NUTRITIONAL MANAGEMENT OF EATING DISORDERS

Abnormal nutritional status and dietary patterns are central features of the eating disorders. Normalization of these features are key compo nents of treatment and recovery because they are powerful perpetuating factors. Restrictive diets, fat avoidance, and abnormal cognitive and perceptual patterns are typically present, in addition to altered nut ritional parameters because of hormonal and metabolic factors. The pri mary goal of nutrition intervention in the patient with anorexia nervo sa is to promote weight gain through increased energy intake, expansio n of the diet, and knowledgeable and empathetic dietary counseling. A regular pattern of nutritionally balanced, planned meals and snacks, a nd the avoidance of restrictive dieting, are essential elements of tre atment for the patient with bulimia nervosa. As a member of the multid isciplinary treatment team, the dietitian or nutrition professional wi th knowledge of nutritional science, counseling skills, and a nonjudgm ental attitude can provide expertise in this area.