The eating behavior leads to a persistent failure to meet nutritional and/or energy needs, manifested by at least one of the following:

•Clinically significant weight loss, or in children, poor growth or failure to achieve expected weight gain

•Nutritional deficiency

•Supplementary enteral feeding or oral nutritional supplements are required to provide adequate intake

•Impaired psychosocial functioning

●The eating or feeding disturbance is not due to lack of available food or associated with a culturally sanctioned practice.

●The disturbance does not occur solely in the course of anorexia nervosa or bulimia nervosa, and body weight and shape are not distorted.

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