Editorial Material
Medicine, General & Internal
Daniel O'Meara, Lea Sheward, Sydney Hartman-Munick, Jessica Addison, Aya Abu-El-Haija
Summary: This passage describes a 17-year-old girl with a history of anxiety and anorexia nervosa who presented with a range of physical discomfort symptoms and was found to have multiple electrolyte imbalances.
NEW ENGLAND JOURNAL OF MEDICINE
(2022)
Article
Psychology, Clinical
Randolf Staab, Julia Campagna, Julia Ma, Anjana Sengar
Summary: This study examines the impact of a new rapid refeeding protocol on patients with anorexia nervosa, finding that it leads to faster weight gain and shorter hospital stays without affecting medical complications or program completion. The study suggests that rapid refeeding can be safely administered and is cost effective, benefiting patients' quality of life and saving costs for the healthcare system.
INTERNATIONAL JOURNAL OF EATING DISORDERS
(2022)
Article
Nutrition & Dietetics
Candice Drysdale, Kylie Matthews-Rensch, Adrienne Young
Summary: This study examined the nutritional management and outcomes of patients at risk of refeeding syndrome (RFS) after implementing updated guidelines. The results suggest that liberal RFS guidelines appear to be safe, and further research on liberalized refeeding protocols may be useful for updating international guidelines.
EUROPEAN JOURNAL OF CLINICAL NUTRITION
(2021)
Article
Psychology, Clinical
Michitaka Funayama, Yu Mimura, Taketo Takata, Akihiro Koreki, Satoyuki Ogino, Shin Kurose
Summary: The study concluded that lower body mass index and elevated blood urea nitrogen to creatinine ratio can predict the development of refeeding hypophosphatemia in patients with severe malnutrition.
JOURNAL OF EATING DISORDERS
(2021)
Article
Biochemistry & Molecular Biology
Stefanie Trinh, Vanessa Kogel, Lilly Kneisel, Elena Mueller-Limberger, Beate Herpertz-Dahlmann, Cordian Beyer, Jochen Seitz
Summary: The gut microbiota composition plays a causal role in body weight regulation and psychiatric disorders such as anorexia nervosa (AN). Previous research has shown that chronic starvation in an AN animal model leads to changes in the microbiome and reductions in brain volume and astrocytes. This study analyzed whether these alterations are reversible after refeeding. The findings suggest that the microbiome alterations in the ABA model are primarily starvation-related and support the use of this model in investigating the effects of starvation on the microbiota-gut-brain axis in AN.
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES
(2023)
Article
Nutrition & Dietetics
Marc Dauty, Pierre Menu, Baptiste Jolly, Sylvain Lambert, Bruno Rocher, Maelle Le Bras, Adam Jirka, Pascale Guillot, Stephane Pretagut, Alban Fouasson-Chailloux
Summary: This study examines the effectiveness of controlled physical activities in early refeeding for patients with severe anorexia nervosa and finds that engaging in physical activities during hospitalization in a Physical Medicine and Rehabilitation (PMR) department does not compromise the efficiency of intensive refeeding.
Article
Nutrition & Dietetics
Heather M. McDonald, Tony Lin, Lulu L. C. D. Bursztyn
Summary: A young woman presented with significant weight loss and malnutrition due to decreased food intake, initially diagnosed with ARFID but later found to have a suprasellar and pineal germinoma. While there have been cases of germinomas misdiagnosed as anorexia nervosa, this is the first reported case of a multifocal germinoma presenting as ARFID. The criteria for diagnosing ARFID do not include body image distortion, potentially leading to misdiagnosis.
EUROPEAN JOURNAL OF CLINICAL NUTRITION
(2022)
Article
Psychology, Clinical
Neville H. Golden, Cynthia J. Kapphahn, Jing Cheng, Anna Kreiter, Amanda E. Downey, Erin C. Accurso, Vanessa I. Machen, Sally H. Adams, Sara M. Buckelew, Anna-Barbara Moscicki, Daniel Le Grange, Andrea K. Garber
Summary: The study compared the recovery outcomes of individuals with atypical anorexia nervosa (atypical AN) and anorexia nervosa (AN) after one year. It found that those with atypical AN had slower weight gain and remained further from their pre-illness weight. There were no significant differences in psychological recovery, resumption of menses, or rehospitalization rates between the two groups. The findings highlight the limited understanding of recovery in atypical AN and the need for new recovery assessment metrics.
