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Osteoporosis can develop quite rapidly (over a period of months) even in a previously healthy adult if malnutrition is acute. Even the milder types of malnutrition seen in an eating disorder sufferer who is not severely underweight can lead to osteoporosis over a few years, and the effects of malnutrition on a growing adolescent's bones can be particularly destructive. Since anorexia quite commonly begins during early adolescence, this poses a special risk that a healthy bone density will never be attained, and young anorexics may develop osteoporosis in their teens or twenties. Once it develops, it is only partially reversible at best, and commonly becomes more severe over time.

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