Nutritional treatment in adolescents with Anorexia Nervosa
DOI:
https://doi.org/10.51896/rilco.v6i23.650Keywords:
Anorexia nervosa, refeeding, low-calorie, high-calorie, low-carbohydrate, standard carbohydrate, hypophosphatemia, refeeding syndromeAbstract
Anorexia nervosa (AN) is a disorder characterized by significant restriction of food intake leading to noticeable underweight, fear of gaining weight, and alterations in body self-image. It has the second highest mortality rate among psychiatric diseases, after opioid use disorder. The results of the current management strategies for this disorder are less than optimal, with more than half of the treated patients failing to remission, with data suggesting that the results obtained have not improved significantly in the last 50 years. The objective of this work is to investigate some recent advances in the nutritional treatment of AN. A thorough search of scientific articles was carried out on internet pages such as: PubMed, Redalyc, Google Academic, Scielo and ElSevier; which were collected since 2020. Six articles were found according to the objective. Studies show that high-calorie refeeding for patients hospitalized for AN is more beneficial in several ways than low-calorie refeeding, although refeeding that uses lower carbohydrates (same calories) shows less decrease in serum phosphate. The results are not conclusive. The benefits in the treatment of AN obtained in the short term should not be considered definitive.
References
Accurso, E. C., Cheng, J., Machen, V. I., Buckelew, S., Kreiter, A., Adams, S., Le Grange, D., Golden, N. H., & Garber, A. K. (2023). Hospital-based higher calorie refeeding and mealtime distress in adolescents and young adults with anorexia nervosa or atypical anorexia nervosa. International Journal of Eating Disorders, 56(6), 1219–1227. https://doi.org/10.1002/EAT.23931
Clemente-Suárez, V. J., Ramírez-Goerke, M. I., Redondo-Flórez, L., Beltrán-Velasco, A. I., Martín-Rodríguez, A., Ramos-Campo, D. J., Navarro-Jiménez, E., Yáñez-Sepúlveda, R., & Tornero-Aguilera, J. F. (2023). The Impact of Anorexia Nervosa and the Basis for Non-Pharmacological Interventions. Nutrients, 15(11). https://doi.org/10.3390/NU15112594
Cuntz, U., Körner, T., & Voderholzer, U. (2022). Rapid renutrition improves health status in severely malnourished inpatients with AN ‐ score‐based evaluation of a high caloric refeeding protocol in severely malnourished inpatients with anorexia nervosa in an intermediate care unit. European Eating Disorders Review, 30(2), 178. https://doi.org/10.1002/ERV.2877
Draffin, K., Hamilton, J., Godsil, S., Rudolph, S., Crowe, T., & Newton, R. (2022). Comparison of a low carbohydrate intake and standard carbohydrate intake on refeeding hypophosphatemia in children and adolescents with anorexia nervosa: a pilot randomised controlled trial. Journal of Eating Disorders, 10(1). https://doi.org/10.1186/S40337-021-00519-0
Garber, A. K., Cheng, J., Accurso, E. C., Adams, S. H., Buckelew, S. M., Kapphahn, C. J., Kreiter, A., Le Grange, D., MacHen, V. I., Moscicki, A. B., Sy, A., Wilson, L., & Golden, N. H. (2021). Short-term Outcomes of the Study of Refeeding to Optimize Inpatient Gains for Patients With Anorexia Nervosa: A Multicenter Randomized Clinical Trial. JAMA Pediatrics, 175(1), 19–27. https://doi.org/10.1001/JAMAPEDIATRICS.2020.3359
Herpertz-Dahlmann, B. (2021). Intensive Treatments in Adolescent Anorexia Nervosa. Nutrients, 13(4), 13. https://doi.org/10.3390/NU13041265
Merenstein Hoffman, Y., Mariana Villalobos Jímenez, D., Camila Castro Durán, D., Camacho Morale, R., & Rodriguez Palma, F. (2020). Síndrome de Realimentación: Revisión de tema. Revista Ciencia & Salud: Integrando Conocimientos, 4(5), 85–94.
Neale, J., & Hudson, L. D. (2020). Anorexia nervosa in adolescents. British Journal of Hospital Medicine, 81(6).
Parker, E. K., Flood, V., Halaki, M., Wearne, C., Anderson, G., Gomes, L., Clarke, S., Wilson, F., Russell, J., Frig, E., & Kohn, M. (2021). A standard enteral formula versus an iso-caloric lower carbohydrate/high fat enteral formula in the hospital management of adolescent and young adults admitted with anorexia nervosa: a randomised controlled trial. Journal of Eating Disorders, 9(1), 1–12. https://doi.org/10.1186/S40337-021-00513-6/FIGURES/3
Parpia, R., Spettigue, W., & Norris, M. L. (2023). Approach to anorexia nervosa and atypical anorexia nervosa in adolescents. Canadian Family Physician, 69(6), 387. https://doi.org/10.46747/CFP.6906387
Persaud-Sharma, D., Saha, S., & Trippensee, A. W. (2022). Refeeding Syndrome. En Medicine (United Kingdom) (Vol. 51, Número 7, pp. 498–502). StatPearls Publishing. https://doi.org/10.1016/j.mpmed.2023.04.001
Robison, M., Udupa, N. S., Abber, S. R., Duffy, A., Riddle, M., Manwaring, J., Rienecke, R. D., Westmoreland, P., Blalock, D. V, Le Grange, D., Mehler, P. S., & Joiner, T. E. (2024). “Terminal Anorexia Nervosa” May Not Be Terminal: An Empirical Evaluation HHS Public Access. J Psychopathol Clin Sci, 133(3), 285–296. https://doi.org/10.1037/abn0000912.supp
Saad, M. B., Eymann, A., Granados, N., Rotbalt, G., Dawson, S., Cibeira, A., & Paz, M. C. (2021). Presentación de casos clínicos. Arch Argent Pediatr, 119(4), 364–369. https://doi.org/10.5546/aap.2021.e364
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial 4.0.
Usted es libre de:
- Compartir — copiar y redistribuir el material en cualquier medio o formato
- Adaptar — remezclar, transformar y construir a partir del material
Bajo los siguientes términos:
-
Atribución — Usted debe dar crédito de manera adecuada, brindar un enlace a la licencia, e indicar si se han realizado cambios. Puede hacerlo en cualquier forma razonable, pero no de forma tal que sugiera que usted o su uso tienen el apoyo de la licenciante.
-
NoComercial — Usted no puede hacer uso del material con propósitos comerciales.