INTERNATIONAL JOURNAL OF EATING DISORDERS
(2023)
Article
Medicine, Research & Experimental
Diana Borges Dock-Nascimento, Amanda Coelho Ribeiro, Joao Manoel Silva Jr, Jose Eduardo de Aguilar-Nascimento
Summary: In this retrospective cohort study, the impact of enteral nutrition (EN) and supplemental parenteral nutrition (SPN) on the survival of critically ill patients at risk of refeeding hypophosphatemia was investigated. The results showed that patients receiving SPN had higher survival rates and lower risk of refeeding hypophosphatemia compared to those receiving EN at the same timepoints.
ARCHIVES OF MEDICAL RESEARCH
(2023)
Article
Psychology, Developmental
Christian Engelhardt, Manuel Foecker, Katharina Buehren, Brigitte Dahmen, Katja Becker, Linda Weber, Christoph U. Correll, Karin Maria Egberts, Stefan Ehrlich, Veit Roessner, Christian Fleischhaker, Alexander von Gontard, Freia Hahn, Ekkehart Jenetzky, Michael Kaess, Tanja Legenbauer, Tobias J. Renner, Ulrike M. E. Schulze, Judith Sinzig, Ida Wessing, Gisela Antony, Beate Herpertz-Dahlmann, Triinu Peters, Johannes Hebebrand
Summary: Both DSM-5 and ICD-11 provide weight criteria and severity specifiers for the diagnosis of anorexia nervosa in different age groups. This study found that BMI at referral increased up to age 15 and then plateaued, with approximately one tenth of AN patients having a BMI above the fifth centile. The validity of severity specifiers based on BMI or BMI-centiles was limited.
EUROPEAN CHILD & ADOLESCENT PSYCHIATRY
(2021)
Article
Psychology, Clinical
Ulrich Cuntz, Thorsten Koerner, Ulrich Voderholzer
Summary: Refeeding syndrome is a feared complication of patients with anorexia nervosa. Controlled studies have shown that initial high calorie refeeding is more beneficial than cautious refeeding, especially for severely malnourished patients. Despite concerns, rapid weight gain with high-calorie diet appears to improve the health status of severely malnourished patients under close medical surveillance.
EUROPEAN EATING DISORDERS REVIEW
(2022)
Article
Psychology, Clinical
Kellie Draffin, Jessica Hamilton, Shea Godsil, Suba Rudolph, Tim Crowe, Richard Newton
Summary: This pilot study compared the effects of low and standard carbohydrate feeding protocols on serum phosphate levels in children and adolescents with anorexia nervosa. Results showed that the standard carbohydrate intake was more effective in promoting weight gain during the first week of admission.
JOURNAL OF EATING DISORDERS
(2022)
Article
Psychology, Developmental
Friederike Tam, Mathias J. Gerl, Christian Klose, Michal A. Surma, Joseph A. King, Maria Seidel, Kerstin Weidner, Veit Roessner, Kai Simons, Stefan Ehrlich
Summary: This study analyzed the plasma lipidome in acutely underweight patients with anorexia nervosa before and after refeeding, revealing a profound lipid dysregulation similar to obesity and metabolic syndrome after short-term weight restoration. The findings suggest possible short-term adverse effects of current refeeding practices on the metabolic state, highlighting the need for further research on nutritional interventions in anorexia nervosa.
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY
(2021)
Review
Clinical Neurology
Erica F. Bisson, John Dimar, James S. Harrop, Daniel J. Hoh, Basma Mohamed, Praveen Mummaneni, Marjorie C. Wang, Sanjay Dhall
Summary: Preoperative malnutrition, as indicated by low serum albumin or prealbumin levels, is associated with higher rates of adverse events after spine surgery, including surgical site infections, wound complications, nonunions, hospital readmissions, and other medical complications. A multimodal nutrition management protocol can decrease deficiencies in albumin and electrolytes in patients with normal preoperative nutritional status, leading to an improvement in overall complication rates but not specifically impacting surgical site infections.
Article
Nutrition & Dietetics
Jingjing Xu, Rikard Landberg, Catharina Lavebratt, Cynthia M. Bulik, Mikael Landen, Ida A. K. Nilsson
Summary: This study found significantly lower plasma concentrations of butyric, isobutyric, and isovaleric acid in females with active anorexia nervosa (AN) and recovered from AN. Additionally, there were significant correlations between plasma concentrations of short-chain fatty acids (SCFA) and body mass index (BMI).