Greater rate of weight loss predicts paediatric hospital admission in adolescent typical and atypical anorexia nervosa

Hospital admissions for eating disorders (ED) are rapidly increasing. Limited research exists evidencing the factors that lead to hospital admissions or their outcomes. The current study aimed to identify predictors of hospital admission in adolescents with anorexia nervosa (AN) or atypical anorexia...

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Bibliographic Details
Published in:European journal of pediatrics 2024-04, Vol.183 (4), p.1789-1799
Main Authors: Brennan, Cliona, Cini, Erica, Illingworth, Sarah, Chapman, Simon, Simic, Mima, Nicholls, Dasha, Chapman, Victoria, Simms, Conor, Hayes, Ellen, Fuller, Sarah, Orpwood, Jade, Tweedy, Nicola, Baksh, Tahmida, Astaire, Emma, Bhakta, Dee
Format: Article
Language:English
Subjects:
Adolescent
Adolescents
Anorexia
Anorexia Nervosa - diagnosis
Anorexia Nervosa - therapy
Blood pressure
Body weight
Body weight loss
Child
Eating disorders
Energy intake
Heart rate
Hospitalization
Hospitals, Pediatric
Humans
Medicine
Medicine & Public Health
Patient admissions
Pediatrics
Prospective Studies
Teenagers
Thinness
Underweight
Weight Loss - physiology
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Summary:Hospital admissions for eating disorders (ED) are rapidly increasing. Limited research exists evidencing the factors that lead to hospital admissions or their outcomes. The current study aimed to identify predictors of hospital admission in adolescents with anorexia nervosa (AN) or atypical anorexia nervosa (AAN). Prospective observational study including participants ( n  = 205) aged 11–18 and diagnosed with AN or AAN at initial ED assessment, across eight London clinics. Physical health parameters at assessment, including heart rate, blood pressure, temperature and rate of weight loss, were compared between adolescents who were admitted to a paediatric ward following assessment and those who were not admitted. The mean rate of weight loss prior to assessment was significantly higher, and mean energy intake significantly lower, in the admitted vs not admitted groups (1.2 vs 0.6kg/week, p  
ISSN:1432-1076
0340-6199
1432-1076
DOI:10.1007/s00431-024-05436-3