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MINOT, N.D. — A North Dakota woman whose 13-year-old son weighed 21 pounds when he died in January has been charged with murder, authorities said Tuesday.

State Medical Examiner William Massello said Jessica Lee Jensen’s son died from chronic starvation due to untreated juvenile appetite disorder. He listed the manner of death as homicide.

Aidan Edward Bossingham’s weight was about the same as that of a young toddler when he died. His mother told investigators that Aidan had a hormonal growth problem and that his pituitary gland did not function properly, according to court documents.

Jensen, 35, of Kenmare in northern North Dakota near the Canadian border, said her son would eat and then throw up. She said he had not seen a doctor for several years, the documents say.

She also has been charged with neglect for allegedly failing to provide proper care for her two other children — a 14-year-old son and a 7-year-old daughter, both of whom are the biological children of her husband, Charles Jensen. The court documents describe him as being “separated” from Jessica Jensen and say he moved out of the family home last summer.