Science Current Events | Science News | Brightsurf.com
 

Experts urge BMI method for calculating weight in kids with eating disorders

January 04, 2012

An exact determination of expected body weight for adolescents based on age, height and gender is critical for diagnosis and management of eating disorders such as anorexia nervosa and bulimia. However, there are no clear guidelines regarding the appropriate method for calculating this weight in children with such disorders.

In a study to be published online Jan. 4, 2012, in the journal Pediatrics, researchers from the University of Chicago, the Harvard School of Public Health and the University of Rochester Medical Center compared three common methods for calculating expected body weight of adolescents with eating disorders and found that the body mass index (BMI) percentile method is recommended for clinical and research purposes.

"There are no clear guidelines in the adolescent field," said study author Daniel Le Grange, PhD, professor of psychiatry and Director of the Eating Disorders Program at the University of Chicago. "We set out to do something that is relatively straightforward that hasn't been done before, and that is look at some of the most frequently used methods of calculating weight in the pediatric and adolescent eating disorder populations, and see whether we can come up with a gold standard for clinical as well as for research purposes."

Le Grange and his colleagues analyzed data from adolescents seeking treatment for eating disorders at the University of Chicago. They calculated expected body weights using the BMI method along with two other commonly used measures: the McClaren and Moore methods. The BMI method compares a patient's current BMI to the 50th percentile BMI for a patient of the same age, height and gender according to charts published by the Centers for Disease Control and Prevention. That percentage can help determine whether a patient has an eating disorder.

Their analysis showed that of the three, the BMI method was the most useful for children and adolescents of all ages, heights and weights, and could account more accurately for very short and very tall patients as well.

By publishing their study in Pediatrics, the premier journal in the pediatric community, Le Grange hopes to reach a wider audience of pediatricians who may not be as familiar with eating disorders. "Pediatricians are at the forefront of making these diagnoses," he said. "We wanted to make a clear statement to the pediatric and adolescent eating disorder community that we should all talk the same language and move forward in this way."

The study also recommends that researchers cite the method used to calculate expected body weight in their research and stresses the importance of using the term "expected" instead of "ideal" to describe body weight to avoid unrealistic body image expectations in patients with eating disorders. "I think it's a good clear clinical guide, and I hope pediatricians in the community feel they can pick it up and have a handy tool in their clinical practice," Le Grange said.

University of Chicago Medical Center


Related Eating Disorders Current Events and Eating Disorders News Articles


Anti-fat attitudes shaped early in life
New findings from New Zealand's University of Otago suggest older toddlers--those aged around 32 months old--are picking up on the anti-fat attitudes of their mothers.

Study finds surprising links between bullying and eating disorders
Being bullied in childhood has been associated with increased risk for anxiety, depression and even eating disorders. But according to new research, it's not only the victims who could be at risk psychologically, but also the bullies themselves.

Have an apple-shaped body? You may be more susceptible to binge eating
Women with apple-shaped bodies - those who store more of their fat in their trunk and abdominal regions - may be at particular risk for the development of eating episodes during which they experience a sense of "loss of control," according to a new study from Drexel University.

Self-weighing may be a hazardous behavior among young women
Self-weighing can be a useful tool to help adults control their weight, but for adolescents and young adults this behavior may have negative psychological outcomes.

New study reveals key differences in brain activity in people with anorexia nervosa
When people with anorexia nervosa decide what to eat, they engage a part of the brain associated with habitual behavior.

Living in fear: Mental disorders as risk factors for chronic pain in teenagers
One in four young people have experienced chronic pain and a mental disorder. According to a new report in the Journal of Pain, the onset of pain is often preceded by mental disorders: an above-average rate of incidence of depression, anxiety disorders, and behavioral disorders occurs before the onset of headaches, back pain and neck pain.

Gut bacteria population, diversity linked to anorexia nervosa
Researchers at the UNC School of Medicine found that people with anorexia nervosa have very different microbial communities residing inside their guts compared to healthy individuals and that this bacterial imbalance is associated with some of the psychological symptoms related to the eating disorder.

Primary healthcare providers urged to screen teens for depression and suicide risk
A new paper from nursing researchers with The University of Texas at Arlington and Texas Woman's University finds that depression and suicide risk screening can assist healthcare providers in preventing suicides in teens.

