{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T15:45:42Z","timestamp":1788968742119,"version":"build-2803163510"},"reference-count":20,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2022,8,17]],"date-time":"2022-08-17T00:00:00Z","timestamp":1660694400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["MRF1135959"],"award-info":[{"award-number":["MRF1135959"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001232","name":"Royal Australasian College of Physicians","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001232","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003921","name":"Department of Health, Australian Government","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003921","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The aim of this study was to collect prospective national data on early\u2010onset eating disorders (EOEDs) in children in Australia to document changes in clinical presentations, medical complications, management, and incidence since initially described in 2002\u20132005.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Each month pediatricians reported children aged 5\u201313\u2009years newly diagnosed with an eating disorder to the Australian Paediatric Surveillance Unit and provided de\u2010identified clinical data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Between 2016 and 2018, 184 children were confirmed with EOED with a minimum estimated national incidence of 2.79 per 100,000 children aged 5\u201313\u2009years (95% confidence interval [CI] 2.40\u20133.23), nearly double the previously recorded incidence. The mean age at diagnosis was 12.2\u2009years; 43(24%) were boys who were younger than girls (11.85 vs. 12.33\u2009years; <jats:italic>p<\/jats:italic>\u00a0=\u2009.03). All had food avoidance. Common symptoms included fear of weight gain 140 (76%), preoccupation with body weight 134 (73%), and misperception of body size 116 (63%). Bradycardia was present in 83 (45%) and 117 (64%) who required hospital admission. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM\u20105) criteria for anorexia nervosa were met for 144 (78%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Children with eating disorders continue to present with severe illness. Near doubling in incidence in just over a 10\u2010year period highlights the need for increased clinical resourcing and comparable international data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Public Significance<\/jats:title><jats:p>The incidence of new presentations of eating disorders in children aged 5\u201313\u2009years has nearly doubled since a similar study was conducted over 10\u2009years ago. Children were unwell for an average of 8\u2009months before diagnosis; approximately 80% had a clear diagnosis of anorexia nervosa and 64% needed hospital admission due to medical complications. This highlights the need for improvements in education and clinical resources for this age group.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23794","type":"journal-article","created":{"date-parts":[[2022,8,18]],"date-time":"2022-08-18T06:55:59Z","timestamp":1660805759000},"page":"1838-1842","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":38,"title":["Early\u2010onset eating disorders in Australian children: A national surveillance study showing increased incidence"],"prefix":"10.1002","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0419-0529","authenticated-orcid":false,"given":"Anne","family":"Morris","sequence":"first","affiliation":[{"name":"The Australian Paediatric Surveillance Unit The University of Sydney  Sydney New South Wales Australia"},{"name":"Faculty of Medicine and Health, Discipline of Child and Adolescent Health and Paediatrician The Sydney Children's Hospitals Network  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Elliott","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health, Discipline of Child and Adolescent Health and Paediatrician The Sydney Children's Hospitals Network  Sydney New South Wales Australia"},{"name":"Department of Paediatrics and Child Health, The Australian Paediatric Surveillance Unit The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sloane","family":"Madden","sequence":"additional","affiliation":[{"name":"The Sydney Children's Hospitals Network  Westmead New South Wales Australia"},{"name":"Faculty of Medicine and Health The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,8,17]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_10_3_1","unstructured":"Australian Bureau of Statistics(2020 March).Table 59. 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