Nutritional approach of inpatients with anorexia nervosa
Anorexia nervosa (AN) is the most prevalent of eating disorders in children and adolescents, and its treatment is long and complex, involving a multidisciplinary team. Nutritional rehabilitation and restoration of a healthy body weight is one of the central goals in the initial stages of inpatient t...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Arán Ediciones, S. L.
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| Series: | Nutrición Hospitalaria |
| Subjects: | |
| Online Access: | http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-16112016000300006&lng=en&tlng=en |
| _version_ | 1811306418552176640 |
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| author | José Manuel Marugán de Miguelsanz María Soraya Geijo Uribe María Paz Redondo del Río Beatriz Mongil López Inés de Brito García-Sousa Irene Caballero Sanz José María Eiros Bouza |
| author_facet | José Manuel Marugán de Miguelsanz María Soraya Geijo Uribe María Paz Redondo del Río Beatriz Mongil López Inés de Brito García-Sousa Irene Caballero Sanz José María Eiros Bouza |
| author_sort | José Manuel Marugán de Miguelsanz |
| collection | DOAJ |
| description | Anorexia nervosa (AN) is the most prevalent of eating disorders in children and adolescents, and its treatment is long and complex, involving a multidisciplinary team. Nutritional rehabilitation and restoration of a healthy body weight is one of the central goals in the initial stages of inpatient treatment. However, current recommendations on initial energy requirements for these patients are inconsistent, with a clear lack of controlled studies, available scientific evidence and global consensus on the most effective and safe refeeding practices in hospitalized adolescents with anorexia nervosa (AN). Conservative refeeding recommendations have been classically established in order to prevent the refeeding syndrome. Nevertheless, various works have recently appeared advocating a higher initial caloric intake, without observing more complications or refeeding syndrome, and allowing a shorter average stay. We present our experience in the treatment of restricting AN with a conservative progressive treatment. We have obtained good results with this approach, which was well tolerated by patients, with no observing complications. As a consequence, the medical team could establish a pact about the therapeutic goals with the patients in an easier way. |
| first_indexed | 2024-04-13T08:45:17Z |
| format | Article |
| id | doaj.art-37c7227671a042bba9576c1bb10f4ea0 |
| institution | Directory Open Access Journal |
| issn | 0212-1611 |
| language | English |
| last_indexed | 2024-04-13T08:45:17Z |
| publisher | Arán Ediciones, S. L. |
| record_format | Article |
| series | Nutrición Hospitalaria |
| spelling | doaj.art-37c7227671a042bba9576c1bb10f4ea02022-12-22T02:53:44ZengArán Ediciones, S. L.Nutrición Hospitalaria0212-161133354054310.20960/nh.258S0212-16112016000300006Nutritional approach of inpatients with anorexia nervosaJosé Manuel Marugán de Miguelsanz0María Soraya Geijo Uribe1María Paz Redondo del Río2Beatriz Mongil López3Inés de Brito García-Sousa4Irene Caballero Sanz5José María Eiros Bouza6Hospital Clínico Universitario de ValladolidHospital Clínico Universitario de ValladolidHospital Clínico Universitario de ValladolidHospital Clínico Universitario de ValladolidHospital Clínico Universitario de ValladolidHospital Clínico Universitario de ValladolidUniversidad de ValladolidAnorexia nervosa (AN) is the most prevalent of eating disorders in children and adolescents, and its treatment is long and complex, involving a multidisciplinary team. Nutritional rehabilitation and restoration of a healthy body weight is one of the central goals in the initial stages of inpatient treatment. However, current recommendations on initial energy requirements for these patients are inconsistent, with a clear lack of controlled studies, available scientific evidence and global consensus on the most effective and safe refeeding practices in hospitalized adolescents with anorexia nervosa (AN). Conservative refeeding recommendations have been classically established in order to prevent the refeeding syndrome. Nevertheless, various works have recently appeared advocating a higher initial caloric intake, without observing more complications or refeeding syndrome, and allowing a shorter average stay. We present our experience in the treatment of restricting AN with a conservative progressive treatment. We have obtained good results with this approach, which was well tolerated by patients, with no observing complications. As a consequence, the medical team could establish a pact about the therapeutic goals with the patients in an easier way.http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-16112016000300006&lng=en&tlng=enAnorexia nerviosaAdolescenteTratamiento nutricional |
| spellingShingle | José Manuel Marugán de Miguelsanz María Soraya Geijo Uribe María Paz Redondo del Río Beatriz Mongil López Inés de Brito García-Sousa Irene Caballero Sanz José María Eiros Bouza Nutritional approach of inpatients with anorexia nervosa Nutrición Hospitalaria Anorexia nerviosa Adolescente Tratamiento nutricional |
| title | Nutritional approach of inpatients with anorexia nervosa |
| title_full | Nutritional approach of inpatients with anorexia nervosa |
| title_fullStr | Nutritional approach of inpatients with anorexia nervosa |
| title_full_unstemmed | Nutritional approach of inpatients with anorexia nervosa |
| title_short | Nutritional approach of inpatients with anorexia nervosa |
| title_sort | nutritional approach of inpatients with anorexia nervosa |
| topic | Anorexia nerviosa Adolescente Tratamiento nutricional |
| url | http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-16112016000300006&lng=en&tlng=en |
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