factors may allow us to better capture suicide risk in overlooked communities.…”

Section: Discussionmentioning

confidence: 99%

Leveraging general risk surveillance to reduce suicide in early adolescents: Associations between suicidality, disordered eating, and other developmental risk factors

Hunt

Levinson

Peiper

2021

Suicide & Life Threat Behav

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Objective Suicide is a leading cause of death in early adolescents (i.e., children ages 11–14), underscoring the need for a more complex understanding of suicidality in youth. Syndemics framework posits that the overlap of multiple maladaptive behaviors (or risk factors) produces worse health outcomes compared to each behavior alone. The use of this framework in preventing suicide necessitates that identification of developmental risk factors that occur in tandem to suicide (e.g., disordered eating behaviors and substance use) may be important for intervening on those at greatest risk of suicide. Method The present study uses latent class analysis (LCA) to evaluate the relationship between suicidality and disordered eating behaviors in early adolescence, and associations with other developmental risk factors in an epidemiological sample of middle school students (N = 3,811). Results Lifetime prevalence ranged from 6.8% to 18.2% for suicidality, and 5.3%–48.7% for disordered eating behavior. Our final model identified six independent classes, and each class had differential associations with several additional developmental risk factors. Conclusion By pinpointing specific classes of individuals who may be at risk for multiple developmental risk factors, our results have important implications for public health intervention and prevention efforts for a wide range of adolescent risk behaviors, including suicidality.

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Section: Discussionmentioning

confidence: 99%

Leveraging general risk surveillance to reduce suicide in early adolescents: Associations between suicidality, disordered eating, and other developmental risk factors

Hunt

Levinson

Peiper

2021

Suicide & Life Threat Behav

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“…Eating disorders may complicate the pre‐existing nutritional challenges associated with cancer care. The onset of eating disorders is usually seen during adolescence and young adulthood and carries with it significant medical sequelae and a high mortality rate in its own right . Conversely, insulin resistance and its consequent cardiovascular risk have been reported in up to 25% of childhood cancer survivors .…”

Section: So How Do We Identify the Reasons Why Ayas May Be At Greatermentioning

confidence: 99%

AYA survivorship: The next challenge

Stoneham

2020

Cancer

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Adolescent and young adult (AYA) oncology has recently emerged as a new medical discipline with a focus on the needs and challenges around AYA cancer care. Improvements in all-age cancer treatments over the last 40 years has led to a doubling in overall survival for AYA patients with cancer, and >80% are expected to survive beyond 5 years. 1 Over this period, the incidence of cancer in AYAs has increased, meaning that there will be ever more AYA cancer survivors with the potential of many decades of life still to live. 2 The challenge is how to maintain this excellent survival rate and ensure the subsequent quality of survival.However, cancer mortality remains the leading cause of disease-related death for AYAs in North America. 2 In this issue of Cancer, Armenian and colleagues describe the profoundly elevated risk of premature death in AYAs with cancer that continues for well beyond 20 years after diagnosis. 3 Theirs is not an isolated series, as their data echo findings from Anderson et al and European AYA survivorship publications. [4][5][6] For the majority of patients, primary cancer recurrence is the most common cause of mortality in the early years of surveillance. It is of concern that the gain in improvement of overall survival outcomes for AYA patients has been significantly lower than the gains for both older and younger groups of patients with cancer. 7 Alongside this, there is a paucity of evidence delineating the subsequent mortality and morbidity for AYA survivors with which to underpin the design of survivorship programs. Although AYA survivorship outcomes are published for Hodgkin disease, testicular cancer, and sarcoma, these diagnoses represent <50% of the spectrum of all AYA cancers diagnosed each year. Similarly, the quality of survival in an aftercare setting has not been well evaluated. There is much work to be done.

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“…Dentro de aquellas que pueden ser irreversibles destacan el retardo de crecimiento, la disminución de la densidad mineral ósea (DMO) y la atrofia cerebral. El crecimiento puede verse comprometido en los adolescentes con AN que no han alcanzado su talla final 29 . El impacto en la estatura es mayor si la enfermedad precede al estirón puberal, pico de velocidad de crecimiento y cierre epifisiario 30,31 , y es directamente proporcional a la severidad y duración de la AN 31 .…”

Section: Impacto En La Saludunclassified

“…El impacto en la estatura es mayor si la enfermedad precede al estirón puberal, pico de velocidad de crecimiento y cierre epifisiario 30,31 , y es directamente proporcional a la severidad y duración de la AN 31 . Con la rehabilitación nutricional puede existir un crecimiento compensatorio, pero la talla final podría verse afectada 29 . La AN se asocia también a baja DMO y a deterioro de la estructura y fortaleza óseas, con aumento del riesgo de fracturas 32 .…”

Section: Impacto En La Saludunclassified

Trastornos de la conducta alimentaria en adolescentes. Una mirada integral

2020

Rev Chil Pediatr

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Los trastornos de la conducta alimentaria (TCA) son enfermedades muy serias que se inician habitualmente en la adolescencia y en general han ido en aumento en los países en desarrollo. Actualmente, diversos factores obstaculizan su prevención, pesquisa y tratamiento en el país, siendo uno importante la escasez de capacitación de los profesionales de salud en este tema emergente. El objetivo de este artículo es contribuir al conocimiento que poseen los pediatras sobre los TCA en la adolescencia, mediante una revisión actualizada de la literatura en el tema. En esta publicación se abordan la principal clasificación internacional de los TCA en uso en la literatura científica actual y la epidemiología, etiología, el impacto en la salud integral, la presentación clínica y el tratamiento de los TCA más frecuentes en la adolescencia.

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Medical Complications of Eating Disorders in Youth

Cited by 37 publications

References 189 publications

Leveraging general risk surveillance to reduce suicide in early adolescents: Associations between suicidality, disordered eating, and other developmental risk factors

Leveraging general risk surveillance to reduce suicide in early adolescents: Associations between suicidality, disordered eating, and other developmental risk factors

AYA survivorship: The next challenge

Trastornos de la conducta alimentaria en adolescentes. Una mirada integral

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