Title |
Nutritional rehabilitation in anorexia nervosa: review of the literature and implications for treatment
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Published in |
BMC Psychiatry, November 2013
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DOI | 10.1186/1471-244x-13-290 |
Pubmed ID | |
Authors |
Enrica Marzola, Jennifer A Nasser, Sami A Hashim, Pei-an Betty Shih, Walter H Kaye |
Abstract |
Restoration of weight and nutritional status are key elements in the treatment of anorexia nervosa (AN). This review aims to describe issues related to the caloric requirements needed to gain and maintain weight for short and long-term recovery for AN inpatients and outpatients.We reviewed the literature in PubMed pertaining to nutritional restoration in AN between 1960-2012. Based on this search, several themes emerged: 1. AN eating behavior; 2. Weight restoration in AN; 3. Role of exercise and metabolism in resistance to weight gain; 3. Medical consequences of weight restoration; 4. Rate of weight gain; 5. Weight maintenance; and 6. Nutrient intake.A fair amount is known about overall caloric requirements for weight restoration and maintenance for AN. For example, starting at 30-40 kilocalories per kilogram per day (kcal/kg/day) with increases up to 70-100 kcal/kg/day can achieve a weight gain of 1-1.5 kg/week for inpatients. However, little is known about the effects of nutritional deficits on weight gain, or how to meet nutrient requirements for restoration of nutritional status.This review seeks to draw attention to the need for the development of a foundation of basic nutritional knowledge about AN so that future treatment can be evidenced-based. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Japan | 2 | 9% |
United States | 2 | 9% |
United Kingdom | 1 | 4% |
Norway | 1 | 4% |
Spain | 1 | 4% |
Venezuela, Bolivarian Republic of | 1 | 4% |
Canada | 1 | 4% |
Unknown | 14 | 61% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 14 | 61% |
Practitioners (doctors, other healthcare professionals) | 7 | 30% |
Scientists | 2 | 9% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Japan | 1 | <1% |
France | 1 | <1% |
Belgium | 1 | <1% |
Brazil | 1 | <1% |
Unknown | 371 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 93 | 25% |
Student > Master | 60 | 16% |
Student > Postgraduate | 30 | 8% |
Student > Ph. D. Student | 25 | 7% |
Student > Doctoral Student | 20 | 5% |
Other | 61 | 16% |
Unknown | 86 | 23% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 96 | 26% |
Nursing and Health Professions | 60 | 16% |
Agricultural and Biological Sciences | 30 | 8% |
Psychology | 27 | 7% |
Biochemistry, Genetics and Molecular Biology | 14 | 4% |
Other | 50 | 13% |
Unknown | 98 | 26% |