116. Refeeding Hypophosphatemia Risk in Adolescent Inpatients with Anorexia Nervosa During Nutritional Rehabilitation

2020 ◽  
Vol 66 (2) ◽  
pp. S60
Author(s):  
Melis Pehlivanturk-Kizilkan ◽  
Sinem Akgul ◽  
Orhan Derman ◽  
Nuray Kanbur
Neuropeptides ◽  
2021 ◽  
Vol 86 ◽  
pp. 102133
Author(s):  
Marta Tyszkiewicz-Nwafor ◽  
Agata Dutkiewicz ◽  
Elzbieta Paszynska ◽  
Monika Dmitrzak-Weglarz ◽  
Agnieszka Slopien

2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Melissa Sum ◽  
Laurel Mayer ◽  
Michelle P. Warren

Osteopenia and osteoporosis are major complications of anorexia nervosa (AN). Since bone is a tissue requiring large amounts of energy, we examined the disproportionate increase in resting energy expenditure (REE) that occurs with refeeding of AN patients to determine if it was related to bone accretion. Thirty-seven AN patients aged23.4±4.8years underwent a behavioral weight-gain protocol lasting a median of 66 days; 27 remained amenorrheic, and 10 regained menses. Sixteen controls aged25.1±4.7years were age- and % IBW matched with patients. REE was measured using a respiratory chamber-indirect calorimeter. Significant correlations were found between REE and changes in spine (r=0.48,P<0.02) and leg (r=0.43,P<0.05) BMDs in AN patients. Further subgroup analysis of the amenorrheics revealed significant correlation between REE and change in spine BMD (r=0.59,P<0.02) and higher IGF-1 after weight gain compared to controls. Amenorrheics also had lower BMDs. These findings were absent in the regained menses group. The increase in REE seen in women with AN during nutritional rehabilitation may be related to active bone formation, which is not as prominent when menses have returned.


Author(s):  
Maria Letizia Petroni

The nutritional intervention is a cornerstone of the treatment of eating disorders. Most serious cases are being treated first by parenteral and/or enteral nutrition, carefully to prevent the re-feeding syndrome that can have fatal consequences. Once patient is clinically stable, integrated intervention can be started: medical, nutritional, psychological, motor, rehabilitation and therapeutic education may take place initially in a hospital setting and then in an outpatient setting. The nutritional rehabilitation in anorexia nervosa can be conducted with the mode of the mechanical feeding or with that of desensitization of anxiety by food. Goal is the gradual normalization of weight and nutrition and improving the quality of life of the patient.


2016 ◽  
Vol 33 (S1) ◽  
pp. S432-S432
Author(s):  
B. Sánchez Sánchez ◽  
P. Muñoz-Calero Franco ◽  
N. Rodriguez Criado ◽  
J.F. Cruz Fourcade ◽  
R. Martín Aragón ◽  
...  

IntroductionAnorexia nervosa is a disorder of eating behavior that is a major health problem on our society. It is characterized by three main criteria: self-induced starvation, desire for thinness or fear of obesity, and the presence of medical signs and symptoms due to improper feeding. This work is focused on its treatment. The biopsychosocial approach allows the design and application of effective therapeutic strategies and a multidisciplinary team collaboration is essential.ObjectivesResearch of current pharmacological and psychotherapy treatments options of the disease.Material and methodsLiterature review based on articles and publications on this topic.ResultsIn anorexia nervosa, it is necessary to establish a therapeutic alliance between doctor and patient. Patient usually feels no motivation to improve. The different treatments options to combine, in terms of the patient status, are: nutritional rehabilitation, cognitive-behavioral, family and interpersonal psychotherapies and pharmacological treatment. It can be carried out at the ambulatory, at the day-hospital or by medical stay, even beyond patient will.ConclusionsNowadays, the nutritional rehabilitation is the best treatment established and it is the core treatment. About the psychotherapies, the cognitive-behavioral is the most used because it has exposed better results in all different studies proved and in clinical practices, followed by the family therapy which is the responsible of the patient family's treatment. Pharmacological treatment should not be used systematically and its exclusive use is not enough to resolve anorexia nervosa as there are needed also other treatments combined.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2019 ◽  
pp. 1-11 ◽  
Author(s):  
Artur Pałasz ◽  
Marta Tyszkiewicz-Nwafor ◽  
Aleksandra Suszka-Świtek ◽  
Flora Bacopoulou ◽  
Monika Dmitrzak-Węglarz ◽  
...  

2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Melissa Noetel ◽  
Jane Miskovic-Wheatley ◽  
Ross D. Crosby ◽  
Phillipa Hay ◽  
Sloane Madden ◽  
...  

1987 ◽  
Vol 49 (3) ◽  
pp. 285-290 ◽  
Author(s):  
G W Dec ◽  
J Biederman ◽  
T J Hougen

Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 3819
Author(s):  
Katarzyna Jowik ◽  
Marta Tyszkiewicz-Nwafor ◽  
Agnieszka Słopień

Anorexia nervosa (AN) is a psycho-metabolic disorder with a high risk of somatic complications such as refeeding syndrome (RFS) and carries the highest mortality rate of all psychiatric illnesses. To date, the consensus on the care for patients with AN has been based on recommendations for a combination of alimentation and psychotherapy. It is important to establish an initial caloric intake that will provide weight gain and minimize the risk of complications in the treatment of undernourished patients. Research over the past few years suggests that current treatment recommendations may be too stringent and should be updated. The aim of this paper is to systematize the current reports on nutritional rehabilitation in AN, to present the results of studies on the safe supplementation of patients and its potential impact on improving prognosis and the healing process. This review of literature, from 2011–2021, describes the changing trend in the nutritional protocols used and the research on their efficacy, safety, and long-term effects. In addition, it presents previous reports on the potential benefits of introducing vitamin, pro-and prebiotic and fatty acid supplementation.


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