The effect of acute weight restoration on dietary fat preference in hospitalized patients with anorexia nervosa

2016 ◽  
Vol 50 (2) ◽  
pp. 148-151 ◽  
Author(s):  
Janet E. Schebendach ◽  
Christine C. Call ◽  
Evelyn Attia ◽  
Michael J. Devlin ◽  
B. Timothy Walsh ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Dietary Fat ◽  
Hospitalized Patients ◽  
Weight Restoration ◽  
Fat Preference

scholarly journals Neuroimaging Findings in Adolescents and Young Adults with Anorexia Nervosa: A Systematic Review

Children ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. 137
Author(s):  
Kalliopi Kappou ◽  
Myrto Ntougia ◽  
Aikaterini Kourtesi ◽  
Eleni Panagouli ◽  
Elpis Vlachopapadopoulou ◽  
...  
Keyword(s):  
Systematic Review ◽  
Young Adults ◽  
Anorexia Nervosa ◽  
Large Scale ◽  
Temporal Cortex ◽  
Adolescents And Young Adults ◽  
Pubmed Central ◽  
Executive Control Network ◽  
Young Females ◽  
Weight Restoration

Background: Anorexia nervosa (AN) is a serious, multifactorial mental disorder affecting predominantly young females. This systematic review examines neuroimaging findings in adolescents and young adults up to 24 years old, in order to explore alterations associated with disease pathophysiology. Methods: Eligible studies on structural and functional brain neuroimaging were sought systematically in PubMed, CENTRAL and EMBASE databases up to 5 October 2020. Results: Thirty-three studies were included, investigating a total of 587 patients with a current diagnosis of AN and 663 healthy controls (HC). Global and regional grey matter (GM) volume reduction as well as white matter (WM) microstructure alterations were detected. The mainly affected regions were the prefrontal, parietal and temporal cortex, hippocampus, amygdala, insula, thalamus and cerebellum as well as various WM tracts such as corona radiata and superior longitudinal fasciculus (SLF). Regarding functional imaging, alterations were pointed out in large-scale brain networks, such as default mode network (DMN), executive control network (ECN) and salience network (SN). Most findings appear to reverse after weight restoration. Specific limitations of neuroimaging studies in still developing individuals are also discussed. Conclusions: Structural and functional alterations are present in the early course of the disease, most of them being partially or totally reversible. Nonetheless, neuroimaging findings have been open to many biological interpretations. Thus, more studies are needed to clarify their clinical significance.

Perceived expressed emotion in the siblings and parents of hospitalized patients with anorexia nervosa

2000 ◽  
Vol 27 (3) ◽  
pp. 288-296 ◽  
Author(s):  
Michelle L. Moulds ◽  
Stephen W. Touyz ◽  
David Schotte ◽  
Peter J. V. Beumont ◽  
Rosalyn Griffiths ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Expressed Emotion ◽  
Hospitalized Patients

scholarly journals Managing anorexia from a dietitian's perspective

2009 ◽  
Vol 68 (3) ◽  
pp. 281-288 ◽  
Author(s):  
Annette Cockfield ◽  
Ursula Philpot
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Multidisciplinary Team ◽  
Best Practice ◽  
Tube Feeding ◽  
Evidence Base ◽  
Inpatient Setting ◽  
Team Approach ◽  
Normal Behaviour ◽  
Weight Restoration

Anorexia nervosa has the highest mortality rate of any psychiatric condition and its management is complex and multi-faceted, requiring a multidisciplinary team approach. Dietitians are an important part of the multidisciplinary team, offering objective nutritional advice with the aim of helping the patient to develop an improved relationship with food. Refeeding patients with a low body weight requires careful management; nonetheless, refeeding the low-weight patient with anorexia presents many additional complications, largely of a psychological nature. Treatment plans need to consider psychological, physical, behavioural and psycho-social factors relating to anorexia nervosa. Currently, there is no consistent approach and a paucity of evidence to support best practice for weight restoration in this group of patients. Tube feeding is utilised at varying BMI in anorexia nervosa, mainly in an inpatient setting. However, its use should be seen as a last resort and limited to a life-saving intervention. Weight restoration is best managed by an experienced dietitian within a specialist eating disorders team, using normal foods. This approach is ideal for nutrition rehabilitation, promoting skills for eating and normal behaviour and providing a longer-term solution by challenging unhelpful coping strategies from the onset. Dietitians have a unique mix of skills and knowledge in numerous areas including nutrition, physiology, psychology, sociology and behaviour change, which can be applied to support patients with thoughts and behaviours around food, weight and appetite. Further research is required into the effectiveness of dietetic interventions in eating disorders in order to establish an evidence base for best practice.

