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...

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Main Authors: Doriana Lacalaprice, Edoardo Mocini, Francesco Frigerio, Marianna Minnetti, Claudia Piciocchi, Lorenzo Maria Donini, Eleonora Poggiogalle
Format: Article
Language:English
Published: Springer 2023-09-01
Series:Eating and Weight Disorders
Subjects:
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.
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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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