Stunting of growth in anorexia nervosa during the prepubertal and pubertal period

Y. Danziger, M. Mukamel, A. Zeharia, G. Dinari, M. Mimouni*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

45 Scopus citations

Abstract

The growth charts of 15 patients with anorexia nervosa during the prepubertal and pubertal period were carefully reconstructed. All 15 (13 females, 2 males) had been suffering from anorexia nervosa for at least 6 months prior to referral. Mean age at referral was 13.3±1.3 years and mean duration of anoretic symptoms was 17±8 months. In all 15 cases growth arrest had been present for 13±8.5 months prior to admission. During the follow-up period, catch-up growth to different degrees was observed in the 13 patients (11 females, 2 males) who remained under treatment for at least 1 year. On the assumption that stunting of growth during the prepubertal and pubertal period is a very frequent, if not a constant, sign of anorexia nervosa of 6 months duration or more, it could be considered an additional criterion for diagnosis of the disease. The projected height should be included in the calculation of ideal weight. Since patients with growth arrest are usually referred first to a general pediatrician or a pediatric endocrinologist, it is recommended that a detailed history of caloric intake, as well as the attitude of the patient to food, be obtained in each case in order to confirm the diagnosis of anorexia nervosa.

Original languageEnglish
Pages (from-to)581-584
Number of pages4
JournalIsrael Journal of Medical Sciences
Volume30
Issue number8
StatePublished - 1994
Externally publishedYes

Keywords

  • Anorexia nervosa
  • Growth
  • Pediatrics
  • Puberty

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