Review
Psychiatry
Amanda E. Downey, Alexis Richards, Anna B. Tanner
Summary: Assessing acute medical stability is important in patients with eating disorders, but attention should also be paid to the age-related consequences of malnutrition. Early and aggressive weight restoration is crucial for preventing long-term, potentially irreversible medical complications like linear growth impairment.
FRONTIERS IN PSYCHIATRY
(2023)
Article
Psychology, Clinical
Nandini Datta, James D. Lock
Summary: This study explores the role of aberrant interoception in restrictive eating symptoms in ARFID, AN, and HC groups. The results show that adolescents with ARFID have poor heartbeat guessing accuracy, while those with AN have better accuracy but lack confidence in trusting their body cues. These preliminary findings provide valuable insights into how individuals with eating disorders perceive and respond to body signals.
JOURNAL OF EATING DISORDERS
(2023)
Review
Allergy
Daniela Ciciulla, Victoria X. Soriano, Vicki McWilliam, Jennifer J. Koplin, Rachel L. Peters
Summary: This systematic review investigated the rate of eating disorders (EDs) among individuals with food allergies (FAs). The prevalence of EDs in individuals with FA varied widely. Further large-scale studies with validated measures are needed to accurately determine the prevalence of EDs.
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY-IN PRACTICE
(2023)
Article
Psychology, Clinical
Laura Canas, Carol Palma, Ana M. Molano, Lola Domene, Marta Carulla-Roig, Raquel Cecilia-Costa, Montserrat Dolz, Eduardo Serrano-Troncoso
Summary: ARFID patients are usually younger, with a higher proportion of males, earlier onset, and longer illness duration compared to AN patients. They exhibit more medical and psychiatric comorbidities, greater clinical fear, more attention problems, and fewer symptoms of anxiety and depression.
EUROPEAN EATING DISORDERS REVIEW
(2021)
Article
Psychology, Clinical
Irina A. Vanzhula, Erin Wang, Mary K. Martinelli, Colleen Schreyer, Angela S. Guarda
Summary: This study compares hospital course and symptomatology in underweight adults with ARFID and AN. It found that adults with ARFID progress more slowly in treatment and have less favorable weight outcomes compared to AN patients. However, long-term outcomes for ARFID remain unclear. ARFID patients report less anxiety, depression, and neuroticism symptoms, as well as fewer weight and shape-related eating disorder symptoms.
JOURNAL OF EATING DISORDERS
(2023)
Article
Medicine, General & Internal
Gregory L. Hundemer, Anna Clarke, Ayub Akbari, Ann Bugeja, David Massicotte-Azarniouch, Greg Knoll, Daniel T. Myran, Peter Tanuseputro, Manish M. Sood
Summary: In this case-control study, individuals with eating disorders were more likely to have outpatient electrolyte abnormalities compared to matched controls. Unexplained electrolyte abnormalities may serve as markers for potential underlying eating disorders, indicating the need for screening.
Article
Endocrinology & Metabolism
Kendra R. Becker, Christopher Mancuso, Melissa J. Dreier, Elisa Asanza, Lauren Breithaupt, Meghan Slattery, Franziska Plessow, Nadia Micali, Jennifer J. Thomas, Kamryn T. Eddy, Madhusmita Misra, Elizabeth A. Lawson
Summary: Individuals with ARFID and AN show distinct patterns of secretion of gut-derived appetite-regulating hormones, with lower levels of ghrelin in ARFID and different timing of peak PYY levels compared to HC. ARFID individuals demonstrate lower food intake and younger age compared to AN and HC, but do not exhibit sustained high PYY levels post-meal like individuals with AN or HC.
PSYCHONEUROENDOCRINOLOGY
(2021)
Editorial Material
Psychology, Clinical
Phillipa Hay
Summary: Orthorexia nervosa is a newly recognized syndrome that has sparked increasing research interest. There is debate over whether it is a standalone disorder or only problematic when occurring alongside other mental health or eating disorders. Recent studies suggest that individuals with orthorexia nervosa may have better physical and mental health outcomes, with lower levels of eating disorder features.