S75. Maladaptive Food Choice and Neural Correlates Persist After Weight Restoration in Anorexia Nervosa

2019 ◽  
Vol 85 (10) ◽  
pp. S326
Author(s):  
Joanna Steinglass ◽  
Karin Foerde ◽  
Teresa Rufin ◽  
B. Timothy Walsh ◽  
Daphna Shohamy
Keyword(s):  
Anorexia Nervosa ◽  
Food Choice ◽  
Neural Correlates ◽  
Weight Restoration

Insulin, glucose, and pancreatic polypeptide responses to a test meal in restricting type anorexia nervosa before and after weight restoration

2007 ◽  
Vol 292 (5) ◽  
pp. E1441-E1446 ◽  
Author(s):  
Kimberly P. Kinzig ◽  
Janelle W. Coughlin ◽  
Graham W. Redgrave ◽  
Timothy H. Moran ◽  
Angela S. Guarda
Keyword(s):  
Anorexia Nervosa ◽  
Pancreatic Polypeptide ◽  
Test Meal ◽  
Weight Status ◽  
Endocrine Function ◽  
Response Patterns ◽  
Short Term ◽  
Before And After ◽  
Weight Restoration ◽  
Relapse Rates

Prolonged malnutrition in individuals with anorexia nervosa (AN) has been associated with alterations in endocrine function that may play a sustaining role in the disorder. We hypothesized that abnormalities in endocrine responses to ingestion of a meal in AN are reversible and depend on weight restoration. We measured meal-induced endocrine responses in AN subjects at three time points during hospitalization: before refeeding ( n = 13, mean BMI 16.7 kg/m2), after 2 wk of refeeding (mean BMI 18.0 kg/m2), and in the weight-restored state (mean BMI 20.3 kg/m2). Control subjects ( n = 13, BMI 19–24.9 kg/m2) were tested once. Tests were 2.5-h sessions in which blood was drawn every 15 min before, during, and after a ∼650-kcal test breakfast. Relative to controls, peak levels of glucose were depressed and peak levels of insulin in response to ingestion of the test meal were delayed, with response patterns in the third trial most similar to controls. Pancreatic polypeptide (PP) levels were increased in AN relative to controls regardless of weight status. The delay in insulin release and elevated PP levels did not correct with short-term refeeding and may contribute to the high relapse rates and maintenance of AN.

Cardiac changes in anorexia nervosa

2016 ◽  
Vol 26 (4) ◽  
pp. 623-628 ◽  
Author(s):  
Michael A. Spaulding-Barclay ◽  
Jessica Stern ◽  
Philip S. Mehler
Keyword(s):  
Weight Loss ◽  
Anorexia Nervosa ◽  
Treatment Outcome ◽  
Eating Disorder ◽  
Medical Complications ◽  
Cardiac Complications ◽  
Successful Treatment Outcome ◽  
Comprehensive Literature Review ◽  
Life Threatening ◽  
Weight Restoration

AbstractIntroductionAnorexia nervosa is an eating disorder, which is associated with many different medical complications as a result of the weight loss and malnutrition that characterise this illness. It has the highest mortality rate of any psychiatric disorder. A large portion of deaths are attributable to the cardiac abnormalities that ensue as a result of the malnutrition associated with anorexia nervosa. In this review, the cardiac complications of anorexia nervosa will be discussed.MethodsA comprehensive literature review on cardiac changes in anorexia nervosa was carried out.ResultsThere are structural, functional, and rhythm-type changes that occur in patients with anorexia nervosa. These become progressively significant as ongoing weight loss occurs.ConclusionCardiac changes are inherent to anorexia nervosa and they become more life-threatening and serious as the anorexia nervosa becomes increasingly severe. Weight restoration and attention to these cardiac changes are crucial for a successful treatment outcome.

Sign in / Sign up

Export Citation Format

Share Document