Disordered Weight Management Behaviors, Nonprescription Steroid Use, and Weight Perception in Transgender Youth

Guss, Carly E.; Williams, David N.; Reisner, Sari L.; Austin, S. Bryn; Katz-Wise, Sabra L.

doi:10.1016/j.jadohealth.2016.08.027

Cited by 115 publications

(106 citation statements)

References 28 publications

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“…With these five cases, we use specific examples to expand our understanding of how interdisciplinary teams might best approach care for this complex, emerging population. Our findings align with past literature suggesting that in the absence of timely, available gender dysphoria management, gender nonconforming youth may turn to maladaptive behaviors to change their bodies, or self‐harm the body that they perceive as a betrayal of their authentic gender (Connelly et al, 2016; Diemer et al, ; Guss, et al, ; Jones et al ; McClain and Peebles, ; Murray, ; Watson et al, ; ).…”

Section: Discussionsupporting

confidence: 88%

“…Our own clinical experience with gender nonconforming youth with ED supports the emerging literature (Connelly et al, 2016; Diemer et al, ; Guss et al, ; Jones et al, ; McClain & Peebles, ; Murray, ; Watson et al, ) suggesting that these individuals are among the highest risk patients in our care. This case series is limited by a small sample size, and interpretation of our findings is constrained by a lack of substantiating evidence in the existing literature.…”

Section: Discussionsupporting

confidence: 78%

“…Treatment of adolescent gender dysphoria similarly encourages parent involvement as a meaningful support (Olson, Durwood, DeMeules & McLaughlin, 2016;Ryan, Russell, Huebner, Diaz & Sanchez, 2010; The Family Acceptance Project, 2018), but recommends following the teen's lead in assertion of gender. While the role of caregivers in ED and gender dysphoria Our own clinical experience with gender nonconforming youth with ED supports the emerging literature (Connelly et al, 2016;Diemer et al, 2015;Guss et al, 2017;Jones et al, 2016;McClain & Peebles, 2016;Murray, 2017;Watson et al, 2016) suggesting that these individuals are among the highest risk patients in our care. This case series is limited by a small sample size, and interpretation of our findings is constrained by a lack of substantiating evidence in the existing literature.…”

Section: Discussionsupporting

confidence: 74%

“…Eating disorders (ED) are recognized as common chronic illnesses among adolescents and pose a substantial threat to wellness in this age group. Gender nonconforming adolescents are at particular risk for body dissatisfaction and ED (Austin, ; Connelly, Zervos, Barone, Johnson & Joseph, 2016; Diemer, Grant, Munn‐Chernoff, Patterson & Duncan, ; Guss, Williams, Reisner, Austin & Katz‐Wise, ; Jones, Haycraft, Murjan & Arcelus, ; McClain & Peebles, ; Murray, ; Murray, Boon & Touyz, ; Watson, Veale & Saewyc, ). Prior studies suggest that treating gender dysphoria might lead to a decrease in associated ED behaviors in this population (Ewan, Middleman & Feldmann, ).…”

Section: Introductionmentioning

confidence: 99%

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Multidisciplinary care considerations for gender nonconforming adolescents with eating disorders: A case series

Donaldson

Hall

Neukirch

et al. 2018

Intl J Eating Disorders

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Gender nonconforming youth are at risk for body dissatisfaction and disordered eating. Currently, only a small body of literature addresses this high-risk group. The five cases in this series highlight important themes for this patient population from an interdisciplinary perspective. Identified themes include increased risk for self-harm/suicide, complex psychiatric, and medical implications of delay to treatment for either gender dysphoria or disordered eating, and the importance of collaborative management to maximize care and facilitate healthy development to adulthood. The purpose of this case series is to expand the interdisciplinary discussion regarding the breadth of presentation and management considerations for gender nonconforming adolescents with disordered eating. An interdisciplinary approach to care might enhance access to comprehensive, collaborative treatment for disordered eating, and gender dysphoria in this unique population.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 78%

Section: Discussionsupporting

confidence: 74%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Multidisciplinary care considerations for gender nonconforming adolescents with eating disorders: A case series

