Extreme anorexia nervosa: medical findings, outcomes, and inferences from a retrospective cohort

Dennis Gibson · Ashlie Watters · Jeana Cost · Margherita Mascolo · Philip S. Mehler

64 citations0/0 files storedJournal of Eating Disorders

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Eating Disorders and Behaviors Nutrition, Health and Food Behavior Child Nutrition and Feeding Issues

Abstract

BACKGROUND: in those meeting DSM-V diagnostic criteria for AN. This study seeks to define the frequency of medical complications in this group of patients in order to help inform the care of individuals < 65% ideal body weight who seek treatment for their extreme eating disorders. METHODS: Through retrospective chart review and computerized data collection, we obtained the baseline characteristics and medical findings of 281 adult patients, with AN restricting and binge-purge subtypes, admitted to the ACUTE unit for medical stabilization between May 2013 and August 2018. RESULTS: = .001). CONCLUSIONS: Although conclusions drawn from the findings presented in this descriptive study must be tempered by relevant clinical judgement, these findings showcase that patients with extreme AN are at significantly increased risk for many serious medical complications secondary to their state of malnutrition and also with initial refeeding.

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References

2013Diagnostic and Statistical Manual of Mental Disorders 2014Diagnostic and Statistical Manual of Mental Disorders 2016Recovery From Anorexia Nervosa and Bulimia Nervosa at 22-Year Follow-Up 2016Mortality in eating disorders ‐ results of a large prospective clinical longitudinal study 2004Effects of Anorexia Nervosa on Clinical, Hematologic, Biochemical, and Bone Density Parameters in Community-Dwelling Adolescent Girls 2013A Longitudinal Investigation of Mortality in Anorexia Nervosa and Bulimia Nervosa 2015Anorexia nervosa – medical complications 1995Low discharge weight and outcome in anorexia nervosa

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