TABLE 3

High-Risk Eating and Activity Behaviors and Clinical Findings of Concern

High-risk eating and activity behaviors 
 • Severe dietary restriction (<500 kcal/d) 
 • Skipping of meals to lose weight 
 • Prolonged periods of starvation 
 • Self-induced vomiting 
 • Use of diet pills, laxatives, or diuretics 
 • Compulsive and excessive exercise 
 • Social isolation, irritability, profound fear of gaining weight, body image distortion 
Clinical findings of concern 
 • Rapid weight loss 
 • Falling off percentiles for weight and BMI 
 • Amenorrhea in girls 
 • Presence of vital sign instability 
  o Bradycardia (heart rate <50 beats/minute during the day) 
  o Hypotension (<90/45 mm Hg) 
  o Hypothermia (body temperature <96°F [<35.6°C]) 
  o Orthostasis (increase in pulse >20 beats/min) or decrease in blood pressure (>20 mm Hg systolic or >10 mm Hg diastolic) on standing 
High-risk eating and activity behaviors 
 • Severe dietary restriction (<500 kcal/d) 
 • Skipping of meals to lose weight 
 • Prolonged periods of starvation 
 • Self-induced vomiting 
 • Use of diet pills, laxatives, or diuretics 
 • Compulsive and excessive exercise 
 • Social isolation, irritability, profound fear of gaining weight, body image distortion 
Clinical findings of concern 
 • Rapid weight loss 
 • Falling off percentiles for weight and BMI 
 • Amenorrhea in girls 
 • Presence of vital sign instability 
  o Bradycardia (heart rate <50 beats/minute during the day) 
  o Hypotension (<90/45 mm Hg) 
  o Hypothermia (body temperature <96°F [<35.6°C]) 
  o Orthostasis (increase in pulse >20 beats/min) or decrease in blood pressure (>20 mm Hg systolic or >10 mm Hg diastolic) on standing 
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