Medical complications in male adolescents with anorexia nervosa

Siegel, Janet; Hardoff, Daniel; Golden, Neville H.; Shenker, I. Ronald

doi:10.1016/1054-139x(94)00003-w

Cited by 59 publications

(22 citation statements)

References 27 publications

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“…9,11,12 A high degree of medical abnormalities due to malnutrition has also been suggested as a consequence and an illustration of this male delay in seeking medical care. 12 One reason for a late detection may be a premorbid stronger involvement in athletics like jogging. 11 Another possible reason is that AN may be regarded as an expression of a typically female behavior, which may induce male patients to hide their symptoms.…”

Section: Introductionmentioning

confidence: 97%

Anorexia nervosa in young men: A cohort study

Lindblad

Lindberg

Hjern

2006

Int. J. Eat. Disord.

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Section: Introductionmentioning

confidence: 97%

Anorexia nervosa in young men: A cohort study

Lindblad

Lindberg

Hjern

2006

Int. J. Eat. Disord.

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Section: Introductionmentioning

confidence: 99%

“…Amongst those who do present for assessment, medical complications are more likely apparent than with their female counterparts [43]. There are mixed views about whether males present for assessment much earlier (see Carlat et al [44]) or later (see Siegel et al [43]) than their female counterparts. Psychological symptoms are largely identical, although there is some limited evidence that males may have less severe scores on diagnostic tools and symptom rating scales [45] and are more likely present with particular weight control strategies (for example, excessive exercise [46]) and dissatisfaction with muscle size and shape.…”

Section: Introductionmentioning

confidence: 99%

Assessment of anorexia nervosa: an overview of universal issues and contextual challenges

Surgenor

Maguire

2013

J Eat Disord

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AimAnorexia Nervosa (AN) is a complex and clinically challenging syndrome. Intended for specialist audiences, this narrative review aims to summarise the available literature related to assessment in the adult patient context, synthesising both research evidence and clinical consensus guidelines.MethodWe provide a review of the available literature on specialist assessment of AN focusing on common trajectories into assessment, obstacles accessing assessment, common presenting issues and barriers to the assessment process, the necessary scope of assessment, and tools and techniques. It describes the further step of synthesising assessment information in ways that can inform resultant care plans.ResultsIn addition to assessment of core behaviours and diagnostic skills, considerations for the expert assessor include the functions of primary care, systemic and personal barriers, knowledge of current assessment tools and research pertaining to comorbid pathology in AN, assessing severity of illness, role of family at assessment, as well as medical, nutritional and compulsory elements of assessment.ConclusionComprehensive assessment of AN in the current healthcare context still remains largely the remit of the specialist ED clinician. Assessment should remain an on-going process, paying particular attention to available empirical evidence, thereby reducing the gap between research and practice.

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“…The data that are currently available regarding the prevalence of medical complications in adolescent girls who have AN are primarily from hospitalized patients with this disorder 17,18 and from retrospective chart reviews. [19][20][21] Warren and Vande Wiele 22 examined 42 hospitalized girls and young women with AN and reported a 26% prevalence of bradycardia, 86% prevalence of hypotension, 64% prevalence of hypothermia, 38% prevalence of leukopenia, and 7% prevalence of anemia in a 1973 study without matched healthy control subjects. Shamim et al 20 recently reported normalization of orthostatic pulse changes after nutritional rehabilitation in hospitalized adolescents with AN.…”

mentioning

confidence: 97%

Effects of Anorexia Nervosa on Clinical, Hematologic, Biochemical, and Bone Density Parameters in Community-Dwelling Adolescent Girls

Misra

Aggarwal²,

Miller³

et al. 2004

Pediatrics

297

287

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A high prevalence of hemodynamic, hematologic, endocrine, and bone density abnormalities are reported in this large group of community-dwelling adolescent girls with AN. Although a number of these consequences of AN are known to occur in hospitalized adolescents, the occurrence of these findings, including significant bradycardia, low blood pressure, and pubertal delay, in girls who are treated for AN on an outpatient basis is of concern and suggests the need for vigilant clinical monitoring, including that of endocrine and bone density parameters.

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Medical complications in male adolescents with anorexia nervosa

Cited by 59 publications

References 27 publications

Anorexia nervosa in young men: A cohort study

Anorexia nervosa in young men: A cohort study

Assessment of anorexia nervosa: an overview of universal issues and contextual challenges

Effects of Anorexia Nervosa on Clinical, Hematologic, Biochemical, and Bone Density Parameters in Community-Dwelling Adolescent Girls

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