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Journal of Bone and Joint Surgery - British Volume, Vol 84-B, Issue 3, 392-394.
doi: 10.1302/0301-620X.84B3.12619  
Copyright © 2002 by British Editorial Society of Bone and Joint Surgery
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Indications of disordered eating behaviour in adolescent patients with idiopathic scoliosis

F. M. Smith, BSc, PhD, Student1; G. Latchford, PhD, Consultant Clinical Psychologist, Lecturer in Clinical Psychology2; R. M. Hall, PhD, Senior Lecturer in Orthopaedic Biomechanics1; P. A. Millner, FRCS Orth, Consultant Orthopaedic Surgeon, Senior Lecturer in Orthopaedics1; and R. A. Dickson, FRCS, DSc, Professor of Orthopaedic Surgery Consultant Spinal Surgeon1

1 Department of Orthopaedic Surgery, St James’s University Hospital, Clinical Sciences Building, Beckett Street, Leeds LS9 7TF, UK.
2 Academic Unit of Psychiatry and Behavioural Sciences, University of Leeds, 15 Hyde Terrace, Leeds LS2 9LT, UK.

Correspondence should be sent to Professor R. A. Dickson.

We have investigated whether patients with adolescent-onset idiopathic scoliosis (AIS) are more likely to have a low body-weight. Measurements of weight, height and body mass index (BMI) were made in 44 young women with AIS and compared with age- and gender-adjusted normative data. The body mass criteria of the International Classification of Diseases for eating disorders was used to determine how many patients were within the range considered to be ‘eating disordered’. Compared with the normative data, the AIS group did not differ significantly in terms of height, (p = 0.646), but they were significantly lighter (p < 0.001) and had significantly lower BMI scores (p < 0.001); 25% of the series had BMI scores which were within the range considered to be anorexic.

The relationship between a diagnosis of AIS and low body-weight may indicate disordered eating and is thus a cause for concern, particularly in the light of the well-established relationship between eating psychopathology and osteoporosis. Aspects of organic health may need to be considered in addition to the cosmetic deformity.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General