Eating disorders in the elderly

Maria I. Lapid, Maria C. Prom, M. Caroline Burton, Donald E. McAlpine, Bruce Sutor, Teresa A. Rummans

Research output: Contribution to journalReview article

33 Scopus citations

Abstract

Background: Eating disorders in the elderly are often overlooked. When they occur, significant morbidity and mortality result. In this study we review all existing literature on eating disorders in the elderly and provide practical guidelines for clinicians in recognizing and managing eating disorders in the elderly. Methods: A literature search using Medline(R), PubMed(R), Web of Knowledge(R), and PsychINFO(R) revealed 48 published cases of eating disorders in people over the age of 50 years. Results: The mean age was 68.6 years (range 50-94), and the majority (88%) of cases were females. The majority (81%) of cases had anorexia nervosa, and 10% had bulimia nervosa. Late onset eating disorders were more common (69%) than early onset. Comorbid psychiatric conditions existed in 60%, most commonly major depression. Management with a combination of behavioral and pharmacologic interventions was most successful, although only 42% were treated successfully. Mortality was high (21%) secondary to the eating disorder and its complications. Conclusion: Eating disorders do occur in the elderly and should be included in the differential diagnosis of unexplained weight loss in the elderly.

Original languageEnglish (US)
Pages (from-to)523-536
Number of pages14
JournalInternational Psychogeriatrics
Volume22
Issue number4
DOIs
StatePublished - Jun 1 2010

Keywords

  • Aged
  • Anorexia
  • Appetite disorder
  • Bulimia
  • Late onset
  • Nervosa
  • Obesity
  • Thinness

ASJC Scopus subject areas

  • Clinical Psychology
  • Gerontology
  • Geriatrics and Gerontology
  • Psychiatry and Mental health

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  • Cite this

    Lapid, M. I., Prom, M. C., Burton, M. C., McAlpine, D. E., Sutor, B., & Rummans, T. A. (2010). Eating disorders in the elderly. International Psychogeriatrics, 22(4), 523-536. https://doi.org/10.1017/S1041610210000104