The impact of the caloric intake prescribed during refeeding on weight restoration in children and adolescent inpatients with anorexia nervosa: a systematic review of the evidence

Tetyana Rocks; Fiona Pelly; P Wilkinson

doi:10.1111/1747-0080.12035

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The impact of the caloric intake prescribed during refeeding on weight restoration in children and adolescent inpatients with anorexia nervosa: a systematic review of the evidence

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The impact of the caloric intake prescribed during refeeding on weight restoration in children and adolescent inpatients with anorexia nervosa: a systematic review of the evidence

Tetyana Rocks, Fiona Pelly and P Wilkinson

Nutrition & dietetics, Vol.70(Supplement 1), pp.39-40

Dietitians Association of Australia National Conference, 30th (Canberra, Australia, 23-May-2013–25-May-2013)

Wiley-Blackwell Publishing Asia

2013

DOI: https://doi.org/10.1111/1747-0080.12035

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Abstract

Nutrition and Dietetics

Weight restoration of underweight children and adolescents with anorexia nervosa (AN) is one of the principal priorities in inpatient settings. However, the empirical evidence for the most effective method of weight rehabilitation in this group is lacking. Thus, the aim of this study was to systematically review, assess and summarize the available evidence on the effect of differing caloric intakes prescribed during refeeding on weight restoration in hospitalised children and adolescents aged 19 years and younger with diagnosed AN. Searches were conducted in Scopus, Web of Science, Global Health (CABI), PubMed, and the Cochrane database for articles published in English up to May 2012, complimented by a search of the reference lists of key publications. Seven observational studies of various study design and methodology, investigating a total of 403 inpatients satisfied the inclusion criteria. The range of prescribed caloric intakes varied from 1000 kcal to over 1900 kcal per day regardless of the feeding modality and were progressively increased during the course of hospitalization leading to weight recovery in most patients. It appeared that additional tube feeding increased the maximum caloric intake and led to greater interim or discharge weight, however this was also associated with a higher incidence of adverse effects. Overall, the level of available evidence was poor, and therefore consensus on the most effective and safe treatment for weight restoration in inpatient children and adolescents with AN is not currently feasible. Further research is crucial to establish the best practice approach to treatment of this population.

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Title: The impact of the caloric intake prescribed during refeeding on weight restoration in children and adolescent inpatients with anorexia nervosa: a systematic review of the evidence
Authors: Tetyana Rocks (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and Engineering
Fiona Pelly (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and Engineering
P Wilkinson (Author) - Dietitians Association of Australia
Publication details: Nutrition & dietetics, Vol.70(Supplement 1), pp.39-40
Conference details: Dietitians Association of Australia National Conference, 30th (Canberra, Australia, 23-May-2013–25-May-2013)
Publisher: Wiley-Blackwell Publishing Asia
Date published: 2013
DOI: 10.1111/1747-0080.12035
ISSN: 1446-6368
Organisation Unit: University of the Sunshine Coast, Queensland; School of Health - Nutrition & Dietetics; School of Health and Sport Sciences - Legacy; School of Health and Behavioural Sciences - Legacy
Language: English
Record Identifier: 99448977102621
Output Type: Conference poster

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