Development of restrictive eating disorders in children and adolescents with long-COVID-associated smell and taste dysfunction
BackgroundAbsent or abnormal senses of smell and taste have been frequently reported during both acute and long COVID in adult patients. In contrast, pediatric patients who test positive for SARS-CoV-2 are often asymptomatic and the loss of smell and/or taste has been infrequently reported. After ob...
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Frontiers Media S.A.
2022-11-01
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Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2022.1022669/full |
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author | Maire Brasseler Maire Brasseler Maire Brasseler Anne Schönecker Mathis Steindor Adela Della Marina Adela Della Marina Nora Bruns Nora Bruns Burcin Dogan Burcin Dogan Ursula Felderhoff-Müser Ursula Felderhoff-Müser Johannes Hebebrand Johannes Hebebrand Christian Dohna-Schwake Christian Dohna-Schwake Christian Dohna-Schwake Sarah C. Goretzki Sarah C. Goretzki Sarah C. Goretzki |
author_facet | Maire Brasseler Maire Brasseler Maire Brasseler Anne Schönecker Mathis Steindor Adela Della Marina Adela Della Marina Nora Bruns Nora Bruns Burcin Dogan Burcin Dogan Ursula Felderhoff-Müser Ursula Felderhoff-Müser Johannes Hebebrand Johannes Hebebrand Christian Dohna-Schwake Christian Dohna-Schwake Christian Dohna-Schwake Sarah C. Goretzki Sarah C. Goretzki Sarah C. Goretzki |
author_sort | Maire Brasseler |
collection | DOAJ |
description | BackgroundAbsent or abnormal senses of smell and taste have been frequently reported during both acute and long COVID in adult patients. In contrast, pediatric patients who test positive for SARS-CoV-2 are often asymptomatic and the loss of smell and/or taste has been infrequently reported. After observing several young patients with COVID-associated anosmia and ageusia at our clinic, we decided to investigate the incidence of subsequent eating disorders in these patients and in SARS-CoV-2 positive patients who did not experience anosmia and ageusia during the same period.Material and methodsA single-site retrospective cohort study of 84 pediatric patients with suspected long COVID who were treated in the Pediatric Infectious Diseases Outpatient Clinic at the University Hospital Essen were evaluated for persistent symptoms of COVID-19. Smell and taste dysfunction as well as eating behaviors were among the signs and symptoms analyzed in this study.Results24 out of 84 children and adolescents described smell and taste dysfunction after confirmed or suspected SARS-CoV-2 infections. A large number of these patients (6 out of 24) demonstrated increased fixation on their eating behavior post-COVID and over time these patients developed anorexia nervosa.Discussion/ConclusionIn this study we saw a possible association of long-lasting post-COVID smell and taste dysfunction with subsequent development of eating disorders. This observation is worrisome and merits further investigation by healthcare providers at multiple clinical sites. |
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last_indexed | 2024-04-13T07:48:13Z |
publishDate | 2022-11-01 |
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spelling | doaj.art-8a52cde5ae854880804ff6f5f25cd5732022-12-22T02:55:38ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602022-11-011010.3389/fped.2022.10226691022669Development of restrictive eating disorders in children and adolescents with long-COVID-associated smell and taste dysfunctionMaire Brasseler0Maire Brasseler1Maire Brasseler2Anne Schönecker3Mathis Steindor4Adela Della Marina5Adela Della Marina6Nora Bruns7Nora Bruns8Burcin Dogan9Burcin Dogan10Ursula Felderhoff-Müser11Ursula Felderhoff-Müser12Johannes Hebebrand13Johannes Hebebrand14Christian Dohna-Schwake15Christian Dohna-Schwake16Christian Dohna-Schwake17Sarah C. Goretzki18Sarah C. Goretzki19Sarah C. Goretzki20Department of Pediatrics I, Neonatology, Pediatric Intensive Care, Pediatric Infectiology, Pediatric Neurology, University of Duisburg-Essen, Essen, GermanyCenter for Translational Neuro- and Behavioral Sciences C-TNBS, University Duisburg-Essen, Essen, GermanyWest German Centre for Infectious Diseases (WZI), University Hospital Essen, University Duisburg-Essen, Essen, GermanyDepartment of Pediatrics III, Pediatric Pulmonology and Sleep Medicine, University of Duisburg-Essen, Essen, GermanyDepartment of Pediatrics III, Pediatric Pulmonology and Sleep Medicine, University of Duisburg-Essen, Essen, GermanyDepartment of Pediatrics I, Neonatology, Pediatric Intensive Care, Pediatric Infectiology, Pediatric Neurology, University of Duisburg-Essen, Essen, GermanyCenter for Translational Neuro- and Behavioral Sciences C-TNBS, University Duisburg-Essen, Essen, GermanyDepartment of Pediatrics I, Neonatology, Pediatric Intensive Care, Pediatric Infectiology, Pediatric Neurology, University of Duisburg-Essen, Essen, GermanyCenter