The symptoms of starvation and dietary restriction are often the subject of targeted intervention in evidence-based treatments across eating disorder diagnoses and treatment models. Despite the level of attention given to these symptoms of clinical malnutrition, they are often treated by health professionals with no nutritional qualifications and in a non-clinical manner in the outpatient setting, with dietitians having no defined role in manualised treatment models. Recently the Australia & New Zealand Academy for Eating Disorders (ANZAED) published practice and training standards for dietitians to help characterise their role in eating disorder treatment. Since malnutrition, secondary to dietary restriction, is a clinically significant nutritional diagnosis that co-occurs in eating disorder presentations, this commentary proposes that dietitians are ideally-positioned to assess and advise on the clinical aspects of malnutrition as a key member of the multidisciplinary team. Food is a central focus in eating disorder treatment, suggesting that nutritional care needs to be addressed by a dietitian alongside the psychological aspects of care that are addressed by a mental health professional.

中文翻译：

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平衡营养管理和营养师在饮食失调治疗中的作用

饥饿和饮食限制的症状通常是跨饮食失调诊断和治疗模型的循证治疗中针对性干预的主题。尽管对临床营养不良的这些症状给予了一定程度的关注，但它们通常由没有营养资格的卫生专业人员在门诊环境中以非临床方式进行治疗，营养师在手动治疗模式中没有明确的作用。最近，澳大利亚和新西兰饮食失调学会 (ANZAED) 发布了营养师的实践和培训标准，以帮助描述他们在饮食失调治疗中的作用。由于营养不良，继发于饮食限制，是临床上重要的营养诊断，同时出现在饮食失调的表现中，该评论建议营养师作为多学科团队的关键成员，处于对营养不良的临床方面进行评估和建议的理想位置。食物是饮食失调治疗的中心焦点，这表明营养保健需要由营养师解决，同时心理健康专家需要解决心理方面的问题。