Risk factors for a low weight gain in the early stage of adolescent anorexia nervosa inpatient treatment: findings from a ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-06-05

AUTHORS

Nadja Knoll-Pientka, Judith Bühlmeier, Triinu Peters, Muriel Albrecht, Frederike Adams, Katharina Wustrau, Martin Teufel, Johannes Hebebrand, Manuel Föcker, Lars Libuda

ABSTRACT

PurposeBody weight restoration is a major treatment aim in juvenile inpatients with anorexia nervosa (AN) (i.e., 500–1000 g/week according to the German guidelines). Several studies suggest the early weight gain to be crucial for remission. The identification of patients at risk of a low early weight gain could enable an adequate adaptation of treatment. Thus, we aimed at detecting risk factors of a low weight gain during inpatient treatment.MethodsThe presented work analyzes data from a pilot study in 30 female adolescent inpatients with AN (restricting subtype; age range at admission: 12.6–17.6 years). Premorbid characteristics, history of symptomatology, anthropometric data, and eating-disorder psychopathology were compared between those who gained at least an average of 500 g/week during the first 7 weeks of treatment (high weight gainers, HWG) and those who did not (low weight gainers, LWG).ResultsAt admission, LWG (n = 15) had a significantly higher BMI(-SDS) and scored significantly higher in the eating-disorder examination questionnaire (EDE-Q) than HWG (n = 15). A logistic regression analysis indicated both parameters to be independently associated with a low weight gain.ConclusionHigher EDE-Q scores seem to be a major risk factor for a low weight gain at the beginning of treatment. Moreover, a higher BMI(-SDS) at admission does not necessarily indicate a less severe AN symptomatic, as it was associated with a lower weight gain in our sample during the first 7 weeks of treatment. Reassessment of our results in larger studies is required to draw firm conclusions for clinical practice.Level of evidenceLevel V. More... »

PAGES

911-919

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s40519-019-00705-9

DOI

http://dx.doi.org/10.1007/s40519-019-00705-9

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1116668642

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/31168729


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