Hypophosphatemia in the Nutritional Recovery Syndrome

Hypophosphatemia among severely malnourished children with sepsis in Bangladesh

“…Mezoff et al . reported that arm and arm muscle circumferences were below the fifth percentile in all patients developing HP (phosphate <3 mg/dL) . MUAC is a practical predictor of moderate or severe HP, especially when biochemical examinations are not fully available.…”

“…Mezoff et al reported that arm and arm muscle circumferences were below the fifth percentile in all patients developing HP (phosphate <3 mg/dL). 28 MUAC is a practical predictor of moderate or severe HP, especially when biochemical examinations are not fully available. In addition to MUAC, stunting (HAZ < -3), could be a useful predictor of HP, although the statistical strength was not as strong as MUAC in the present study.…”

Refeeding Hypophosphatemia in Hospitalized Adolescents With Anorexia Nervosa: A Position Statement of the Society for Adolescent Health and Medicine

“…First described over 60 years ago, refeeding syndrome occurs in conditions associated with malnutrition (1–4), including anorexia nervosa (AN). (5–13) Refeeding syndrome is complex and consists of a variety of metabolic and clinical features.…”

Severe Hypophosphatemia in Postoperative Patients

“…The addition of adequate phosphorus/milk to the therapy for treating malnutrition in the refeeding syndrome is associated with a marked decrease in morbidity. 9 Although hypophosphatemia may occur in any patient receiving parenteral glucose infusion, the effects are much more pronounced in patients with diabetic ketoacidosis being treated with insulin. The diabetic patient's preexisting store of phosphorus is depleted because of increased renal phosphate losses-a consequence of acidosis and glycosuria.…”