Treatment goal weight in adolescents with anorexia nervosa: Use of BMI percentiles

Golden, Neville H.; Jacobson, Mark Z.; Sterling, Wendy Meyer; Hertz, Stanley

doi:10.1002/eat.20503

Cited by 58 publications

(56 citation statements)

References 12 publications

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“…Overweight and underweight participants followed a diet more often than the normal participants; however, this difference was not statistically significant. According to the literature, people who tend to follow unhealthy diets are, in most of the cases, either obese or underweight [29].…”

Section: Discussionmentioning

confidence: 99%

Exploration of Eating Disorders, Nutritional and Health Status Based on Eating Attitude Test-26 amongst University Adolescent Girls

Syed¹,

Zeb²,

Khan³

et al. 2018

JFNR

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Eating disorder causes serious disturbances in behaviors related to nutrition in adolescent. Although most of these attitudes are benign, they can bear significant psychological and health risks. A cross-sectional study was conducted on 250 university adolescent girls studying in Peshawar Pakistan to explore their eating disorder, nutritional and health status. Girls were interviewed for eating attitudes by using Eating Attitude Test (EAT-26), socio-economic status and body image. Anthropometric and biochemical indices were measured. Based on EAT-26 scale, girls with and without eating disorders were identified. In both groups the association between anemia and risk factors was evaluated. Health and nutritional risk factors for anemia in girls were identified by applying logistic regression. Mean score of EAT-26 was 18±10.5 while for Dieting, Bulimia, Oral Control and Body Image of the girls was 8.5±7, 3.20±2.59, 6.36±4.41 and 20±9 respectively. EAT-Score was found in strong association with anemia in unadjusted and adjusted analysis. Among the health factors, girls with symptoms of anxiety, depression and stress were more likely anemic than their counterpart. More anorexic girls were found overweight and obese in comparison to the rest (p<0.05). Body shape being android or gynoid as well as anemia were found similar among the groups (p>0.05). More anorexic girls showed significant difference in less freshness, disrupted sleep and low physical activity (p<0.05). It has been concluded that eating disorders (anorexia) are more prevalent in university adolescent girls and could adversely affect the health and nutritional status of the students.

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Section: Discussionmentioning

confidence: 99%

Exploration of Eating Disorders, Nutritional and Health Status Based on Eating Attitude Test-26 amongst University Adolescent Girls

Syed¹,

Zeb²,

Khan³

et al. 2018

JFNR

View full text Add to dashboard Cite

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“…In postmenarcheal girls, resumption of menses provides an objective measure of biological health 100 ; in 1 recent study, resumption of menses occurred at a mean BMI percentile of 27; 75% of the girls resumed menstruating once they had achieved and sustained approximately the 40th percentile for BMI. 101 Resumption of menses can also be used to refine the treatment goal weight.…”

Section: Treatment Continuum For Children and Adolescents With Eatingmentioning

confidence: 99%

Identification and Management of Eating Disorders in Children and Adolescents

Rosen¹

2010

Pediatrics

294

171

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The incidence and prevalence of eating disorders in children and adolescents has increased significantly in recent decades, making it essential for pediatricians to consider these disorders in appropriate clinical settings, to evaluate patients suspected of having these disorders, and to manage (or refer) patients in whom eating disorders are diagnosed. This clinical report includes a discussion of diagnostic criteria and outlines the initial evaluation of the patient with disordered eating. Medical complications of eating disorders may affect any organ system, and careful monitoring for these complications is required. The range of treatment options, including pharmacotherapy, is described in this report. Pediatricians are encouraged to advocate for legislation and policies that ensure appropriate services for patients with eating disorders, including medical care, nutritional intervention, mental health treatment, and care coordination.

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“…En todo caso, dado que influyen muchos factores (reposición de fluidos, adecuado aporte energético, etc.) la mayor o menor ganancia ponderal es bastante impredecible 4 , existiendo, además, una falta de consenso al fijar el objetivo de recuperación en adolescentes en desarrollo, habiéndose propuesto el uso de percentiles de IMC y fijado un rango entre 14 y 39 como objetivo inicial 28 . La inadecuada recuperación ponderal, actitudes alimentarias anómalas y baja edad, se han relacionado con rehospitalizaciones 29 , siendo la adecuada ganancia ponderal el mejor predictor, a corto plazo, de menor deterioro clínico 30 .…”

Section: Objetivos Terapéuticosunclassified

Revisión del tratamiento dietético-nutricional de la anorexia nerviosa

Jáuregui‐Lobera

Bolaños-Ríos

2012

Rev. méd. Chile

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Review of nutritional and dietary management of anorexia nervosaFax: +34954278167 E-mail: ijl@tcasevilla.com L a anorexia nerviosa es un trastorno habitualmente de curso prolongado, con manifestaciones psicofísicas diversas 1 . Un porcentaje de pacientes puede morir, por suicidio o complicaciones físicas, siendo frecuente la muerte súbita por cardioarritmias 1-3 , que no guarda relación con la duración de la enfermedad o la edad, pero sí con un índice de masa corporal (IMC) < 12 y niveles muy bajos de albúmina sérica 4 , aunque el riesgo de dicho desenlace es poco predecible, dada la variable respuesta individual a la desnutrición y la influencia de otros factores 5,6 . En las complicaciones influyen el bajo peso, atracones, conductas purgativas, ejercicio extenuante y autolesiones 4 , siendo reversibles con una adecuada recuperación ponderal 7 . La prevalencia del trastorno es 0,2-0,5% 8 , afectando más a las mujeres 9 , pero con iguales efectos en los varones 10 . Aún sin demostrar que la ratio mujeres-hombres esté cambiando, lo que sí ha aumentado es el rango de edad de aparición, considerando que el rango tradicional de afectación era de 15 a 24 años para la mayoría de los casos 1 .La morbi-mortalidad asociada y la compleja naturaleza del trastorno, implican un tratamiento interdisciplinar 11 , muchas veces intensivo 12 , siendo los dietistas-nutricionistas los mejor cualificados para manejar aspectos dietético-nutricionales 13 , como el restablecimiento ponderal, el logro de una ingesta que cubra los requerimientos y una adecuada educación nutricional 4 .El objetivo del trabajo fue revisar los aspectos dietético-nutricionales del tratamiento de la anorexia nerviosa, enfatizando las tareas y estándares necesarios a proporcionar por parte de los dietistas-nutricionistas en el contexto de un equipo interdisciplinar y en diferentes ámbitos: ambulatorio, hospitalario y de hospitalización parcial (unidades de día). Material y MétodosSe hizo una revisión selectiva de las publicaciones indizadas en PubMed, sin carácter de revisión sistemática ni metaanálisis. Se incluyeron trabajos relacionados con el tratamiento dietético-

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Treatment goal weight in adolescents with anorexia nervosa: Use of BMI percentiles

Cited by 58 publications

References 12 publications

Exploration of Eating Disorders, Nutritional and Health Status Based on Eating Attitude Test-26 amongst University Adolescent Girls

Exploration of Eating Disorders, Nutritional and Health Status Based on Eating Attitude Test-26 amongst University Adolescent Girls

Identification and Management of Eating Disorders in Children and Adolescents

Revisión del tratamiento dietético-nutricional de la anorexia nerviosa

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