Eating disorders in children and tweens

It may surprise you to notice signs of disordered eating in your child or preteen, but it’s actually not unusual and should be treated as soon as possible. Studies have shown that the number of people suffering from eating disorders is increasing, while the minimum age at which professionals are seeing eating disorders is decreasing. Early detection and treatment can interrupt a lifetime of disordered eating.

This is why parents are on the frontline of eating disorder prevention and treatment. The sooner we can identify that our child is susceptible to and going down a path of disordered eating, which can often be first recognized by dieting or restricting food in some way, the better we are able to help them avoid seriously damaging their bodies with an eating disorder.

Here are some important notes for parents of children and tweens about eating disorders:

Genetics & Temperament

Perhaps the single largest contributor to the development of an eating disorder is foundational genetics and temperament. Many experts today state that these underlying predispositions are the foundation of eating disorders, and additional factors are “triggers” that may or may not influence eating disorder development. Many children who develop eating disorders exhibit signs and symptoms of depression, anxiety, perfectionism and obsessive-compulsive disorder (OCD).

Emotional Development

Children between the ages of 5-12 don’t get as much attention in our society as babies, toddlers, and teenager. For the most part, we focus our efforts on the first years and then get dragged back into active parenting when things go awry in adolescence. But the middle years are a crucial time for children to learn emotional management techniques, which can help them navigate the brain changes and emotional upheaval that takes place during puberty. A major factor in eating disorder recovery is learning to identify, process and cope with emotions. During treatment, someone in recovery will learn to process, rather than numb, emotions like anger, sadness, shame, loneliness, and envy. Parents can learn techniques to support this emotional development.

Health Messages

One thing that is unequivocal in the culture today is that being fat is considered bad, and being thin is considered good. These messages are accepted in our culture and can be confusing and lead to disorders in young children who don’t understand the full range of health. According to the National Eating Disorders Association (NEDA), 41% of first through third graders state a desire to be thinner, and 81% of 10-year-olds are afraid of becoming fat.


Most eating disorders begin with a diet. In our culture, it is accepted that dieting is the way to maintain a low weight, which is synonymous with health and “goodness.” These messages are hard enough for adults to manage, but for young children who are susceptible, they can lead to disordered eating. Thirty-five percent of “occasional dieters” progress into pathological dieting, (disordered eating) and as many as 25%, advance to full-blown eating disorders. Despite this, nearly half of 9 – 10-year-old girls are dieting.


Children’s bodies change dramatically between the ages of 8 and 13. One of the most noted body changes is weight gain, which is biologically structured to provide the body with the energetic requirements to transition from child to adult. Just as babies gain weight right before they begin crawling and/or walking, prepubescent children will gain weight in their bellies, face, hips, and thighs as they approach puberty. Many eating disorder experts have stated a fervent wish that parents stop “fiddling” with their kids during this time and, in fact, actively work against any shame or embarrassment during this weight period. Since the No. 1 side effect of dieting is weight gain (yes, you read that correctly), and the second is disordered eating, there is good evidence to say that helping a child get through puberty without dieting is a worthwhile goal.

Early Signs of an Eating Disorder  Diets and Eating Disorders

Statistics about eating disorders and tweens

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