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Medical Complications of Anorexia Nervosa and Bulimia
Open accessAbstract
Anorexia nervosa and bulimia nervosa are serious psychiatric illnesses related to disordered eating and distorted body images. They both have significant medical complications associated with the weight loss and malnutrition of anorexia nervosa, as well as from the purging behaviors that characterize bulimia nervosa. No body system is spared from the adverse sequelae of these illnesses, especially as anorexia nervosa and bulimia nervosa become more severe and chronic. We review the medical complications that are associated with anorexia nervosa and bulimia nervosa, as well as the treatment for the complications. We also discuss the epidemiology and psychiatric comorbidities of these eating disorders.
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“Unlike cancer or Alzheimer’s disease, most medical complications associated with anorexia can be treated with adequate nutritional intake and weight restoration, even in severely emaciated patients (3, 146).”
From Assisted death in eating disorders: a systematic review of cases and clinical rationales (2024) · cites this paper as [146]
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“These impairments contribute to a vicious cycle where malnutrition exacerbates cognitive deficits that hinder effective treatment engagement and decision-making, resulting in a pattern of diminished capacity that fuels the disorder itself (146).”
From Assisted death in eating disorders: a systematic review of cases and clinical rationales (2024) · cites this paper as [146]
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“most medical complications are reversible with nutritional rehabilitation and expert care [9].”
From Terminal anorexia nervosa is a dangerous term: it cannot, and should not, be defined (2022) · cites this paper as [9]
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The Science Behind the Academy for Eating Disorders' Nine Truths About Eating Disorders
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Metadata
- Authors
- Westmoreland, P., Krantz, M. J., & Mehler, P. S.
- Affiliations
- Denver Health Medical Center (US)
- Corresponding author
- Mehler, Philip S.
- Venue
- The American Journal of Medicine
- Publisher
- Elsevier BV
- Published
- 2016-01
- Volume
- 129
- Issue
- 1
- Pages
- 30-37
- ISSN
- 0002-9343 (ISSN-L)
- OpenAlex
- W808601510
- Cited by
- 467
- References
- 121
- Citations by year
- 2026: 33 · 2025: 55 · 2024: 36 · 2023: 58 · 2022: 56 · 2021: 56 · 2020: 61 · 2019: 43 · 2018: 17 · 2017: 17 · 2016: 16
- FWCI
- 2.39
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The American Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- anorexia nervosa, bulimia nervosa, eating disorders, medical complications, malnutrition, weight loss, purging behavior, body image distortion, psychiatric comorbidity, complication treatment
- MeSH terms
- Anorexia Nervosa, Humans, Comorbidity, Bulimia Nervosa
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