Truly late onset of eating disorders: a study of 11 cases averaging 60 years of age at presentation

An analysis of 11 cases of eating disorder patients, averaging 60 years at age of presentation, provides evidence for postmenopausal and truly late onset of anorexia or bulimia nervosa in elderly women. The concurrent medical and comorbid psychiatric symptoms complicate the diagnosis and treatment processes. Factors, such as reluctance to discuss psychological issues, and eating habits make the diagnosis more complex. The diagnosis and treatment criteria are similar to those for earlier onset cases. However, factors, such as loss of spouse or marital issues, need to be considered.