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A 17-year-old girl is taken to her physician by worried parents. Never overweight, in the past six months she became determined to reduce from her baseline weight of 59.1 kg. Her height is 1.7 m; body-mass index, 21. Through dieting and exercise, she lost 13.6 kg and stopped menstruating four months ago; her current body-mass index is 16. She denies having any problems and is annoyed that her parents, friends, and teachers are concerned. How should she be evaluated and treated?
A 17-year-old girl became determined to reduce from her baseline weight of 59.1 kg. Through dieting and exercise, she lost 13.6 kg and stopped menstruating. Her current body-mass index is 16. She denies having any problems. How should she be evaluated and treated?
Foreword
This
Journal
feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors' clinical recommendations.
Stage
A 17-year-old girl is taken to her physician by worried parents. Never overweight, in the past six months she became determined to reduce from her baseline weight of 59.1 kg (130 lb). Her height is 1.7 m (5 ft 6 in.); her body-mass index (the weight in kilograms divided by the square of the height in meters) is 21. Through dieting and exercise, she lost 13.6 kg (30 lb) and stopped menstruating four months ago; her current body-mass index is 16. She denies having any problems and is annoyed that her parents, friends, and teachers are concerned. How should . . .