CPG for Eating Disorders

CPG RecommendationsIn this section recommendations are presented following the guide’s structure. Chapters 1,2 and3 of the CPG include an introduction, scope and objectives, and methodology, respectively.Chapter 4 covers eating disorders and Chapter 11 addresses prognosis. All these chapters aredescriptive and thus no recommendations have been formulated for clinical practice. Chapter 5,which covers prevention, is the first to provide recommendations. This section’s abbreviationscan be found at the end.Grade of recommendation: A, B, C o D, depending on whether evidence quality is very high,high, moderate or low. Good clinical practice: recommendation based on the working group’s consensuses.(Please refer to Annex 1).5. Primary Prevention of Eating Disorders (Question 5.1.) 5.1. Sample, format and design characteristics of eating disorder preventionprogrammes that have shown greater efficacy should be considered themodel for future programmes. 5.2. In the design of universal eating disorder prevention strategies, it must betaken into account that expected behavioural changes in children andadolescents without these types of problems might differ from those ofhigh-risk populations. 5.3. Messages on measures that indirectly protect individuals from eatingdisorders should be passed on to the family and adolescent: following ahealthy diet and eating at least one meal at home with the family,facilitating communication and improving self-esteem, avoiding familyconversations from compulsively turning to eating and image andavoiding jokes and disapproval regarding the body, weight or eatingmanner of children and adolescents.6. Detection of Eating Disorders (Question 6.1.)D 6.1. Target groups for screening should include young people with low bodymass index (BMI) compared to age-based reference values, patientsconsulting with weight concerns without being overweight or people whoare overweight, women with menstrual disorders or amenorrhoea, patientswith gastrointestinal symptoms, patients with signs of starvation orrepeated vomiting, and children with delayed or stunted growth, children,adolescents and young adults who perform sports that entail a risk ofdeveloping an eating disorder (athletics, dance, synchronised swimming,etc.).CLINICAL PRACTICE GUIDELINE FOR EATING DISORDERS16