4. Physiological Assessment of Eating Disorders

  1. John R. E. Fox3 and
  2. Ken P. Goss4
  1. Ty Glover1 and
  2. Sonu Sharma2

Published Online: 3 OCT 2012

DOI: 10.1002/9781118328910.ch4

Eating and its Disorders

Eating and its Disorders

How to Cite

Glover, T. and Sharma, S. (2012) Physiological Assessment of Eating Disorders, in Eating and its Disorders (eds J. R. E. Fox and K. P. Goss), John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9781118328910.ch4

Editor Information

  1. 3

    Division of Clinical Psychology, University of Manchester, UK

  2. 4

    Coventry Eating Disorders Service, United Kingdom

Author Information

  1. 1

    Eating Disorders Unit, Cheadle Royal Hospital, UK

  2. 2

    Royal Free Hospital, UK

Publication History

  1. Published Online: 3 OCT 2012
  2. Published Print: 9 OCT 2012

ISBN Information

Print ISBN: 9780470683545

Online ISBN: 9781118328910



  • diabetes mellitus (DM);
  • eating disorders (EDs);
  • inpatient treatment;
  • medical complications;
  • physiological assessment;
  • pregnancy;
  • primary care clinician


This chapter examines the physical signs and symptoms, which should lead the primary care clinician to suspect an eating disorder (ED), which groups are at particularly high risk of developing an ED, laboratory tests which should be part of the evaluation of a client with a suspected ED and finally the common medical complications amongst clients with this diagnosis. Medical complications include gastrointestinal complications, cardiovascular complications, dermatological complications and skeletal complications. The chapter considers the risks and management of clients with diabetes mellitus (DM) in terms of each of the three specific ED domains: Anorexia Nervosa (AN), Bulimia Nervosa (BN) and Binge Eating Disorder (BED). Co-morbid DM or pregnancy in an anorexic client may cause such physical complications that inpatient treatment is warranted at a much earlier point than would otherwise be the case.