for Translational Neuro- and Behavioral Sciences C-TNBS, University Duisburg-Essen, Essen, GermanyDepartment of Pediatrics I, Neonatology, Pediatric Intensive Care, Pediatric Infectiology, Pediatric Neurology, University of Duisburg-Essen, Essen, GermanyWest German Centre for Infectious Diseases (WZI), University Hospital Essen, University Duisburg-Essen, Essen, GermanyDepartment of Pediatrics I, Neonatology, Pediatric Intensive Care, Pediatric Infectiology, Pediatric Neurology, University of Duisburg-Essen, Essen, GermanyCenter for Translational Neuro- and Behavioral Sciences C-TNBS, University Duisburg-Essen, Essen, GermanyCenter for Translational Neuro- and Behavioral Sciences C-TNBS, University Duisburg-Essen, Essen, GermanyDepartment for Psychiatry, Psychosomatic Medicine and Psychotherapy of Children and Adolescents, LVR, Essen, GermanyDepartment of Pediatrics I, Neonatology, Pediatric Intensive Care, Pediatric Infectiology, Pediatric Neurology, University of Duisburg-Essen, Essen, GermanyCenter for Translational Neuro- and Behavioral Sciences C-TNBS, University Duisburg-Essen, Essen, GermanyWest German Centre for Infectious Diseases (WZI), University Hospital Essen, University Duisburg-Essen, Essen, GermanyDepartment of Pediatrics I, Neonatology, Pediatric Intensive Care, Pediatric Infectiology, Pediatric Neurology, University of Duisburg-Essen, Essen, GermanyCenter for Translational Neuro- and Behavioral Sciences C-TNBS, University Duisburg-Essen, Essen, GermanyWest German Centre for Infectious Diseases (WZI), University Hospital Essen, University Duisburg-Essen, Essen, GermanyBackgroundAbsent or abnormal senses of smell and taste have been frequently reported during both acute and long COVID in adult patients. In contrast, pediatric patients who test positive for SARS-CoV-2 are often asymptomatic and the loss of smell and/or taste has been infrequently reported. After observing several young patients with COVID-associated anosmia and ageusia at our clinic, we decided to investigate the incidence of subsequent eating disorders in these patients and in SARS-CoV-2 positive patients who did not experience anosmia and ageusia during the same period.Material and methodsA single-site retrospective cohort study of 84 pediatric patients with suspected long COVID who were treated in the Pediatric Infectious Diseases Outpatient Clinic at the University Hospital Essen were evaluated for persistent symptoms of COVID-19. Smell and taste dysfunction as well as eating behaviors were among the signs and symptoms analyzed in this study.Results24 out of 84 children and adolescents described smell and taste dysfunction after confirmed or suspected SARS-CoV-2 infections. A large number of these patients (6 out of 24) demonstrated increased fixation on their eating behavior post-COVID and over time these patients developed anorexia nervosa.Discussion/ConclusionIn this study we saw a possible association of long-lasting post-COVID smell and taste dysfunction with subsequent development of eating disorders. This observation is worrisome and merits further investigation by healthcare providers at multiple clinical sites.https://www.frontiersin.org/articles/10.3389/fped.2022.1022669/fullpediatric long COVIDanosmiaageusiaeating disorderanorexia |
spellingShingle | Maire Brasseler Maire Brasseler Maire Brasseler Anne Schönecker Mathis Steindor Adela Della Marina Adela Della Marina Nora Bruns Nora Bruns Burcin Dogan Burcin Dogan Ursula Felderhoff-Müser Ursula Felderhoff-Müser Johannes Hebebrand Johannes Hebebrand Christian Dohna-Schwake Christian Dohna-Schwake Christian Dohna-Schwake Sarah C. Goretzki Sarah C. Goretzki Sarah C. Goretzki Development of restrictive eating disorders in children and adolescents with long-COVID-associated smell and taste dysfunction Frontiers in Pediatrics pediatric long COVID anosmia ageusia eating disorder anorexia |
title | Development of restrictive eating disorders in children and adolescents with long-COVID-associated smell and taste dysfunction |
title_full | Development of restrictive eating disorders in children and adolescents with long-COVID-associated smell and taste dysfunction |
title_fullStr | Development of restrictive eating disorders in children and adolescents with long-COVID-associated smell and taste dysfunction |
title_full_unstemmed | Development of restrictive eating disorders in children and adolescents with long-COVID-associated smell and taste dysfunction |
title_short | Development of restrictive eating disorders in children and adolescents with long-COVID-associated smell and taste dysfunction |
title_sort | development of restrictive eating disorders in children and adolescents with long covid associated smell and taste dysfunction |
topic | pediatric long COVID anosmia ageusia eating disorder anorexia |
url | https://www.frontiersin.org/articles/10.3389/fped.2022.1022669/full |
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