Austin SB, Ziyadeh NJ, Forman S, Prokop LA, Keliher A, Jacobs D. Screening high school students for eating disorders: Results of a national initiative. Preventing Chronic Disease. 2008;5(4):A114. Key teaching points from article:
- The National Eating Disorders Screening Program, the first national screening program for eating disorders held in high schools across the United States, found that almost 1 in 4 girls and 1 in 10 boys reported at least 1 disordered eating or weight control symptom serious enough to warrant further evaluation by a health professional.
- A large proportion of symptomatic students had never been treated for an eating disorder.
- National screening for eating disorders in high schools reached a large number of students who were likely to have symptoms of disordered eating and weight control and may offer a critical public health strategy to improve prognosis by shortening the interval between symptom onset and treatment.
Nihiser AJ, Lee SM, Wechsler H, McKenna M, Odom E, Reinold C, Thompson D, Grummer-Strawn L. BMI Measurement in Schools. Pediatrics. 2009;124(Supplement 1):S89-S97. Key teaching points from article:
- School-based BMI measurement has attracted attention across the nation as a potential approach to address obesity among youth; little is known about its impact or effectiveness in changing obesity rates.
- A number of concerns have been expressed about school-based BMI-screening programs, including that they might:
- intensify the stigmatization already experienced by many obese youth
- increase dissatisfaction with body image
- intensify pressures to engage in harmful weight-loss practices that could lead to eating disorders
- result in an inappropriate response by parents
- waste scarce health-promotion resources
- distract attention from other school-based obesity-prevention activities
- BMI-surveillance programs (BMI measured, but assessment is not sent to parents) are less controversial, because they do not involve the communication of sensitive information to parents and do not require follow-up care.
Stuhldreher N, Konnopka A, Wild B, Herzog W, Zipfel S, Löwe B, König HH. Cost-of-illness studies and cost-effectiveness analyses in eating disorders: A systematic review. International Journal of Eating Disorders. 2012;45(4):476-491. Key teaching points from article:
- As a consequence of eating disorders, physical comorbidities develop frequently, including osteoporosis, osteopenia, cardiovascular, and renal problems.
- Eating disorders are often associated with other psychiatric condition, such as major depressive disorder, personality disorders, or anxiety disorders, especially obsessive compulsive disorder.
- Eating disorders are associated with a high risk of suicide and elevated overall mortality rates.
- Eating disorders create substantial costs, even though the available evidence probably underestimates the economic burden; comprehensive evaluations of direct and indirect costs are still lacking.
Wright DR, Austin SB, LeAnn Noh H, Jiang Y, Sonneville KR. The Cost-Effectiveness of School-Based Eating Disorder Screening. American Journal of Public Health. 2014;17:e1-e9. Key teaching points from article:
- The cost-effectiveness of school-based eating disorder screening are conservatively estimated to be $9041 per life-year with and eating disorder avoided and $56 500 per QALY gained.
- School-based eating disorder screening is feasible and relatively and cost-effective; school-based eating disorder screening is less costly than some mental health screening programs and as cost-effective as other screening interventions that target adolescent females.
- School-based eating disorder screening may reduce disparities in access to care among male, minority, and overweight adolescents.
The post Supplementary readings for Assessment 2 appeared first on My Assignment Online.