Teens with bulimia recover faster when parents are included in treatment
Involving parents in the treatment of adolescents with bulimia nervosa is more effective than treating the patient individually, according to a study led by Daniel Le Grange, PhD, Benioff UCSF Professor in children's health in the departments of psychiatry and pediatrics at UCSF Benioff Children's Hospital San Francisco, and James Lock, MD, PhD, professor of psychiatry at Stanford University School of Medicine.

The stomach is the way to a woman's heart, too
You've heard that romance starts in the kitchen and not in the bedroom. Well, researchers at Drexel University finally have the science to support that saying - but not the way you might think.
More Eating Disorders Current Events and Eating Disorders News Articles

8 Keys to Recovery from an Eating Disorder: Effective Strategies from Therapeutic Practice and Personal Experience (8 Keys to Mental Health)

8 Keys to Recovery from an Eating Disorder: Effective Strategies from Therapeutic Practice and Personal Experience (8 Keys to Mental Health)
by Carolyn Costin (Author), Gwen Schubert Grabb (Author), Babette Rothschild (Foreword)


A unique and personal look into treatment of eating disorders, written by a therapist and her former patient, now a therapist herself. This is no ordinary book on how to overcome an eating disorder. The authors bravely share their unique stories of suffering from and eventually overcoming their own severe eating disorders. Interweaving personal narrative with the perspective of their own therapist-client relationship, their insights bring an unparalleled depth of awareness into just what it takes to successfully beat this challenging and seemingly intractable clinical issue.

For anyone who has suffered, their family and friends, and other helping professionals, this book should be by your side. With great compassion and clinical expertise, Costin and Grabb walk readers through...

The Eating Disorders Sourcebook: A Comprehensive Guide to the Causes, Treatments, and Prevention of Eating Disorders (Sourcebooks)

The Eating Disorders Sourcebook: A Comprehensive Guide to the Causes, Treatments, and Prevention of Eating Disorders (Sourcebooks)
by Carolyn Costin (Author)


Sound, sensitive advice for overcoming an eating disorder Anorexia, bulimia, binge eating, exercise addictions . . . these disorders can be devastating, but they are in no way unbeatable. Therapist Carolyn Costin, herself recovered from anorexia, brings three decades of experience and the newest research in the field together, providing readers with the latest treatments, from medication and behavioral therapy to alternative remedies. Whether you are living with an eating disorder or you are a loved one or professional helping someone who is, The Eating Disorder Sourcebook will help you: Recognize and identify eating disorders Discover and work with the underlying causes of an eating disorder Make the right choices when comparing treatment options Understand what is expected in...

Life Without Ed: How One Woman Declared Independence from Her Eating Disorder and How You Can Too

Life Without Ed: How One Woman Declared Independence from Her Eating Disorder and How You Can Too
by Jenni Schaefer (Author), Thom Rutledge (Author)


The 10th Anniversary Edition of the book that has given hope and inspiration to thousands who are dealing with eating disorders
"If you or someone you love has an eating disorder, this is the book to read."
―Dr. Phil Jenni had been in an abusive relationship with Ed for far too long. He controlled Jenni’s life, distorted her self-image, and tried to physically harm her throughout their long affair. Then, in therapy, Jenni learned to treat her eating disorder as a relationship, not a condition. By thinking of her eating disorder as a unique personality separate from her own, Jenni was able to break up with Ed once and for all. Inspiring, compassionate, and filled with practical exercises to help you break up with your own personal E.D., Life Without Ed provides hope to the...

Skinny Me (A New Start Book 1)

Skinny Me (A New Start Book 1)
by Charlene Carr


"If you've ever felt ugly, fat, or just not enough for anyone to like you, then this should be in your reading list. Scratch that. At the top of your list." - Goodreads Reviewer

Whirling from a life that's crumbling around her, Jennifer Carpenter devotes herself to the one thing she can control: becoming the ideal version of herself—a thinner version—no matter the cost.

Will she break free of the pain and negativity that sends her in a downward spiral of self-hatred and poor choices, or continue to live a life of selfishness and misery?

Skinny Me is an in-depth look at the complicated layers of insecurity and depression that can stem from seeking self-worth and beauty in the numbers on a scale.

This novel is beautiful, harsh, and...

Never Binge Again(tm): Reprogram Yourself to Think Like a Permanently Thin Person(tm). Stop Overeating and Binge Eating and Stick to the Food Plan of Your Choice!

Never Binge Again(tm): Reprogram Yourself to Think Like a Permanently Thin Person(tm). Stop Overeating and Binge Eating and Stick to the Food Plan of Your Choice!
by Psy Tech Inc.


