Truly late onset of eating disorders: A study of 11 cases averaging 60 years of age at presentation

Beck, D; Casper, Regina C.; Andersen, Arnold E.

doi:10.1002/(sici)1098-108x(199612)20:4<389::aid-eat6>3.0.co;2-j

Cited by 43 publications

(26 citation statements)

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“…1,12,13 A review of the literature on eating disorders in older people showed the mean age of patients to be 68.6 years, 88% of whom are women, and 81% of all cases of eating disorders were diagnosed as anorexia nervosa. 9 It is also noteworthy that 69% of cases of anorexia nervosa in this population were late onset, as opposed to the more common early onset.…”

Section: Discussionmentioning

confidence: 99%

“…Despite case reports and literature reviews of late-onset eating disorders, a controversy exists as to whether eating disorders can initially manifest later in life or are a recurrence of an early-onset eating disorder. 1,9,12,13 Patient records were reviewed for individuals aged Ͼ50 years who were admitted to national eating disorders center over a period of 10 years in an attempt to clarify this issue of eating disorders that present late, but the review found no cases of late-onset eating disorders in that population. 3 The possibility that eating disorders in older persons are neither well recognized nor diagnosed, or that older persons are more adept at disguising their eating disorder, should be considered.…”

Section: Discussionmentioning

confidence: 99%

“…More controversy over the emergence of eating disorders in women aged Ͼ50 years has evolved regarding whether the eating disorder emerges at that time or is diagnosed from onset at an earlier age. [1][2][3] The behaviors that coincide with eating disorders, such as restrictive eating patterns and body dysmorphia, have been documented among older women. Among a random community sample of 475 women aged 60 to 70 years, 3.8% met the criteria for an eating disorder.…”

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confidence: 99%

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Geriatric Anorexia Nervosa

Zayed

Garry

2017

J Am Board Fam Med

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Eating disorders are not commonly diagnosed in individuals aged >50 years, yet they are associated with significant psychiatric comorbidities and overall morbidity. Anorexia nervosa is the most common eating disorder among this age group, and women are affected most often. We present the fatal case of a 66-year old woman with severe malnutrition and newly diagnosed anorexia nervosa. Inpatient refeeding was unsuccessful, and she succumbed to multisystem organ failure. The timely recognition of eating disorders among older people is important for family physicians who care for patients across the life spectrum. ( The onset of eating disorders has been most commonly described as occurring among adolescent and young adult women (16 to 25 years old). More controversy over the emergence of eating disorders in women aged Ͼ50 years has evolved regarding whether the eating disorder emerges at that time or is diagnosed from onset at an earlier age.1-3 The behaviors that coincide with eating disorders, such as restrictive eating patterns and body dysmorphia, have been documented among older women. Among a random community sample of 475 women aged 60 to 70 years, 3.8% met the criteria for an eating disorder. 4 Among older Canadian women, 2.6% of those aged 50 to 64 years, and 1.8% of those aged Ͼ65, reported symptoms of disordered eating. 5A strong association has been noted with comorbid psychiatric disorders in late-onset eating disorders. Major depression has been shown to be 2.4 to 4 times more likely in individuals with anorexia than in controls.6 Anxiety disorders, obsessive compulsive disorder, and social phobias have also been associated with eating orders. 7,8 In a study of women aged Ն50 years that investigated the relationship between eating disorder symptomatology (scores Ͼ20 on the EAT-26 eating disorders screening tool, where scores Ͼ20 indicate high risk of an eating disorder) and mood disorders, older women with eating disorder symptomatology had a significantly higher risk of a mood disorder than did those women who scored Յ20 on the EAT-26 module (odds ratio, 6.9 [95% confidence interval, 4.5-10.4] and 1.0, respectively). 2 A recent review of the literature regarding eating disorders in individuals aged Ͼ50 years revealed comorbid psychiatric conditions in 60% of this population; major depression was the most common mood disorder among patients in this age group.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Geriatric Anorexia Nervosa

Zayed

Garry

2017

J Am Board Fam Med

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“…The clinical core of eating disorders in the older adults are consistent with the DSM-5 criteria [2]. Late-life eating disorders present some differences if compared to eating disorders occurred "in the typical age": the studies analyzing the risk factors demonstrated less family history of major psychiatric disorders [67] and comorbidity [68] but more marital conflicts, separation or divorce [69]. A recent study on late-life eating disorders showed that the individuals affected by these illnesses reported significantly fewer weekly vomiting episodes and fewer self-harming behaviours, but a more frequent history of past or current obesity than early onset individuals [70].…”

Section: Midlife and Late-life Eating Disordersmentioning

confidence: 96%

Eating Disorders in Late-life

Luca

Calandra

2014

aging dis

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Eating disorders are a heterogeneous group of complex psychiatric disorders characterized by abnormal eating behaviours that lead to a high rate of morbidity, or even death, if underestimated and untreated. The main disorders enlisted in the chapter of the Diagnostic and Statistic Manual of Mental Disorders-5 dedicated to "Feeding and Eating Disorders" are: anorexia nervosa, bulimia nervosa and binge eating disorder. Even though these abnormal behaviours are mostly diagnosed during childhood, interesting cases of late-life eating disorders have been reported in literature. In this review, these eating disorders are discussed, with particular attention to the diagnosis and management of those cases occurring in late-life.

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“…[14][15][16][17][18] Epidemiological studies reveal that the peak age of onset is between 15 and 19 years old; 19 however, there are anecdotal reports of increasing presentations in prepubertal children, 20 as well as new-onset cases in mid-and late-life. 21,22 Course of Illness AN has profound medical and psychological consequences that can persist throughout life. Correlates of the eating disorder, such as depression, anxiety, social withdrawal, heightened self-consciousness, fatigue, and multiple medical complications, represent ongoing difficulties.…”

Section: Epidemiologymentioning

confidence: 99%