INTERNATIONAL JOURNAL OF EATING DISORDERS
(2021)
Article
Psychology, Clinical
Charli Babb, Janina Brede, Catherine R. G. Jones, Lucy Serpell, William Mandy, John Fox
Summary: Autistic women with restrictive eating disorders have longer duration of illness, access a broader range of healthcare settings and treatments, and rate their experiences of inpatient care, dietetic input, and cognitive behavioral therapy less beneficial than non-autistic women.
EUROPEAN EATING DISORDERS REVIEW
(2022)
Article
Psychology, Clinical
Isabel Sanchez, Ignacio Lucas, Lucero Munguia, Lucia Camacho-Barcia, Monica Gimenez, Jessica Sanchez-Gonzalez, Roser Granero, Neus Sole-Morata, Ashley Gearhard, Carlos Dieguez, Susana Jimenez-Murcia, Fernando Fernandez-Aranda
Summary: Food addiction (FA) was more prevalent in patients with binge-purge AN compared to the restrictive subtype, suggesting that the presence of FA may indicate a possible crossover from AN-R to AN-BP. Patients with AN-R FA+ exhibited more similarities with the AN-BP subgroup than with those without FA, both in terms of eating disorder symptomatology and personality traits.
EUROPEAN EATING DISORDERS REVIEW
(2022)
Article
Nutrition & Dietetics
Maria Rosaria Marchili, Antonella Diamanti, Valeria Zanna, Giulia Spina, Cristina Mascolo, Marco Roversi, Benedetta Guarnieri, Gianluca Mirra, Giulia Testa, Umberto Raucci, Antonino Reale, Alberto Villani
Summary: Nutritional rehabilitation with naso-gastric feeding (NGF) is crucial for weight restoration in hospitalized anorexia nervosa (AN) patients. Patients treated with NGF have a lower BMI on admission and discharge, longer hospital stay, and a longer time to relapse compared to patients without NGF. Early NGF intervention is associated with a shorter length of hospitalization and facilitates faster recovery.
Article
Psychiatry
A. Ayrolles, A. Bargiacchi, J. Clarke, M. Michel, F. Baillin, V. Trebossen, H. Poncet Kalifa, S. Guilmin-Crepon, R. Delorme, N. Godart, C. Stordeur
Summary: This study aims to compare the effectiveness of a stepped-care model of daypatient treatment and full-time inpatient treatment in children with early-onset anorexia nervosa. The primary outcome measure is BMI at 12 months post-randomization, and secondary outcomes include biological, radiological, clinical, and psychological measures. The results of this study will contribute to reducing hospital length of stay and associated costs.
Article
Psychology, Clinical
Hugo Romero Frausto, Kati Roesmann, Isabelle A. G. Klinkenberg, Maimu A. Rehbein, Manuel Foecker, Georg Romer, Markus Junghoefer, Ida Wessing
Summary: This study investigated the cognitive and attentional biases towards food in individuals with anorexia nervosa (AN) using magnetoencephalography (MEG) technology. The results revealed that although AN patients rated high-calorie food as less palatable, they showed increased neural activity in the early stages of food processing, indicating heightened attentional response. This increased appetitive response to food may serve as an adaptive mechanism in a state of undernourishment.
PSYCHOLOGICAL MEDICINE
(2022)
Article
Obstetrics & Gynecology
Amy B. Middleman, Briana Griffin, Lise DeShea
Summary: This study compared menstrual differences between patients with anorexia nervosa (AN) and avoidant/restrictive food intake disorder (ARFID), finding that AN patients had higher weight and were less likely to consume junk food, with longer duration since last menstrual period. In addition to diagnosis, not consuming junk food in the past 24 hours was significantly associated with longer time since last menstrual period. Further research involving specific measures of food intake and hormonal responses to food quality is needed to explore the etiology of menstrual differences in AN and ARFID patients.
JOURNAL OF PEDIATRIC AND ADOLESCENT GYNECOLOGY
(2021)
Editorial Material
Psychology, Clinical
Kamryn T. Eddy, Lauren Breithaupt
Summary: Atypical anorexia nervosa (AN) is not well-defined and may include different clinical presentations. However, recent data suggest clinical similarities with AN. The diagnosis of atypical AN may not be appropriate for those in partial remission from AN, as symptom fluctuation is a part of the illness course. Lifetime AN carries the greatest risk and distinct biobehavioral mechanisms, supporting the need for separate recognition.
INTERNATIONAL JOURNAL OF EATING DISORDERS
(2023)