Eating Disorders in Children

Key things to know What the evidence shows
How common is it? ~1.0% pooled, but child meta-analysis used broad feeding/eating-disorder definitions
Is it more common among children? EDs occur before adolescence; ARFID/feeding presentations particularly relevant
Are children at higher risk? Developmental period matters
How much higher is the risk? Child pooled ED 1.0%
How often can it be missed? Very High
Does it show up differently among children? Strong Yes
How might it look different? Growth failure, food avoidance, sensory/aversive feeding, ARFID, delayed development; body-image motivation may be absent
What commonly occurs alongside it? Anxiety; autism; ADHD
What can it be confused with? ARFID vs picky eating; GI disease; autism-related food restriction; coeliac disease
Common screening tool Age-appropriate ED screen
Separate screening tool for children ChEAT / child-focused measures
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