Donaldson

Hall

Neukirch

et al. 2018

Intl J Eating Disorders

View full text Add to dashboard Cite

show abstract

“…Similarly, the risk of the refeeding syndrome is distinctly unusual many weeks into ongoing and consistent weight gain. Herein, we describe a case of prolonged, persistent hypophosphatemia as late as the 3rd month of refeeding in a transgender patient, which may have increased clinical relevance as transgender issues are increasingly found in society of eating disordered patients (Guss et al, 2017;Jones & Hiller, 2013).…”

mentioning

confidence: 99%

Recurrent persistent hypophosphatemia in a male‐to‐female transgender patient with anorexia nervosa: Case report

Beaty

Mehler

2017

Intl J Eating Disorders

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Refeeding hypophosphatemia remains a serious and common complication during the early phases of nutritional rehabilitation and weight restoration for patients with anorexia nervosa. Typically, the risk of refeeding hypophosphatemia diminishes after the first 1-2 weeks of the refeeding process and thus, frequent monitoring serum phosphorus levels becomes less important as refeeding proceeds. Herein, we describe a case of persistent recurrent hypophosphatemia in a male-to-female transgender patient with severe anorexia nervosa. As transgender patients become increasingly seen in the realm of eating disorders, it is worth noting this phenomenon to mitigate adverse events.

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Global Prevalence of Adolescent Use of Nonprescription Weight-Loss Products

Hall,

Hetti Pathirannahalage,

Mihalopoulos

et al. 2024

JAMA Netw Open

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ImportanceUse of nonprescribed weight-loss products in adolescents is a public health concern that is associated with negative physical and psychological consequences. However, the prevalence of nonprescribed weight-loss product use in adolescents is unknown.ObjectiveTo determine the global prevalence of nonprescription weight-loss product use in children and adolescents.Data SourcesFour databases, including MEDLINE, PsycINFO, CINAHL (Cumulative Index of Nursing and Allied Health), and EMBASE, were searched for quantitative studies that reported prevalence data on use of nonprescription weight-loss products with no restrictions on publication date. The search was performed December 1, 2020, and updated March 6, 2023.Study SelectionStudies were included in the meta-analysis if they reported the prevalence of weight-loss product use, were published in English, and included individuals 18 years or younger.Data Extraction and SynthesisData extraction was completed by 2 independent reviewers. Data analysis determined the overall pooled proportion of weight-loss product use in total and during the past week, past 30 days, past year, or lifetime. Inverse variance heterogeneity effect models were used.Main Outcomes and MeasuresThe main outcome measure was the prevalence of nonprescription weight-loss product use in adolescents for all included studies and over the past week, past month, past year, or lifetime. Subgroup analysis included separation of groups by sex, specific weight-loss product types, geographical location, and study publication time.ResultsA total of 90 articles (604 552 unique participants) were included in the meta-analysis. Of these, 50 studies (56%) were from North America. The reported prevalence of weight-loss product use in adolescents was 5.5% (96% CI, 5.5%-5.6%) overall. When identifying use of weight-loss products in the general population, prevalence was 2.0% (95% CI, 1.9%-2.1%) in the past week, 4.4% (95% CI, 4.3%-4.5%) in the past month, 6.2% (95% CI, 6.1%-6.3%) in the past year, and 8.9% (95% CI, 8.6%-9.2%) in their lifetime. Use of weight-loss products was higher among girls than boys.Conclusions and RelevanceThis meta-analysis found that use of weight-loss products occurs at high levels in adolescents, especially girls. These findings suggest that, given the ineffectiveness of these products for weight loss coupled with their harmful long-term health consequences, interventions are required to reduce use of weight-loss products in this group.

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Disordered Weight Management Behaviors, Nonprescription Steroid Use, and Weight Perception in Transgender Youth

Cited by 115 publications

References 28 publications

Multidisciplinary care considerations for gender nonconforming adolescents with eating disorders: A case series

Multidisciplinary care considerations for gender nonconforming adolescents with eating disorders: A case series

Recurrent persistent hypophosphatemia in a male‐to‐female transgender patient with anorexia nervosa: Case report

Global Prevalence of Adolescent Use of Nonprescription Weight-Loss Products

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