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Bone Health and Eating Disorders

As the incidence of eating disorders continues to rise, secondary bone disease is increasingly being diagnosed among affected children and adolescents. Wide evidence-based data support the long-lasting deleterious effect of eating disorders that arise during adolescence on bone accretion and fracture risk. Although novel treatment strategies show promising results, early recognition and management of eating disorders and their consequences on bone health are essential for preservation of skeletal integrity among adolescents. This review summarizes recent data regarding the various factors contributing to impaired bone health, the appropriate clinical assessment, and the available imaging modalities for evaluation of bone health and targeted therapeutic strategies.