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Eating disorders in younger children: current issues and unanswered questions

Phillipa J Hay
Med J Aust 2009; 190 (8): . || doi: 10.5694/j.1326-5377.2009.tb02483.x
Published online: 20 April 2009

A national study of eating disorders highlights potential underdiagnosis and high rates of complications in 5–13-year-olds

In this issue of the Journal, Madden and colleagues report their prospective investigation of eating disorders in children across Australia (Madden et al).1 This study is an important “first” and investigates the putative increasing problem of early-onset eating disorders (EOEDs) in children aged 5–13 years. Over 3 years, detailed data were collected by the Australian Paediatric Surveillance Unit for 101 children who were managed either as outpatients or in hospital for EOEDs — mainly from paediatricians, but also from child psychiatrists. Most children were hospitalised for treatment. The study raises interesting issues and unanswered questions about eating disorders.


  • School of Medicine, University of Western Sydney, Sydney, NSW.


Correspondence: p.hay@uws.edu.au

Competing interests:

I have been sponsored by AstraZeneca to provide a lecture at an educational meeting for psychiatrists.

  • 1. Madden S, Morris A, Zurynski YA, et al. Burden of eating disorders in 5–13-year-old children in Australia. Med J Aust 2009; 190: 410-414. <MJA full text>
  • 2. Hudson JI, Hiripi E, Pope HG Jr, Kessler RC. The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biol Psychiatry 2007; 61: 348-358.
  • 3. Hay PJ, Mond J, Buttner P, Darby A. Eating disorder behaviors are increasing: findings from two sequential community surveys in South Australia. PLoS ONE 2008; 3: e1541.
  • 4. Nielsen S. The epidemiology of anorexia nervosa in Denmark from 1973 to 1987: a nationwide register study of psychiatric admission. Acta Psychiatr Scand 1990; 81: 507-514.
  • 5. Ackard DM, Fulkerson JA, Neumark-Sztainer D. Prevalence and utility of DSM-IV eating disorder diagnostic criteria among youth. Int J Eat Disord 2007; 40: 409-417.
  • 6. Patton GC, Coffey C, Carlin JB, et al. Prognosis of adolescent partial syndromes of eating disorder. Br J Psychiatry 2008; 192: 294-299.
  • 7. Gowers S, Bryant-Waugh R. Management of child and adolescent eating disorders: the current evidence base and future directions. J Child Psychol Psychiatry 2004; 45: 63-83.
  • 8. Hay P, Claudino A. Evidence-based treatment for the eating disorders. In: Agras S, editor. Oxford handbook of eating disorders. New York: Oxford University Press, in press.
  • 9. Hoek HW, van Hoeken D. Review of the prevalence and incidence of eating disorders. Int J Eat Disord 2003; 34: 383-396.
  • 10. Darby A, Hay P, Mond J, et al. The rising prevalence of comorbid obesity and eating disorder behaviors from 1995 to 2005. Int J Eat Disord 2009; 42: 104-108.
  • 11. Hippocrates. Aphorisms. Section I, item 4.

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