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J Adolesc Health. 2018 Mar;62(3):352-355. doi: 10.1016/j.jadohealth.2017.09.025. Epub 2017 Dec 11.

Boys, Biceps, and Bradycardia: The Hidden Dangers of Muscularity-Oriented Disordered Eating.

Author information

1
Department of Psychiatry, University of California, San Francisco, San Francisco, California. Electronic address: stuart.murray@ucsf.edu.
2
Department of Psychiatry, University of California, San Francisco, San Francisco, California.
3
Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Victoria, Australia.
4
Division of Adolescent and Young Adult Medicine, University of California, San Francisco, California.

Abstract

The recognition of eating disorders (EDs) in males represents an ongoing challenge for physicians. This challenge is particularly complex in the case of EDs that are oriented toward muscularity, as opposed to thinness, which current diagnostic criteria do not accommodate. Nevertheless, EDs in males, and muscularity-oriented disordered eating (MODE) in particular, are increasingly prevalent and are likely to be encountered in clinical practice. We report the case of a 16-year-old male who presented with medical instability, requiring hospitalization, in the context of MODE. Importantly, this patient did not meet formal diagnostic criteria for a specific ED, and behavioral symptoms were deemed goal oriented in the context of high school wrestling pursuits. This case highlights the challenges of identifying MODE and the medical risks associated therein. Pediatricians are encouraged to screen for MODE in adolescent males reporting body image concerns.

KEYWORDS:

Eating disorders; Male eating disorders; Muscularity-oriented disordered eating

[Indexed for MEDLINE]

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