Refeeding and weight restoration outcomes in anorexia nervosa: Challenging current guidelines

ABSTRACT Objective Cohort study from February 2003 through May 2011 to determine weight restoration and refeeding complication outcomes for patients with anorexia nervosa (AN) treated in an integrated inpatient‐partial hospital eating disorder program designed to produce rapid weight gain and weight...

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Bibliographic Details
Published in:The International journal of eating disorders 2015-11, Vol.48 (7), p.866-873
Main Authors: Redgrave, Graham W., Coughlin, Janelle W., Schreyer, Colleen C., Martin, Lindsay M., Leonpacher, Anne K., Seide, Margaret, Verdi, Antonia M., Pletch, Allisyn, Guarda, Angela S.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Anorexia
anorexia nervosa
Anorexia Nervosa - therapy
Body Mass Index
Cohort Studies
Eating disorders
Female
Group therapy
Hospitalization
Humans
hypophophatemia
Male
Patient admissions
Patient Discharge
refeeding syndrome
Refeeding Syndrome - complications
Treatment Outcome
Weight
Weight Gain
weight restoration
Young Adult
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Summary:ABSTRACT Objective Cohort study from February 2003 through May 2011 to determine weight restoration and refeeding complication outcomes for patients with anorexia nervosa (AN) treated in an integrated inpatient‐partial hospital eating disorder program designed to produce rapid weight gain and weight restoration in the majority. Method Consecutive admissions (females and males, adolescents and adults; N = 361 patients, 461 admissions) at least 1.8 kg below target weight with AN or subthreshold variants were included. Main outcome measures were rates of hypophosphatemia, transfer to medicine, or death; rates of weight gain and percent achieving weight restoration. Results Hypophosphatemia was present in 7.9% of cases at admission and in 18.5% at some point during treatment. Hypophosphatemia was mild to moderate. Lower admission body mass index (BMI), but not rate of weight gain, predicted hypophosphatemia [OR = 0.65; p 
ISSN:0276-3478
1098-108X
DOI:10.1002/eat.22390