The longitudinal BMI pattern and body composition of patients with anorexia nervosa who require urgent hospitalization

A case control study

Dados Bibliográficos

ID19536629
AutoresKeisuke Kawai (0000-0001-6691-5850, Kyushu University, autor correspondente), Sakino Yamashita (Kyushu University), Takeharu Yamanaka (0000-0002-1790-7069), Motoharu Gondo (0000-0002-7742-9302, Kyushu University), Chihiro Morita (Kyushu University), Takehiro Nozaki (Kyushu University), Shu Takakura (0000-0002-9149-7651, Kyushu University), Tomokazu Hata (Kyushu University), Yuichi Yamada (0000-0002-5516-4737, Kyushu University), Yū Yamada, Sunao Matsubayashi (0000-0002-0896-2816, Fukuoka Tokushukai Hospital), Masato Takii (Kyushu University), Chiharu Kubo (Kyushu University), Nobuyuki Sudo (0000-0002-7935-878X, Kyushu University)
Ano2011
Volume5
Fascículo1
Páginas14
Data de publicação2011-01-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoBioPsychoSocial Medicine (JOURNAL)
Identificadores do periódicoISSN: 1751-0759 • E-ISSN: 1751-0759
EditoraSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1186/1751-0759-5-14
PMID22142436
PMCIDPMC3275451
OpenAlexW2139419694
IdiomaEN
Citações recebidas2
Referências citadas10

BACKGROUND: The prevention of serious physical complications in anorexia nervosa (AN) patients is important. The purpose of this study is to clarify which physical and social factors are related to the necessity for urgent hospitalization of anorexia nervosa (AN) patients in a long-term starvation state. We hypothesized that the change of longitudinal BMI, body composition and social background would be useful as an index of the necessity for urgent hospitalization. METHODS: AN patients were classified into; urgent hospitalization, due to disturbance of consciousness or difficulty walking(n = 17); planned admission (n = 96); and outpatient treatment only groups (n = 136). The longitudinal BMI pattern and the clinical features of these groups were examined. In the hospitalization groups, comparison was done of body composition variation and the social background, including the educational level and advice from family members. RESULTS: After adjusting for age and duration of illness, the BMI of the urgent hospitalization group was lower than that of the other groups at one year before hospitalization (P < 0.01) and decreased more rapidly (P < 0.01). Urgent hospitalization was associated with the fat free mass (FFM) (P < 0.01). Between the groups, no considerable difference in social factors was found. CONCLUSIONS: The longitudinal pattern of BMI and FFM may be useful for understanding the severity in AN from the viewpoint of failure of the homeostasis system

Anorexia · Anorexia nervosa · Body mass index · Eating disorders · Longitudinal study · Psychiatry · Psychosomatic medicine · Bariatric Surgery and Outcomes · Child Nutrition and Feeding Issues · Eating Disorders and Behaviors · Medicine · Internal Medicine · Pediatrics