TY - CHAP M1 - Book, Section TI - Chapter 73. Disorders of Eating A1 - Rudolph, Colin D. A1 - Rudolph, Abraham M. A1 - Lister, George E. A1 - First, Lewis R. A1 - Gershon, Anne A. Y1 - 2011 N1 - T2 - Rudolph's Pediatrics, 22e AB - Disordered eating can be defined operationally as any eating behavior, or food or body image obsession, that negatively affects health, work, or relationships. This may include restrictive dieting or fasting, abuse of laxatives or appetite suppressants including caffeine and nicotine, skipping meals or avoiding meals with family and friends, overuse of meal supplements, excessive exercising (“exercise bulimia”), chewing then spitting out food, or infrequent binging or purging. Adolescents obsessed with body image may endanger themselves by abusing bodybuilding supplements and performance-enhancing drugs, including steroids, or may relentlessly pursue cosmetic surgery, including liposuction. Disordered eating also includes unsafe dieting techniques such as severe caloric restriction and “zero-carb” diets. Disordered eating is often not recognized because the person suffering may not look ill and does not consider his or her behavior as rising to the level of an eating disorder. In fact, both overweight and athletic youth are most at risk for developing disordered eating. Children with disordered eating may engage in dieting or fasting that seems unnecessary, avoid eating and eating situations, secretly binge, or make overly critical statements about their own body weight, shape, or size. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/10/06 UR - accesspediatrics.mhmedical.com/content.aspx?aid=6737360 ER -