J Am Diet Assoc. 2001 Jul;101(7):810-9. doi: 10.1016/s0002-8223(01)00201-2.
More than 5 million Americans suffer from eating disorders. Five percent of females and 1% of males have anorexia nervosa, bulimia nervosa, or binge eating disorder. It is estimated that 85% of eating disorders have their onset during the adolescent age period. Although Eating Disorders fall under the category of psychiatric diagnoses, there are a number of nutritional and medical problems and issues that require the expertise of a registered dietitian. Because of the complex biopsychosocial aspects of eating disorders, the optimal assessment and ongoing management of these conditions appears to be with an interdisciplinary team consisting of professionals from medical, nursing, nutritional, and mental health disciplines (1). Medical Nutrition Therapy provided by a registered dietitian trained in the area of eating disorders plays a significant role in the treatment and management of eating disorders. The registered dietitian, however, must understand the complexities of eating disorders such as comorbid illness, medical and psychological complications, and boundary issues. The registered dietitian needs to be aware of the specific populations at risk for eating disorders and the special considerations when dealing with these individuals.
超过500万美国人患有饮食失调症。5%的女性和1%的男性患有神经性厌食症、神经性贪食症或暴饮暴食症。据估计，85%的饮食失调症始于青少年时期。尽管饮食失调症属于精神疾病诊断范畴，但仍有许多营养和医学问题需要注册营养师的专业知识。由于饮食失调症具有复杂的生物心理社会因素，对这些病症的最佳评估和持续管理似乎需要一个由医学、护理、营养和心理健康领域的专业人员组成的跨学科团队（1）。由在饮食失调领域接受过培训的注册营养师提供的医学营养治疗在饮食失调症的治疗和管理中起着重要作用。然而，注册营养师必须了解饮食失调症的复杂性，如共病、医学和心理并发症以及边界问题。注册营养师需要意识到饮食失调症的高危特定人群以及与这些个体打交道时的特殊注意事项。
