RT Book, Section A1 Rudolph, Colin D. A1 Rudolph, Abraham M. A1 Lister, George E. A1 First, Lewis R. A1 Gershon, Anne A. SR Print(0) ID 6737360 T1 Chapter 73. Disorders of Eating T2 Rudolph's Pediatrics, 22e YR 2011 FD 2011 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-149723-7 LK accesspediatrics.mhmedical.com/content.aspx?aid=6737360 RD 2024/11/08 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.