NICE has released NICE Guideline (NG) 69 on Eating disorders: recognition and treatment, fully replacing NICE Clinical Guideline 9 on Eating disorders in over 8s: management.

Eating disorders usually start in adolescence, though can start in childhood or adulthood. They are defined by negative beliefs and behaviours about a person’s eating, body shape, and weight, leading to unhealthy practices such as restricted or binge eating, inducing vomiting, or excessive exercise. The emotional and physical consequences of these beliefs and behaviours are associated with a high mortality rate due to suicide, malnutrition, and other physical issues.

Areas covered by the recommendations made by NG69 include:

  • identifying eating disorders
  • treating anorexia nervosa
  • treating binge eating disorder
  • treating bulimia nervosa
  • physical and mental health comorbidities
  • assessing, monitoring, and managing physical health
  • inpatient and day patient care.

Conditions not covered by NG69 include:

  • avoidant/restrictive food intake disorder
  • pica (the indiscriminate eating of non-nutritious or harmful substances, such as grass, stones, or clothing)
  • rumination disorder
  • obesity in people that do not have an eating disorder.