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Eating Disorders and Their Effects on Bone Health

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Nutrition and Bone Health

Part of the book series: Nutrition and Health ((NH))

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Abstract

The prevalence of eating disorders has increased in the industrialized world in the last few decades (1,2), and 0.2–1% of all adolescent girls (3) and 1–4% (4) of all college-aged women in the United States suffer from anorexia nervosa (AN), an eating disorder associated with significant bone loss (5–17) and increased fracture risk (11,18,19). Often undiagnosed, the true prevalence is likely higher, and variants of AN are estimated to be twice that diagnosed strictly by DSM-IV criteria (20,21). In addition, AN has been increasingly reported in males, who now comprise 5–15% of this population (22), and also demonstrate significant bone loss (23), In a recent study from Canada, disordered eating attitudes and behaviors were reported in more than 27% of girls aged 12–18 yr (24), with significant increases in Drive for Thinness, Body Dissatisfaction, and Bulimia subscales (Eating Disorders Inventory) with age. Table 1 summarizes the characteristic features of eating disorders (25).

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Authors
  1. Madhusmita Misra
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  2. Anne Klibanski
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Editors and Affiliations

  1. Department of Medicine, Dermatology, Physiology, and Biophysics, Boston University School of Medicine, Boston, MA, USA

    Michael F. Holick PhD, MD

  2. Human Nutrition Research Center on Aging, Tufts University, Boston, MA, USA

    Bess Dawson-Hughes MD

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Misra, M., Klibanski, A. (2004). Eating Disorders and Their Effects on Bone Health. In: Holick, M.F., Dawson-Hughes, B. (eds) Nutrition and Bone Health. Nutrition and Health. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-740-6_33

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  • DOI: https://doi.org/10.1007/978-1-59259-740-6_33

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