If you struggle with binge eating, emotional eating, stress
eating, or if you repeatedly manage to lose weight only to gain it all back, you
may be approaching things with the wrong mindset.
Most contemporary thought on overeating and bingeing focuses on healing and
self-love. But people who've overcome food addiction and weight
issues often report it was more like capturing and caging a rabid dog than
learning to love their inner child...
Open the cage even an inch—or show that dog an ounce of fear—and it'll quickly
burst out to shred your healthy eating plans, undoing all your progress in a
heartbeat.
From his perspective as a formerly food-obsessed psychologist—and previous
consultant to major food...

The Treatment of Eating Disorders: A Clinical Handbook

The Treatment of Eating Disorders: A Clinical Handbook
by Carlos M. Grilo PhD (Editor), James E. Mitchell MD (Editor)


Eminently practical and authoritative, this comprehensive clinical handbook brings together leading international experts on eating disorders to describe the most effective treatments and how to implement them. Coverage encompasses psychosocial, family-based, medical, and nutritional therapies for anorexia nervosa, bulimia nervosa, binge-eating disorder, and other eating disorders and disturbances. Especially noteworthy are "mini-manuals" that present the nuts and bolts of 11 of the treatment approaches, complete with reproducible handouts and forms. The volume also provides an overview of assessment, treatment planning, and medical management issues. Special topics include psychiatric comorbidities, involuntary treatment, support for caregivers, childhood eating disorders, and new...

Why Can't You Just Eat?: A Look Inside the Mind of Anorexia, Bulimia, and Binge Eating Disorder

Why Can't You Just Eat?: A Look Inside the Mind of Anorexia, Bulimia, and Binge Eating Disorder
by Shannon Lagasse (Author)


Shannon was an over-achieving high school student until her life was thrown completely off-track by a vicious eating disorder that no one saw coming. Through years of therapy, tears, dedication, and determination, Shannon and her family worked to overcome her life-threatening disorder and make the painful journey back to living a happy and healthy life. This groundbreaking book pulls back the curtains on what an eating disorder is like, not externally in habits and behaviors, but internally through thoughts and emotions. In these pages, Shannon will lead you deep into the heart and mind of anorexia, bulimia, binge eating disorder, body dysmorphia, and depression. If you’ve struggled to understand eating disorders (or to convey your own experience to others), this is for you. Grab...

Eating in the Light of the Moon: How Women Can Transform Their Relationship with Food Through Myths, Metaphors, and Storytelling

Eating in the Light of the Moon: How Women Can Transform Their Relationship with Food Through Myths, Metaphors, and Storytelling
by Anita A. Johnston PhD. (Author)


By weaving practical insights and exercises through a rich tapestry of multicultural myths, ancient legends, and folktales, Anita Johnston helps the millions of women preoccupied with their weight discover and address the issues behind their negative attitudes toward food.


It Was Me All Along: A Memoir

It Was Me All Along: A Memoir
by Andie Mitchell (Author)


NEW YORK TIMES BESTSELLER

A heartbreakingly honest, endearing memoir of incredible weight loss by a young food blogger who battles body image issues and overcomes food addiction to find self-acceptance.
 
All her life, Andie Mitchell had eaten lustily and mindlessly. Food was her babysitter, her best friend, her confidant, and it provided a refuge from her fractured family. But when she stepped on the scale on her twentieth birthday and it registered a shocking 268 pounds, she knew she had to change the way she thought about food and herself; that her life was at stake.

It Was Me All Along takes Andie from working class Boston to the romantic streets of Rome, from morbidly obese to half her size, from seeking comfort in anything that came cream-filled and...

What's Eating You?: A Workbook for Teens with Anorexia, Bulimia, and other Eating Disorders

What's Eating You?: A Workbook for Teens with Anorexia, Bulimia, and other Eating Disorders
by Tammy Nelson PhD (Author)


Living in a culture obsessed with body size and shape, it can be hard to feel good about the way you look. But eating disorders caused by unrealistic body image ideals create much larger problems-diminished self-confidence, unhealthy eating and exercising habits, and an inability to see yourself as a person rather than a number on the scale.This workbook takes aim at the motivations behind your relationship with food and helps you to better understand how your need to control what you eat can end up controlling you. As you complete the worksheets in What's Eating You, you'll learn more about the beliefs and experiences that contribute to your disorder. Each worksheet includes questions and exercises targeting the cultural myths, perfectionism, stress, and lack of self-confidence that are...

© 2016 BrightSurf.com