Medical Aspects of Eating Disorders Richard Kreipe, M.D. Professor of Pediatrics, Division of Adolescent Medicine, Golisano Children’s Hospital Medical Director, Eating Disorders Recovery Center of Western New York February 29, 2008
The role of the physicians on the eating disorder treatment team is to
Identify the disorder.
Rule out other causes.
Monitor for consequences.
Treat the disorder .
Identification of patients with eating disorders
Determination of normal weight for height in adults
Predicted body weight method (PBW) :
• Predict body weight based on height.
• Divide actual weight by predicted weight
Example: PBW for 5'6" woman is 130 lb. If actual weight is 110 lb., then patient is 85% of predicted weight.
Determination of normal weight for height in children and adolescents
• Body mass index for age
Age in years Weight Height Growth chart: height and weight for age
Age in years body mass index = weight/height 2 Growth chart: body mass index for age