Neuroticism and clinical course of weight restoration in a meal-based, rapid-weight gain, inpatient-partial hospitalization program for eating disorders

2016 ◽  
Vol 25 (1) ◽  
pp. 52-64 ◽  
Author(s):  
Laura K. Fischer ◽  
Colleen C. Schreyer ◽  
Janelle W. Coughlin ◽  
Graham W. Redgrave ◽  
Angela S. Guarda
Keyword(s):  
Eating Disorders ◽  
Weight Gain ◽  
Clinical Course ◽  
Partial Hospitalization ◽  
Rapid Weight Gain ◽  
Weight Restoration ◽  
Partial Hospitalization Program

scholarly journals Higher Caloric Refeeding Is Safe in Hospitalised Adolescent Patients with Restrictive Eating Disorders

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Elizabeth K. Parker ◽  
Sahrish S. Faruquie ◽  
Gail Anderson ◽  
Linette Gomes ◽  
Andrew Kennedy ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Weight Gain ◽  
Statistical Significance ◽  
Caloric Intake ◽  
Tube Feeding ◽  
Retrospective Chart Review ◽  
Refeeding Syndrome ◽  
Restrictive Eating ◽  
Weight Restoration ◽  
The Mean

Introduction. This study examines weight gain and assesses complications associated with refeeding hospitalised adolescents with restrictive eating disorders (EDs) prescribed initial calories above current recommendations.Methods. Patients admitted to an adolescent ED structured “rapid refeeding” program for >48 hours and receiving ≥2400 kcal/day were included in a 3-year retrospective chart review.Results. The mean (SD) age of the 162 adolescents was 16.7 years (0.9), admission % median BMI was 80.1% (10.2), and discharge % median BMI was 93.1% (7.0). The mean (SD) starting caloric intake was 2611.7 kcal/day (261.5) equating to 58.4 kcal/kg (10.2). Most patients (92.6%) were treated with nasogastric tube feeding. The mean (SD) length of stay was 3.6 weeks (1.9), and average weekly weight gain was 2.1 kg (0.8). No patients developed cardiac signs of RFS or delirium; complications included 4% peripheral oedema, 1% hypophosphatemia (<0.75 mmol/L), 7% hypomagnesaemia (<0.70 mmol/L), and 2% hypokalaemia (<3.2 mmol/L). Caloric prescription on admission was associated with developing oedema (95% CI 1.001 to 1.047;p=0.039). No statistical significance was found between electrolytes and calories provided during refeeding.Conclusion. A rapid refeeding protocol with the inclusion of phosphate supplementation can safely achieve rapid weight restoration without increased complications associated with refeeding syndrome.

Hospital course of underweight youth with ARFID treated with a meal‐based behavioral protocol in an inpatient‐partial hospitalization program for eating disorders

2019 ◽  
Vol 52 (4) ◽  
pp. 428-434 ◽  
Author(s):  
Saniha H. Makhzoumi ◽  
Colleen C. Schreyer ◽  
Jennifer L. Hansen ◽  
Lori A. Laddaran ◽  
Graham W. Redgrave ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Partial Hospitalization ◽  
Partial Hospitalization Program

Rate of weight gain as a predictor of readmission in adolescents with eating disorders

2019 ◽  
Vol 0 (0) ◽  
Author(s):  
Meghna R. Sebastian ◽  
Constance M. Wiemann ◽  
Albert C. Hergenroeder
Keyword(s):  
Eating Disorders ◽  
Weight Gain ◽  
Ideal Body Weight ◽  
Adolescent Medicine ◽  
Readmission Rates ◽  
Rapid Weight Gain ◽  
Medicine Service ◽  
Predicted Probability ◽  
Increased Risk ◽  
Co Morbidity

Abstract Background Readmission after hospital discharge is common in adolescents with eating disorders. Studies on the association between rapidity of weight gain and readmission are inconsistent. With an emphasis on more rapid weight gain during hospitalization, the effect of this strategy on readmission rates warrants further investigation. Objective This project explored the relationship between rate of weight gain during hospitalization and medically necessitated readmissions. Subjects Eighty-two patients who: were admitted due to an eating disorder during a 5-year period; achieved weight restoration to ≥84% of ideal body weight (IBW); had a follow-up visit with the adolescent medicine service after discharge; and, had information available on rate of weight gain. Methods Data were extracted from medical records. Multiple logistic regression was used to analyze the effect of rate of weight gain on readmission. The effect of a comorbid psychiatric diagnosis was tested for an interaction. Results Of patients 20.7% required readmission. The median rate of weight gain was 118.6 g/day [interquartile range (IQR) = 91.8–150.8]. There was a 1.8 times [95% confidence interval (CI) = 0.9–3.6, p = 0.087] greater odds of readmission with each increase in weight gain quartile after adjusting for potential confounders. Patients in the lowest rate of weight gain quartile and no psychiatric co-morbidity had a significantly lower predicted probability of readmission (25.1%) compared to those with a psychiatric comorbidity and in the highest quartile of rate of weight gain (48.4%). Conclusion Patients with eating disorders who have rapid inpatient weight gain and psychiatric co-morbidities may be at increased risk for readmission.

scholarly journals Rapid weight gain in early life is associated with severity of respiratory syncytial virus (RSV) bronchiolitis in children

2021 ◽  
Vol 49 (2) ◽  
pp. 23-30
Author(s):  
You Ree Kim ◽  
Hak Kyoun Cho ◽  
Eun Hye Lee ◽  
Yong-Sung Choi ◽  
Hoi Soo Yoon ◽  
...  
Keyword(s):  
Respiratory Syncytial Virus ◽  
Weight Gain ◽  
Early Life ◽  
Clinical Course ◽  
Rapid Change ◽  
Normal Weight ◽  
Rapid Weight Gain ◽  
Normal Weight Gain ◽  
Syncytial Virus ◽  
Current Weight

Objectives: This study aimed to investigate whether rapid weight gain in early life was associated with the severity of respiratory syncytial virus (RSV) bronchiolitis in children.Methods: We retrospectively reviewed 190 patients (1–24 months) hospitalized for RSV bronchiolitis. Parameters of bronchiolitis severity were compared between rapid (change in weight z-score from birth >0.67, n = 65) and normal weight gain groups (n = 125). We assessed for correlations between bronchiolitis severity and weight gain. Linear regression was performed to predict for bronchiolitis severity based on weight gain, controlling for covariates. SPSS was used for statistical analyses.Results: The rapid weight gain group had longer mean durations of tachypnea (2.3±2.0 vs. 1.7±1.8 days, P = 0.027), wheezing (3.2±2.5 vs. 1.6±1.8 days, P < 0.001), and chest retractions (1.5±2.2 vs. 0.6±1.3 days, P = 0.007). Correlations of weight gain with tachypnea (r = 0.146), wheezing (r = 0.279), and chest retractions (r = 0.179) were statistically significant. Weight gain predicted for tachypnea (B = 0.485, P = 0.013) and wheezing (B = 0.846, P = 0.001) durations after adjusting for covariates of severity (age, sex, current weight, RSV type, coin-fection, recurrent bronchiolitis, hospital stay, fever, oxygen supplementation, maximal respi-ratory and heart rates, and laboratory indices).Conclusions: Our findings suggest an association between weight gain and severity of RSV bronchiolitis in young children. Weight gain was significantly associated with the durations of tachypnea and wheezing. The trajectory of weight gain in early life may play a significant role in the clinical course of RSV bronchiolitis.

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