Eating disorders

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Abstract

Anorexia nervosa, bulimia nervosa and binge eating disorder, and avoidant–restrictive food intake disorder are the main categories of eating disorder. They are associated with impairment of physical health and social, emotional, and cognitive development; outcomes are poor if untreated. Ten times more girls are affected than boys. The primary aim of management is to establish regular meals and snacks spread throughout the day. Severely malnourished children are at risk of refeeding syndrome and require expert care (outlined in the published guideline ‘Junior MARSIPAN’).