Effects of mealtime assistance in the nutritional rehabilitation of eating disorders
Abstract Purpose The aim of the study was to examine the effects of meal supervision, provided by health professionals, volunteers or family members, on anthropometric, nutritional, psychological, and behavioural outcomes in patients with eating disorders (EDs). Methods The present systematic review...
Main Authors: | , , , , , , |
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Format: | Article |
Language: | English |
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Springer
2023-09-01
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Series: | Eating and Weight Disorders |
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Online Access: | https://doi.org/10.1007/s40519-023-01605-9 |
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author | Doriana Lacalaprice Edoardo Mocini Francesco Frigerio Marianna Minnetti Claudia Piciocchi Lorenzo Maria Donini Eleonora Poggiogalle |
author_facet | Doriana Lacalaprice Edoardo Mocini Francesco Frigerio Marianna Minnetti Claudia Piciocchi Lorenzo Maria Donini Eleonora Poggiogalle |
author_sort | Doriana Lacalaprice |
collection | DOAJ |
description | Abstract Purpose The aim of the study was to examine the effects of meal supervision, provided by health professionals, volunteers or family members, on anthropometric, nutritional, psychological, and behavioural outcomes in patients with eating disorders (EDs). Methods The present systematic review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. The last search was conducted in three databases (PubMed, Scopus, and the Cochrane library). Inclusion criteria considered paediatric and adult patients suffering from EDs, regardless of ethnicity, and treated in different therapeutic settings. The quality of the studies was evaluated using the Newcastle Ottawa Scale (NOS) adapted for cross-sectional studies and Version 2 of the Cochrane risk-of-bias assessment tool for randomised trials. Results 3282 articles were retrieved, out of which only 6 met the eligibility criteria. A marked heterogeneity in definitions and approaches to supervised mealtime was observed. This variability emerged in the methodologies used in the supervised meal, and in the reference values for the outcome measures that were used, such as the analysis of different parameters. Based on these observations, mealtime assistance provided to patients with EDs shows an overall positive effect on eating behaviour and dysfunctional attitudes. Future research should be prompted to provide a thorough definition of a structured procedure for meal assistance to be potentially and systematically included in the nutritional rehabilitation protocols for patients with EDs. Level of evidence Level IV systematic reviews of uncontrolled trials. |
first_indexed | 2024-03-10T22:24:34Z |
format | Article |
id | doaj.art-d4ac80339c1545e7a7ef8cf4031e1ac0 |
institution | Directory Open Access Journal |
issn | 1590-1262 |
language | English |
last_indexed | 2024-03-10T22:24:34Z |
publishDate | 2023-09-01 |
publisher | Springer |
record_format | Article |
series | Eating and Weight Disorders |
spelling | doaj.art-d4ac80339c1545e7a7ef8cf4031e1ac02023-11-19T12:11:00ZengSpringerEating and Weight Disorders1590-12622023-09-0128111210.1007/s40519-023-01605-9Effects of mealtime assistance in the nutritional rehabilitation of eating disordersDoriana Lacalaprice0Edoardo Mocini1Francesco Frigerio2Marianna Minnetti3Claudia Piciocchi4Lorenzo Maria Donini5Eleonora Poggiogalle6Department of Experimental Medicine, Sapienza University of RomeDepartment of Experimental Medicine, Sapienza University of RomeDepartment of Experimental Medicine, Sapienza University of RomeDepartment of Experimental Medicine, Sapienza University of RomeDepartment of Experimental Medicine, Sapienza University of RomeDepartment of Experimental Medicine, Sapienza University of RomeDepartment of Experimental Medicine, Sapienza University of RomeAbstract Purpose The aim of the study was to examine the effects of meal supervision, provided by health professionals, volunteers or family members, on anthropometric, nutritional, psychological, and behavioural outcomes in patients with eating disorders (EDs). Methods The present systematic review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. The last search was conducted in three databases (PubMed, Scopus, and the Cochrane library). Inclusion criteria considered paediatric and adult patients suffering from EDs, regardless of ethnicity, and treated in different therapeutic settings. The quality of the studies was evaluated using the Newcastle Ottawa Scale (NOS) adapted for cross-sectional studies and Version 2 of the Cochrane risk-of-bias assessment tool for randomised trials. Results 3282 articles were retrieved, out of which only 6 met the eligibility criteria. A marked heterogeneity in definitions and approaches to supervised mealtime was observed. This variability emerged in the methodologies used in the supervised meal, and in the reference values for the outcome measures that were used, such as the analysis of different parameters. Based on these observations, mealtime assistance provided to patients with EDs shows an overall positive effect on eating behaviour and dysfunctional attitudes. Future research should be prompted to provide a thorough definition of a structured procedure for meal assistance to be potentially and systematically included in the nutritional rehabilitation protocols for patients with EDs. Level of evidence Level IV systematic reviews of uncontrolled trials.https://doi.org/10.1007/s40519-023-01605-9Eating disordersEating psychopathologyEating disorders treatmentsNutritional therapyMealtime assistance |
spellingShingle | Doriana Lacalaprice Edoardo Mocini Francesco Frigerio Marianna Minnetti Claudia Piciocchi Lorenzo Maria Donini Eleonora Poggiogalle Effects of mealtime assistance in the nutritional rehabilitation of eating disorders Eating and Weight Disorders Eating disorders Eating psychopathology Eating disorders treatments Nutritional therapy Mealtime assistance |
title | Effects of mealtime assistance in the nutritional rehabilitation of eating disorders |
title_full | Effects of mealtime assistance in the nutritional rehabilitation of eating disorders |
title_fullStr | Effects of mealtime assistance in the nutritional rehabilitation of eating disorders |
title_full_unstemmed | Effects of mealtime assistance in the nutritional rehabilitation of eating disorders |
title_short | Effects of mealtime assistance in the nutritional rehabilitation of eating disorders |
title_sort | effects of mealtime assistance in the nutritional rehabilitation of eating disorders |
topic | Eating disorders Eating psychopathology Eating disorders treatments Nutritional therapy Mealtime assistance |
url | https://doi.org/10.1007/s40519-023-01605-9 |
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